World Journal of Surgery最新文献_第8页

IF 2.5 3区医学

World Journal of Surgery Pub Date : 2025-09-24 DOI: 10.1002/wjs.70099

Jason B Liu

引用次数: 0

Bile Duct Replacement in Hepatobiliary Surgery: A Systematic Review. 胆管置换术在肝胆外科中的应用：系统综述。

IF 2.5 3区医学

World Journal of Surgery Pub Date : 2025-09-24 DOI: 10.1002/wjs.70078

Mehdi Boubaddi, Chetana Lim, Eric Savier, Claire Goumard, Florence Jeune, Geraldine Rousseau, Filomena Conti, Fabiano Perdigao, Olivier Scatton

{"title":"Bile Duct Replacement in Hepatobiliary Surgery: A Systematic Review.","authors":"Mehdi Boubaddi, Chetana Lim, Eric Savier, Claire Goumard, Florence Jeune, Geraldine Rousseau, Filomena Conti, Fabiano Perdigao, Olivier Scatton","doi":"10.1002/wjs.70078","DOIUrl":"https://doi.org/10.1002/wjs.70078","url":null,"abstract":"Background: Roux-en-Y hepaticojejunostomy (RYHJ) is currently the standard surgical technique for reestablishing biliary continuity, but it exposes the patient to serious biliary complications, such as anastomosis stricture and ascending cholangitis.Methods: The literature on biliary replacement using vein grafts as autologous substitutes according to the different stages of the IDEAL framework was reviewed.Results: Innovative biliary replacement techniques using bile duct substitutes have yet to reach stage 2a (development) of the IDEAL framework. Vein grafts are the most frequently used substitutes in animals and human studies. Twenty-three patients have undergone bile duct reconstruction using four different substitutes: vein grafts (n = 13), omentum/round ligament (n = 5), jejunum (n = 4), and Teflon (n = 1). Biliary replacement using an autologous vein graft (n = 13) was performed for bile duct injury following cholecystectomy (n = 12) or hepatectomy (n = 1). The 90-day mortality rate was zero. Morbidity occurred within 90 days in two patients (15.4%). Twelve patients were alive at the last follow-up.Conclusions: Autologous venous graft as a substitute for biliary replacement may be an appealing alternative to RYHJ in hepatobiliary surgery, but this technique is still being developed.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138777","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

Random Forest Machine Learning Matches Human Expert Accuracy in Trauma Severity Scoring. 随机森林机器学习在创伤严重程度评分方面与人类专家的准确性相匹配。

IF 2.5 3区医学

World Journal of Surgery Pub Date : 2025-09-24 DOI: 10.1002/wjs.70114

G L Laing, J L Bruce, W Bekker, V Manchev, H Wain, D L Clarke

{"title":"Random Forest Machine Learning Matches Human Expert Accuracy in Trauma Severity Scoring.","authors":"G L Laing, J L Bruce, W Bekker, V Manchev, H Wain, D L Clarke","doi":"10.1002/wjs.70114","DOIUrl":"https://doi.org/10.1002/wjs.70114","url":null,"abstract":"Background: Accurate Abbreviated Injury Scale (AIS) and Injury Severity Score (ISS) are essential for trauma care and research, yet manual scoring often yields incomplete data due to omissions. The hybrid electronic medical registry (HEMR) is used by our Level 1 trauma service for recording AIS and ISS.Methods: We analyzed 21,704 patients with trauma records from the HEMR. Four machine learning (ML) algorithms predicted missing AIS scores per body region, from which ISS was derived mathematically. Performance was evaluated using coefficient of determination (R2), root mean square error (RMSE), mean absolute error (MAE), sensitivity (true high-severity cases correctly identified), specificity (true low-severity cases correctly excluded), and Cohen's kappa. Statistical significance was set at p < 0.05.Results: Random forest models achieved R2 = 0.847, RMSE = 2.31, MAE = 1.87, sensitivity = 87.1%, specificity = 100.0%, and Cohen's kappa = 0.893 (p < 0.001), demonstrating reliable prediction of omitted AIS and ISS scores. Data completeness improved from 75.3% (16,343/21,704) to 88.3% (19,158/21,704; p < 0.001), recovering 2815 missing scores.Conclusion: Random forest ML algorithms accurately predict missing AIS and ISS scores, significantly improving trauma registry data completeness while maintaining clinical accuracy equivalent to human expert scoring.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138759","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

Bridging Safety and Efficacy; Neoadjuvant Chemotherapy Has Stable Complication Rates in Patients Treated With Oncoplastic Breast Surgery. 桥接安全性和有效性；新辅助化疗在乳腺肿瘤整形手术患者中的并发症发生率稳定。

IF 2.5 3区医学

World Journal of Surgery Pub Date : 2025-09-19 DOI: 10.1002/wjs.70082

Nagm Eldin Abu Elnga, Summar El-Morshidy, Mohamed K Safina, Waseem A Shoda

{"title":"Bridging Safety and Efficacy; Neoadjuvant Chemotherapy Has Stable Complication Rates in Patients Treated With Oncoplastic Breast Surgery.","authors":"Nagm Eldin Abu Elnga, Summar El-Morshidy, Mohamed K Safina, Waseem A Shoda","doi":"10.1002/wjs.70082","DOIUrl":"https://doi.org/10.1002/wjs.70082","url":null,"abstract":"Background: Breast-conserving surgery may be achieved following neoadjuvant chemotherapy (NACT) through oncoplastic breast surgery techniques. However, concerns have been raised regarding NACT and its possibility of increasing postoperative complications after oncoplastic procedures. This study evaluates whether NACT increases postoperative complications in patients with breast cancer undergoing oncoplastic surgery compared to upfront surgery.Methods: A retrospective analysis was conducted on 306 patients who underwent oncoplastic breast conserving surgery at Assiut University Hospital between January 2018 and December 2022. Patients who received neoadjuvant chemotherapy (NACT) compared to those who underwent upfront surgery, while comparing demographic characteristics, postoperative complications with risk factors for both groups.Results: The study included 306 patients, of these patients, 210 patients received NACT compared to 96 patients who underwent upfront surgery. No significant differences in demographic data were found between the 2 groups. The postoperative complications were similar across both groups. No considerable differences were found between NACT and upfront surgery groups in wound gapping (aOR 0.92 and p = 0.873), infection (aOR 0.90 and p = 0.846), breast seroma (aOR 0.95 and p = 0.901), axillary seroma (aOR 1.27 and p = 0.69), nipple areola complex (NAC) ischemia (aOR 0.65 and p = 0.644), fat necrosis (aOR 1.05 and p = 0.925), hypertrophic scarring (aOR 0.96 and p = 0.901), radiation mastitis (aOR 0.89 and p = 0.862), or loss of NAC sensation (aOR 0.97 and p = 0.929).Conclusions: NACT does not increase complication rates in OBCS, supporting its safety in patients with breast cancer. These findings direct treatment planning and patient counseling.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087327","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

Efficacy and Safety of Erector Spinae Plane Block in Pain Management for Inguinal Hernia Repair: An Updated Systematic Review and Meta-Analysis of Randomized Controlled Trials. 竖脊肌平面阻滞治疗腹股沟疝修补疼痛的疗效和安全性：一项随机对照试验的最新系统综述和荟萃分析。

IF 2.5 3区医学

World Journal of Surgery Pub Date : 2025-09-19 DOI: 10.1002/wjs.70105

Zain Ali Nadeem, Aqsa Zainab, Armaghan Ur Rehman, Ariba Fida, Maha Malik, Neha Malik, Saad Nadeem, Muhammad Hussnain Bin Asif, Nisa Kapoor Sheikh, Muhammad Hamza Shoaib, Nouman Amjad, Aimen Nadeem, Abdulqadir J Nashwan, Muhammad Ahmad Nadeem, Amir Humza Sohail

{"title":"Efficacy and Safety of Erector Spinae Plane Block in Pain Management for Inguinal Hernia Repair: An Updated Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Zain Ali Nadeem, Aqsa Zainab, Armaghan Ur Rehman, Ariba Fida, Maha Malik, Neha Malik, Saad Nadeem, Muhammad Hussnain Bin Asif, Nisa Kapoor Sheikh, Muhammad Hamza Shoaib, Nouman Amjad, Aimen Nadeem, Abdulqadir J Nashwan, Muhammad Ahmad Nadeem, Amir Humza Sohail","doi":"10.1002/wjs.70105","DOIUrl":"https://doi.org/10.1002/wjs.70105","url":null,"abstract":"Background: Erector spinae plane block (ESPB) is a new anesthetic technique, but its use in inguinal hernia repair remains a subject of debate. We aim to determine the efficacy and safety of ESPB in reducing postoperative pain in inguinal hernia repair in adults.Methods: We searched MEDLINE, Science Direct, Embase, CENTRAL, ClinicalTrials.gov, and WHO ICTRP for all relevant randomized controlled trials (RCTs) using ESPB in inguinal hernia repair. Two reviewers independently screened the studies, with a third resolving disputes. Risk of bias was assessed using the Cochrane RoB 2 tool. Data were analyzed on R version 4.4.1, using risk ratios (RRs) for dichotomous and mean differences (MDs) for continuous outcomes with 95% confidence intervals (CIs).Results: Meta-analysis of 6 RCTs revealed no significant reduction in postoperative pain with ESPB at rest or with movement at any time point nor did it significantly lower 24-h opioid consumption. However, in subgroup analysis, ESPB reduced the pain at rest at 12 h in the intraoperative subgroup (p < 0.01) and the 24-h opioid consumption in the intraoperative and the laparoscopic subgroups (p = 0.02). ESPB did not differ significantly from control in time to first rescue analgesia and proportion of patients requiring rescue analgesia. ESPB was not associated with nausea, vomiting, or urinary retention. One study was at high risk of bias, one with some concern, and four at low risk.Conclusions: ESPB reduces opioid consumption following laparoscopic inguinal hernia repair, but the pain reduction is not clinically significant and the efficacy in open repair is uncertain.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087402","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

Variation Among Trauma Centers in the Use of Angioembolization and Splenectomy Rate in Isolated High-Grade Blunt Splenic Injuries. 不同创伤中心在孤立的高级别钝性脾损伤中血管栓塞术和脾切除术使用率的差异。

IF 2.5 3区医学

World Journal of Surgery Pub Date : 2025-09-19 DOI: 10.1002/wjs.70104

Makoto Aoki, Yohei Okada, Shokei Matsumoto, Morihiro Katsura, Ben L Zarzaur, Kazuhide Matsushima

{"title":"Variation Among Trauma Centers in the Use of Angioembolization and Splenectomy Rate in Isolated High-Grade Blunt Splenic Injuries.","authors":"Makoto Aoki, Yohei Okada, Shokei Matsumoto, Morihiro Katsura, Ben L Zarzaur, Kazuhide Matsushima","doi":"10.1002/wjs.70104","DOIUrl":"https://doi.org/10.1002/wjs.70104","url":null,"abstract":"Background: Non-operative management (NOM) is often successful with an adjunctive use of splenic angioembolization (SAE) in patients with high-grade blunt splenic injuries (BSI). This study aimed to evaluate the variation between US trauma centers in the use of SAE for high-grade BSI undergoing NOM.Methods: This retrospective cohort study utilized the American College of Surgeons Trauma Quality Improvement Program database. We included adult patients (age ≥ 16 years) with isolated high-grade BSI (Abbreviated Injury Scale 3-5) from 2013 to 2021. A logistic regression model was developed to estimate the use of SAE, and trauma centers were stratified by the observed to estimated SAE ratio using tertile ranges: low, medium, and high tendencies for the use of SAE. Hierarchical logistic regression accounted for clustering at the institution level and identified factors associated with overall splenectomy.Results: A total of 8729 patients were included. After adjusting for trauma center case mix, the use of SAE was associated with a low likelihood of overall splenectomy (odds ratio [OR]: 0.12, 95% confidence interval [CI]: 0.09-0.14, p < 0.01). Compared with low tendency centers, medium tendency centers had an OR of 0.88 (95% CI: 0.76-1.01, p = 0.07) and high tendency centers had an OR of 0.79 (95% CI: 0.67-0.91, p < 0.01) for splenectomy.Conclusion: A significant variation exists among US trauma centers in the use of SAE for the management of isolated high-grade BSI. Trauma centers with higher tendencies for SAE use were associated with lower splenectomy rates even after the adjustment of the use of SAE.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092415","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

Dual Surveillance of Surgical Site Infections Using CDC and ASEPSIS Criteria: Clinical and Economic Outcomes in Colorectal and Small Bowel Surgery. 使用CDC和ASEPSIS标准对手术部位感染进行双重监测：结直肠和小肠手术的临床和经济结果。

IF 2.5 3区医学

World Journal of Surgery Pub Date : 2025-09-18 DOI: 10.1002/wjs.70102

Jung Rae Cho, Duck-Woo Kim, Myoung Jin Shin, Eu Suk Kim, Hong Bin Kim, Min Hyun Kim, Heung-Kwon Oh, Sung-Bum Kang

{"title":"Dual Surveillance of Surgical Site Infections Using CDC and ASEPSIS Criteria: Clinical and Economic Outcomes in Colorectal and Small Bowel Surgery.","authors":"Jung Rae Cho, Duck-Woo Kim, Myoung Jin Shin, Eu Suk Kim, Hong Bin Kim, Min Hyun Kim, Heung-Kwon Oh, Sung-Bum Kang","doi":"10.1002/wjs.70102","DOIUrl":"https://doi.org/10.1002/wjs.70102","url":null,"abstract":"Background: Surgical site infection (SSI) adversely affects postoperative outcomes and resource utilization. CDC-based definitions may under-identify minor yet clinically significant wound healing disturbances. This study evaluated the incidence and burden of SSIs using both the CDC criteria and the ASEPSIS scoring system.Methods: A prospective observational study was conducted at a tertiary referral center between August 2018 and January 2019. Patients undergoing colorectal or small bowel surgery were monitored for SSIs using CDC criteria and ASEPSIS scores. Surgical wounds were assessed on postoperative days 2, 4, and 6 with follow-up until 30 days. SSI was defined as either meeting the CDC criteria or having an ASEPSIS score > 21. ASEPSIS scores of 10-19 were classified as wound disturbance.Results: Among 460 patients, 54 (11.7%) developed SSIs: 53 based on CDC criteria and 15 based on ASEPSIS score. When ASEPSIS scores of 10-19 were included, the wound complication rate increased to 17.6%. Patients with SSIs had longer hospital stays (15.6 ± 8.0 vs. 11.0 ± 5.5 days, p < 0.001) and incurred 36% higher total hospital costs. Among patients with ASEPSIS scores of 10-19 but no CDC-defined SSI (n = 28), hospital stay and inpatient costs were comparable to those of SSI-free patients. However, outpatient visits (6.5 ± 9.3 vs. 1.1 ± 1.3, p = 0.005) and costs (USD 99 ± 91 vs. USD 48 ± 48, p = 0.007) were significantly higher.Conclusions: The ASEPSIS scoring system identified clinically relevant wound disturbances that were not detected by CDC criteria. Dual surveillance revealed additional postoperative morbidity and outpatient burden. Integrating ASEPSIS into routine monitoring may improve wound complication detection and enable earlier interventions.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087330","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

Impact of Prior Endoscopic Sphincterotomy on Detection of Drug-Resistant Bacteria in Acute Cholecystitis. 内镜下括约肌切开术对急性胆囊炎耐药菌检测的影响。

IF 2.5 3区医学

World Journal of Surgery Pub Date : 2025-09-16 DOI: 10.1002/wjs.70048

Ryosuke Mizuno, Sanae Nakajima, Takashi Takashima, Yugo Matsui, Shusaku Honma, Teppei Murakami, Kazutaka Obama

{"title":"Impact of Prior Endoscopic Sphincterotomy on Detection of Drug-Resistant Bacteria in Acute Cholecystitis.","authors":"Ryosuke Mizuno, Sanae Nakajima, Takashi Takashima, Yugo Matsui, Shusaku Honma, Teppei Murakami, Kazutaka Obama","doi":"10.1002/wjs.70048","DOIUrl":"https://doi.org/10.1002/wjs.70048","url":null,"abstract":"Background/purpose: The Tokyo Guidelines 2018 recommend empirical antibiotic therapy for community-acquired acute cholecystitis based on disease severity. However, some studies suggest that other factors, such as prior endoscopic sphincterotomy (EST), may also influence antibiotic selection. This study aimed to investigate the impact of prior EST on the detection of multidrug-resistant bacteria (MDRB) in the bile cultures of patients with acute cholecystitis.Methods: This single-center retrospective study included 238 patients with acute cholecystitis who underwent cholecystectomy or percutaneous gallbladder drainage between July 2018 and June 2023. The association between prior EST and MDRB detection was analyzed using modified Poisson regression adjusted for age, sex, diabetes, severity grade, and degree of inflammation.Results: Among the 238 patients, 162 (68.1%) had positive bile cultures and 40 (16.8%) had a history of EST. MDRB were detected in 39 patients (16.4%). Prior EST was significantly associated with MDRB detection (risk ratio [RR]: 2.89 and 95% confidence interval [CI]: 1.62-5.16), whereas severity grade showed no association (RR: 1.03 and 95% CI: 0.61-1.74). Among the MDRB subtypes, prior EST was not significantly associated with the detection of extended-spectrum beta-lactamase (ESBL)-producing bacteria (RR: 1.73 and 95% CI: 0.55-5.45); however, it was significantly associated with the detection of AmpC-producing bacteria (RR: 4.53 and 95% CI: 2.07-9.91). Prior EST was not associated with infectious complications (RR: 1.49 and 95% CI: 0.64-3.43) and 30-day mortality (RR: 1.04 and 95% CI: 0.12-8.98). Mean hospital stay was longer in the EST group than in the non-EST group (11 vs. 16 days).Conclusions: Prior EST, rather than the severity grade of cholecystitis, may be a more relevant factor when selecting empirical antibiotic therapy for patients with acute cholecystitis.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076076","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

Artificial Intelligence-Derived Intramuscular Adipose Tissue Assessment Predicts Perineal Wound Complications Following Abdominoperineal Resection. 人工智能衍生的肌内脂肪组织评估预测腹会阴切除术后会阴伤口并发症。

IF 2.5 3区医学

World Journal of Surgery Pub Date : 2025-09-15 DOI: 10.1002/wjs.70095

Alex Besson, Ke Cao, Rory Kokelaar, Emina Hajdarevic, Lara Wirth, Josephine Yeung, Justin M Yeung

{"title":"Artificial Intelligence-Derived Intramuscular Adipose Tissue Assessment Predicts Perineal Wound Complications Following Abdominoperineal Resection.","authors":"Alex Besson, Ke Cao, Rory Kokelaar, Emina Hajdarevic, Lara Wirth, Josephine Yeung, Justin M Yeung","doi":"10.1002/wjs.70095","DOIUrl":"https://doi.org/10.1002/wjs.70095","url":null,"abstract":"Background: Perineal wound complications following abdominoperineal resection (APR) significantly impacts patient morbidity. Despite various closure techniques, no method has proven superior. Body composition is a key factor influencing postoperative outcomes. AI-assisted CT scan analysis is an accurate and efficient approach to assessing body composition. This study aimed to evaluate whether body composition characteristics can predict perineal wound complications following APR.Methods: A retrospective cohort study of APR patients from 2012 to 2024 was conducted, comparing primary closure and inferior gluteal artery myocutaneous (IGAM) flap closure outcomes. Preoperative CT scans were analyzed using a validated AI model to measure lumbosacral skeletal muscle (SM), intramuscular adipose tissue (IMAT), visceral adipose tissue, and subcutaneous adipose tissue.Results: Greater IMAT volume correlated with increased wound dehiscence in males undergoing IGAM closure (40% vs. 4.8% and p = 0.027). Lower SM-to-IMAT volume ratio was associated with higher wound infection rates (60% vs. 19% and p = 0.04). Closure technique did not significantly impact wound infection or dehiscence rates.Conclusion: This study is the first to use AI derived 3D body composition analysis to assess perineal wound complications after APR. IMAT volume significantly influences wound healing in male patients having IGAM reconstruction.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070640","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

Developing a Structured Training and Accreditation Program for Endoscopic Nipple-Sparing Mastectomy. 为内窥镜保留乳头乳房切除术制定结构化培训和认证计划。

IF 2.5 3区医学

World Journal of Surgery Pub Date : 2025-09-15 DOI: 10.1002/wjs.70094

Serene Si Ning Goh, Karen Kaye Romano Casida, Shaik Ahmad Buhari, Jing Tzer Lee, Qin Xiang Ng, Sabrina Ng Hui Na Ngaserin, Mikael Hartman

引用次数: 0