Minerva Surgery最新文献

{"title":"Association between nutritional status and post-stroke cognitive impairment: a comprehensive analysis.","authors":"Hui Wu, Shiqin Chen, Rui Ren","doi":"10.23736/S2724-5691.23.10030-X","DOIUrl":"10.23736/S2724-5691.23.10030-X","url":null,"abstract":"","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":"209-210"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10229991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early discharge after total thyroidectomy: a single-center comparative study.","authors":"Lorenzo Rosa, Luigi Armiraglio, Walter Zuliani, Marta N Monari, Damiano Chiari","doi":"10.23736/S2724-5691.26.11092-2","DOIUrl":"https://doi.org/10.23736/S2724-5691.26.11092-2","url":null,"abstract":"<p><strong>Background: </strong>Total thyroidectomy is a frequently performed procedure for various thyroid diseases. Traditionally, patients undergoing this surgery are hospitalized for at least two days to monitor the onset of postoperative complications such as hypocalcemia and bleeding. This study evaluates the safety and efficacy of early discharge (on the first postoperative day) compared to the traditional protocol by analyzing postoperative outcomes and hospital readmission rates.</p><p><strong>Methods: </strong>This is a monocentric study on 127 patients operated at the Humanitas Mater Domini Clinical Institute (Castellanza, Varese, Italy) between December 2021 and December 2024. Two groups were compared: patients operated before December 2022 following a standard protocol (Group 1, N.=41) and those discharged on the first postoperative day after December 2022 (Group 2, N.=86). Clinical variables, postoperative complications, and hospital readmission rates were analyzed.</p><p><strong>Results: </strong>No significant differences were found in readmission rates, surgical complications, or postoperative symptoms between the two groups, except for an increase in mild transient hypocalcemia on the first postoperative day in Group 2 (40.7% vs. 22.0%; P=0.038). However, no patients in Group 2 required hospital readmission due to close follow-up and oral calcium supplementation. Our findings suggest that early discharge after total thyroidectomy may be safe and effective when supported by appropriate postoperative monitoring. The observed increase in transient hypocalcemia did not appear to compromise patient safety in our cohort, potentially supporting the implementation of early discharge protocols to optimize hospital resources.</p><p><strong>Conclusions: </strong>In conclusion, early discharge on the first postoperative day after total thyroidectomy appears to be a feasible option when protocols are patient-shared and context-specific. Future research is warranted to further explore risk stratification, structured post-discharge support, economic implications, and the broader impact on patient quality of life.</p>","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":"81 3","pages":"188-193"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the diagnostic value of ultrasound-guided lymph node fine-needle aspiration biopsy in the diagnosis of cervical lymph node tuberculosis: a medical discussion.","authors":"Deli Meng, Fengfeng Ding, Fei Xu, Bin Li","doi":"10.23736/S2724-5691.23.10108-0","DOIUrl":"10.23736/S2724-5691.23.10108-0","url":null,"abstract":"","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":"214-216"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139651817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound grade of intraductal papilloma.","authors":"Yuxin Hou, Wei Ma, Yinyan Li","doi":"10.23736/S2724-5691.23.10034-7","DOIUrl":"10.23736/S2724-5691.23.10034-7","url":null,"abstract":"","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":"210-211"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Progress in preclinical models of pediatric rhabdomyosarcoma.","authors":"Yuxiang Hu, Ting Tao, Shuangai Liu, Ziqi He, Jinhu Wang","doi":"10.23736/S2724-5691.23.10017-7","DOIUrl":"10.23736/S2724-5691.23.10017-7","url":null,"abstract":"","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":"206-207"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138446480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The application effect of programmed comprehensive nursing management based on rapid recovery in senile delirium after neck of femur fracture surgery.","authors":"Xin Zhang, Di Wu","doi":"10.23736/S2724-5691.23.10025-6","DOIUrl":"10.23736/S2724-5691.23.10025-6","url":null,"abstract":"","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":"207-209"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139513891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What should patients undergoing hemorrhoidectomy know? A simple decalogue.","authors":"Fabio Marino","doi":"10.23736/S2724-5691.26.11160-5","DOIUrl":"https://doi.org/10.23736/S2724-5691.26.11160-5","url":null,"abstract":"","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":"81 3","pages":"202-203"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The BIG-5 of pain, anxiety, stress, sleep disturbances, and delirium, and the effects of music in hospitalized patients.","authors":"Jetske M Stoop, Markus Klimek","doi":"10.23736/S2724-5691.26.11155-1","DOIUrl":"https://doi.org/10.23736/S2724-5691.26.11155-1","url":null,"abstract":"<p><p>Hospitalized, surgical patients frequently experience pain, anxiety, stress, sleep disturbances, and delirium, collectively referred to as the BIG-5. The first four are patient-reported outcomes, which may contribute to the development of a delirium. Although not all classified as complications, all five represent a deviation from the ideal postoperative course and can significantly hinder recovery. Their subjective nature complicates detection and treatment, yet their impact is substantial, contributing to increased morbidity, prolonged hospitalization, higher medication use, and increased healthcare costs. Treatment often relies on pharmacological agents, such as opioids and benzodiazepines, which all carry the risk of serious adverse events, including respiratory depression, cognitive impairment, dependency, and increased delirium incidence. Consequently, the need for non-pharmacological strategies is increasingly recognized. Among these, pre-recorded music intervention has emerged as a promising, low-cost, safe adjunct. Music intervention effectively reduces each component of the BIG-5. Moreover, it decreases analgesic requirements. This narrative review aims to compile the evidence on the occurrence and consequences of the BIG-5, as well as to summarize clinically relevant findings with regards to music intervention as a complementary therapy. In conclusion, we highlight the importance of recognizing pain, anxiety, stress, sleep disturbances, delirium, and recommend implementing music into routine perioperative care to improve patient recovery.</p>","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":"81 3","pages":"194-201"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety of laparoscopic cholecystectomy after prior upper abdominal surgery.","authors":"María C DU Plessis, Marina Querol, José R Varela, Bernabé M Quesada, Nicolas F Baglietto, Guadalupe Frias Mena, Carlos M Canullan, Hugo I Zandalazini, Enrique J Petracchi","doi":"10.23736/S2724-5691.26.11171-X","DOIUrl":"10.23736/S2724-5691.26.11171-X","url":null,"abstract":"<p><strong>Background: </strong>Prior upper abdominal surgery (PUAS) has traditionally been considered a challenging setting for laparoscopic cholecystectomy (LC) due to adhesions and distorted anatomy. However, its impact on operative safety remains uncertain. This study aimed to evaluate the safety of LC for symptomatic gallstone disease in patients with prior abdominal surgery (PAS), with particular emphasis on PUAS.</p><p><strong>Methods: </strong>A retrospective observational study including consecutive patients undergoing LC between July 2024 and December 2025 was conducted. The primary exposure variable was PUAS. The primary outcome was 30-day postoperative morbidity. Secondary outcomes included intraoperative adverse events (IAE), conversion to open surgery, bile leak, bile duct injury, mortality, length of stay, and feasibility of intraoperative cholangiography (IOC).</p><p><strong>Results: </strong>A total of 408 patients were included; 148 (36.3%) had PAS and 32 (7.8%) had PUAS. PUAS was associated with higher intraoperative difficulty and increased need for adhesiolysis. Postoperative morbidity was higher in the PUAS group (12.5% vs .3.7%, P=0.04). However, no differences were observed in IAE, conversion, bile duct injury, bile leak, or mortality. IAE were infrequent (3.9%) and mostly minor, with only one event in the PUAS group. IOC was successfully performed in >96% of cases regardless of prior surgery.</p><p><strong>Conclusions: </strong>PUAS is associated with increased operative difficulty and higher postoperative morbidity but does not adversely impact major outcomes. LC with routine IOC and single-stage management of choledocholithiasis remains feasible and safe in these patients, although increased technical complexity should be anticipated.</p>","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":"81 3","pages":"163-171"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Refractory idiopathic membranous nephropathy treated with rituximab combined with double filtration plasmapheresis.","authors":"Xiaolei Qu, Tingting Ji, Xiaofeng Zhan, Bo Tang, Tingying Zhu, Shoujun Bai","doi":"10.23736/S2724-5691.23.10195-X","DOIUrl":"10.23736/S2724-5691.23.10195-X","url":null,"abstract":"","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":"216-218"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}