Surgery

Article Surgery

The Objective Stretch Marks Photonumeric Assessment Scale: A New and Complete Method to Assess Striae Distensae

Simone La Padula, Barbara Hersant, Chiara Pizza, Christophe Chesne, Agnes Jamin, Ismail Ben Mosbah, Francesco D'Andrea, Paolo Persichetti, Umberto Rega, Rosita Pensato, Jean Paul Meningaud

Summary: The Objective Stretch Marks Assessment Scale has been developed to objectively evaluate the severity of striae distensae. The scale has been validated and proven to be reliable and reproducible, making it an important tool for clinical research.

PLASTIC AND RECONSTRUCTIVE SURGERY (2023)

Article Surgery

Experiences of LGBTQ plus Residents in US General Surgery Training Programs

Evan A. Heiderscheit, Cary Jo R. Schlick, Ryan J. Ellis, Elaine O. Cheung, Dre Irizarry, Daniela Amortegui, Joshua Eng, Julie Ann Sosa, David B. Hoyt, Jo Buyske, Thomas J. Nasca, Karl Y. Bilimoria, Yue-Yung Hu

Summary: This study surveyed 6381 surgical residents and found that LGBTQ+ general surgery residents reported higher rates of discrimination, harassment, and bullying compared to their non-LGBTQ+ peers, with attending surgeons being the most common source. Despite similar career satisfaction, LGBTQ+ residents were more likely to consider leaving their program and have thoughts of suicide. The study highlights the need for multifaceted interventions to create safer and more inclusive learning environments for LGBTQ+ surgery residents.

JAMA SURGERY (2022)

Letter Surgery

Unexpected sudden rise of human monkeypox cases in multiple non-endemic countries amid COVID-19 pandemic and salient counteracting strategies: Another potential global threat?

Ranjan K. Mohapatra, Hardeep Singh Tuli, Ashish K. Sarangi, Sandip Chakraborty, Deepak Chandran, Chiranjib Chakraborty, Kuldeep Dhama

INTERNATIONAL JOURNAL OF SURGERY (2022)

Article Neuroimaging

Predictors of futile recanalization after endovascular treatment in acute ischemic stroke: a meta-analysis

Gang Deng, Jun Xiao, Haihan Yu, Man Chen, Ke Shang, Chuan Qin, Dai-Shi Tian

Summary: This study identified female sex, comorbidities, admission systolic blood pressure, serum glucose, occlusion site, non-bridging therapy, and post-procedural complication as predictors of futile recanalization, and also confirmed previously reported factors. Further large-scale prospective studies are needed.

JOURNAL OF NEUROINTERVENTIONAL SURGERY (2022)

Article Orthopedics

The Incidence of Hip Arthroscopy in Patients With Femoroacetabular Impingement Syndrome and Labral Pathology Increased by 85% Between 2011 and 2018 in the United States

Mikhail Zusmanovich, William Haselman, Brian Serrano, Michael Banffy

Summary: The study aimed to investigate the incidence of hip arthroscopy in patients with labral pathology in the United States from 2011-2018, revealing an 85% increase in incidence. Females underwent surgery more frequently than males, and the age of patients undergoing surgery showed a bimodal distribution, with peaks at 18 and 42 years old.

ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY (2022)

Article Surgery

A third dose of SARS-CoV-2 vaccine increases neutralizing antibodies against variants of concern in solid organ transplant recipients

Andrew H. Karaba, Xianming Zhu, Tao Liang, Kristy H. Wang, Alex G. Rittenhouse, Olivia Akinde, Yolanda Eby, Jessica E. Ruff, Joel N. Blankson, Aura T. Abedon, Jennifer L. Alejo, Andrea L. Cox, Justin R. Bailey, Elizabeth A. Thompson, Sabra L. Klein, Daniel S. Warren, Jacqueline M. Garonzik-Wang, Brian J. Boyarsky, Ioannis Sitaras, Andrew Pekosz, Dorry L. Segev, Aaron A. R. Tobian, William A. Werbel

Summary: Vaccine-induced antibody responses are weaker in solid organ transplant recipients (SOTRs), and breakthrough infections are more common. Additional vaccine doses increase antibody levels in some SOTRs, but the neutralization capacity is still significantly lower than in healthy individuals.

AMERICAN JOURNAL OF TRANSPLANTATION (2022)

Article Gastroenterology & Hepatology

Randomized phase III study of gemcitabine, cisplatin plus S-1 versus gemcitabine, cisplatin for advanced biliary tract cancer (KHBO1401-MITSUBA)

Tatsuya Ioka, Masashi Kanai, Shogo Kobayashi, Daisuke Sakai, Hidetoshi Eguchi, Hideo Baba, Satoru Seo, Akinobu Taketomi, Tadatoshi Takayama, Hiroki Yamaue, Masahiro Takahashi, Masayuki Sho, Keiko Kamei, Jiro Fujimoto, Masanori Toyoda, Junzo Shimizu, Takuma Goto, Yoshitaro Shindo, Kenichi Yoshimura, Etsuro Hatano, Hiroaki Nagano

Summary: This study demonstrates that adding S-1 to GC can improve overall survival and response rate in patients with advanced biliary tract cancer, making GCS a potential new first-line standard chemotherapy. Additionally, GCS is being tested in a neoadjuvant trial to further evaluate its efficacy.

JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES (2023)

Article Surgery

The Society for Vascular Surgery implementation document for management of extracranial cerebrovascular disease

Ali F. AbuRahma, Efthymios D. Avgerinos, Robert W. Chang, R. Clement Darling, Audra A. Duncan, Thomas L. Forbes, Mahmoud B. Malas, Bruce Alan Perler, Richard J. Powell, Caron B. Rockman, Wei Zhou

JOURNAL OF VASCULAR SURGERY (2022)

Article Cardiac & Cardiovascular Systems

The Society of Thoracic Surgeons/American Association for Thoracic Surgery Clinical Practice Guidelines on the Management of Type B Aortic Dissection

Thomas E. MacGillivray, Thomas G. Gleason, Himanshu J. Patel, Gabriel S. Aldea, Joseph E. Bavaria, Thomas M. Beaver, Edward P. Chen, Martin Czerny, Anthony L. Estrera, Scott Firestone, Michael P. Fischbein, G. Chad Hughes, Dawn S. Hui, Kalie Kissoon, Jennifer S. Lawton, Davide Pacini, T. Brett Reece, Eric E. Roselli, John Stulak

Summary: In summary, recommendations for managing patients with TBAD are continuously evolving and accumulating as new information and evidence emerge. The STS/AATS writing group has conducted a comprehensive review and provided evidence-based treatment recommendations. However, expert consensus is needed in areas where clinical trials are lacking to guide patient management.

ANNALS OF THORACIC SURGERY (2022)

Review Gastroenterology & Hepatology

The Role of Gut-Derived Lipopolysaccharides and the Intestinal Barrier in Fatty Liver Diseases

Lingxuan An, Ulrich Wirth, Dominik Koch, Malte Schirren, Moritz Drefs, Dionysios Koliogiannis, Hanno Niess, Joachim Andrassy, Markus Guba, Alexandr Bazhin, Jens Werner, Florian Kuehn

Summary: Hepatosteatosis is the earliest stage in the pathogenesis of nonalcoholic fatty liver disease and alcoholic liver disease, strongly linked with obesity. Gut dysbiosis and gut barrier dysfunction crucially contribute to the development of chronic liver disease. Treatments targeting the gut microbiome and gut barrier have shown potential benefits in attenuating liver inflammation.

JOURNAL OF GASTROINTESTINAL SURGERY (2022)

Article Surgery

American Society for Metabolic and Bariatric Surgery 2020 estimate of metabolic and bariatric procedures performed in the United States

Benjamin Clapp, Jaime Ponce, Eric DeMaria, Omar Ghanem, Matthew Hutter, Shanu Kothari, Teresa LaMasters, Marina Kurian, Wayne English

Summary: There was a 22.5% decrease in the volume of metabolic and bariatric surgeries performed in the United States in 2020 compared to 2019. Sleeve gastrectomy remained the most common procedure, and single-anastomosis duodeno-ileostomy was reported for the first time in the MBSAQIP database.

SURGERY FOR OBESITY AND RELATED DISEASES (2022)

Article Clinical Neurology

Anti-CD20 therapies decrease humoral immune response to SARS-CoV-2 in patients with multiple sclerosis or neuromyelitis optica spectrum disorders

Celine Louapre, Michella Ibrahim, Elisabeth Maillart, Basma Abdi, Caroline Papeix, Bruno Stankoff, Anne-Laure Dubessy, Caroline Bensa-Koscher, Alain Creange, Zina Chamekh, Catherine Lubetzki, Anne-Genevieve Marcelin, Jean-Christophe Corvol, Valerie Pourcher

Summary: SARS-CoV-2 antibody response was reduced in patients with MS or NMO-SD treated with anti-CD20 therapies, suggesting the need for long-term monitoring of reinfection risk and specific vaccination strategies in this population.

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY (2022)

Article Surgery

Psychological Health of Surgeons in a Time of COVID-19 A Global Survey

Yi Quan Tan, Ziting Wang, Qai Ven Yap, Yiong Huak Chan, Roger C. Ho, Agus Rizal Ardy Hariandy Hamid, Aitor Landaluce-Olavarria, Gianluca Pellino, Vineet Gauhar, Manish Chand, Marcelo Langer Wroclawski, B. M. Zeeshan Hameed, Samuel Ka-Kin Ling, Shomik Sengupta, Gaetano Gallo, Peter Ka-Fung Chiu, Yiloren Tanidir, M. Pilar Villanova Tallada, Bernardo Nunez Garcia, Ramiro Colleoni, Zainal Adwin Zainal Abiddin, Riccardo Campi, Francesco Esperto, Diego Carrion, Dean Elterman, Amanda Shu Jun Chung, Anthony Chi Fai Ng, Marco Moschini, Juan Gomez Rivas, Julio Mayol, Jeremy Yuen-Chun Teoh, Edmund Chiong

Summary: This study assessed the psychological impact on surgical providers during the COVID-19 pandemic. The results showed that many healthcare workers experienced symptoms of depression, anxiety, stress, and PTSD, especially those involved in COVID-19 work and those who knew or lost someone with COVID-19. Surgeons in the head and neck specialty were more likely to experience psychological distress. Therefore, this study emphasizes the importance of long-term mental health care for healthcare personnel, especially for those who have personal connections to COVID-19 cases.

ANNALS OF SURGERY (2023)

Review Surgery

Legal and Ethical Consideration in Artificial Intelligence in Healthcare: Who Takes Responsibility?

Nithesh Naik, B. M. Zeeshan Hameed, Dasharathraj K. Shetty, Dishant Swain, Milap Shah, Rahul Paul, Kaivalya Aggarwal, Sufyan Ibrahim, Vathsala Patil, Komal Smriti, Suyog Shetty, Bhavan Prasad Rai, Piotr Chlosta, Bhaskar K. Somani

Summary: The legal and ethical issues of Artificial Intelligence (AI) in healthcare include privacy, surveillance, bias, and the role of human judgment. Currently, there are no well-defined regulations in place to address these concerns, highlighting the need for algorithmic transparency, privacy protection, and cybersecurity measures.

FRONTIERS IN SURGERY (2022)

Article Gastroenterology & Hepatology

Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022

Marco Pennazio, Emanuele Rondonotti, Edward J. Despott, Xavier Dray, Martin Keuchel, Tom Moreels, David S. Sanders, Cristiano Spada, Cristina Carretero, Pablo Cortegoso Valdivia, Luca Elli, Lorenzo Fuccio, Begona Gonzalez Suarez, Anastasios Koulaouzidis, Lumir Kunovsky, Deirdre McNamara, Helmut Neumann, Enrique Perez-Cuadrado-Martinez, Enrique Perez-Cuadrado-Robles, Stefania Piccirelli, Bruno Rosa, Jean-Christophe Saurin, Reena Sidhu, Ilja Tacheci, Erasmia Vlachou, Konstantinos Triantafyllou

Summary: According to the recommendations from ESGE, small-bowel capsule endoscopy is the recommended first-line examination for suspected small-bowel bleeding due to its excellent safety profile and patient tolerability. In cases of overt suspected small-bowel bleeding, small-bowel capsule endoscopy should be conducted as soon as possible, ideally within 48 hours after the bleeding episode to maximize diagnostic and therapeutic benefits. Routine second-look endoscopy before small-bowel capsule endoscopy is not recommended for patients with suspected small-bowel bleeding or iron-deficiency anemia. Conservative management is recommended for patients with suspected small-bowel bleeding and negative small-bowel capsule endoscopy. If lesions are identified, device-assisted enteroscopy can be used for confirmation and possibly treatment. Small-bowel capsule endoscopy is recommended as the first-line examination for patients with iron-deficiency anemia when small bowel evaluation is indicated. Small-bowel capsule endoscopy is also recommended in patients with suspected Crohn's disease and negative ileocolonoscopy findings, as well as in patients with unremarkable or nondiagnostic findings from dedicated small-bowel cross-sectional imaging if it is likely to influence patient management. A patency capsule should be used before small-bowel capsule endoscopy in patients with established Crohn's disease to decrease the capsule retention rate. Device-assisted enteroscopy can be used as an alternative to surgery for retrieving foreign bodies in the small bowel in patients without acute intestinal obstruction. Additionally, DAE-endoscopic retrograde cholangiopancreatography (DAE-ERCP) is recommended as a first-line endoscopic approach to treat pancreaticobiliary diseases in patients with surgically altered anatomy, except for Billroth II patients.

ENDOSCOPY (2023)

Article Surgery

Consensus Conference Statement on the General Use of Near-infrared Fluorescence Imaging and Indocyanine Green Guided Surgery Results of a Modified Delphi Study

Fernando Dip, Luigi Boni, Michael Bouvet, Thomas Carus, Michele Diana, Jorge Falco, Geoffrey C. Gurtner, Takeaki Ishizawa, Norihiro Kokudo, Emanuele Lo Menzo, Philip S. Low, Jaume Masia, Derek Muehrcke, Francis A. Papay, Carlo Pulitano, Sylke Schneider-Koraith, Danny Sherwinter, Giuseppe Spinoglio, Laurents Stassen, Yasuteru Urano, Alexander Vahrmeijer, Eric Vibert, Jason Warram, Steven D. Wexner, Kevin White, Raul J. Rosenthal

Summary: This study is the first survey of international experts on fluorescence-guided surgery, aiming to identify areas of consensus and nonconsensus in different aspects of practice. The results showed that fluorescence-guided surgery is believed to be effective and safe in various clinical settings, but further research is needed to optimize its use.

ANNALS OF SURGERY (2022)

Article Surgery

Prognosis Based Definition of Resectability in Pancreatic Cancer A Road Map to New Guidelines

Atsushi Oba, Chiara Croce, Patrick Hosokawa, Cheryl Meguid, Robert J. Torphy, Mohammed H. Al-Musawi, Steven Ahrendt, Ana Gleisner, Richard D. Schulick, Marco Del Chiaro

Summary: This study aims to identify objective preoperative prognostic factors for predicting long-term survival of patients with PDAC. The authors analyzed data from the National Cancer Database and developed a nomogram based on preoperative variables. The nomogram classified patients into three prognosis groups and showed promising results in predicting survival. This new concept of resectability based on tumor biology provides an improved approach for classifying PDAC patients beyond purely anatomical features.

ANNALS OF SURGERY (2022)

Article Surgery

Abdominal normothermic regional perfusion in controlled donation after circulatory determination of death liver transplantation: Outcomes and risk factors for graft loss

Amelia J. Hessheimer, Gloria Rosa, Mikel Gastaca, Patricia Ruiz, Alejandra Otero, Manuel Gomez, Felipe Alconchel, Pablo Ramirez, Andrea Bosca, Rafael Lopez-Andujar, Lander Atutxa, Mario Royo-Villanova, Belinda Sanchez, Julio Santoyo, Luis M. Marin, Miguel A. Gomez-Bravo, Fernando Mosteiro, Maria T. Villegas Herrera, Jesus Villar del Moral, Carolina Gonzalez-Abos, Barbara Vidal, Josefina Lopez-Dominguez, Laura Llado, Jose Roldan, Iago Justo, Carlos Jimenez, Javier Lopez-Monclus, Victor Sanchez-Turrion, Gonzalo Rodriguez-Laiz, Enrique Velasco Sanchez, Jose A. Lopez-Baena, Mireia Caralt, Ramon Charco, Santiago Tome, Evaristo Varo, Pablo Marti-Cruchaga, Fernando Rotellar, Maria A. Varona, Manuel Barrera, Juan C. Rodriguez-Sanjuan, Javier Briceno, Diego Lopez, Gerardo Blanco, Javier Nuno, David Pacheco, Elisabeth Coll, Beatriz Dominguez-Gil, Constantino Fondevila

Summary: The study shows the benefits of using A-NRP over SRR in cDCD liver transplants in Spain, with reduced risks of overall biliary complications, ischemic type biliary lesions, graft loss, and patient death. Cold ischemia time and re-transplantation indication are significant independent predictors for graft loss in cDCD livers with A-NRP. Further improvements are needed for cases with prolonged cold ischemia and technically complex recipients, suggesting a potential role for complementary ex situ perfusion preservation techniques.

AMERICAN JOURNAL OF TRANSPLANTATION (2022)

Article Oncology

Cytoreductive Surgery With or Without HIPEC After Neoadjuvant Chemotherapy in Ovarian Cancer: A Phase 3 Clinical Trial

Cascales Campos Pedro Antonio, Gonzalez Gil Alida, Gil Gomez Elena, Gonzalez Sanchez Rocio, Martinez Garcia Jeronimo, Alonso Romero Jose Luis, Nieto Diaz Anibal, Barcelo Valcarcel Francisco, Gomez Ruiz alvaro Jesus, Ramirez Romero Pablo, Gil Martinez Jose

Summary: In this study, for patients with advanced ovarian cancer treated with neoadjuvant systemic chemotherapy, cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) were associated with improved disease-free survival and overall survival. However, there were no differences in postoperative morbidity, mortality, or quality of life evaluation between the CRS with or without HIPEC groups.

ANNALS OF SURGICAL ONCOLOGY (2022)

Article Immunology

Guidelines for Perioperative Care for Liver Transplantation: Enhanced Recovery After Surgery (ERAS) Recommendations

Raffaele Brustia, Antoine Monsel, Stefano Skurzak, Eduardo Schiffer, Francois Martin Carrier, Damiano Patrono, Abdourahamane Kaba, Olivier Detry, Luiz Malbouisson, Wellington Andraus, Franck Vandenbroucke-Menu, Gianni Biancofiore, Toshimi Kaido, Philippe Compagnon, Shinji Uemoto, Gonzalo Rodriguez Laiz, Marieke De Boer, Susan Orloff, Paola Melgar, Carlijn Buis, Miriam Zeillemaker-Hoekstra, Helen Usher, Koen Reyntjens, Emily Baird, Nicolas Demartines, Stephen Wigmore, Olivier Scatton

Summary: This study presents the specific ERAS Society recommendations for liver transplantation (LT) based on the best available evidence and expert consensus. Screening and treatment for malnutrition in patients are recommended. Prophylactic nasogastric intubation and abdominal drainage may be omitted, and early extubation should be considered. Early oral intake, mobilization, and multimodal-balanced analgesia are also recommended.

TRANSPLANTATION (2022)