Reply to: Post-cholecystectomy minor bile duct injuries: Are they really “minor”?
We are grateful for the opportunity to address the insightful points raised by Gupta and Jain.1 (Source: Surgery)
Source: Surgery - November 27, 2020 Category: Surgery Authors: James M. Halle-Smith, Keith J. Roberts Source Type: research

Invited commentary: Evolving landscape of postoperative hyperamylasemia, postoperative acute pancreatitis, and postoperative pancreatic fistula: Time for a unifying definition
Pancreatic resection has developed remarkably through the years. Technical finesse and experience have evolved, but the learning curve of a pancreatoduodenectomy is long, and the learning continues throughout the surgeons ’ career. Despite all the progress, perioperative complications and mortality rates persist worldwide at approximately 30% and 3%, respectively. Postoperative pancreatic fistula (POPF), post-pancreatectomy hemorrhage (PPH), delayed gastric emptying, biliary leaks, and chyle leaks are universally a cknowledged and well-documented complications during the past 2 decades. (Source: Surgery)
Source: Surgery - November 27, 2020 Category: Surgery Authors: Shailesh V. Shrikhande Source Type: research

Negative pressure wound therapy for prevention of surgical site infection in patients at high risk after clean-contaminated major pancreatic resections: A single-center, phase 3, randomized clinical trial
Surgical site infections are an important burden of pancreatic surgery, prolonging hospitalization and delaying adjuvant treatment. The aim of this study was to compare negative  pressure wound therapy with standard sterile dressing in terms of the prevention of non–organ-space surgical site infection (superficial and deep surgical site infection) in the high-risk setting. (Source: Surgery)
Source: Surgery - November 27, 2020 Category: Surgery Authors: Stefano Andrianello, Luca Landoni, Cecilia Bortolato, Livio Iudici, Massimiliano Tuveri, Antonio Pea, Matteo De Pastena, Giuseppe Malleo, Deborah Bonamini, Gessica Manzini, Claudio Bassi, Roberto Salvia Source Type: research

Treating acute colonic diverticulitis with extraluminal pericolic air: An  Acute Care Surgery in the Netherlands (ACCSENT) multicenter retrospective cohort study
Owing to improved quality of computed tomography, a new category of complicated acute diverticulitis, including patients with pericolic air but without abscess formation, can be defined (Hinchey 1a). Recent studies question whether this new category of acute diverticulitis could be treated as uncomplicated cases. The aim of our study is to report on the clinical course of acute diverticulitis Hinchey 1a in current clinical practice. (Source: Surgery)
Source: Surgery - November 27, 2020 Category: Surgery Authors: Sanne Vogels, Martine Frouws, Annelien N. Morks, Daphne Roos, Jephta van den Bremer, Sacha M.P. Koch, Robin H.M. Smithuis, Rigo Hoencamp, Gwendolyn M. van der Wilden Source Type: research

Pneumothorax and pneumomediastinum secondary to surgical drainage malposition after esophagectomy
A 69-year-old man with a history of hypertension underwent esophageal resection for a neoplasm in a 3-incision technique: right videothoracoscopy for esophageal dissection, laparotomy to prepare gastric conduit, and left cervicotomy for anastomosis. The intervention proceeded without incident, and the patient was extubated at the operating room. He carried 3 drains: 1 cervical nonaspirative, another 3-chamber system thoracic, and an abdominal vacuum bottle. (Source: Surgery)
Source: Surgery - November 27, 2020 Category: Surgery Authors: Roc ío Mato, Teresa Rey, Teresa Alonso, Pablo Rama-Maceiras Source Type: research

Resection for pancreatic cancer with arterial involvement: A paradigm shift away from unresectable to “how to do it”
During the past 30 years, pancreatic surgery has evolved considerably. Honestly, I would not have anticipated many of these changes, but luckily enough, they have occurred and have improved the management and the prognosis of patients with pancreatic cancer. Some of these changes have been truly groundbreaking, such as the advent of minimally invasive distal and now even proximal pancreatectomies, the availability of effective medical therapies, and the improved definition of prognostic factors. (Source: Surgery)
Source: Surgery - November 27, 2020 Category: Surgery Authors: Ugo Boggi Source Type: research

Commentary: Re-recurrence after surgical management of recurrent thyroid cancer
In this issue of Surgery, Xu et  al1 from China offered an interesting discussion of the management and prognostic implications of recurrent/persistent thyroid cancer, including an evaluation of the risk stratification guidelines published by the American Thyroid Association (ATA) in 2015.2 The ATA recommends using several periop erative clinicopathological features available at the time of initial therapy to categorize the risk of recurrence into low, intermediate, and high groups, which we had previously referred to as good, bad, and ugly. (Source: Surgery)
Source: Surgery - November 26, 2020 Category: Surgery Authors: Ashok R. Shaha, R. Michael Tuttle Source Type: research

Editors ’ introduction
SURGERY is introducing a series of articles authored by recognized experts in the field on innovative and likely controversial operative techniques describing how they “do it”. These technique papers will be followed by several commentaries written by notable experts in this field who may or may not agree with the controversial operative approaches! (Source: Surgery)
Source: Surgery - November 26, 2020 Category: Surgery Authors: Michael G. Sarr, Kevin E. Behrns, Steven D. Wexner Source Type: research

Recurrent incisional hernia repairs at a tertiary hernia center: Are outcomes really inferior to initial repairs?
Recurrent ventral hernia repairs are reported to have higher recurrence and complication rates than initial ventral hernia repairs. This is the largest analysis of outcomes for initial versus recurrent open ventral hernia repairs reported in the literature. (Source: Surgery)
Source: Surgery - November 25, 2020 Category: Surgery Authors: Jenny M. Shao, Eva B. Deerenberg, Sharbel A. Elhage, Tanu Prasad, Bradley R. Davis, Kent W. Kercher, Paul D. Colavita, Vedra A. Augenstein, B. Todd Heniford Source Type: research

Exploring the perioperative outcomes of a sample of successful adopters of transanal total mesorectal excision (taTME) during the learning phase
Transanal total mesorectal excision can be a technically challenging operation to master. While many early adopters have reported adequate outcomes, others have failed to reproduce these results. There are contradicting data on oncologic outcomes during the learning phase of this technique. Thus, our objective was to perform a multicentered assessment of oncological outcomes in patients undergoing transanal total mesorectal excision during the learning phase in a sample of successful adopting centers. (Source: Surgery)
Source: Surgery - November 24, 2020 Category: Surgery Authors: Antonio Caycedo-Marulanda, Kara Nadeau, Chris P. Verschoor, Dana Sands, Antonino Spinelli, Shady Ashamalla, Sunil V. Patel, Francesca Di Candido, Angela Mujukian, Karen Zaghiyan, Grant Stevenson, Albert Wolthuis, David A. Clark, Andre D ’Hoore, Andrew S Source Type: research

An analysis of the ergonomic risk of surgical trainees and experienced surgeons during laparoscopic procedures
Work-related musculoskeletal injuries have been increasingly recognized to affect surgeons. It is unknown whether such injuries also affect surgical trainees. The purpose of this study was to assess the ergonomic risk of surgical trainees as compared with that of experienced surgeons. (Source: Surgery)
Source: Surgery - November 24, 2020 Category: Surgery Authors: Dimitrios I. Athanasiadis, Sara Monfared, Hamed Asadi, Cameron L. Colgate, Denny Yu, Dimitrios Stefanidis Source Type: research

Public perceptions of general surgery resident training and assessment
Patients play a crucial role in surgical training, but little is known about the public ’s knowledge of general surgery training structure or opinion of resident assessment. Our aim was to evaluate the public’s knowledge of general surgery training and assessment processes. (Source: Surgery)
Source: Surgery - November 23, 2020 Category: Surgery Authors: Karen J. Dickinson, Barbara L. Bass, Edward A. Graviss, Duc T. Nguyen, Kevin Y. Pei Source Type: research

Postpancreatectomy acute pancreatitis: Fact? Fiction? Functional definition and future
This issue of Surgery features 4 papers addressing the concept of postpancreatectomy acute pancreatitis. Pancreatic surgeons have long recognized that some percentage of pancreatectomy patients manifest increases in circulating pancreatic enzyme (amylase, lipase) activity in the immediate postoperative period. The clinical relevance of these increases in serum enzyme activity (which for the sake of clarity I will refer to as “postoperative serum hyperamylasemia” or POSH) is a bit more controversial in the discipline. (Source: Surgery)
Source: Surgery - November 23, 2020 Category: Surgery Authors: Nicholas J. Zyromski Source Type: research

Cover 1(with editorial board)
(Source: Surgery)
Source: Surgery - November 22, 2020 Category: Surgery Source Type: research

Information for readers
(Source: Surgery)
Source: Surgery - November 22, 2020 Category: Surgery Source Type: research

Contents
(Source: Surgery)
Source: Surgery - November 22, 2020 Category: Surgery Source Type: research

Information for authors
(Source: Surgery)
Source: Surgery - November 22, 2020 Category: Surgery Source Type: research

Acknowledgments of peer reviewers
We would like to thank the reviewers listed below who contributed their time to review manuscripts for the past 6 months for Surgery. These individuals, as well as members of the Editorial Board, commit their time and careful consideration to ensure that published articles in Surgery reflect the highest standards of scholarship and relevance (Source: Surgery)
Source: Surgery - November 22, 2020 Category: Surgery Source Type: research

Prognosis after surgery for multiple endocrine neoplasia type 1-related pancreatic neuroendocrine tumors: Functionality matters
Metastasized pancreatic neuroendocrine tumors are the leading cause of death in patients with multiple endocrine neoplasia type 1. Aside from tumor size, prognostic factors of pancreatic neuroendocrine tumors are largely unknown. The present study aimed to assess whether the prognosis of patients with resected multiple endocrine neoplasia type 1-related nonfunctioning pancreatic neuroendocrine tumors differs from those with resected multiple endocrine neoplasia type 1-related insulinomas and assessed factors associated with prognosis. (Source: Surgery)
Source: Surgery - November 18, 2020 Category: Surgery Authors: Dirk-Jan van Beek, Sjoerd Nell, Helena M. Verkooijen, Inne H.M. Borel Rinkes, Gerlof D. Valk, DutchMEN Study Group (DMSG), Menno R. Vriens, International MEN1 Insulinoma Study Group, Pierre Goudet, French Endocrine Tumor Study Group (GTE), Nicolas Santucc Source Type: research

The treatment-travel tradeoff of colorectal cancer care
Metastatic colorectal cancer (CRC) presents as a challenging diagnosis for providers and patients. Despite modern advancement in chemotherapeutics, survival of patients who present with metastatic disease remains dismal with an overall 5-year survival rate of 14%.1 Metastatic CRC requires multidisciplinary care between multiple specialties for the most favorable outcomes, though such teams require a significant infrastructure and attendant resources to support them.2 (Source: Surgery)
Source: Surgery - November 18, 2020 Category: Surgery Authors: Zhaomin Xu, Fergal J. Fleming Source Type: research

Muscle strength, physical performance, and metabolic changes after subtotal parathyroidectomy for secondary hyperparathyroidism
Hyperparathyroidism in patients on chronic hemodialysis presents with bone pain, pruritus, and extra-skeletal calcifications. Little attention has been paid to low plasma protein concentrations and muscle weakness in these patients. The present study was undertaken to characterize the impact of subtotal parathyroidectomy for chronic hemodialysis on body composition, muscle strength, plasma proteins, quality of life, and long-term clinical course. (Source: Surgery)
Source: Surgery - November 17, 2020 Category: Surgery Authors: Jaime Jimeno-Fraile, Higinio Cao, Juan Sancho-Insenser, Leyre Lorente-Poch, Antonio Sitges-Serra Source Type: research

Bile formation in long-term (1 week), ex situ perfused livers: Analysis and commentary
In the article by Eshmuminov et  al1 entitled “Bile formation in long term (1 week) ex situ perfused livers,” the authors explore a novel protocol for stimulation of bile flow during prolonged liver allograft machine perfusion. Using their previously developed machine perfusion system, which mimics physiological conditions th rough the inclusion of continuous artificial pancreatic monitoring and hormonal supplementation, dialysate-based blood filtration, and oxygenation,2 the authors show feasibility in a porcine transplantation model, followed with application of long-term monitoring to discarded human li...
Source: Surgery - November 17, 2020 Category: Surgery Authors: Guergana G. Panayotova, Keri E. Lunsford, James V. Guarrera Source Type: research

DElayed COloRectal Cancer Care during COVID-19 Pandemic: Global Perspective from an International Survey (DECOR-19)
Global changes in both diagnostic and therapeutic practices in colorectal cancer care were evident in this survey conducted to analyze the impact of COVID-19 outbreak. The importance of this finding is that changes were associated with differences in health care delivery systems, hospital ’s preparedness, resources availability, and local COVID-19 prevalence rather than geographical variations. (Source: Surgery)
Source: Surgery - November 17, 2020 Category: Surgery Authors: Giulio A. Santoro, Ugo Grossi, Sthela Murad-Regadas, Joseph W. Nunoo-Mensah, Anders Mellgren, Gian Luca Di Tanna, Gaetano Gallo, Charles Tsang, Steven D. Wexner, DECOR-19 Collaborative Group Source Type: research

Acute pancreatitis after pancreatectomy: Inside the dilemma pancreatitis-pancreatic fistula
The interesting paper by Ikenaga et  al about acute pancreatitis after pancreatic resections merits some patho-physiological observations.1 Besides pathogenic elements in common with other abdominal operations, we identify as a specific factor the acute postoperative stasis of pancreatic juice, leading to a subsequent acute pancreati tis. In case of distal pancreatectomy, and independently from the techniques of pancreatic stump sealing, this factor induces an acute pancreatitis in the area surrounding the section rim, possibly evolving into a diffuse pancreatitis or in a Wirsung duct fistula. (Source: Surgery)
Source: Surgery - November 13, 2020 Category: Surgery Authors: Antonio Manenti, Gianrocco Manco, Alberto Farinetti, Luca Roncati Source Type: research

Nomograms predicting extra- and early intrahepatic recurrence after hepatic resection of hepatocellular carcinoma
Extrahepatic recurrence and early intrahepatic recurrence of hepatocellular carcinoma after hepatic resection are indicative of poor prognoses. We aimed to develop nomograms to predict extrahepatic recurrence and early intrahepatic recurrence after hepatic resection. (Source: Surgery)
Source: Surgery - November 13, 2020 Category: Surgery Authors: Hiroji Shinkawa, Shogo Tanaka, Shigekazu Takemura, Ryosuke Amano, Kenjiro Kimura, Masahiko Kinoshita, Kanae Takahashi, Shuichiro Matsuzaki, Shoji Kubo Source Type: research

Increasing aggressiveness of resection in patients with perihilar cholangiocarcinoma
(Comment on: Mizumo T, et  al. Combined vascular resection for locally advanced perihilar cholangiocarcinoma. Ann Surg. 2020. DOI: 10.1097/SLA.0000000000004322) (Source: Surgery)
Source: Surgery - November 13, 2020 Category: Surgery Authors: Victor M. Zaydfudim Source Type: research

Quality analysis of operative reports and referral data for appendiceal neoplasms with peritoneal dissemination
Peritoneal metastasis from appendiceal neoplasms is a rare disease usually found unexpectedly and is associated with deficits in quality reporting of findings. (Source: Surgery)
Source: Surgery - November 13, 2020 Category: Surgery Authors: Christopher W. Mangieri, Omeed Moaven, Konstantinos I. Votanopoulos, Perry Shen, Edward A. Levine Source Type: research

Postoperative complications after major abdominal operations
(Comment on: Staiger RD, et  al. Can early postoperative complications predict high morbidity and decrease failure to rescue following major abdominal surgery? Ann Surg. 2020;272:834–839). (Source: Surgery)
Source: Surgery - November 13, 2020 Category: Surgery Authors: Victor M. Zaydfudim Source Type: research

Assessment of hospital quality and safety standards among Medicare beneficiaries undergoing surgery for cancer
We sought to assess the relationship between Leapfrog minimum volume standards, Hospital Safety Grades, and Magnet recognition with outcomes among patients undergoing rectal, lung, esophageal, and pancreatic resection for cancer. (Source: Surgery)
Source: Surgery - November 11, 2020 Category: Surgery Authors: Rittal Mehta, Diamantis I. Tsilimigras, Anghela Paredes, Mary Dillhoff, Jordan M. Cloyd, Aslam Ejaz, Allan Tsung, Timothy M. Pawlik Source Type: research

Is there a role for a wound protector during pancreatoduodenectomy?
(Comment on: De Pastena M, et  al. Use of an intraoperative wound protector to prevent surgical-site infection after pancreatoduodenectomy: Randomized clinical trial. Br J Surg. 2020;107:1107-1113.) (Source: Surgery)
Source: Surgery - November 11, 2020 Category: Surgery Authors: Victor M. Zaydfudim Source Type: research

Introduction
This issue of Surgery, like this past year, is different from all that came before it. The year 2020 has seen an unmitigated public health disaster for our country and for much of the planet. None of us have been entirely immune from the many effects of the COVID-19 pandemic. Some of us have had unspeakable personal loss and tragedy, most of us continue to experience professional challenges and uncertainty, and all of us continue to feel the disruption of the social bonds in our lives and in our profession. (Source: Surgery)
Source: Surgery - November 11, 2020 Category: Surgery Authors: Paul G. Gauger Source Type: research

Does center or surgeon volume influence adoption of minimally invasive versus open pancreatoduodenectomy? A systematic review and meta-regression
This study aimed to evaluate current evidence on minimally invasive pancreatoduodenectomy versus open pancreatoduodenectomy in terms of impact of center volume on outcomes. (Source: Surgery)
Source: Surgery - November 10, 2020 Category: Surgery Authors: Sivesh K. Kamarajah, Mohammed Abu Hilal, Steven A. White Source Type: research

Response to Letter to the Editor: The impact of negative pressure wound therapy (NPWT) for closed surgical incision on surgical site infection: A systematic review and meta-analysis
We would like to thank Drs Brisinda and Chiarello for their interest in our systematic review and meta-analysis of randomized controlled trials. We are pleased to hear that our study appears to parallel the authors ’ own approach and findings at their home institutions when applying incisional negative pressure wound therapy (NPWT) to elective and emergency repair of complex abdominal wall hernias. We would certainly agree that the use of incisional NPWT may have additional benefit in this population, partic ularly given the significant morbidity that can result from a surgical site infection in the presence of impla...
Source: Surgery - November 7, 2020 Category: Surgery Authors: Jonah Shiroky, Erin Lillie, Hala Muaddi, Marika Sevigny, Woo Jin Choi, Paul J. Karanicolas Source Type: research

Roux-en-Y gastric bypass decreases serum inflammatory markers and cardiovascular risk factors in obese diabetics
Obesity and type 2 diabetes mellitus are associated with elevated levels of inflammatory markers. This chronic inflammation is known to contribute to increased risk of cardiovascular disease in these populations. Laparoscopic Roux-en-Y gastric bypass is associated with a high rate of diabetes remission. We hypothesize that laparoscopic Roux-en-Y gastric bypass decreases systemic inflammatory markers and cardiovascular disease risk factors in obese diabetics. (Source: Surgery)
Source: Surgery - November 7, 2020 Category: Surgery Authors: Isolina Rossi, Philip Omotosho, Jennifer Poirier, Anna Spagnoli, Alfonso Torquati Source Type: research

Portal venous gas and hepatic cyst infection with Clostridium perfringens
An 80-year-old man presented to the emergency department with acute abdominal pain. He had a history of hepatic cysts incidentally discovered 4 years earlier during a workup for mild thrombocytopenia. He later developed mild alkaline phosphatase elevation attributed to cyst growth. Laparoscopic drainage of his dominant, 16 cm, right lobe cyst was considered but ultimately deferred given he remained asymptomatic. Conservative follow-up with serial laboratory and imaging studies was planned. (Source: Surgery)
Source: Surgery - November 7, 2020 Category: Surgery Authors: Joseph A. Lin, Cecilia J. Im, Zachary C. Dietch, Carter C. Lebares Source Type: research

Machine learning analyses of automated performance metrics during granular sub-stitch phases predict surgeon experience
This study focuses on automated performance metrics during the vesico-urethral anastomosis, specifically on stitch versus sub-stitch levels, to distinguish surgeon experience. (Source: Surgery)
Source: Surgery - November 4, 2020 Category: Surgery Authors: Andrew B. Chen, Siqi Liang, Jessica H. Nguyen, Yan Liu, Andrew J. Hung Source Type: research

Four gene intrahepatic metastasis –risk signature predicts hepatocellular carcinoma malignant potential and early recurrence from intrahepatic metastasis
Hepatocellular carcinoma has a high recurrence rate even after curative surgery, and hepatocellular carcinoma risk –predictive biomarkers will enable identification of patients who most need close monitoring and cancer-preventive intervention. Hepatocellular carcinoma has 2 different recurrence patterns—a multicentric recurrence and an intrahepatic metastasis. We have reported that the molecular gene signatu re from the gene expression of adjacent liver can be used to predict multicentric recurrence of hepatocellular carcinoma, but the signature to predict recurrence from intrahepatic metastasis has not been es...
Source: Surgery - November 4, 2020 Category: Surgery Authors: Shigeki Nakagawa, Yo-ichi Yamashita, Naoki Umezaki, Takanobu Yamao, Takayoshi Kaida, Yukiharu Hiyoshi, Kosuke Mima, Hirohisa Okabe, Hiromitsu Hayashi, Katsunori Imai, Akira Chikamoto, Hideo Baba Source Type: research

Association between intraoperative application of microfibrillar collagen hemostat and anastomotic leakage after anterior resection for rectal cancer: A retrospective case-control study
The purpose of the study is to evaluate the association between microfibrillar collagen hemostat and anastomotic leakage after anterior resection. (Source: Surgery)
Source: Surgery - November 4, 2020 Category: Surgery Authors: Meng Kong, Hongyuan Chen, Yugang Jiang, Yingying Xin, Yue Han, Hongguang Sheng Source Type: research

Response to: Re: Management of the pancreatic transection plane after left (distal) pancreatectomy: Expert consensus guidelines by the International Study Group of Pancreatic Surgery (ISGPS)
We note the comments of Ratnayake et  al 1 concerning the expert consensus guidelines of the International Study Group of Pancreatic Surgery (ISGPS) on the management of the pancreatic transection plane after left (distal) pancreatectomy.2 They refer to Statement 8-1 of the guidelines that “additional coverage of the pancreatic stum p with an autologous patch decreases the POPF (postoperative pancreatic fistula) rate after left pancreatectomy. Quality assessment: moderate; Recommendation: conditional; Agreement: weak.”2 (Source: Surgery)
Source: Surgery - October 31, 2020 Category: Surgery Authors: Yi Miao, Zipeng Lu, Charles M. Vollmer, Carlos Fernandez-del Castillo, Christos Dervenis, Claudio Bassi, Thilo Hackert, John P. Neoptolemos, Markus W. B üchler, International Study Group of Pancreatic Surgery (ISGPS) Source Type: research

Goal-directed hemodynamic therapy versus restrictive normovolemic  therapy in major open abdominal surgery: A randomized controlled trial
The aim of this study was to compare the occurrence of postoperative complications in patients undergoing elective open abdominal surgery and receiving intraoperative goal-directed hemodynamic therapy or restrictive normovolemic therapy. (Source: Surgery)
Source: Surgery - October 31, 2020 Category: Surgery Authors: John Diaper, Eduardo Schiffer, Gleicy Keli Barcelos, St éphane Luise, Raoul Schorer, Christoph Ellenberger, Marc Licker Source Type: research

The learning curve for piggyback liver transplantation: identifying factors challenging surgery
This study aimed to quantify the learning curve of piggyback liver transplantation and to identify factors that impact the operative time and blood transfusion during the learning curve. (Source: Surgery)
Source: Surgery - October 31, 2020 Category: Surgery Authors: Pietro Addeo, Caroline Schaaf, Vincent Noblet, Fran çois Faitot, Benjamin Lebas, Gilles Mahoudeau, Camille Besch, Lawrence Serfaty, Philippe Bachellier Source Type: research

Coronavirus disease 2019 (COVID-19): Opportunities and concerns
Since the World Health Organization declared the coronavirus disease 2019 (COVID-19) pandemic, the lives of all people have significantly changed. These changes range from economic, social, and personal freedom, all largely restrictive, while the characteristics of the virus and the serious and widespread repercussions on people's health are not yet fully clarified. In the biomedical field, stakeholders and scientific researchers are strongly focused on measures to stem the spread of the infection by searching for effective therapies and, above all, a vaccine. (Source: Surgery)
Source: Surgery - October 30, 2020 Category: Surgery Authors: Michele Rubbini Source Type: research

Current state of intraoperative use of near infrared fluorescence for parathyroid identification and preservation
Finding and preserving normal parathyroid glands or localizing and removing diseased parathyroid glands are crucial steps to successful thyroid and parathyroid operations. Using near-infrared fluorescence detection to identify parathyroid glands during thyroid and parathyroid operations has lately gained widespread recognition, with 2 Food and Drug Administration –cleared devices currently in the market. We aim to update the endocrine surgery community on how near-infrared fluorescence detection can be most optimally used for rapid intraoperative parathyroid gland identification or preservation. (Source: Surgery)
Source: Surgery - October 30, 2020 Category: Surgery Authors: Carmen C. Sol órzano, Giju Thomas, Eren Berber, Tracy S. Wang, Gregory W. Randolph, Quan-Yang Duh, Frédéric Triponez Source Type: research

Long-term outcomes in mesh versus no mesh laparoscopic repair of hiatal hernia
(Comment on Watson DI et  al Five Year Follow-up of a Randomized Controlled Trial of Laparoscopic Repair of Very Large Hiatus Hernia With Sutures Versus Absorbable Versus Nonabsorbable Mesh. Ann Surg. 272, 241–247 (2020) (Source: Surgery)
Source: Surgery - October 30, 2020 Category: Surgery Authors: Victor M. Zaydfudim Source Type: research

Reply: Incorporating preoperative computed tomography (CT) scan and colonoscopy in the practice of acute appendicitis patients at high risk for malignancy
We would like to thank Hajibandeh et  al for their kind words and comments. In their letter and based on our findings of an increased risk of malignancy in acute appendicitis (AA) as well as theirs, they advocate for the routine use of preoperative computed tomography (CT) in this disease and routine colonoscopy postoperatively. (Source: Surgery)
Source: Surgery - October 30, 2020 Category: Surgery Authors: Leon Naar, D. Dante Yeh, Haytham Kaafarani Source Type: research

Covid-19: Opportunites and Concerns
Since the World Health Organization declared the Covid-19 pandemic, the lives of all people have significantly changed. These changes range from economic, social and personal freedom impacts, all largely restrictive, while the characteristics of the virus and the serious and widespread repercussions on people's health are not yet fully clarified. In the biomedical field, stakeholders and scientific researchers are strongly focused on measures to stem the spread of the infection, by searching for effective therapies and, above all, a vaccine. (Source: Surgery)
Source: Surgery - October 30, 2020 Category: Surgery Authors: Michele Rubbini Source Type: research

Postoperative complications and long-term health-related quality of life (HRQOL) after esophagectomy
(Comment on: Kauppila, J. H., Johar, A.& Lagergren, P. Medical and Surgical Complications and Health-related Quality of Life After Esophageal Cancer Surgery. Ann. Surg. 271, 502 –508 (2020) (Source: Surgery)
Source: Surgery - October 29, 2020 Category: Surgery Authors: Victor M. Zaydfudim Source Type: research

Preoperative patient opioid education, standardization of prescriptions, and their impact on overall patient satisfaction
The opioid epidemic has reached a crisis level in America, and many institutions are implementing new guidelines to decrease opioid prescriptions. Although these may positively impact opioid addiction, its influence on patient satisfaction is inadequately described. The aim of the study was to evaluate the effect of standardized patient education and postoperative opioid regimens on patient satisfaction. (Source: Surgery)
Source: Surgery - October 27, 2020 Category: Surgery Authors: Sharbel A. Elhage, Otto N. Thielen, Andrew T. Huber, Javier Otero, Caleb E. Suddreth, George A. Monjimbo, Tanushree Prasad, Keith S. Gersin, Vedra A. Augenstein, Paul D. Colavita, B. Todd Heniford Source Type: research

Evaluating the risk of re-recurrence in patients with persistent/recurrent thyroid carcinoma after initial reoperation
This study aimed to evaluate and revise the stratifications in these patients. (Source: Surgery)
Source: Surgery - October 27, 2020 Category: Surgery Authors: Siyuan Xu, Qingfeng Li, Zhiqi Wang, Hui Huang, Xiaolei Wang, Shaoyan Liu, Jie Liu Source Type: research

Cover 1(with editorial board)
(Source: Surgery)
Source: Surgery - October 22, 2020 Category: Surgery Source Type: research