Surgery Open Digestive Advance最新文献

{"title":"Sleeve gastrectomy elicits alterations in gastric motility and morphometry in obese rats","authors":"Michael Jose Abílio de Almeida ,&nbsp;Gustavo Serafim Rodrigues ,&nbsp;Leonardo Antônio Pinto ,&nbsp;Erick Guilherme Stoppa ,&nbsp;Mariana Pirani Rocha Machado ,&nbsp;Loyane Almeida Gama ,&nbsp;Guilherme Augusto Soares ,&nbsp;Rozemeire Garcia Marques ,&nbsp;Madileine Francely Américo ,&nbsp;José Ricardo de Arruda Miranda","doi":"10.1016/j.soda.2025.100213","DOIUrl":"10.1016/j.soda.2025.100213","url":null,"abstract":"<div><h3>Background</h3><div>Sleeve gastrectomy (SG) is a bariatric procedure resulting in long-term weight loss, but detailed studies on gastric contractility and gastrointestinal transit in the same subject are absent. This study aimed to evaluate the effects of SG on gastrointestinal motility in rats using alternating current biosusceptometry (ACB).</div></div><div><h3>Methods</h3><div>Male Wistar rats were fed with a high sugar-fat diet for 12 weeks and randomly assigned to four experimental groups: Control; Control + SG; Obese; and Obese + SG. GI motility measurements were performed using the ACB technique. Mean gastric emptying time (MGET), mean cecum arrival time (MCAT), and frequency gastric contractility were assessed. Moreover, nutritional, lipid profile, and morphometry analysis, were evaluated 30 days after surgery. Data were analyzed by ANOVA followed by post Tukey or Kruskal-Wallis test followed by Dunn's multiple comparisons test.</div></div><div><h3>Results</h3><div>SG significantly accelerated both MGET and MCAT compared to controls, indicating faster gastric emptying and orocecal transit. Gastric contractility was severely impaired, with reduced dominant frequency and non-stationary, non-sinusoidal waveforms observed post-SG. Morphometric analysis revealed reduced mucosal and muscularis layer thickness and increased leukocyte infiltration, indicating inflammation and tissue remodeling.</div></div><div><h3>Conclusions</h3><div>The excision of the gastric greater curvature in SG induced persistent dysmotility, accelerating GI transit and impairing gastric contractile function, accompanied by significant morphometric changes. These alterations may have long-term effects, underscoring the importance of extended follow-up in SG studies.</div></div>","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"18 ","pages":"Article 100213"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144204199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Migration of an inferior vena cava prosthesis into the duodenum (with video)","authors":"Sophie Laroche ,&nbsp;Jérome Danion ,&nbsp;Fabiano Perdigao ,&nbsp;Thomas Baron ,&nbsp;Eric Savier","doi":"10.1016/j.soda.2025.100209","DOIUrl":"10.1016/j.soda.2025.100209","url":null,"abstract":"<div><div>In 2012, a 42-year-old man underwent a right hepatectomy with replacement of the inferior vena cava using a PolyTetraFluoroEthylene (PTFE) prosthesis for hepatocellular carcinoma on a healthy liver. Seven years later, the patient was treated with antibiotics for recurrent bacterial infections. Preoperative computed tomography scanner revealed a thrombotic prosthesis into the duodenum. Venous blood flow bypassed the prosthesis <em>via</em> the enlarged azygos system. We described our surgical procedure to remove the prosthesis with a video and reviewed 11 published cases. Our recommendation is to systematically interpose an omentum flap between prostheses and surrounding digestive structures whenever possible.</div></div>","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"18 ","pages":"Article 100209"},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing resectability of carcinoma gallbladder using staging laparoscopy: A cross-sectional comparative study in the South Asian context","authors":"Mohammad Mashiur Rahman ,&nbsp;Israt Jahan ,&nbsp;Akash Saha ,&nbsp;Abidur Rahman ,&nbsp;Mohammad Emrul Hasan Khan","doi":"10.1016/j.soda.2025.100222","DOIUrl":"10.1016/j.soda.2025.100222","url":null,"abstract":"<div><h3>Introduction</h3><div>Curative resection for gallbladder carcinoma is extremely rare, as it presents in a very advanced stage. Staging laparoscopy may improve resectability and prevent unnecessary exploration of the abdomen. The purpose of this cross-sectional comparative study was to evaluate the necessity of staging laparoscopy in patients with carcinoma gallbladder in South-Asian setting.</div></div><div><h3>Materials and methods</h3><div>With clinically diagnosed gallbladder carcinoma, forty-four patients were included in the present study in the Department of Hepatobiliary, Pancreatic, and Liver transplant surgery at a specialized center of South East Asia, from July 2019 to June 2020. Patients were divided equally into two groups: Group I: staging laparoscopy done, and Group II: staging laparoscopy not done. Demographic, clinical, biochemical, various imaging, and peroperative data were collected from patients’ medical records. All these data were compared between two groups.</div></div><div><h3>Results</h3><div>Demography, clinical, biochemical, and imaging data were similar in both groups. The resectability rate was significantly (<em>P</em> &lt; 0.027) higher in group I (84.6 %) than in group II (45.5 %). Moreover, unnecessary laparotomy was avoided in 36.36 % of cases in group I.</div></div><div><h3>Conclusion</h3><div>Staging laparoscopy can increase resectability and avoid unnecessary laparotomy; thus, nonsurgical therapy can be initiated early for inoperable cases and improve patient compliance.</div></div>","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"19 ","pages":"Article 100222"},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patterns of traumatic liver injury and mortality: A five-year study at shahid rajaei hospital (2018–2023)","authors":"M. Yadollahi ,&nbsp;S. Hamedani","doi":"10.1016/j.soda.2025.100211","DOIUrl":"10.1016/j.soda.2025.100211","url":null,"abstract":"<div><h3>Background</h3><div>The liver is the most commonly afflicted organ in abdominal trauma, manageable conservatively or operatively. However, debate persists over case selection for operative management. We aimed to evaluate our experience with liver trauma management and provide insights for improved case management.</div></div><div><h3>Methods and Materials</h3><div>In this retrospective cross-sectional study, all patients with traumatic liver injury over a five-year period were evaluated. Imaging studies were reassessed by radiologists to calculate the Injury Severity Score (ISS). Treatment trends and comparisons between operatively and non-operatively managed patients were analyzed.</div></div><div><h3>Results</h3><div>A total of 209 patients (mean age 34.72 ± 16.1 years, 79.4 % male) included 45.9 % (<em>n</em> = 96) managed non-operatively and 54.1 % (<em>n</em> = 113) operatively, with 23.9 % (<em>n</em> = 50) mortality. AAST Grade V injuries occurred in 1.9 % (<em>n</em> = 4); 48.3 % (<em>n</em> = 101) had ISS ≥25. AAST predicted operative need (<em>P</em> = 0.037) but not mortality (<em>P</em> = 0.217); ISS predicted mortality (<em>P</em> = 0.041) but not operative management (<em>P</em> = 0.432). Operative predictors included penetrating trauma (aOR=5.12, <em>P</em> = 0.011), transfusion (aOR=1.58, <em>P</em> &lt; 0.001), volume resuscitation (aOR=1.89, <em>P</em> &lt; 0.001), catecholamine use (aOR=2.97, <em>P</em> = 0.017), and AAST IV/V (aOR=4.25, <em>P</em> = 0.006). Mortality correlated with age, lower Glasgow Coma Scale (GCS), and transfusion needs.</div></div><div><h3>Conclusion</h3><div>ISS excels in mortality prediction, while AAST and resuscitation markers guide operative decisions. Integrating these enhances trauma care precision.</div></div>","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"19 ","pages":"Article 100211"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Open surgical abdominoplasty with repair of rectus abdominis muscle diastasis using the Abrahamson technique (with video)","authors":"Guillaume Henry ,&nbsp;Catherine Bruant-rodier ,&nbsp;Frédéric Bodin","doi":"10.1016/j.soda.2025.100212","DOIUrl":"10.1016/j.soda.2025.100212","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Aesthetic enhancement of the abdominal wall is a frequent reason for consulting a plastic surgeon. Abdominoplasty uses a large horizontal scar to remove excess abdominal fat and skin above or below the umbilicus, often resulting from significant weight loss. It can also be used to correct diastasis of the rectus abdominis muscles, which corresponds to the abnormal separation of the two rectus muscles, separated by the linea alba [&lt;span&gt;&lt;span&gt;1&lt;/span&gt;&lt;/span&gt;]. Although its exact prevalence is not clearly known, it is a pathology very frequently encountered in plastic surgery, giving a globular and distended look to the abdomen. A classification into four types has been described, based on the distance between the two rectus muscles [&lt;span&gt;&lt;span&gt;2&lt;/span&gt;&lt;/span&gt;]. Pregnancy, obesity and diabetes have been cited as risk factors, as they increase intra-abdominal pressure and distend the abdominal wall.&lt;/div&gt;&lt;div&gt;To achieve the best possible aesthetic result, diastasis must be corrected, ranging from simple suturing of the anterior aponeuroses of the rectus abdominis muscles to more complex aponeurotic plasty procedures or even prostheses.&lt;/div&gt;&lt;div&gt;In this video, we present the case of a 46-year-old patient with a type D abdominal diastasis, measured at 7 cm, following three pregnancies. This was associated with moderate abdominal skin excess, requiring concomitant skin resection (Fig 1.). We performed a large abdominoplasty with transposition of the umbilicus and cure of diastasis of the rectus abdominis muscles using the technique described by Abrahamson in 1988 [&lt;span&gt;&lt;span&gt;3&lt;/span&gt;&lt;/span&gt;] (Fig 2.). This involves creating a new linea alba using an overlap suture between the two anterior aponeuroses of the muscles (Fig 3.). The two lateral parts of the aponeuroses are sutured to this central “beading”, thus reducing the gap between the two muscles (Fig. 4.).&lt;/div&gt;&lt;div&gt;Postoperatively, the patient had to wear an abdominal girdle and refrain from carrying heavy loads for three months. She had no complications. At the end of the video, we present the early postoperative result.&lt;/div&gt;&lt;div&gt;The Abrahamson technique enables the correction of large diastasis of the rectus abdominis muscles stronger than the simple plication of the anterior aponeuroses and above all without the use of prosthetic reinforcement.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;div&gt;L'amélioration esthétique de la paroi abdominale est un motif très fréquent de consultation en chirurgie plastique. L'abdominoplastie permet, par une grande cicatrice horizontale, de retirer l'excès cutanéo-graisseux abdominal sus ou sous-ombilical, souvent secondaire à une perte de poids importante. Elle peut aussi permettre de corriger un diastasis des muscles grands droits de l'abdomen, qui correspond à l'écartement anormal des deux muscles grands droits, séparés par la ligne blanche [&lt;span&gt;&lt;span&gt;1&lt;/span&gt;&lt;/span&gt;]. Bien que sa prévalence exacte ne soit pas clairement connue ; il s'agit d'une pathologie très fréquemment","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"19 ","pages":"Article 100212"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pregnancy and solid tumors: What about fetal cell microchimerism in digestive cancer? A review of the literature","authors":"Florian Martinet-Kosinski ,&nbsp;Marine Jary ,&nbsp;Denis Pezet ,&nbsp;Johan Gagnière","doi":"10.1016/j.soda.2025.100194","DOIUrl":"10.1016/j.soda.2025.100194","url":null,"abstract":"<div><h3>Introduction</h3><div>The relationship between carcinogenesis and pregnancy is still poorly understood. There is a recent field of research concerning fetal cell microchimerism (FCM). We propose here a review of the literature on the link between FCM and cancer.</div></div><div><h3>Methods</h3><div>We searched for all studies on PubMed, MEDLINE, Scopus with the keywords “Fetal cell microchimerism and cancer”. We did not include studies that were narrative, based on animal models, non-comparative, experimental or non-English-speaking. We therefore retained all observational studies comparing populations of women with and without cancer, looking at the quantity of FCM.</div></div><div><h3>Results</h3><div>A total of 17 studies were included in our review. In the selected studies, FCM was sought by targeting the Y chromosome using FISH or PCR (DYS14 gene). Our review shows that FCM does not have the same impact on different types of cancer. For digestive cancers (only 1 study for colorectal cancers), FCMs appear to be a factor favoring carcinogenesis.</div></div><div><h3>Conclusion</h3><div>FMC's role is still not fully understood, but appears to be associated to cancer's development, and could be a tool for a better undertanding of “cancer and prenancy”.</div></div>","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"18 ","pages":"Article 100194"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain recurrence in patients with biliary Dyskinesia after Cholecystectomy","authors":"Maria Nasr ,&nbsp;Alexander Younes ,&nbsp;Hamza Al Dwlai ,&nbsp;Mandy Nakhle ,&nbsp;Georges Khazen ,&nbsp;Georges Al-Hajj ,&nbsp;Rodrigue Chemaly","doi":"10.1016/j.soda.2025.100196","DOIUrl":"10.1016/j.soda.2025.100196","url":null,"abstract":"<div><h3>Introduction</h3><div>Biliary dyskinesia is a more frequently diagnosed diseases of the biliary tree. Data is still lacking for guidelines to confirm whether medical or surgical treatment is optimal for this condition.</div></div><div><h3>Objectives</h3><div>The aim of this study is to evaluate the effectiveness of laparoscopic cholecystectomy for pain resolution in patients with biliary dyskinesia compared to non-operative conservative treatment.</div></div><div><h3>Subjects and methods</h3><div>Our monocentric, retrospective study, between 2007 and 2022 included 63 patients admitted for biliary dyskinesia. Data was collected from patients’ files and the parameters considered were age, BMI, GBEF and severity of pain on diagnosis, as well as the modality of treatment and the response to treatment.</div></div><div><h3>Results</h3><div>Thirty-one out of 63 patients admitted for biliary dyskinesia were treated with cholecystectomy and thirty-two medically. Resolution of pain was observed in 80 % of patients treated surgically, compared to only 40 % among those managed conservatively. No correlation was found between BMI, GBEF, severity of pain on presentation and resolution of pain after treatment. A strong relationship exists between cholecystectomy and resolution of pain. Patients treated surgically are ten times more likely to experience resolution of their symptoms compared to those treated conservatively.</div></div><div><h3>Conclusion</h3><div>Following the updated ROME IV criteria, biliary dyskinesia is now to be considered among the top differential diagnoses in patients with biliary colic symptoms. According to our study, cholecystectomy has shown to be an effective modality of treatment.</div></div>","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"18 ","pages":"Article 100196"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stages of adhesion development: A pathway for development of preventive strategy after abdominal surgery","authors":"Rabia Aziz","doi":"10.1016/j.soda.2025.100210","DOIUrl":"10.1016/j.soda.2025.100210","url":null,"abstract":"<div><div>Pathological bands formed between two surfaces within the body cavity as a result of surgical incision are termed as adhesions. Almost every abdominal, pelvis, peritoneal and thoracic surgery result in post-operative adhesions, the stages of forming thin film of connective tissue to thick fibrous adhesive bands is still unclear. Clinically silent post-operative adhesion result in reduced quality of life by having chronic abdominal pain, small bowel obstruction and even infertility leading to frequent hospitalizations. Planning a preventive strategy for the same requires detailed overview of different types of adhesions and time period required for developing certain forms of adhesion. Despite enormous clinical reviews and investigations there is no literature suggesting views and hypothesis of different stages of adhesion formation, this study will focus on various biomarkers, and mechanisms for defining a picture of different stages of adhesions. By understanding these stages and the underlying mechanism, targeted strategies for prevention and treatment can be made which ultimately help in improving patient outcomes and reduces the burden on healthcare systems. The study provides evidence for planning future studies on the basis of different stages of adhesion in pathological healing among subjects undergoing abdominal surgery to prevent them during the initial stages.</div></div>","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"19 ","pages":"Article 100210"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dual-surgeon approach in complex abdominal surgery: Should it be standard practice?","authors":"Marc Pocard ,&nbsp;Patricio Lynn","doi":"10.1016/j.soda.2025.100202","DOIUrl":"10.1016/j.soda.2025.100202","url":null,"abstract":"","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"18 ","pages":"Article 100202"},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mucinous appendiceal neoplasms","authors":"M. Rodolfo Zambrano-Lechuga ,&nbsp;Jose L. Galicia-Torres ,&nbsp;Yanira D. Alvarado-Rueda","doi":"10.1016/j.soda.2025.100201","DOIUrl":"10.1016/j.soda.2025.100201","url":null,"abstract":"<div><div>Appendiceal mucinous neoplasms constitute a rare pathology, often presenting diagnostic and therapeutic dilemmas due to their heterogeneous presentation and biological behavior. Aim: present a comprehensive review of the existing literature on this topic, our method it is a search in Pubmed using thesaurus vocabulary (MeSH) Medical subjet heading; appendical neoplasm and appendix cancer, abstracts and full text were manually reviewed to identify suitable paper. Conclusion: treatment depends on the stage and type of cancer. Appendiceal neoplasms have the potential to spread within the abdominal cavity and lead to peritoneal carcinomatosis and pseudomyxoma peritonei. Low-grade, initial stage can be successfully managed with surgical removal only, late-stage cancer necessitate cytoreductive surgery and hyperthermic intraperitoneal chemotherapy CRS/HIPEC. Keywords: appendiceal neoplasms, mucinous neoplams, appendix cancer.</div></div>","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"19 ","pages":"Article 100201"},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}