Investigation of optimal hernia repair techniques in patients with inflammatory bowel disease
ConclusionIn IBD patients, minimally invasive approaches lead to fewer perioperative complications compared to open. Underlay mesh placement demonstrated decreased incidence of seroma/abscess formation compared to onlay. When sub-grouped, underlay placements were similar in terms of complications. Retrorectus placement, however, had fewer recurrences and no readmissions for SBO. This suggests a minimally invasive approach or placement of retrorectus mesh may provide the optimal repair in this patient population. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 15, 2023 Category: Surgery Source Type: research
Hybrid endoscopic submucosal dissection as a salvage option for difficult colorectal conventional endoscopic submucosal dissection
ConclusionSH-ESD can be an alternative surgical method when conventional ESD is difficult to continue in cases in which the remaining undissected submucosa is < 20 mm in diameter. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 15, 2023 Category: Surgery Source Type: research
The efficacy and safety of endoscopic sphincterotomy in patients with Sphincter of Oddi dysfunction: a systematic review and meta-analysis
ConclusionES appears no better than placebo in patients with SOD type III. Sphincterotomy could be considered in patients with SOD type II and elevated SO basal pressure. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 14, 2023 Category: Surgery Source Type: research
Efficacy of multi-hole self-expandable metal stent compared to fully covered and uncovered self-expandable metal stents in patients with unresectable malignant distal biliary obstruction: a propensity analysis
ConclusionMHSEMS provided the longest stent patency time with lowest RBO rate compared to conventional SEMS by showing a lower stent migration rate than FCSEMS and a lower tumor ingrowth rate than UCSEMS. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 14, 2023 Category: Surgery Source Type: research
Unplanned conversions of robotic pancreaticoduodenectomy: short-term outcomes and suggested stepwise approach for a safe conversion
ConclusionsUnplanned conversions of robotic pancreaticoduodenectomy significantly and negatively affect short-term outcomes, including postoperative mortality. Men were more likely to require a conversion than women. The unplanned conversions rates significantly decreased over time, implying that increased proficiency and patient selection may prevent unplanned conversions. An unplanned conversion should be undertaken in an organized stepwise approach to maximize patient safety. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 14, 2023 Category: Surgery Source Type: research
