Port Site Hernias Following Laparoscopic Ventral Hernia Repair
ConclusionDuring LVHR, introduction of mesh through a 10 –12-mm port placed through the hernia defect is associated with a low risk of SSI and low risk of hernia occurrence. While further studies are needed to confirm these results, mesh can be safely introduced through a port through the defect. (Source: World Journal of Surgery)
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

Totally Mechanical Collard Technique for Cervical Esophagogastric Anastomosis Reduces Stricture Formation Compared with Circular Stapled Anastomosis
ConclusionTMC technique contributed to a reduced rate of stricture formation compared with CS technique in cervical esophagogastric anastomosis. (Source: World Journal of Surgery)
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

Percutaneous Cholecystostomy Placement in Cases of Non-operative Cholecystitis: A Retrospective Cohort Analysis
ConclusionIn patients with AC, PC is safe, with high technical success and low complication rate. Subsequent cholecystectomy should be performed, but is usually challenging. The requirement for PC may predict a more complex disease process. (Source: World Journal of Surgery)
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

Complicated Diaphragmatic Hernia in Emergency Surgery: Systematic Review of the Literature
ConclusionSurgery is the treatment of choice and is strongly influenced by the preoperative setting, performed mainly with X-ray and CT scan. Minimally invasive approach is safe and feasible but is highly dependent on the surgeon's expertise, especially in emergency setting. (Source: World Journal of Surgery)
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

Influence of Operative Time in the Results of Infrainguinal Bypass for Chronic Limb Threatening Ischemia
AbstractBackgroundAn increased operative time (OT) has been associated with a higher rate of adverse outcomes after several surgical procedures although scarce evidence exists for infrainguinal bypass surgery (IBS) and its impact beyond the postoperative period. The aim of this study was to define surgical characteristics related to a prolonged OT in IBS for chronic limb threatening ischemia and its influence on postoperative and 1-year outcomes.Materials and methodsRetrospective study of 249 consecutive patients (mean age 72.4  years, 73.1% male) undergoing IBS for CLI between 2008 and 2018. The characteristics relat...
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

The Efficacy of Neoadjuvant Versus Adjuvant Therapy for Resectable Esophageal Cancer Patients: A Systematic Review and Meta-Analysis
AbstractObjectiveInconclusive results are available as to whether chemo/radiotherapy should be administered to resectable esophageal cancer patients before surgery (neoadjuvant therapy) or after surgery (adjuvant therapy). The paper, via a meta-analysis of effects of treatment modalities when administering chemo/radiotherapy, aims to systematically evaluate the effect of timing of chemo/radiotherapy and surgery.MethodsWe performed a systematic literature search for clinical trials of neoadjuvant and adjuvant therapy for patients with esophageal cancer. Using meta-analysis, we conducted direct and adjusted indirect comparis...
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

Simple Wound Irrigation in the Postoperative Treatment for Surgically Drained Spontaneous Soft Tissue Abscesses: A Prospective, Randomized Controlled Trial
ConclusionThis prospective, randomized trial indicates that a nonsterile irrigation protocol for patients operated on for soft tissue abscesses is not inferior to the standard sterile protocol. Moreover, a nonsterile irrigation protocol leads to a shorter period of inability to work with comparable pain and quality of life scores during the wound healing period. (Source: World Journal of Surgery)
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

Risk Factors for Readmission After Short-Hospital-Stay Laparoscopic Appendectomy
ConclusionMost patients undergoing LA can be safely discharged within 24  h of admission. Patients over 50 years old and/or with localized peritonitis have significantly higher risk of readmission and therefore may need a closer postoperative follow-up. (Source: World Journal of Surgery)
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

Minimally Invasive Retrosternal Esophageal Bypass Using a Mid-Colon Esophagocoloplasty for Corrosive-Induced Esophageal Stricture
ConclusionMinimally invasive mid-colon esophageal bypass is a feasible procedure for selected patients with corrosive esophageal stricture with favorable short-term and comparable medium-term outcomes. (Source: World Journal of Surgery)
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

Preoperative Risk Assessment: A Poor Predictor of Outcome in Critically ill Elderly with Sepsis After Abdominal Surgery
AbstractBackgroundPostoperative outcome prediction in elderly is based on preoperative physical status but its predictive value is uncertain. The goal was to evaluate the value of risk assessment performed perioperatively in predicting outcome in case of admission to an intensive care unit (ICU).MethodsA total of 108 postsurgical patients were retrospectively selected from a prospectively recorded database of 144 elderly septic patients (>70  years) admitted to the ICU department after elective or emergency abdominal surgery between 2012 and 2017. Perioperative risk assessment scores including Portsmouth Physiologi...
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

Surgical Management of Carotid Body Tumor and Risk Factors of Postoperative Cranial Nerve Injury
AbstractBackgroundTo identify risk factors of postoperative cranial nerve injury (CNI) following surgical treatment of a carotid body tumor (CBT) by retrospective analysis of the data during the past decade in our center.MethodsFrom May 2008 to September 2018, patients who underwent CBT resections at the Department of Vascular Surgery, Zhongshan Hospital, Fudan University, were included in the study. Demographic, preoperative, intraoperative, and postoperative data of patients were collected and analyzed. Univariate and multivariate logistic regression analyses were performed to identify the independent risk factors of CNI...
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

Letter to the Editor: Largely Unchanged Annual Incidence and Overall Survival of Pleural Mesothelioma in the USA
(Source: World Journal of Surgery)
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

Study of the Portal Branches Arising from the Cranial Part of the Umbilical Portion of the Left Portal Vein: Implications for Anatomic Right Hepatic Trisectionectomy
ConclusionApproximately 40% of patients had the left cranio-lateral portal branches arising cranially from the UP and running to the left lateral sector. When planning anatomic right hepatic trisectionectomy, the presence or absence of this branch should be checked by using 3D imaging with MDCT. (Source: World Journal of Surgery)
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

A Novel Breast-Conserving Surgical Technique in the Management of Phyllodes Tumours of the Breast
ConclusionThis novel technique preserves the breast, optimises cosmesis and is a safe approach to the surgical management of large PT. (Source: World Journal of Surgery)
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

Self-Efficacy, Happiness and Psychological Well-Being After Sleeve Gastrectomy
ConclusionBased on these findings, self-efficacy is a significant predictor of psychological well-being and happiness. (Source: World Journal of Surgery)
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

Correction to: Barriers to Effective Transfusion Practices in Limited-Resource Settings: From Infrastructure to Cultural Beliefs
The article “Barriers to Effective Transfusion Practices in Limited-Resource Settings: From Infrastructure to Cultural Beliefs”. (Source: World Journal of Surgery)
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

Letter to the Editor: Optimal Prediction of the Central Venous Catheter Insertion Depth Targeting the Cavoatrial Junction
(Source: World Journal of Surgery)
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

Letter to the Editor: Bile Leak Reduction with Laparoscopic Versus Open Liver Resection: A Multi-institutional Propensity Score-Adjusted Multivariable Regression Analysis
(Source: World Journal of Surgery)
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

Correction to: Clinical Assessment of Pediatric Patients with Differentiated Thyroid Carcinoma: A 30-Year Experience at a Single Institution
The article “Clinical Assessment of Pediatric Patients with Differentiated Thyroid Carcinoma: A 30-Year Experience at a Single Institution”, written by Kim et al., was originally published electronically on the publisher’s internet portal (currently SpringerLink) on May 21, 2020, with open access. With th e authors’ decision to step back from Open Choice, the copyright of the article changed on September 14, 2020 to © Société Internationale de Chirurgie 2020 and the article is forthwith distributed under the terms of copyright. The original article has been corrected. (Source: Wor...
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

Authors ’ Reply: Bile Leak Reduction with Laparoscopic Versus Open Liver Resection: A Multi-institutional Propensity Score-Adjusted Multivariable Regression Analysis
(Source: World Journal of Surgery)
Source: World Journal of Surgery - October 31, 2020 Category: Surgery Source Type: research

Short- and Long-Term Outcomes of Laparoscopic Organ-Sparing Resection for Pancreatic Neuroendocrine Neoplasms
ConclusionsLaparoscopic organ-sparing resection for selected cases of PNENs is safe and feasible and has favourable short- and long-term outcomes. (Source: World Journal of Surgery)
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Predictive Value of the Age-Adjusted Charlson Comorbidity Index for Outcomes After Hepatic Resection of Hepatocellular Carcinoma
This study aimed to evaluate the impact of the age-adjusted Charlson comorbidity index (ACCI) on outcomes after hepatic resection for hepatocellular carcinoma (HCC).MethodsWe assessed 763 patients who underwent hepatic resection for HCC. The ACCI scores were categorized as follows: ACCI  ≤ 5, ACCI = 6, and ACCI ≥ 7.ResultsA multivariate analysis showed that the odds ratios for postoperative complications in ACCI  = 6 and ACCI ≥ 7 groups, with reference to ACCI ≤ 5 group, were 0.71 (p = 0.41) and 4.15 (p 
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Global Gender Differences in Pilonidal Sinus Disease: A Random-Effects Meta-Analysis
ConclusionThe share of female patients suffering from PSD is considerable. It is time to think of PSD as a disease of both men and women. Previously unknown, there are significant regional differences worldwide; the reason(s) for the regional differences is still unclear. (Source: World Journal of Surgery)
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Prehabilitation in Frail Surgical Patients: A Systematic Review
ConclusionPrehabilitation in frail surgical patients may be the appropriate process through which providers can lessen operative risk. Currently, however, there is little evidence supporting the use of prehabilitation in this population with only five studies identified in this systematic review. More randomized controlled trials are clearly needed. (Source: World Journal of Surgery)
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

The Dilemma After an Unforeseen Positive Sentinel Node in Primary Breast Cancer: Is Completion Axillary Dissection Necessary?
AbstractBackgroundIn the majority of cases, the sentinel node is the only positive node in the axilla and completion ALND (cALND) is a futile procedure. However, refraining from cALND will lead to less accurate staging and, possibly, undertreatment. To help resolve this dilemma, we examined the clinical value of cALND in staging and determining adjuvant treatment.MethodsIn a retrospective cohort, all consecutive patients over a five-year period with primary breast cancer who received ALND were identified and grouped based on timing of ALND. Total nodal yield and positive lymph nodes were defined and factors with possible i...
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Self-compounded Doxycycline Sclerotherapy for the Treatment of Lymphatic Malformations in Low-Resource Settings
ConclusionsSelf-compounded doxycycline sclerotherapy is a safe, effective, and widely available treatment option for sclerotherapy of LMs in LMICs. (Source: World Journal of Surgery)
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

18 F-fluorocholine PET/CT in MEN1 Patients with Primary Hyperparathyroidism
ConclusionsCompared to sestaMIBI scintigraphy, FCH-PET/CT provides additional information regarding the number of pathologic parathyroid glands and their localization in MEN1 patients with HPT1. (Source: World Journal of Surgery)
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Association Between the Frequency of Glove Change and the Risk of Blood and Body Fluid Exposure in Gastrointestinal Surgery
AbstractBackgroundSurgical gloves are used to prevent the transmission of microorganisms from the surgeon ’s hands to the patient and vice versa. Little is known on the optimal frequency of glove changing. Therefore, we aimed to examine the optimal frequency of glove change during surgery by assessing the glove perforation rate in gastrointestinal surgery.MethodsIn this observational prospective cohort study, we investigated the incidence of perforation of 5,267 gloves during gastrointestinal surgeries.ResultsThe overall glove perforation rate was 10.1%. There was no significant difference between single gloving (10....
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Letter to the Editor: Single-Stage Immediate Breast Reconstruction Using Anatomical Silicone-Based Implant and the Hammock Technique of Dermal- Muscle Flap in Large and Ptotic breasts: A Multicenter Study
(Source: World Journal of Surgery)
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Author ’s Reply: Risk Factors and Outcome of Portal Vein Thrombosis After Laparoscopic and Open Hepatectomy for Primary Liver Cancer: A Single-Center Experience
(Source: World Journal of Surgery)
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

We Asked the Experts: Global Surgery —Seeing Beyond the Silo
(Source: World Journal of Surgery)
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Letter to the Editor: Risk Factors and Outcome of Portal Vein Thrombosis After Laparoscopic and Open Hepatectomy for Primary Liver Cancer: A Single-Center Experience
(Source: World Journal of Surgery)
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Letter to the Editor: Evidence-Based Management of Postoperative Pain in Adults Undergoing Laparoscopic Sleeve Gastrectomy
(Source: World Journal of Surgery)
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Editorial: Doubling Down on Diversity in the Wake of the #MedBikini Controversy
(Source: World Journal of Surgery)
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Author ’s Reply: Evidence-Based Management of Postoperative Pain in Adults Undergoing Laparoscopic Sleeve Gastrectomy
(Source: World Journal of Surgery)
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Axillary Management in Breast Cancer: Less is More
(Source: World Journal of Surgery)
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Correction to: Incidence of Incisional Hernia After Emergency Subcostal Unilateral Laparotomy: Does Augmentation Prophylaxis Play a Role?
In the original article some of the column headings in Tables  1–4 were mislabeled. (Source: World Journal of Surgery)
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Letter to the Editor: Surgical Unmet Need in A Low-Income Area of a Metropolitan City in India: A Cross-Sectional Study
(Source: World Journal of Surgery)
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

We Asked the Experts: Delivering Resilient Surgical Care in a Crisis —Five Survival Strategies for Front-Line Surgeons
(Source: World Journal of Surgery)
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Editorial
(Source: World Journal of Surgery)
Source: World Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Utility of Taking Additional Margins When Performing Breast-Conserving Surgery with Intraoperative Radiation Therapy for Early Breast Cancer
ConclusionsTaking additional pre-IORT margins and re-excising close/positive margins post-IORT improved margin clearance rates but had an unclear effect on IBTR. Adjuvant endocrine therapy significantly reduced IBTR. (Source: World Journal of Surgery)
Source: World Journal of Surgery - September 1, 2020 Category: Surgery Source Type: research

Non-mesh Desarda Technique Versus Standard Mesh-Based Lichtenstein Technique for Inguinal Hernia Repair: A Systematic Review and Meta-analysis
ConclusionDT and LT were found to have comparable results in terms of recurrence rate, haematoma formation, testicular atrophy and time to return to normal daily activity/work. DT is superior to LT in terms of reducing post-operative mesh-attributed complications, such as SSI and Seroma formation. (Source: World Journal of Surgery)
Source: World Journal of Surgery - September 1, 2020 Category: Surgery Source Type: research

Factors Associated with Prolonged Recipient Hepatectomy Time During Liver Transplantation: A Single-Centre Experience
AbstractBackgroundRecipient hepatectomy during liver transplantation can be a challenging operation and can increase cold ischaemic time. The aim of this study is to assess factors associated with prolonged recipient hepatectomy.MethodsFrom 2005 to 2015, 930 patients were submitted to liver transplantation in our hospital. Prolonged hepatectomy time was defined as operative time>180  min (from knife on skin to total hepatectomy). Patients undergoing early liver retransplantation and living donation were excluded.ResultsA total of 715 patients were included in our study. Median age at transplantation was 53 (18 &nda...
Source: World Journal of Surgery - September 1, 2020 Category: Surgery Source Type: research

What to Propose After Failed Adjustable Gastric Banding: One- or Two-step Procedure?
ConclusionThis updated meta-analysis suggests that conversion of failed LAGB to RYGB or SG can be safely performed in one-step or two-step approaches. (Source: World Journal of Surgery)
Source: World Journal of Surgery - September 1, 2020 Category: Surgery Source Type: research

The “Best” Inguinal Hernia Repair Technique
(Source: World Journal of Surgery)
Source: World Journal of Surgery - September 1, 2020 Category: Surgery Source Type: research

Commentary: Parental Leave Policies: Have We Come a Long Way, Baby?
(Source: World Journal of Surgery)
Source: World Journal of Surgery - September 1, 2020 Category: Surgery Source Type: research

We Asked the Experts: Providing the Road Map to Uncovering the Pathophysiology of Young-Onset Cancer to Guide Treatment and Preventive Strategies
(Source: World Journal of Surgery)
Source: World Journal of Surgery - September 1, 2020 Category: Surgery Source Type: research

The Post COVID-19 Surgical Backlog: Now is the Time to Implement Enhanced Recovery After Surgery (ERAS)
(Source: World Journal of Surgery)
Source: World Journal of Surgery - September 1, 2020 Category: Surgery Source Type: research

Author ’s Reply: Comparison Between the Protector™ Laryngeal Mask Airway and the Endotracheal Tube for Minimally Invasive Thyroid and Parathyroid Surgery
(Source: World Journal of Surgery)
Source: World Journal of Surgery - September 1, 2020 Category: Surgery Source Type: research

Author ’s Reply: Aerosol Box, an Operating Room Security Measure in COVID-19 Pandemic
(Source: World Journal of Surgery)
Source: World Journal of Surgery - September 1, 2020 Category: Surgery Source Type: research