To what extent should we trust statistics?
SummaryEveryday clinical decisions are based on “statistically” significant or non-significant results, with an exaggerated credit given to statistics. This is due to the interesting dichotomy that statistics respond to: to perform a surgery or not, to give a treatment or not. However, statistics rely on the law of probability and cannot pr ovide definite judgments. This manuscript aims to highlight the statistical flaws in clinical practice from a simple perspective for surgeons. (Source: European Surgery)
Source: European Surgery - April 22, 2021 Category: Surgery Source Type: research
Classification and evaluation of anastomotic leaks after esophageal surgery —a tertiary university experience
ConclusionThe results of this study showed that the classification proposed by the Surgical Working Group on Endoscopy and Ultrasound can be validated and that there is a clear differentiation between the subtypes. Standardized diagnosis and management improve the overall outcome of patients.Main novel aspectsThis article gives an introduction to classifying anastomotic insufficiencies according to the classification proposed by the Surgical Working Group on Endoscopy and Ultrasound.Results of the classification can be validated, with a clear differentiation of postoperative outcome between subtypes. (Source: European Surgery)
Source: European Surgery - April 21, 2021 Category: Surgery Source Type: research
Appendectomy and women ’s reproductive outcomes: a review of the literature
ConclusionDespite the existence of contrasting opinions concerning fertility after appendectomy, the most recent evidence suggests that appendectomy may actually lead to improved fertility and decreased time to pregnancy. Appendectomy seems to be correlated with improved fertility and higher pregnancy rates. (Source: European Surgery)
Source: European Surgery - April 20, 2021 Category: Surgery Source Type: research
Abdominal wall mesh infection: a diagnostic and therapeutic flowchart proposal
ConclusionThe approach to mesh fistulization should be tailored to every single patient. In the majority of cases, a multistep approach seems to be necessary. (Source: European Surgery)
Source: European Surgery - April 14, 2021 Category: Surgery Source Type: research
Seeking outpatient management of right-sided diverticulitis
ConclusionPatients with right diverticulitis had fewer perforations, required lower-spectrum antibiotics, and did not require any surgical treatment, with a shorter length of hospital stay. Given these results, we consider that mild right diverticulitis could benefit from an outpatient treatment following similar recommendations to those followed for mild LD patients. This is one of the largest series in Western literature and the only one that compar es clinical features, complication rates, and type of treatment between right and left diverticulitis. Outpatient management in RD is a feasible option which is not only s...
Source: European Surgery - April 9, 2021 Category: Surgery Source Type: research
The impact of COVID-19 on surgical training at a tertiary hospital in Greece: a ‘hidden infectious enemy’ for junior surgeons?
ConclusionsIt is imperative for surgical educators to design and implement new alternative ways to assist surgical trainees in their education and also avoid their undertraining during the pandemic. (Source: European Surgery)
Source: European Surgery - April 8, 2021 Category: Surgery Source Type: research
Surgical and financial impact of delayed cholecystectomy in mild and moderate acute cholecystitis
ConclusionDelayed cholecystectomy for mild and moderate cholecystitis was associated with more operative complications and extra financial costs compared to emergency cholecystectomy. (Source: European Surgery)
Source: European Surgery - April 8, 2021 Category: Surgery Source Type: research
Hypothyroidism as a cause of ileus after laparoscopic appendectomy
ConclusionHypothyroidism should be considered in patients with protracted postoperative ileus after abdominal surgery. (Source: European Surgery)
Source: European Surgery - April 1, 2021 Category: Surgery Source Type: research
Surgery fruits the roots
(Source: European Surgery)
Source: European Surgery - March 25, 2021 Category: Surgery Source Type: research
Laparoscopic intersphincteric resection with hand-sewn coloanal anastomosis in the treatment of low rectal cancer: 10-year experience
ConclusionLaparoscopic ISR with hand-sewn CAA is feasible, safe and has good long-term outcomes for low rectal cancer and might be a good alternative to APR. More studies are required to better improve long-term outcomes of this surgery. (Source: European Surgery)
Source: European Surgery - March 19, 2021 Category: Surgery Source Type: research
Functional and sexual outcome of laparoscopic ventral mesh rectopexy vs transperineal mesh repair in the treatment of rectocele: a retrospective analysis
This study aimed to compare functional outcomes and quality of life, between transperineal mesh repair (TPMR) and laparoscopic ventral mesh rectopexy (LVMR) in the treatment of rectocele.MethodsConsecutive women with symptomatic rectocele without associated internal rectal prolapse or enterocele who underwent TPMR (n = 15) or LVMR (n = 20) from January 2013 to February 2019 were included. This study was a retrospective review of a prospectively maintained database. Patient demographics and postoperative complications were evaluated. Altomare’s obstructed defecation (OD) and Cleveland Clinic Incontinence Scores ...
Source: European Surgery - March 18, 2021 Category: Surgery Source Type: research
Requirements for a successful Enhanced Recovery After Surgery (ERAS) program: a multicenter international survey among ERAS nurses
ConclusionDespite heterogeneity in coordination and management, the ERAS program is evaluated as successful from a nurse’s perspective. Continuous staff education and coordination beyond the implementation period appear to be of the utmost importance for a sustained program. (Source: European Surgery)
Source: European Surgery - March 17, 2021 Category: Surgery Source Type: research
Presentation of a rare, highly aggressive peritoneal disease: desmoplastic small round cell tumor and its therapeutic options
ConclusionOur case report demonstrates a very rare cause of recurrent abdominal pain. Desmoplastic small round cell tumor is a rare and highly aggressive undifferentiated sarcoma, which mainly affects young men. Treatment options include chemotherapy, radiotherapy, cytoreductive surgery, and/or hyperthermic intraperitoneal chemotherapy. Standardized treatment protocols are still lacking because only a few cases have been described so far. Differential diagnoses include all malignancies with peritoneal masses. (Source: European Surgery)
Source: European Surgery - March 8, 2021 Category: Surgery Source Type: research
Impact of the COVID-19 pandemic lockdown on the utilization of acute surgical care in the State of Salzburg, Austria: retrospective, multicenter analysis
ConclusionsEmergency general surgery is an essential service that continues to run under all circumstances. Our data show that COVID-19-related restrictions have resulted in a significant decrease in the utilization of acute surgical care. (Source: European Surgery)
Source: European Surgery - March 4, 2021 Category: Surgery Source Type: research
Transferring face-to-face sessions to virtual sessions in surgical education: a survey-based assessment of a single academic general surgery program
ConclusionThis study, to our knowledge, is the first to survey general surgery residents about the transition from a face-to-face curriculum to an e‑learning curriculum. The demonstrated effectiveness of the transition from face-to-face academic activities to virtual activities makes it a feasible tool for graduate medical education programs to adjust to a virtual model. (Source: European Surgery)
Source: European Surgery - February 9, 2021 Category: Surgery Source Type: research
