journal
https://read.qxmd.com/read/38849774/analysis-of-correlation-between-bmi-and-twl-outcome-following-metabolic-and-bariatric-surgery-a-retrospective-study-using-restricted-cubic-spline
#1
JOURNAL ARTICLE
Guanyang Chen, Zhehong Li, Liang Wang, Qiqige Wuyun, Qing Sang, Jing Wang, Zheng Wang, Chenxu Tian, Chengyuan Yu, Buhe Amin, Nengwei Zhang, Qing Fan
OBJECTIVE: This study aimed to examine the correlation between preoperative body mass index (BMI) and adequate percentage of total weight loss (TWL%) outcome and present evidence of tiered treatment for patients with obesity in different preoperative BMI. METHODS: We included patients with complete follow-up data who underwent metabolic and bariatric surgery (BMS). We termed optimal clinical response as TWL% >20% at one year following MBS. To investigate dose-response association between preoperative BMI and optimal clinical response, preoperative BMI was analyzed in three ways: (1) as quartiles; (2) per 2...
June 7, 2024: BMC Surgery
https://read.qxmd.com/read/38844909/comparative-study-of-percutaneous-endoscopic-lumbar-decompression-and-traditional-revision-surgery-in-the-treatment-of-symptomatic-adjacent-segment-degeneration
#2
COMPARATIVE STUDY
Jianwei Guo, Changlin Lv, Tianyu Bai, Guanghui Li, Xiangli Ji, Kai Zhu, Guoqing Zhang, Xuexiao Ma, Chong Sun
OBJECTIVE: The objective of this study is to evaluate and compare the surgical outcomes and complications of Percutaneous Endoscopic Lumbar Decompression (PELD) and traditional revision surgery in treating symptomatic Adjacent Segment Degeneration (ASD). This comparison aims to delineate the advantages and disadvantages of these methods, assisting spine surgeons in making informed surgical decisions. METHODS: 66 patients with symptomatic ASD who failed conservative treatment for more than 1 month and received repeated lumbar surgery were retrospectively collected in the study from January 2015 to November 2018, with the average age of 65...
June 7, 2024: BMC Surgery
https://read.qxmd.com/read/38840104/correlation-analysis-between-the-changes-in-plasma-ghrelin-level-and-weight-loss-after-sleeve-gastrectomy-combined-with-fundoplication
#3
JOURNAL ARTICLE
Xin Li, Aikebaier Aili, Aliyeguli Aipire, Pierdiwasi Maimaitiyusupu, Maimaitiaili Maimaitiming, Kelimu Abudureyimu
BACKGROUND: Laparoscopic sleeve gastrectomy combined with fundoplication (LSGFD) can significantly control body weight and achieve effective anti-reflux effects. The aim of this study is to investigate the correlation between the alteration in Ghrelin levels and weight loss following SGFD, and to compare Ghrelin levels, weight loss and metabolic improvements between SG and SGFD, with the objective of contributing to the existing body of knowledge on SGFD technique in the management of patients with obesity and gastroesophageal reflux disease (GERD)...
June 5, 2024: BMC Surgery
https://read.qxmd.com/read/38835067/associations-of-body-composition-parameters-with-postoperative-outcome-and-perineural-tumour-invasion-after-oncological-pancreatic-resection
#4
JOURNAL ARTICLE
Tara C Mueller, Martin Henselmann, Stefan Reischl, Carsten Jaeger, Charlotte Trefzer, Ihsan Ekin Demir, Helmut Friess, Marc E Martignoni
BACKGROUND: Pancreatic cancer is often accompanied by wasting conditions. While surgery is the primary curative approach, it poses a substantial risk of postoperative complications, hindering subsequent treatments. Therefore, identifying patients at high risk for complications and optimizing their perioperative general condition is crucial. Sarcopenia and other body composition abnormalities have shown to adversely affect surgical and oncological outcomes in various cancer patients. As most pancreatic tumours are located close to the neuronal control centre for the digestive tract, it is possible that neural infiltration in this area deranges bowel functions and contributes to malabsorption and malnutrition and ultimately worsen sarcopenia and weight loss...
June 4, 2024: BMC Surgery
https://read.qxmd.com/read/38824553/effect-of-liver-transplants-with-retrograde-reperfusion-on-early-postoperative-recovery-of-liver-function-and-its-risk-factors
#5
JOURNAL ARTICLE
Jiajia Shen, Ming Wang, Chengkai Yang, Qiucheng Cai, Yi Jiang, Xiaojin Zhang
BACKGROUND: The purpose of this study was to investigate effect of liver Transplants (LT) with retrograde reperfusion on early postoperative recovery of liver function and its risk factors. METHODS: We conducted a retrospective analysis of clinical data from 136 liver transplantation (LT) patients at the 900th Hospital of the Chinese People's Liberation Army Joint Support Army, covering the period from January 2015 to January 2021. All participants provided informed consent, adhering to medical ethics guidelines...
June 1, 2024: BMC Surgery
https://read.qxmd.com/read/38824497/maximum-surgical-blood-ordering-schedule-for-elective-surgical-procedures-in-omdurman-teaching-hospital-sudan
#6
JOURNAL ARTICLE
Mohanad Khalifa, Eman Elhassan, Faisal Ibrahim
BACKGROUND: The need for blood during a surgical procedure is greater than what blood banks are able to provide. There is an excessive amount of blood being ordered for elective surgeries, surpassing the actual requirements. Only 30% of the cross matched blood is actually used in these surgeries. The accuracy of estimating the transfusion needs before a surgical procedure can be determined by looking at the cross match to transfusion ratio and the transfusion index. "These indicators play a crucial role in developing the maximum surgical blood ordering schedule; in this study, these indicators were tested...
June 1, 2024: BMC Surgery
https://read.qxmd.com/read/38822306/bilateral-simultaneous-hip-and-knee-replacement-an-epidemiological-nationwide-study-from-2001-to-2016
#7
JOURNAL ARTICLE
Umile Giuseppe Longo, Rocco Papalia, Alessandro Mazzola, Stefano Campi, Sergio De Salvatore, Vincenzo Candela, Andrea Vaiano, Ilaria Piergentili, Vincenzo Denaro
BACKGROUND: Several studies have compared the pros and cons of simultaneous bilateral versus staged bilateral hip and knee replacement but the outcomes of these two surgical options remains a matter of controversy. This study aimed to evaluate demographic features, incidence and hospitalization rates of bilateral one stage total hip and knee arthroplasty in Italy. METHODS: The Italian Ministry of Health's National Hospital Discharge Reports (SDO) were used to gather data...
May 31, 2024: BMC Surgery
https://read.qxmd.com/read/38822305/double-tract-reconstruction-improves-the-quality-of-life-and-better-maintain-the-bmi-of-patients-with-proximal-gastric-cancer
#8
JOURNAL ARTICLE
Zi Jian Wang, Zi Yao Xu, Zi Jie Huang, Li Li, Da Guan, Yun He Gao, Xin Xin Wang
PURPOSE: The aim of this study is to investigate the effect of double-tract reconstruction on short-term clinical outcome, quality of life and nutritional status of patients after proximal gastrectomy by comparing with esophagogastrostomy and total gastrectomy with Roux-en-Y reconstruction. METHODS: The clinical data of patients who underwent double tract reconstruction (DTR), esophagogastrostomy (EG), total gastrectomy with Roux-en-Y reconstruction (TG-RY) were retrospectively collected from May 2020 to May 2022...
May 31, 2024: BMC Surgery
https://read.qxmd.com/read/38811965/biomechanical-comparison-of-polyetheretherketone-rods-and-titanium-alloy-rods-in-transforaminal-lumbar-interbody-fusion-a-finite-element-analysis
#9
COMPARATIVE STUDY
Jie Li, Shuai Cao, Bo Zhao
BACKGROUND: Whether polyetheretherketone (PEEK) rods have potential as an alternative to titanium alloy (Ti) rods in transforaminal lumbar interbody fusion (TLIF) remains unclear, especially in cases with insufficient anterior support due to the absence of a cage. The purpose of this study was to investigate biomechanical differences between PEEK rods and Ti rods in TLIF with and without a cage. METHODS: An intact L1-L5 lumbar finite element model was constructed and validated...
May 29, 2024: BMC Surgery
https://read.qxmd.com/read/38811935/effect-of-simethicone-for-the-management-of-early-abdominal-distension-after-laparoscopic-cholecystectomy-a-multicenter-retrospective-propensity-score-matching-study
#10
MULTICENTER STUDY
Yi Zhu, Jinjie Li, Ji Gao, Dousheng Bai, Zhengping Yu, Shengjie Jin, Jianfei Chen, Shuang Li, Ping Jiang, Zhong Ge, Minchao Liu, Chuandong Sun, Yongjie Su, Yubin Zhang, Yong Zhang
OBJECTIVE: To investigate whether simethicone expediates the remission of abdominal distension after laparoscopic cholecystectomy (LC). METHODS: This retrospective study involved LC patients who either received perioperative simethicone treatment or not. Propensity score matching (PSM) was employed to minimize bias. The primary endpoint was the remission rate of abdominal distension within 24 h after LC. Univariable and multivariable logistic regression analyses were conducted to identify independent risk factors affecting the early remission of abdominal distension after LC...
May 29, 2024: BMC Surgery
https://read.qxmd.com/read/38811926/risk-factors-impact-and-treatment-of-postoperative-lymphatic-leakage-in-children-with-abdominal-neuroblastoma-operated-on-by-laparotomy
#11
JOURNAL ARTICLE
Jun Feng, Jianing Mou, Shen Yang, Qinghua Ren, Saishuo Chang, Wei Yang, Haiyan Cheng, Xiaofeng Chang, Zhiyun Zhu, Jianyu Han, Hong Qin, Huanmin Wang, Xin Ni
BACKGROUND: Lymphatic leakage is one of the postoperative complications of neuroblastoma. The purpose of this study is to summarize the clinical characteristics and risk factors of lymphatic leakage and try to find effective prevention and treatment measures. METHODS: A retrospective study included 186 children with abdominal neuroblastoma, including 32 children of lymphatic leakage and 154 children of non-lymphatic leakage. The clinical information, surgical data, postoperative abdominal drainage, treatment of lymphatic leakage and prognosis of the two groups were collected and analyzed...
May 29, 2024: BMC Surgery
https://read.qxmd.com/read/38807152/navigating-appendicitis-care-during-the-covid-19-pandemic-a-retrospective-cohort-study-in-china
#12
JOURNAL ARTICLE
Guang Fu, Zishun Xu, Shao Zhang
BACKGROUND: The emergence of the COVID-19 pandemic in December 2019 initiated a global transformation in healthcare practices, particularly with respect to hospital management. PCR testing mandates for medical treatment seekers were introduced to mitigate virus transmission. AIMS: This study examines the impact of these changes on the management of patients with appendicitis. METHODS: We conducted a retrospective analysis of medical records for 748 patients diagnosed with appendicitis who underwent surgery at a tertiary care hospital during two distinct periods, the pre-pandemic year 2019 and the post-pandemic year 2021...
May 28, 2024: BMC Surgery
https://read.qxmd.com/read/38807080/application-of-3d-printing-surgical-training-models-in-the-preoperative-assessment-of-robot-assisted-partial-nephrectomy
#13
JOURNAL ARTICLE
Zheng Wang, Xin Yu Wang, Xiao Fen Yu
BACKGROUND: To explore the application effect of 3D printing surgical training models in the preoperative assessment of robot-assisted partial nephrectomy. METHODS: Eighty patients who underwent robot-assisted partial nephrectomy surgery between January 2022 and December 2023 were selected and divided into two groups according to the chronological order. The control group (n = 40) received preoperative assessment with verbal and video education from January 2022 to December 2022, while the observation group (n = 40) received preoperative assessment with 3D printing surgical training models combined with verbal and video education from January 2023 to December 2023...
May 28, 2024: BMC Surgery
https://read.qxmd.com/read/38802757/impact-of-early-surgical-complications-on-kidney-transplant-outcomes
#14
JOURNAL ARTICLE
Michelle Minkovich, Nikita Gupta, Michelle Liu, Olusegun Famure, Yanhong Li, Markus Selzner, Jason Y Lee, S Joseph Kim, Anand Ghanekar
BACKGROUND: Kidney transplantation (KT) improves clinical outcomes of patients with end stage renal disease. Little has been reported on the impact of early post-operative surgical complications (SC) on long-term clinical outcomes following KT. We sought to determine the impact of vascular complications, urological complications, surgical site complications, and peri-graft collections within 30 days of transplantation on patient survival, graft function, and hospital readmissions...
May 27, 2024: BMC Surgery
https://read.qxmd.com/read/38797851/laser-hemorrhoidoplasty-vs-rubber-band-ligation-a-randomized-trial-comparing-2-mini-invasive-treatment-for-grade-ii-hemorrhoids
#15
RANDOMIZED CONTROLLED TRIAL
Lei Jin, Kaijian Qin, Renjie Wu, Haojie Yang, Can Cui, Zhenyi Wang, Jiong Wu
PURPOSE: As a minimally invasive procedure, laser hemorrhoidoplasty (LHP) can not only relieve the symptoms of hemorrhoids, but also protect the anal cushion structure. This study aimed to investigate the clinical efficacy of LHP in the treatment of grade II hemorrhoids. METHODS: A total of 70 patients with grade II hemorrhoids were randomly assigned to receive LHP or Rubber Band Ligation (RBL) (n = 35 per group) in 2019 from a single center. The postoperative pain, bleeding, feeling of anal distension(local falling, swelling, foreign body sensation, stool) and postoperative recurrence rate were compared between the two groups...
May 27, 2024: BMC Surgery
https://read.qxmd.com/read/38769559/a-novel-perineal-exposure-method-in-laparoscopic-abdominal-perineal-resection-of-rectal-cancer-a-case-series-study
#16
JOURNAL ARTICLE
Jun Ma, Daibin Tang, Yuquan Tang, Datian Wang, Peng Jiang, Yaming Zhang
BACKGROUND: Abdominal perineal resection (APR) of rectal cancer, also known as Mile's procedure, is a classic procedure for the treatment of rectal cancer. Through the improvement of surgical skills and neoadjuvant therapy, the sphincter-preserving rate in rectal cancer patients has improved, even in patients with ultralow rectal cancer who underwent APR in the past. However, APR cannot be completely replaced by low anterior resection (LAR) in reality. APR still has its indications, when the tumor affects the external sphincter, etc...
May 20, 2024: BMC Surgery
https://read.qxmd.com/read/38762739/comparison-of-efficacy-of-nadroparin-and-fondaparinux-sodium-for-prevention-of-deep-vein-thromboembolism-in-lower-extremities-after-total-hip-arthroplasty-and-total-knee-arthroplasty-a-retrospective-study-of-592-patients
#17
COMPARATIVE STUDY
Xiang Gao, Xiaowei Jin, Rui Huang, Zhenxing Li, Hanle Zhang, Pei Fan
OBJECTIVES: To compare the efficacy of nadroparin and fondaparinux sodium for prevention of deep vein thromboembolism (DVT) in lower extremities after total hip arthroplasty (THA) and total knee arthroplasty (TKA). METHODS: A total of 592 patients were enrolled in the study. Clinical data of patients who underwent total hip arthroplasty (THA) and total knee arthroplasty (TKA) in our hospital from December 2021 to September 2022 were retrospectively collected, which mainly included patients' general information, surgery-related information, and DVT-related information...
May 18, 2024: BMC Surgery
https://read.qxmd.com/read/38762478/open-surgery-with-a-lateral-neck-approach-in-cases-of-foreign-body-impaction-that-penetrating-the-neck-through-the-esophagus-a-single-center-experience
#18
JOURNAL ARTICLE
Feng Xu, Na Shen, Danzheng Liu, Ting Zhu, Liang Xue, Xuemei Luo, Xu Zhou
BACKGROUND: Because the cases are quite scarce, we aimed to review cases of foreign body impaction penetrating the neck through the esophagus to analyze the characteristics of these cases. The open surgery skills of the surgeon, the treatment procedure and the surgeons' experience in the rare diseases were analyzed. METHODS: We collected and analyzed all cases from 2015-2020 in our hospital. Surgical skills and procedures for fasting and anti-infection treatment were reviewed retrospectively...
May 18, 2024: BMC Surgery
https://read.qxmd.com/read/38760789/association-between-hospital-ownership-and-patient-selection-management-and-outcomes-after-carotid-endarterectomy-or-carotid-artery-stenting-secondary-data-analysis-of-the-bavarian-statutory-quality-assurance-database
#19
JOURNAL ARTICLE
Andreas Kuehnl, Michael Kallmayer, Bianca Bohmann, Vanessa Lohe, Rebecca Moser, Shamsun Naher, Felix Kirchhoff, Hans-Henning Eckstein, Christoph Knappich
BACKGROUND: This study analyses the association between hospital ownership and patient selection, treatment, and outcome of carotid endarterectomy (CEA) or carotid artery stenting (CAS). METHODS: The analysis is based on the Bavarian subset of the nationwide German statutory quality assurance database. All patients receiving CEA or CAS for carotid artery stenosis between 2014 and 2018 were included. Hospitals were subdivided into four groups: university hospitals, public hospitals, hospitals owned by charitable organizations, and private hospitals...
May 17, 2024: BMC Surgery
https://read.qxmd.com/read/38760752/time-to-surgery-paradigms-wait-time-and-surgical-outcomes-in-critically-ill-patients-who-underwent-emergency-surgery-for-gastrointestinal-perforation
#20
JOURNAL ARTICLE
Junghyun Lee, Chami Im
BACKGROUND: Waiting time for emergency abdominal surgery have been known to be linked to mortality. However, there is no clear consensus on the appropriated timing of surgery for gastrointestinal perforation. We investigated association between wait time and surgical outcomes in emergency abdominal surgery. METHODS: This single-center retrospective cohort study evaluated adult patients who underwent emergency surgery for gastrointestinal perforations between January 2003 and September 2021...
May 17, 2024: BMC Surgery
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