Neoadjuvant Chemotherapy and Radiation Improves Recurrence-free and Overall Survival in Resectable and Borderline Resectable Pancreatic Ductal Adenocarcinoma
CONCLUSION: Patients with resectable/borderline resectable PDAC who receive neoadjuvant therapy have longer OS and RFS relative to those who receive upfront surgery.PMID:38676648 | DOI:10.1177/00031348241250043 (Source: The American Surgeon)
Source: The American Surgeon - April 27, 2024 Category: Surgery Authors: Jesse K Kelley Hordur Kolbeinsson Sreenivasa Chandana Benjamin Eastburg Austin Frisch Jessica Parker G Paul Wright M Mura Assifi Mathew Chung Source Type: research

Blunt Abdominal Trauma in Pregnancy: Higher Rates of Severe Abdominal Injuries
DISCUSSION: BSOI occurred at a lower rate in PTPs compared to non-PTPs; however, contrary to the "cushion effect" observed in obese populations, pregnant women had a higher rate of severe abdominal injuries. These data support comprehensive evaluations for PTPs presenting after a MVC.LEVEL OF EVIDENCE: IV (therapeutic).PMID:38676625 | DOI:10.1177/00031348241248790 (Source: The American Surgeon)
Source: The American Surgeon - April 27, 2024 Category: Surgery Authors: Shannon Skochko Jeffry Nahmias Michael Lekawa Allen Kong Sebastian Schubl Lourdes Swentek Areg Grigorian Source Type: research

Factors Predicting Readmission and Mortality in Patients Admitted for Malignant Bowel Obstruction
CONCLUSION: Patient age, primary language, and PC consult were predictors for MBO readmission, which may impact 90-day mortality. Given the palliative nature of MBO, modifiable factors such as PC consultation and multidisciplinary goals of care discussions should be prioritized in order to reduce readmissions and focus on quality of life (QOL) for this patient population.PMID:38676624 | DOI:10.1177/00031348241250045 (Source: The American Surgeon)
Source: The American Surgeon - April 27, 2024 Category: Surgery Authors: Nova Xu Beatrice J Sun Tiffany M Yue Byrne Lee Source Type: research

Prognostic Factors Affecting Survival of Patients With Single Primary Breast Cancer vs Patients With Multiple Primary Cancers in Lifetime, One of Which is Breast Cancer
CONCLUSION: Although patients with SPBC have worse prognostic tumor characteristics, OS and CSS rates are better than patients with MPC.PMID:38676386 | DOI:10.1177/00031348241248695 (Source: The American Surgeon)
Source: The American Surgeon - April 27, 2024 Category: Surgery Authors: Ahmet Necati Sanli Deniz Esin Tekcan Sanli M Kadri Altundag Fatih Aydogan Source Type: research

Descriptive Analysis of Outcomes After Onlay Ventral Hernia Repair in Obese Patients
CONCLUSION: Obesity is a risk factor for poor outcomes after VHR. We developed a protocol for obese patients with large defects involving a modified onlay technique which demonstrates comparable results to other VHR techniques in obese patients.PMID:38676337 | DOI:10.1177/00031348241241706 (Source: The American Surgeon)
Source: The American Surgeon - April 27, 2024 Category: Surgery Authors: Carolyn P Smullin Rivfka S Shenoy Kevin J Blair Charles F Chandler Source Type: research

Charles Boyd Kelsey (1850-1917). The pioneer of rectal surgery in USA
Acta Chir Belg. 2024 Apr 27:1-3. doi: 10.1080/00015458.2024.2348857. Online ahead of print.ABSTRACTCharles Boyd Kelsey (1850-1917) was a pioneer rectal surgeon. His surgical career was dedicated in the surgery of the rectum, anus, hemorrhoids, and pelvis. He invented also surgical instruments. He managed to be recognized as a pioneer of Rectal surgery not only in America but worldwide. He was a prolific writer and a famous teacher.PMID:38676372 | DOI:10.1080/00015458.2024.2348857 (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - April 27, 2024 Category: Surgery Authors: Maria Sioula Konstantinos Tsirozoglou Panagiotis Georgakopoulos Evangelos Mavrommatis Source Type: research

Transurethral water vapour therapy (Rez ūm) for catheter‐dependent men secondary to benign prostatic hyperplasia: A retrospective study in a Hong Kong population
ConclusionRez ūm was shown to be effective and safe in catheter-dependent Chinese men with BPH. (Source: Surgical Practice)
Source: Surgical Practice - April 27, 2024 Category: Surgery Authors: Henry Chow, Chi Ho Ip, Yiu Chung Lam Tags: ORIGINAL ARTICLE Source Type: research

Feasibility and efficacy of minimally invasive limited resection for primary duodenal gastrointestinal stromal tumors: a retrospective cohort study
The primary duodenal gastrointestinal stromal tumor (GIST) is a rare type of gastrointestinal tract tumor. Limited resection (LR) has been increasingly performed for duodenal GIST. However, only a few studies ... (Source: BMC Surgery)
Source: BMC Surgery - April 27, 2024 Category: Surgery Authors: Longhang Wu, Miao Liu, Xianchao Lin, Congfei Wang, Yuanyuan Yang, Haizong Fang, Heguang Huang, Ronggui Lin and Fengchun Lu Tags: Research Source Type: research

Comparison of endoscopic thyroidectomy via the oral vestibule approach and the areola approach for papillary thyroid carcinoma
The endoscopic thyroidectomy areola approach (ETAA) has been widely applied for papillary thyroid carcinoma (PTC), but leaves scars and is not truly minimally invasive. The oral vestibular approach (ETOVA) lea... (Source: BMC Surgery)
Source: BMC Surgery - April 27, 2024 Category: Surgery Authors: Yingying Liu, Fusheng Lin, Wei Yan, Ende Lin, Penghao Kuang, Xiaoquan Hong, Yizhuo Lu, Guoyang Wu and Lianghui Li Tags: Research Source Type: research

Unveiling the hidden: identification and management of overlooked blood vessels in laparoscopic left hemicolectomy for splenic flexure cancer
During laparoscopic left hemicolectomy procedures, a previously overlooked consistently thick blood vessel within the gastrocolic ligament near the splenic hilum may contribute to post-operative bleeding compl... (Source: BMC Surgery)
Source: BMC Surgery - April 27, 2024 Category: Surgery Authors: Wenjun Luo, Peng Chen, Qiang Du, Lie Yang and Zongguang Zhou Tags: Research Source Type: research

Energy expenditure related biomarkers following bariatric surgery: a prospective six-month cohort study
Mitochondria dysfunction is one of the major causes of insulin resistance, and other countless complications of obesity. PGC-1 α, and UCP-2 play key roles in energy expenditure regulation in the mitochondrial t... (Source: BMC Surgery)
Source: BMC Surgery - April 27, 2024 Category: Surgery Authors: Mahsa Hatami, Mohammad Hassan Javanbakht, Neda Haghighat, Zahra Sohrabi, Rahman Yavar, Abdolreza Pazouki and Gholamreza Mohammadi Farsani Tags: Research Source Type: research

Newly innovated system to generate adjustable PEEP with a high-flow nasal cannula
(Source: Intensive Care Medicine Experimental)
Source: Intensive Care Medicine Experimental - April 27, 2024 Category: Surgery Authors: Yu Onodera, Kenya Yarimizu, Tatsuya Hayasaka, Kaneyuki Kawamae and Masaki Nakane Tags: Letters to the Editor Source Type: research

Management of Acute Cholangitis and Choledocholithiasis
Acute cholangitis is a life-threatening emergency, caused by blockage of bile, most commonly by a gallstone (choledocholithiasis). Stasis of bile leads to an infection in the biliary tree known as cholangitis. Cholangitis is graded into 3 categories according to severity of symptoms. The infections are polymicrobial and are predominantly gram-negative rods. Management consists of early initiation of antibiotics and prompt biliary decompression. The biliary tree can be drained by endoscopic retrograde cholangiopancreatography, percutaneous transhepatic cholangiography, rendezvous, or surgical means. Future directions will f...
Source: Surgical Clinics of North America - April 27, 2024 Category: Surgery Authors: Sarah E. Smith Source Type: research

Blast injuries: a guide for the civilian surgeon
The conflicts of the past decades have given military clinicians a familiarity with blast injury treatment. Management of these complex injuries has significantly advanced since the turn of the millennium. Survival levels amongst UK service personnel increased year on year during the 4th Anglo-Afghan war. Civilian casualties from terrorist activities have also included multiple casualties with similar military-style blast injuries. Civilian clinicians should have an understanding of blast-injured casualties so as to be prepared for future major terrorist attacks involving explosive devices. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - April 27, 2024 Category: Surgery Authors: Alastair Beaven, Paul Parker Tags: Surgery for major incidents Source Type: research

Cauda equina syndrome
(CES) is a surgical emergency that often leads to debilitating chronic neuropathic pain, lower limb paralysis, loss of both faecal and urinary continence, and loss of sexual function; all of which cause a large degree of morbidity often causing psychological issues in the patient and a strain on family and their personal relationships. It is usually caused by a space occupying lesion in the lumbrosacral spinal canal causing a compressive mass effect on the peripheral nerve fibres of the cauda equina. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - April 27, 2024 Category: Surgery Authors: Will Swadling, Saumil Shah, Richard Harker Tags: Orthopaedics: spine, pelvis and general trauma Source Type: research