World Journal of Surgery最新文献

Safety of thyroidectomy as day care surgery at a rural setting in Eastern Uganda. 乌干达东部农村地区日间护理甲状腺切除术的安全性。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-11-04 DOI: 10.1002/wjs.12383

Joseph Okello Damoi, Marnie Abeshouse, Angellica Giibwa, Moses Binoga, Allen T Yu, Paul K Okeny, Celia Divino, Michael L Marin, Denise Lee

{"title":"Safety of thyroidectomy as day care surgery at a rural setting in Eastern Uganda.","authors":"Joseph Okello Damoi, Marnie Abeshouse, Angellica Giibwa, Moses Binoga, Allen T Yu, Paul K Okeny, Celia Divino, Michael L Marin, Denise Lee","doi":"10.1002/wjs.12383","DOIUrl":"https://doi.org/10.1002/wjs.12383","url":null,"abstract":"Background: The practice of day care surgery is less embraced in many low-middle-income countries (LMIC), and even less for some procedures considered major such as thyroidectomy. Here we examine the safety of day care thyroidectomy at Kyabirwa Surgical Center, a stand-alone day care surgery center in rural Eastern Uganda.Methods: This was a retrospective cohort study conducted between 2019 and 2023. All patients who had day care thyroidectomy were included. Demographics, diagnosis, investigation findings, pathology reports, and surgery outcomes were collected. Postoperative follow-up data up to 30 days were also collected. Data were analyzed using R version 4.3.2.Results: A total of 51 patients underwent same-day thyroidectomy, with an average age of 44.9 ± 12.1 years and 98% female. Procedures included total thyroidectomy (5, 9.8%), subtotal thyroidectomy (26, 51.0%), and lobectomy (20, 39.2%). Average size of the glands was 7.9 ± 2.21 cm. The majority 46 (90.2%) were of benign pathology. All patients were discharged by the evening of the same day. Complications encountered included hypocalcemia (1), hypertrophic scar (1), seroma (2), and transient recurrent laryngeal nerve injury (1). Overall complications rate was 9.8%. Gland size was statistically significant between patients with no complications (7.68 ± 2.06 cm) versus complications (9.90 ± 2.82, p < 0.05).Conclusion: With overall low complication rates, these findings suggest that thyroidectomy can safely be performed on a day care basis in a rural LMIC setting with suboptimal health care delivery.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reduction in perforated appendicitis incidence between rural and urban populations after introducing social health insurance in Vietnam: A population-based study. 越南引入社会医疗保险后，城乡居民穿孔性阑尾炎发病率的下降：一项基于人口的研究。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-11-03 DOI: 10.1002/wjs.12388

Tran-Nguyen Nguyen, Yiing-Jenq Chou, Nicole Huang

{"title":"Reduction in perforated appendicitis incidence between rural and urban populations after introducing social health insurance in Vietnam: A population-based study.","authors":"Tran-Nguyen Nguyen, Yiing-Jenq Chou, Nicole Huang","doi":"10.1002/wjs.12388","DOIUrl":"https://doi.org/10.1002/wjs.12388","url":null,"abstract":"Background: Over the years, Vietnam has expanded its social health insurance (SHI) coverage to reduce health disparities. In this population-based study, we examined the differences in incidences of perforated appendix between rural and urban populations in Vietnam since the expansion of SHI coverage in 2015. We also identified risk factors for perforated appendix in these populations.Method: The 2015-2019 SHI inpatient claims data from the Social Security Agency of Dong Thap Province were used to elaborate the final sample of 6863 patients aged 18 years or above who underwent an appendectomy. Multivariable probit and logistic regression model were employed to obtain adjusted estimates.Results: An overall rate of 22.9% for perforated appendix among adults in Dong Thap was revealed. After the expansion of SHI, rural residents consistently had lower rates of perforated appendix than urban residents, but the differences between rural and urban residents were small and decreased over time, that is from 4.4% in 2015 to 3.4% in 2019. Older, male, and poor residents were at a higher risk of perforated appendix in both urban and rural areas. In rural areas, patients with comorbidities, patients who resided in remote communes bordering Cambodia, and patients who had district hospitals or commune facilities as their primary assigned providers were significantly more likely to develop perforated appendix.Conclusion: Under the SHI in Vietnam, no significant difference was observed in perforated appendicitis incidence between urban and rural residents. Additional efforts are required to reduce poorer outcomes among other high-risk residents.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Author's reply: Is routine histopathological analysis of hemorrhoidectomy specimens necessary? A systematic review and meta-analysis. 作者回复：是否有必要对痔切除术标本进行常规组织病理学分析？系统回顾和荟萃分析。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-11-02 DOI: 10.1002/wjs.12393

Velia Men, James Jin, Andrew Hill

引用次数: 0

The utility of alcohol saliva test strips compared to the breathalyzer in trauma patients in a resource-limited setting. 在资源有限的环境中，与呼气式酒精测试仪相比，唾液酒精测试条在创伤患者中的实用性。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-11-02 DOI: 10.1002/wjs.12384

Dylane N Davis, Jotham Gondwe, Selena J An, Jared Gallaher, Anthony Charles

{"title":"The utility of alcohol saliva test strips compared to the breathalyzer in trauma patients in a resource-limited setting.","authors":"Dylane N Davis, Jotham Gondwe, Selena J An, Jared Gallaher, Anthony Charles","doi":"10.1002/wjs.12384","DOIUrl":"https://doi.org/10.1002/wjs.12384","url":null,"abstract":"Introduction: The correlation between alcohol consumption and injury is undeniable. However, past research relying on self-reporting alcohol use likely resulted in underreporting and emphasizing the need to increase alcohol testing, especially in resource-limited settings where the burden of injuries is highest.Methods: This is a prospective analysis of injured patients presenting to the trauma center at Kamuzu Central Hospital in Lilongwe, Malawi. We collected information including patient age, sex, admission date, mechanism of injury, breathalyzer test and Rapid ResponseTM Alcohol Saliva Test Strips (AST) result, and survival.Results: A total of 805 trauma patients were included. The overall prevalence of alcohol consumption in this trauma cohort is 18.3%. There was a 95.5% agreement between the AST and breathalyzer test with a Kappa coefficient of 0.83. The sensitivity and specificity of the AST were determined to be 78.5% (CI 75.7-81.2) and 99.3% (CI 98.7-99.9), respectively. ROC analyses showed the AST to have excellent discrimination with an area under the curve of 0.88 (95% CI 0.85-0.92).Conclusion: The prevalence of alcohol-related injury is high in Malawi and the use of the Alcohol Saliva Test Strips is feasible and correlated with results derived from the breathalyzer. Routine alcohol testing for trauma patients presenting to a resource-limited setting is imperative and should be implemented.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Invited commentary: Lymph node yield independently predicts local recurrence in papillary thyroid cancer. 特约评论：淋巴结产量可独立预测甲状腺乳头状癌的局部复发。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-10-31 DOI: 10.1002/wjs.12396

Fausto F Palazzo

引用次数: 0

Author's reply: Impact of surgical specialization on emergency upper gastrointestinal surgery outcomes: A systematic review and meta-analysis. 作者回复：外科专业化对急诊上消化道手术结果的影响：系统回顾和荟萃分析。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-10-31 DOI: 10.1002/wjs.12386

Antonio Barbaro, Zachary Bunjo, Gayatri Asokan, Akshay Kanhere, Li Lian Kuan, Markus Trochsler, Harsh Kanhere, Guy J Maddern

引用次数: 0

Building foundations: Invited commentary: The clinicopathological landscape of thyroid cancer in South Africa: A multi-institutional review. 建设基础：特邀评论：南非甲状腺癌的临床病理状况：多机构综述。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-10-29 DOI: 10.1002/wjs.12392

Kristin Long

引用次数: 0

The state of global surgery assessment and data collection tools: A scoping review. 全球外科手术评估和数据收集工具的现状：范围综述。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-10-28 DOI: 10.1002/wjs.12380

Kevin Gianaris, Brooke Stephanian, Sabin Karki, Shailvi Gupta, Amila Ratnayake, Adam L Kushner, Reinou S Groen

{"title":"The state of global surgery assessment and data collection tools: A scoping review.","authors":"Kevin Gianaris, Brooke Stephanian, Sabin Karki, Shailvi Gupta, Amila Ratnayake, Adam L Kushner, Reinou S Groen","doi":"10.1002/wjs.12380","DOIUrl":"https://doi.org/10.1002/wjs.12380","url":null,"abstract":"Background: There has been a proliferation of global surgery assessment tools designed for use in low- and middle-income countries. This scoping review sought to categorize and organize the breadth of global surgery assessment tools in the literature.Methods: The search was conducted using PubMed from October 2022 to April 2023 according to PRISMA extension for scoping review guidelines. The search terms were ((\"global surgery\"[All Fields]) AND (\"assessment\"[All Fields]) OR (data collection)). Only tools published in English that detailed surgical assessment tools designed for low- and middle-income countries were included.Results: The search resulted in 963 papers and 46 texts described unique tools that were included for the final review. Of these, 30 (65%) tools were quantitative, 1 (2%) qualitative, and 15 (33%) employed mixed-methods. 25 (54%) tools evaluated surgery in general, whereas 21 (46%) were focused on various surgical subspecialties. Qualitatively, major themes among the tools were noted. There was significant overlap of many tools.Conclusions: Nonspecialty surgery was represented more than any specialty surgery and many specialties had little or no representation in the literature. Ideally, local leadership should be involved in surgical assessment tools. Different methodologies, such as checklists and observational studies, aimed to target varying aspects of surgery and had distinct strengths and weaknesses. Further efforts should focus on expanding tools in neglected specialties.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter to the editor: Long-term follow-up after incisional hernia repair dynamics of recurrence and patient-reported outcome. 致编辑的信：切口疝修补术后长期随访的复发动态和患者报告结果。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-10-25 DOI: 10.1002/wjs.12394

Amir Farah

引用次数: 0

Transforming care: Optimizing ERAS pathway in breast cancer surgery with latissimus dorsi flap. 转变护理：背阔肌皮瓣乳腺癌手术中的 ERAS 优化路径。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-10-23 DOI: 10.1002/wjs.12364

Lee-Lee Lai, Mei-Sze Teh, Zhi-Yuen Beh, Woon-Lai Lim, Siu-Min Lim, Wei-Qi Soh, Qing-Yi Tan, Lucy Chan, Mee-Hoong See

{"title":"Transforming care: Optimizing ERAS pathway in breast cancer surgery with latissimus dorsi flap.","authors":"Lee-Lee Lai, Mei-Sze Teh, Zhi-Yuen Beh, Woon-Lai Lim, Siu-Min Lim, Wei-Qi Soh, Qing-Yi Tan, Lucy Chan, Mee-Hoong See","doi":"10.1002/wjs.12364","DOIUrl":"https://doi.org/10.1002/wjs.12364","url":null,"abstract":"Introduction: This study aims to establish, execute, and assess the effectiveness of a perioperative enhanced recovery after surgery (ERAS) clinical care pathway in breast reconstruction patients with LD flap breast cancer treatment. The goal is to improve early recovery outcomes, reduce hospitalization time, and enhance patient satisfaction by implementing a standardized approach to postoperative care.Methods: This study was conducted at the University of Malaya Medical Center. The outcomes of 21 breast cancer patients who underwent autologous reconstructive breast surgery with the latissimus dorsi (LD) flap within six months before the implementation of the ERAS pathway (pre-ERAS) were compared with 26 patients who underwent the same surgery with the ultrasound-guided erector spinae plane (ESP) block for the (ERAS protocol implementation) cohort. The study was conducted from November 2019 to October 2020. The length of hospital stay, amount of analgesic usage, and incidence of postoperative nausea vomiting (PONV) were recorded.Results: The implementation of the ERAS clinical care pathway resulted in shorter hospital stays compared with the preceding care. On average, ERAS patients were mostly discharged on Day 2 post-surgery, whereas pre-ERAS patients were mostly discharged on Day 7. ERAS patients had a lower incidence of PONV from Days 1 to 5, starting with 88.5% not experiencing the condition on Days 1 and 2 and increasing to 100% on Day 5. All pre-ERAS patients experienced PONV in the first 5 days post-surgery. Fewer ERAS patients required antiemetics post-surgery (88.5%) compared with pre-ERAS patients (42.9%).Conclusion: The implementation of the ERAS protocol as part of clinical care in autologous reconstructive breast surgery with the LD flap can improve recovery by shortening hospital stay, decreasing the use of analgesia, and alleviating PONV.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0