Disparate impact of the COVID-19 pandemic on delays in colorectal cancer treatment: A National Cancer Database study
Timely treatment for patients with colorectal cancer may have been disrupted by the COVID-19 pandemic. We evaluated the impact of the pandemic on delays to treatment with surgery or systemic therapy for patients with colorectal cancer and delineated factors predictive of delayed treatment. (Source: Surgery)
Source: Surgery - January 19, 2024 Category: Surgery Authors: Sophie H. Chung, Gordana Rasic, Kelsey S. Romatoski, Kelly Kenzik, Jennifer F. Tseng, Teviah E. Sachs Tags: COVID-19 Source Type: research
Variation in the definition of ‘failure to rescue’ from postoperative complications: a systematic review and recommendations for outcome reporting
Failure to rescue is the rate of death amongst patients with postoperative complications and has been proposed as a perioperative quality indicator. However, variation in its definition has limited comparisons between studies. We systematically reviewed all surgical literature reporting failure to rescue rates and examined variations in the definition of the ‘numerator,’ ‘denominator,’ and timing of failure to rescue measurement. (Source: Surgery)
Source: Surgery - January 19, 2024 Category: Surgery Authors: Cameron I. Wells, Sameer Bhat, William Xu, Chris Varghese, Celia Keane, Wal Baraza, Greg O ’Grady, Chris Harmston, Ian P. Bissett Source Type: research
Letter to the Editor on: “A novel nomogram based on preoperative parameters to predict posthepatectomy liver failure in patients with hepatocellular carcinoma”
We read with great interest the article recently published in Surgery titled “A novel nomogram based on preoperative parameters to predict posthepatectomy liver failure in patients with hepatocellular carcinoma.”1 The authors constructed a novel nomogram based on indocyanine green retention rate at 15 minutes (ICG R15), alanine transaminase (ALT), albumin rate (ALB), tot al bilirubin, prothrombin time, aspartate aminotransferase-neutrophil ratio, and liver fibrosis index (FIB-4 score) to predict posthepatectomy liver failure (PHLF) in patients with hepatocellular carcinoma. (Source: Surgery)
Source: Surgery - January 19, 2024 Category: Surgery Authors: Ze-Ping Jiang, Zao-tian Zhou, Tian Xie, Lan Zhou Tags: Letter to the Editor Source Type: research
Disparate impact of the COVID pandemic on delays in colorectal cancer treatment: A National Cancer Database study
Timely treatment for patients with colorectal cancer may have been disrupted by the COVID-19 pandemic. We evaluated the impact of the pandemic on delays to treatment with surgery or systemic therapy for patients with colorectal cancer and delineated factors predictive of delayed treatment. (Source: Surgery)
Source: Surgery - January 19, 2024 Category: Surgery Authors: Sophie H. Chung, Gordana Rasic, Kelsey S. Romatoski, Kelly Kenzik, Jennifer F. Tseng, Teviah E. Sachs Source Type: research
Additional bypass graft or concomitant surgical ablation? Insights from the HEIST registry
Surgical ablation for atrial fibrillation at the time of isolated coronary artery bypass grafting is reluctantly attempted. Meanwhile, complete revascularization is not always possible in these patients. We attempted to counterbalance the long-term benefits of surgical ablation against the risks of incomplete revascularization. (Source: Surgery)
Source: Surgery - January 17, 2024 Category: Surgery Authors: Piotr Suwalski, Emil Julian D ąbrowski, Jakub Batko, Michał Pasierski, Radosław Litwinowicz, Adam Kowalówka, Marek Jasiński, Jan Rogowski, Marek Deja, Krzysztof Bartus, Tong Li, Matteo Matteucci, Wojciech Wańha, Paolo Meani, Daniele Ronco, Giuseppe Source Type: research
Acute appendicitis: A block-randomized study on active observation with or without antibiotic treatment
Antibiotic treatment of unselected patients with acute appendicitis is safe and effective. However, it is unknown to what extent early provision of antibiotic treatment may represent overtreatment due to spontaneous healing of appendix inflammation. The aim of the present study was to evaluate the role of antibiotic treatment versus active in-hospital observation on spontaneous regression of acute appendicitis. (Source: Surgery)
Source: Surgery - January 12, 2024 Category: Surgery Authors: Britt-Marie Iresj ö, Sara Blomström, Cecilia Engström, Erik Johnsson, Kent Lundholm Source Type: research
Current trends and outcomes for unilateral groin hernia repairs in the United States using the Abdominal Core Health Quality Collaborative database: A multicenter propensity score matching analysis of 30-day and 1-year outcomes
Different unilateral groin hernia repair approaches have been developed in the last 2 decades. The most commonly done approaches are open inguinal hernia repair by the Lichenstein technique, laparoscopic approach by either total extraperitoneal or transabdominal preperitoneal, and robotic transabdominal preperitoneal approach. Hence, this study aimed to compare early and late postoperative outcomes in patients who underwent unilateral robotic transabdominal preperitoneal, laparoscopic transabdominal preperitoneal, and laparoscopic total extraperitoneal, and open groin hernia repair using a United States national hernia dat...
Source: Surgery - January 12, 2024 Category: Surgery Authors: Diego L. Lima, Raquel Nogueira, Rebeca Dominguez Profeta, Li-Ching Huang, Leandro Totti Cavazzola, Flavio Malcher, Prashanth Sreeramoju Source Type: research
Introduction: Mobile health mini-series
The medical community has experienced a rapid uptake of mobile health (mHealth) technology aiming to improve the delivery of high-quality, patient-centered care.1 Mobile health harnesses the power of handheld or wearable devices to provide remote monitoring support and digital assistants. However, widespread implementation of mHealth in surgery is lacking. In this series, surgeons and researchers will share their experiences in the use of mHealth in surgery, their visions for future innovation, and tips for how to leverage mHealth to improve your own surgical practice. (Source: Surgery)
Source: Surgery - January 11, 2024 Category: Surgery Authors: Christy E. Cauley, Mary Brindle Source Type: research
Mobile health in the aging surgical patient
Mobile health includes the use of mobile devices, patient monitoring devices, and digital assistants to improve the delivery of healthcare. Aging surgical patients (ie, 65 years and older) represent a unique patient population that demands increased resources to prepare for surgery and optimize recovery. Mobile health has the potential to improve surgical patient outcomes by increasing the accessibility of personalized care and reducing costs. However, there are some challenges to consider when using mobile health in older surgical patients, such as technological literacy, visual and hearing impairment, and cognitive chang...
Source: Surgery - January 10, 2024 Category: Surgery Authors: Atziri Rubio-Chavez, Christy E. Cauley Source Type: research
Killing mosquitoes or draining the swamp?
I read with great interest the paper titled "Management of symptomatic gallstones: To preserve or resect the gallbladder?"1 and would want to give some observations that do not support the authors' case in favor of removing gallstones rather than the whole gallbladder. (Source: Surgery)
Source: Surgery - January 10, 2024 Category: Surgery Authors: Mesut Tez Source Type: research
Ethanol ablation of papillary thyroid carcinoma nodal metastases: Long-term outcomes
Percutaneous ethanol ablation has emerged as a treatment for recurrent papillary thyroid carcinoma in the lateral neck after compartment-oriented therapeutic lymphadenectomy. However, the safety and utility of percutaneous ethanol ablation as a primary treatment modality for lateral neck metastases remains undefined. We aimed to investigate long-term outcomes of percutaneous ethanol ablation of lateral neck papillary thyroid carcinoma recurrence both with and without prior lymphadenectomy. (Source: Surgery)
Source: Surgery - January 8, 2024 Category: Surgery Authors: Sarah Lund, John J. Schmitz, Trenton Foster, Benzon Dy, Travis McKenzie, M. Regina Castro, Melanie L. Lyden Source Type: research
Step cadence as a novel objective postoperative recovery metric in children who undergo laparoscopic appendectomy
Daily step counts from consumer wearable devices have been used to objectively assess postsurgical recovery in children. However, step cadence, defined as steps taken per minute, may be a more specific measure of physiologic status. The purpose of this study is to define objective normative physical activity recovery trajectories after laparoscopic appendectomy using this novel metric. We hypothesized that patients would have a progressive increase in peak cadence until reaching a plateau representing baseline status, and this would occur earlier for simple compared with complicated appendicitis. (Source: Surgery)
Source: Surgery - January 8, 2024 Category: Surgery Authors: Michela Carter, Suhail Zeineddin, Iris Bai, J. Benjamin Pitt, Rui Hua, Soyang Kwon, Hassan M.K. Ghomrawi, Fizan Abdullah Source Type: research
The increasing use of minimally invasive surgery in acute general surgical conditions: A decade of results from a national data set
To assess the rate of uptake of acute laparoscopic surgery for common general surgical conditions using national-level data. (Source: Surgery)
Source: Surgery - January 2, 2024 Category: Surgery Authors: Joshua Kirkpatrick, Yijiao Wang, Monique Greene, Delwyn Armstrong, Sanket Srinivasa, Jonathan Koea Source Type: research
Bariatric surgery efficacy in patients with mood disorders
Mood disorders are comorbid in patients with obesity and found in approximately 22.0% to 54.8% of patients who are eligible for bariatric surgery. Given the unclear effect of mood disorders on bariatric surgery outcomes, we aimed this study to assess the impact of mood disorders index bariatric surgery weight loss outcomes. (Source: Surgery)
Source: Surgery - January 2, 2024 Category: Surgery Authors: Daniel Praise M. Mowoh, Rachel Cole, Shravan Sarvepalli, Karan Grover, Mujjahid Abbas, Leena Khaitan Source Type: research
Letter to the editor: A comment on grey literature in hernia surgery using biological mesh
With great interest, we read “Biologic versus synthetic mesh in open ventral hernia repair; A systematic review and meta-analysis of randomized controlled trials”1 by Dr Lu’s research group in Texas. Congratulations to the authors for this well-performed and written study where they found that biologic compared to synthet ic mesh had increased hernia recurrences and surgical site infection. Given the high cost of biologic mesh compared to synthetic mesh and the poor outcomes, surgeons should scrutinize the use of biologic mesh. (Source: Surgery)
Source: Surgery - January 1, 2024 Category: Surgery Authors: Ali Siddiqui, Rainna Coelho, Mike Liang Source Type: research
