journal
https://read.qxmd.com/read/38491818/contemporary-trends-in-choledochal-cyst-excision-an-analysis-of-the-pediatric-national-surgical-quality-improvement-program
#21
JOURNAL ARTICLE
Thomas Clark Howell, Catherine B Beckhorn, Ryan M Antiel, Tamara N Fitzgerald, Henry E Rice, Alisha Mavis, Kadiyala Ravindra, Elisabeth T Tracy
BACKGROUND: Choledochal cysts are rare congenital anomalies of the biliary tree that may lead to obstruction, chronic inflammation, infection, and malignancy. There is wide variation in the timing of resection, operative approach, and reconstructive techniques. Outcomes have rarely been compared on a national level. METHODS: We queried the Pediatric National Surgical Quality Improvement Program (NSQIP) to identify patients who underwent choledochal cyst excision from 2015 to 2020...
March 16, 2024: World Journal of Surgery
https://read.qxmd.com/read/38491816/advancing-access-to-care-an-assessment-of-the-prehospital-system-in-senegal
#22
JOURNAL ARTICLE
Kamil Michalski, Moustapha Diedhiou, Matin Kerachian, Jeremy Grushka, Jacques Noel Tendeng, Mohamed Lamine Diao, Mamadou D Beye, Johana Montero Ortiz, Tarek Razek, Dan L Deckelbaum, Ibrahim Konate
BACKGROUND: Most low- and middle-income countries do not have a mature prehospital system limiting access to definitive care. This study sought to describe the current state of the prehospital system in Senegal and offer recommendations aimed at improving system capacity and population access to definitive care. METHODS: Structured interviews were conducted with key informants in various regions throughout the country using qualitative and quantitative techniques...
March 16, 2024: World Journal of Surgery
https://read.qxmd.com/read/38488859/restoration-of-intestinal-continuity-following-emergency-sigmoid-colectomy-for-sigmoid-volvulus-an-american-college-of-surgeons-national-surgical-quality-improvement-program-analysis-using-coarsened-exact-matching
#23
JOURNAL ARTICLE
Phillip Yang, Zhen Hao Ang, Christophe R Berney
BACKGROUND: There is limited data to guide decision-making between performing a primary anastomosis and fashioning an end colostomy following emergency sigmoid colectomy for patients with sigmoid volvulus. The aim of this study was to compare the outcomes of these two approaches. METHODS: The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database from 2006 to 2021 was retrospectively analyzed. Missing data were multiply imputed, and coarsened exact matching was performed to generate matched cohorts...
March 15, 2024: World Journal of Surgery
https://read.qxmd.com/read/38479797/ultrasound-guided-vacuum-assisted-excision-for-idiopathic-granulomatous-mastitis-at-the-abscess-stage
#24
JOURNAL ARTICLE
Hangyu Wan, Haiyan Zhang, Shaolan Yu, Yan Wang, Feng Yang, Jing Luo
BACKGROUND: Idiopathic granulomatous mastitis (IGM) is a rare inflammatory disease of the breast with clinical features that are often confused with those of breast cancer leading to delayed diagnosis and treatment. This retrospective study aimed to evaluate the therapeutic effectiveness and cosmetic results of drainage surgery using ultrasound-guided vacuum-assisted excision (VAE) for the treatment of IGM at the abscess stage. METHODS: The time of recovery, cases of further surgical intervention, and cosmetic results were retrospectively collected and analyzed from patients who underwent drainage with VAE or conventional drainage between October 2017 and August 2021...
March 13, 2024: World Journal of Surgery
https://read.qxmd.com/read/38470437/calcifications-in-the-descending-thoracic-aorta-predict-postoperative-anastomotic-leakages-after-esophagectomy-for-cancer
#25
JOURNAL ARTICLE
Emma Tiainen, Erkki-Ville Wirta, Tuula Tyrväinen, Tommi Kuorilehto, Vesa Toikkanen, Johanna Laukkarinen, Mika Ukkonen
BACKGROUND: Anastomotic leak is one of the most feared complications of esophagectomy. Previous studies have suggested a potential link between aortic calcifications detected on routine preoperative CT scans and increased risk of anastomotic leak after esophagectomy. This study aims to investigate whether clinicians' assessment of aortic calcifications can predict the occurrence of anastomotic leaks in patients undergoing esophagectomy for cancer. METHODS: A long-term follow-up was conducted on consecutive patients with esophageal cancer who underwent elective open esophagectomy at a Finnish tertiary hospital...
March 12, 2024: World Journal of Surgery
https://read.qxmd.com/read/38470413/patient-reported-outcomes-in-inguinal-hernia-surgery-results-from-the-genesis-study-a-multinational-multicenter-study
#26
JOURNAL ARTICLE
Sarfaraz Baig, Harsh Sheth, Nakul Gokhare Viswanath, Brijesh Madhok
BACKGROUND: Chronic groin pain following inguinal hernia repair can be troublesome. The current literature is limited, especially from Asia and Africa. We aimed to evaluate patient-reported outcomes using the Carolinas Comfort Scale (CCS) following inguinal hernia repair at an international level, especially to include patients from Asia and Africa. METHODS: An international cohort of surgeons was invited to collaborate and collect data of consecutive adult patients who underwent inguinal hernia repair...
March 12, 2024: World Journal of Surgery
https://read.qxmd.com/read/38468392/comparative-analysis-of-perioperative-and-long-term-outcomes-of-patients-with-hepatocellular-carcinoma-nonalcoholic-fatty-liver-disease-versus-viral-hepatitis
#27
JOURNAL ARTICLE
Takatsugu Matsumoto, Takayuki Shiraki, Genki Tanaka, Takamune Yamaguchi, Kyung-Hwa Park, Shozo Mori, Yukihiro Iso, Mitsuru Ishizuka, Keiichi Kubota, Taku Aoki
BACKGROUND: Despite the accumulating evidence regarding the oncological differences between nonalcoholic fatty liver disease (NAFLD)-related hepatocellular carcinoma (HCC) and viral infection-related HCC, the short- and long-term outcomes of surgical resection of NAFLD-related HCC remain unclear. While some reports indicate improved postoperative survival in NAFLD-related HCC, other studies suggest higher postoperative complications in these patients. METHODS: Patients with NAFLD and those with hepatitis viral infection who underwent hepatectomy for HCC at our department were retrospectively analyzed...
March 11, 2024: World Journal of Surgery
https://read.qxmd.com/read/38459715/enhanced-recovery-after-surgery-recommendations-that-most-impact-patient-care-a-multi-institutional-multidiscipline-analysis-in-the-united-states
#28
JOURNAL ARTICLE
Allyson R Cochran, George Shaw, Katherine Shue-McGuffin, Kevin Elias, Dionisios Vrochides
BACKGROUND: Compliance to the entire Enhanced Recovery after Surgery (ERAS) protocol improves surgical recovery, where higher compliance improves outcomes. However, specific items may predict improved recovery more than others. Studies have evaluated the impact of individual ERAS recommendations though they are either single center, not based in the United States (US), or focus on colorectal procedures only. This study aims to evaluate compliance on surgical outcomes in two large healthcare systems in the US across four surgery types...
March 8, 2024: World Journal of Surgery
https://read.qxmd.com/read/38459712/reducing-post-operative-length-of-stay-is-it-worth-the-effort
#29
JOURNAL ARTICLE
Syeda Amrah Hashmi, Mohummad Hassan Raza Raja, Aiman Arif, Zehra Naseem, Khawaja Muhammad Babar Pal, Khawaja Muhammad Inam Pal
BACKGROUND: Studies show that reducing the length of hospital stay (LOS) for surgical patients leads to cost savings. We hypothesize that LOS has a nonlinear relationship to cost of care and reduction may not have a meaningful impact on it. We have attempted to define the relationship of LOS to cost of care. We utilized the itemized bill, generated in real time, for hospital services. MATERIALS: Adult patients admitted under General, Neuro, and Orthopedic surgery over a 3-month period, with an LOS between 4 and 14 days, were the study population...
March 8, 2024: World Journal of Surgery
https://read.qxmd.com/read/38453166/retention-of-locally-trained-specialist-surgeons-in-sub-saharan-africa
#30
JOURNAL ARTICLE
Emmanuel A Ameh, Justina O Seyi-Olajide
No abstract text is available yet for this article.
March 7, 2024: World Journal of Surgery
https://read.qxmd.com/read/38448035/a-combined-score-for-predicting-clinically-relevant-postoperative-pancreatic-fistula-based-on-inflammatory-parameters-and-drainage-fluid-culture-results-on-postoperative-day-3
#31
JOURNAL ARTICLE
Hironobu Suto, Hiroyuki Matsukawa, Yasuhisa Ando, Minoru Oshima, Takuro Fuke, Takashi Norikane, Takayuki Sanomura, Hideki Kamada, Hideki Kobara, Tsutomu Masaki, Kensuke Kumamoto, Keiichi Okano
BACKGROUND: Clinically relevant postoperative pancreatic fistula (CR-POPF) after pancreatic resection can lead to severe postoperative complications. POPF is defined based on postoperative day (POD) 3 drainage fluid amylase level. POPF correlates with inflammatory parameters as well as drainage fluid bacterial infection. However, a standardized model based on these factors for predicting CR-POPF remains elusive. We aimed to identify inflammatory parameter- and drainage fluid culture-related risk factors for CR-POPF on POD 3 after pancreatoduodenectomy (PD) and distal pancreatectomy (DP)...
March 6, 2024: World Journal of Surgery
https://read.qxmd.com/read/38447984/invited-commentary-extremely-high-peritoneal-cancer-index-in-colorectal-peritoneal-metastases-demonstrates-safety-and-overall-survival-benefit-in-selected-patients-undergoing-cytoreductive-surgery-and-heated-intraperitoneal-chemotherapy
#32
JOURNAL ARTICLE
https://read.qxmd.com/read/38447975/making-the-breast-choice-women-prefer-women-surgeons
#33
JOURNAL ARTICLE
Chantal Reyna, Christine Laronga
No abstract text is available yet for this article.
March 6, 2024: World Journal of Surgery
https://read.qxmd.com/read/38441293/telephonic-follow-up-after-day-case-pediatric-surgery-in-an-upper-middle-income-country-a-pilot-study
#34
JOURNAL ARTICLE
Nirav Patel, Jerome Loveland, Juan Scribante
BACKGROUND: One third of South African children live in households with no employed adult. Telemedicine may save patients and the strained public health sector significant resources. We aimed to determine the safety and benefits of telephonic post-operative follow-up of patients who presented for day case surgery at CHBAH from 1 January-31 March 2023. METHODS: A prospective descriptive study on patients undergoing day case surgery was performed. Healthy patients greater than 6 years old whose caregivers spoke English and had access to a smartphone were included...
March 5, 2024: World Journal of Surgery
https://read.qxmd.com/read/38441288/surgical-prevalence-and-outcomes-in-ischemic-colitis-a-systematic-review-and-meta-analysis
#35
JOURNAL ARTICLE
Wanyang Qian, Joshua Bruinsma, Benjamin Mac Curtain, Mark Ibraheem, Hugo C Temperley, Zi Qin Ng
BACKGROUND/AIM: This study reviews the literature to examine the proportion of patients requiring surgical management in ischemic colitis (IC) and identify surgical outcomes. METHOD: A systematic review of PubMed, EMBASE, and Cochrane Central Register of Controlled Trials was conducted in accordance with the latest Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. English language studies and adult patients were included. Studies with fewer than 10 patients, and IC post aortic or cardiac surgery was excluded...
March 5, 2024: World Journal of Surgery
https://read.qxmd.com/read/38436547/surgical-outcomes-and-healthcare-expenditures-among-patients-with-dementia-undergoing-major-surgery
#36
JOURNAL ARTICLE
Mujtaba Khalil, Selamawit Woldesenbet, Muhammad Musaab Munir, Erryk Katayama, Muhammad Muntazir Mehdi Khan, Abdullah Altaf, Zayed Rashid, Yutaka Endo, Mary Dillhoff, Susan Tsai, Timothy M Pawlik
BACKGROUND: We sought to define surgical outcomes among elderly patients with Alzheimer's disease and related dementias (ADRD) following major thoracic and gastrointestinal surgery. METHODS: A retrospective cohort study was used to identify patients who underwent coronary artery bypass grafting (CABG), abdominal aortic aneurysm (AAA) repair, pneumonectomy, pancreatectomy, and colectomy. Individuals were identified from the Medicare Standard Analytic Files and multivariable regression was utilized to assess the association of ADRD with textbook outcome (TO), expenditures, and discharge disposition...
March 4, 2024: World Journal of Surgery
https://read.qxmd.com/read/38429988/a-discrete-event-simulation-model-for-assessing-operating-room-efficiency-of-thoracic-gastrointestinal-and-orthopedic-surgeries
#37
JOURNAL ARTICLE
Zhongchan Pu, Shuqing Wu, Yi Han
BACKGROUND: In hospital management, pinpointing steps that most enhance operating room (OR) throughput is challenging. While prior literature has utilized discrete event simulation (DES) to study specific strategies such as scheduling and resource allocation, our study examines an earlier planning phase, assessing all workflow stages to determine the most impactful steps for subsequent strategy development. METHODS: DES models real-world systems by simulating sequential events...
March 2, 2024: World Journal of Surgery
https://read.qxmd.com/read/38423955/enhanced-recovery-protocols-after-surgery-a-systematic-review-and-meta-analysis-of-randomized-trials-in-cardiac-surgery
#38
JOURNAL ARTICLE
Cristiano Spadaccio, Antonio Salsano, Angelo Pisani, Antonio Nenna, Francesco Nappi, Asishana Osho, David D'Alessandro, Thoralf M Sundt, Juan Crestanello, Daniel Engelman, David Rose
BACKGROUND: Previous meta-analyses combining randomized and observational evidence in cardiac surgery have shown positive impact of enhanced recovery protocols after surgery (ERAS) on postoperative outcomes. However, definitive data based on randomized studies are missing, and the entirety of the ERAS measures and pathway, as recently systematized in guidelines and consensus statements, have not been captured in the published studies. The available literature actually focuses on "ERAS-like" protocols or only limited number of ERAS measures...
February 29, 2024: World Journal of Surgery
https://read.qxmd.com/read/38415896/effects-of-botulinum-toxin-in-two-indicators-of-loss-of-domain-and-hernia-size-among-patients-with-large-ventral-hernias
#39
JOURNAL ARTICLE
Antonio Espinosa-de-Los-Monteros, Carlos Azaf Meza-Medina, Zurizaday Lopez-Zamora, Rodrigo Alejandro Solis-Reyna, Javier Carrillo-Vidales
BACKGROUND: In patients with large ventral hernias, botulinum toxin to external and internal oblique muscles decreases thickness and increases length. We examined the impact of botulinum toxin in the amount of loss of domain according to two ratios and in hernia size. METHODS: Between October 2021 and November 2023, 20 patients with ventral hernias measuring 10 cm or more on the horizontal size underwent the administration of 50 units of botulinum toxin to each external and each internal oblique muscle 4 weeks before their surgery...
February 28, 2024: World Journal of Surgery
https://read.qxmd.com/read/38415883/race-and-sex-diversity-in-canadian-academic-surgical-societies
#40
JOURNAL ARTICLE
Rahim H Valji, Yasmin Valji, Simon R Turner
BACKGROUND: It is vital for national professional surgical societies to embrace diversity, inclusion, and equity. This study examines race and sex diversity in two Canadian surgical societies. METHODS: Websites of the Canadian Society of Cardiac Surgeons (CSCS) and the Canadian Association of General Surgeons (CAGS) and previous programs of their annual meetings were reviewed. Leadership positions, conference speakers, and award winners were categorized by race and sex...
February 28, 2024: World Journal of Surgery
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