Total thyroidectomy versus unilateral lobectomy for unilateral multifocal papillary thyroid carcinoma: systematic review and meta ‑analysis
AbstractThe optimal surgical procedure(s) for unilateral multifocal papillary thyroid carcinomas is currently controversial. As such, the present study aimed to compare the efficacies of total thyroidectomy and lobectomy in patients with unilateral multifocal papillary thyroid carcinoma. A literature search of the PubMed/Medline, Embase, Web of Science, Cochrane Library, Wan Fang, and Zhi Wang databases for relevant studies, published from inception to October 31, 2022, was performed. Two researchers independently extracted data from the included studies. Lymph node metastasis, vocal fold paralysis, parathyroid injury, pos...
Source: Updates in Surgery - December 21, 2023 Category: Surgery Source Type: research
The management of low trans-sphincteric anal fistula during the COVID-19 pandemic: revisiting the role of the seton
This study aimed to evaluate the safety and effectiveness of the slow cutting seton technique for TAF performed in an outpatient setting during the COVID-19 pandemic.Patients treated for TAF between January 2020 and July 2022 and followed-up for at least 12  months were retrospectively evaluated. A vascular silicone tie used as seton was positioned in the fistula tract using a Lockhart–Mummery fistula probe. The seton was maintained in moderate tension until the sphincter muscle was passed. Percentage and time for healing, recurrence, SF-36, VAS and Vaizey’s Score were recorded.Fifty-eight patients [36 male/22 female,...
Source: Updates in Surgery - December 21, 2023 Category: Surgery Source Type: research
Persistent pneumothorax treatment following congenital cardiac surgery by platelet –fibrin glue
This study presents a new minimally invasive method for treating persistent pneumothorax using platelet-rich plasma –fibrin glue (PRP–FG). The method has been successful in treating postoperative chylothorax in previous studies, and its use has decreased morbidity, mortality, and hospital stay in chylothorax patients. Ten patients with persistent pneumothorax following cardiothoracic surgery (3 TAPVC, 2 d-TGA , 2 VSD + IAA,1 TRUNCUS + TAPVC, 1 VSD + COA, 1 GLENN), who did not respond to conservative management, underwent treatment with PRP–FG. Follow-up was done for a period of 1–4 years. The age and d...
Source: Updates in Surgery - December 17, 2023 Category: Surgery Source Type: research
The unexpected effect of parathyroid adenoma on inflammation
This study is aimed to investigate the preoperative and postoperative effect of PHPT on systemic inflammation. A total of 203 patients who were successfully operated for PHPT and 98 healthy controls were included in the study. The blood tests of the patients in the last month preoperatively and in the postoperative 6th month were compared. In addition, preoperative and postoperative tests were compared with the healthy control group. When the preoperative neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), lymphocyte-to-monocyte ratio (LMR), and systemic inflammation index (SII) values of the patients...
Source: Updates in Surgery - December 17, 2023 Category: Surgery Source Type: research
The role of the surgical volume for clinical outcomes in VATS lobectomy for lung cancer: a national large database multicenter analysis
AbstractImproving the quality of lung cancer care at a cost that can be sustained is a hotly debated issue. High-risk, low-volume procedures (such as lung resections) are believed to improve significantly when centralised in high-volume centres. However, limited evidence exists to support volume requirements in lung cancer surgery. On the other hand, there was no evidence that the number of lung resections affected either the short-term perioperative results or the long-term cost. Using data from an extensive nationwide registry, this study investigated the correlations between surgical volumes and selected perioperative o...
Source: Updates in Surgery - December 16, 2023 Category: Surgery Source Type: research
Spread and feasibility of non-operative management (NOM) of traumatic splenic injuries in adults: a national survey
This study aims to identify such issues to promote the safe and effective management of these injuries.A survey was developed using the SurveyMonkey® software and spread nationally in Italy. The survey was structured into: (1) Knowledge of classification systems; (2) Availability to refer patients; (3) Patients monitoring and follow-up; (4) Center-related.The survey was filled in by 327 surgeons, with a completeness rate of 63%. Three responders out of four are used to manage trauma patients. Despite most responders knowing the existing classifications, their use is still limited in daily practice. If a patient needs to b...
Source: Updates in Surgery - December 16, 2023 Category: Surgery Source Type: research
Evaluation of cross-bar and parallel-bar techniques in MIRPE surgery in different countries: a multicenter study
AbstractParallel- and cross-bar techniques are surgical methods used in the pectus excavatum. While the parallel bar is used in many centers, the cross bar is a new technique. The aim of the study is to evaluate the data of centers using cross bar and parallel bar. The aim of this multicenter study is to retrospectively evaluate the data of centers have been using both cross-bar and parallel-bar techniques. 213 parallel bars and 205 cross bars were used. Parallel-bar advantages: the mean patient satisfaction score was 9.40  ± 0.95. Cross-bar advantages: the rate of patients with symmetric deformity was 75.6%, recurren...
Source: Updates in Surgery - December 14, 2023 Category: Surgery Source Type: research
Complication and conversion outcomes in transoral endoscopic thyroidectomy vestibular approach (TOETVA): a retrospective multicenter propensity score-matched cohort study
AbstractTransoral endoscopic thyroidectomy with vestibular approach (TOETVA) is a scarless thyroid surgery used as an alternative to open conventional surgery. Our aim was to investigate possible risk factors for complications and conversion during TOETVA. The study was conducted internationally by centres from Turkiye, the Republic of Korea, Italy, and Peru. A total of 406 patients who underwent TOETVA and were ≥ 18 years of age were included in the study. Demographic, pre-, intra-, and postoperative data were collected and compared between the groups with/without complication/conversion to identify possible predicto...
Source: Updates in Surgery - December 14, 2023 Category: Surgery Source Type: research
A nomogram based on HALP score for predicting 28-day mortality in ICU-admitted cancer patients
(Source: Updates in Surgery)
Source: Updates in Surgery - December 14, 2023 Category: Surgery Source Type: research
Easy modified wells method for rectal prolapse with using bilayer mesh
ConclusionEasy modified Wells method can be performed with safety and without difficulty. This method has shown acceptable results in recurrence rates and defecation frequency after surgery. (Source: Updates in Surgery)
Source: Updates in Surgery - December 14, 2023 Category: Surgery Source Type: research
Pedicle stabilization with fibrin sealant in DIEP flap breast reconstruction
AbstractMicrosurgical procedures are nowadays routinely performed worldwide in reconstructive surgery. The deep inferior epigastric artery perforator (DIEP) flap has become the gold standard in breast reconstruction due to its excellent outcomes and lower donor site morbidity. However, complications, including flap failure, still occur in DIEP flap breast reconstruction. Often, according to our experience, these complications result from pedicle disorders, which can be attributed to postoperative mobilization. In the present study, we evaluated the efficacy and safety of using a fibrin sealant as a method for pedicle stabi...
Source: Updates in Surgery - December 13, 2023 Category: Surgery Source Type: research
Impact of extra-ampullary duodenal adenocarcinoma subtypes on surgical and oncological outcomes following pancreaticoduodenectomy
ConclusionIntestinal-type EDA, which more often arises from supra-ampullary duodenum, was associated with better postoperative outcomes and improved survival. (Source: Updates in Surgery)
Source: Updates in Surgery - December 13, 2023 Category: Surgery Source Type: research
Ultra-micro instrument in laparoscopic transabdominal preperitoneal (TAPP) hernioplasty
This study aimed to explore the feasibility of ultra-micro instruments in the laparoscopic repair of inguinal indirect hernia. This retrospective study included 83 patients with an indirect inguinal hernia who underwent elective surgery from January 2020 to December 2021. All patients were divided into the traditional laparoscopic group and ultra-micro laparoscopic group. The data on operation time, blood loss, ventilation time, hospital stays, complication, postoperative pain degree was collected and compared between the two groups. Of these 83 patients, 25 assigned to the ultra-micro group used ultra-micro instruments wh...
Source: Updates in Surgery - December 12, 2023 Category: Surgery Source Type: research
A before and after evaluation of patient reported outcomes assessed by Breast Q following LICAP turnover flap in breast conservative therapy
This study was cond ucted on 21 patients who were admitted to the plastic surgery department. A prospectively maintained database was used to identify the patients and their records were assessed retrospectively. The pre/post operative patients data were collected. The Breast-Q questionnaire was administered before the surgery and at least 1Â year after. No major surgical complications were reported. Mean Breast-Q scores were evaluated at least 1Â year after surgery and radiotherapy and compared with pre-surgical scores. Among all the modules, no significant differences between the pre-surgical and post-surgical Breast-Q s...
Source: Updates in Surgery - December 9, 2023 Category: Surgery Source Type: research
Two-port (single incision plus one port) versus single-port laparoscopic totally extraperitoneal repair for inguinal hernia: a retrospective comparative study
AbstractThe aim of this study is to compare the feasibility and efficacy of two-port (single incision plus one port) laparoscopic totally extraperitoneal repair (TEP) with single-port TEP for the treatment of inguinal hernia. We performed a retrospective comparative study from a prospectively maintained database. A cohort of 229 patients with inguinal hernia who underwent TEP were included. Of these patients, 124 underwent two-port TEP and 105 underwent single-port TEP. Differences in surgical outcomes were compared. The mean operative time was shorter in the two-port TEP group compared to the single-port TEP group (55.3 â...
Source: Updates in Surgery - December 9, 2023 Category: Surgery Source Type: research
