Abdominal massage to prevent ileus after colorectal surgery. A single-center, prospective, randomized clinical trial: the MATRAC Trial
ConclusionOur study, despite its limitations, failed to demonstrate any advantage of abdominal massage to prevent or even reduce symptoms of postoperative ileus after colorectal surgery.Trial registration number: 38RC20.021. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 22, 2024 Category: Surgery Source Type: research
The death of laparoscopy
ConclusionsThe study suggests a transformative shift towards robotic-assisted surgery, poised to dominate various minimally invasive procedures. The forecasts indicate that robotic surgery may surpass laparoscopy and open surgery in colectomies, proctectomies, pancreatectomies, and esophagectomies by 2025. This anticipated change emphasizes the need for proactive adjustments in surgical training programs to align with evolving surgical practices. The findings have substantial implications for future healthcare practices, necessitating a balance between traditional laparoscopy and the burgeoning role of robotic-assisted sur...
Source: Surgical Endoscopy - March 22, 2024 Category: Surgery Source Type: research
Histologic assessments in ulcerative colitis: the evidence behind a new endpoint in clinical trials
Expert Rev Gastroenterol Hepatol. 2024 Jan-Feb;18(1-3):73-87. doi: 10.1080/17474124.2024.2326838. Epub 2024 Mar 21.ABSTRACTINTRODUCTION: Treatment goals for ulcerative colitis (UC) are evolving from the achievement of clinical remission to more rigorous goals defined by endoscopic and histologic healing. Achievement of deeper remission targets aims to reduce the risk of colectomy, hospitalizations, and colorectal cancer.AREAS COVERED: This review covers histologic assessments, histologic remission as a clinical trial endpoint, and the association between histologic disease activity and clinical outcomes. Future directions ...
Source: Expert Review of Gastroenterology and Hepatology - March 21, 2024 Category: Gastroenterology Authors: Rish K Pai Geert D'Haens Taku Kobayashi Bruce E Sands Simon Travis Vipul Jairath Gert De Hertogh Bomina Park Kim McGinnis Isabel Redondo Nicole G Lipitz Theresa Hunter Gibble Fernando Magro Source Type: research
