BMC Surgery最新文献

{"title":"Plastic surgery interventions for war-related injuries: a review of 300 cases from Sudan, a cohort study.","authors":"Albra Kamal Ali Ahmed, Mohammed Yousof Bakhiet, Hozifa Hussein Abdelgayoum Mohamed","doi":"10.1186/s12893-025-03181-4","DOIUrl":"10.1186/s12893-025-03181-4","url":null,"abstract":"<p><strong>Background: </strong>War-related injuries present significant challenges to the health system, notably during the conflict period. The study aimed to evaluate the demographics, anatomical distribution, plastic intervention, immediate complications, and outcomes of war-injured patients presenting to our plastic surgery unit.</p><p><strong>Methods: </strong>This retrospective, cohort, single-center study was conducted from January 2024 to December 2024 and included 300 war-injured patients treated in the plastic surgery unit, Atbara Hospital. The patients' demographic data, site of injuries, surgical management, and complications were documented.</p><p><strong>Results: </strong>The commonly affected age group was 20-30 (51.3%), followed by 30-40 (38.3%). The most common site of war injuries was the extremity: upper limb in 171 patients (57%), and lower limb in 108 patients (36%). The total number of surgical operations performed was 306, with split thickness skin grafts being the most common procedure in 104 (34%) patients. Local fasciocutaneous flaps were used in 60 (19.6%) patients, whereas muscle flaps were used in only 23 (7.5%) patients. The Reverse sural artery flap was the commonly used fasciocutaneous flap, used in 23 patients (7.5%). Surgical operations for nerves and tendons were performed in 63 (20.6%) and 56(18.3%) patients, respectively. The complication rate was 13%, with a wound infection rate of 8.5%.</p><p><strong>Conclusions: </strong>The study highlights the predominance of extremity-related injuries and the reliance on simple reconstructive methods (split thickness skin grafts and pedicled flaps) to reconstruct war injuries in limited resource areas, in the absence of microsurgery services. Furthermore, the report highlights the crucial role of plastic surgery in conflict settings.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"442"},"PeriodicalIF":1.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efforts in surgical site infection surveillance at the Mbouo Protestant Hospital in Cameroon.","authors":"Christian Doll, Lydie Charlie Ndoho Simo, Honorée Jeulefack, Alaric Tamuedjoun Talom, Lazare Kuate Kamdem, Jean-Blaise Kenmogne, Ghyslaine Bruna Djeunang Dongho, Andrej Trampuz","doi":"10.1186/s12893-025-03229-5","DOIUrl":"10.1186/s12893-025-03229-5","url":null,"abstract":"<p><strong>Background: </strong>Surgical site infections (SSIs) are a significant health concern in low- and middle-income countries. In Africa, up to one-third of patients undergoing surgery may be affected by an SSI, and high rates of antimicrobial resistance (AMR) pose an additional threat. Data on the epidemiology and microbiology of these infections are needed but scarce.</p><p><strong>Methods: </strong>This prospective, observational, pilot study investigated the incidence, risk factors, and microbial spectrum of SSI. All consenting patients undergoing surgery at Mbouo Protestant Hospital in Cameroon were included. An active SSI surveillance system was established and continued after discharge. Data collection took place from April 2021 to February 2022. Risk factors for SSI and for mortality were recorded as well as microbial data. The SSI incidence and the Odd's ratios were calculated.</p><p><strong>Results: </strong>One hundred forty-eight patients were included. The total SSI incidence was 7% (11/148) with 3% (2/67) for Obstetrics/Gynaecology, 3% (1/30) for General Surgery and 16% (8/51) for Orthopaedics/Trauma. About 55% (6/11) of SSI appeared after discharge from hospital. Risk factors for SSI were Orthopaedic/trauma procedure, dirty/infected wounds, high intraoperative blood loss and long duration of the operation. The total postoperative mortality was 3% (4/148) with 0% (0/67) for Obstetrics/Gynaecology, 10% (3/30) for General Surgery and 2% (1/51) for Orthopaedics/Trauma. Mortality risk factors were laparotomy, high ASA class and high age. Multi-resistant Staphylococcus aureus and gram-negative bacteria were the main SSI germs. All (2/2) of the non-AMR SSI wounds healed until the end of the study in contrast to only 25% (1/4) of the AMR SSI, all of the non-healed being orthopaedic AMR SSI.</p><p><strong>Conclusion: </strong>This pilot study reveals a significant burden of SSIs, AMR and perioperative mortality at a district hospital in Cameroon. Despite its limitations, the study identified critical areas for improvement, including developing adapted guidelines for orthopaedic SSIs, improving the implementation of SSI prevention guidelines, and enhancing perioperative antimicrobial stewardship. These findings emphasise the necessity of further research and targeted interventions in this underrepresented, low-resource setting.</p><p><strong>Trial registration: </strong>Clinicaltrials.gov NCT05018884, date of registration 17/08/2021, retrospectively registered.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"419"},"PeriodicalIF":1.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12492840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One-stage posterior surgical treatment of the rare thoracolumbar spine process and laminar nucleus with incomplete paralysis: a retrospective study.","authors":"Huijun Zhang, Zenghui Lu, Xiaotong Yue, Jinyu Yan, Xiaobin Yang","doi":"10.1186/s12893-025-03200-4","DOIUrl":"10.1186/s12893-025-03200-4","url":null,"abstract":"<p><strong>Background: </strong>The study was to evaluate the results of the one-stage posterior approach in treating patients with the rare thoracic and lumbar spinous process and vertebral laminae tuberculosis of the spine with incomplete paralysis.</p><p><strong>Materials and methods: </strong>21 patients who were treated with bone graft fusion, debridement, spinal canal decompression, and posterior transpedicle internal fixation vie one-stage posterior approach were collected and analyzed. The data was collected at perioperative period and at the final follow-up visit.</p><p><strong>Results: </strong>The follow up time was at an average of 21.62 ± 2.17 months. The mean age of these patients was 44.81 ± 17.76 years. The intraoperative blood loss and operative time were 538.09 ± 180.21 mL and170.95 ± 20.08 min, respectively. The C-reactive protein (CRP) level and erythrocyte sedimentation rate (ESR) decreased to normal by the last follow-up evaluation. The Oswestry Disability Index (ODI)and visual analogue scale (VAS) were substantially improved 4 weeks postoperatively and at the last follow-up evaluation (P < 0.05). The incomplete paralysis had improved significantly at the last follow-up evaluation based on the American Spinal Injury Association (ASIA) grade (P < 0.05). All patients achieved the bony fusion criteria. The average fusion time was 11.200 ± 2.16 months.</p><p><strong>Conclusions: </strong>The one-stage posterior approach is an efficient and safe surgical option for treating thoracic and lumbar spinous processes and vertebral laminae tuberculosis of the spine with incomplete paralysis. Surgical decompression is very necessary for the recovery of neurological function.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"444"},"PeriodicalIF":1.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Routine use of intravenous acetaminophen safely enhances pain control after minimally invasive hepatectomies: a retrospective cohort study.","authors":"Kei Furuya, Masao Nakajima, Yukio Tokumitsu, Yoshitaro Shindo, Hiroto Matsui, Yuta Kimura, Yuki Nakagami, Yusaku Watanabe, Shinobu Tomochika, Noriko Maeda, Michihisa Iida, Hidenori Takahashi, Tatsuya Ioka, Tomio Ueno, Hiroaki Nagano","doi":"10.1186/s12893-025-03169-0","DOIUrl":"10.1186/s12893-025-03169-0","url":null,"abstract":"<p><strong>Background: </strong>Effective postoperative pain management is crucial after minimally invasive hepatectomy (MIH) to promote recovery, and multimodal analgesia strategies are used to reduce opioid requirements and improve outcomes. Acetaminophen is commonly included as part of multimodal therapies for postoperative pain management. However, the safety and efficacy of acetaminophen for postoperative analgesia in MIH remains unestablished due to its hepatic metabolism. This study aimed to evaluate the safety and efficacy of routine intravenous acetaminophen administration following MIH.</p><p><strong>Methods: </strong>The data of consecutive 50 patients who had undergone MIH were retrospectively analyzed. Regarding postoperative analgesia, patients were allocated to either the opioid-alone cohort (Cohort O) or opioid with routine intravenous acetaminophen cohort (Cohort A). Analgesic efficacy was evaluated using the numerical rating scale (NRS) over the first 2 postoperative days. The sum of opioid rescue doses and frequency of postoperative nausea and vomiting (PONV) were assessed. Analgesic safety was determined by monitoring prolonged elevated transaminase levels.</p><p><strong>Results: </strong>Postoperatively, no significant differences in the hepatic and renal functions and systemic inflammatory markers were observed between the two cohorts. On both postoperative day 1 and day 2, Cohort A showed significantly lower NRS scores than Cohort O. Notably, almost all patients in Cohort A did not require any rescue opioid doses, resulting in a significantly reduced median rescue dose (6 versus 0 doses, p = 0.0017). Even when opioid doses were reduced due to PONV, Cohort A continued to exhibit significantly lower NRS scores.</p><p><strong>Conclusions: </strong>Multimodal analgesia comprising routine intravenous acetaminophen administration could be safe and effective after minimally invasive hepatectomy, without adverse effects regarding hepatic function.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"434"},"PeriodicalIF":1.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Significance of the use of a laryngotracheal flap to reconstruct defects and manage pharyngoesophageal stenosis after the resection of hypopharyngeal carcinoma with cervical oesophagus involvement: a retrospective study.","authors":"Qian Qiyong, Wang Qinying, Zhou Shuihong, Zhou Minli","doi":"10.1186/s12893-025-03179-y","DOIUrl":"10.1186/s12893-025-03179-y","url":null,"abstract":"<p><strong>Background: </strong>The main objective of this study was to investigate cervical oesophageal reconstruction by a laryngotracheal flap (LTF) and the management of postoperative pharyngoesophageal stenosis (PES) after the resection of hypopharyngeal carcinoma with cervical oesophageal involvement.</p><p><strong>Methods: </strong>The retrospective cohort study of fourteen patients with hypopharyngeal carcinoma exhibiting cervical oesophageal involvement were included in the study from January 2012 to January 2021. Postoperative radiochemotherapy was utilised, and follow-up occurred for 3-5 years. The Kaplan-Meier method was used for survival analysis.</p><p><strong>Results: </strong>All of the patients demonstrated healing without events, except for one patient who experienced a pharyngocutaneous fistula, which also healed after approximately 2 weeks of dressing changes. With a follow-up of 3-5 years, the median duration of follow-up was 49 months (range = 36-60 months). Eight patients died during follow-up. Moreover, three patients had metastases in the neck, 1 patient had metastases in the lung, and 1 patient discontinued further treatment because of thoracic oesophageal carcinoma with hepatic metastasis. The 5-year overall survival was 42.9%. Among the 14 included patients, two patients developed pharyngoesophageal stenosis, and the remaining patients recovered well. Two patients with pharyngoesophageal stenosis causing feeding difficulties received nasogastric tube nasal feeding and urinary catheter dilation after the scar tissue was removed via coblator plasma surgery at the stenosis and were fed via nasogastric tube for 1-3 months.</p><p><strong>Conclusion: </strong>As an effective repair method, laryngotracheal flaps have broad application prospects in the repair of the cervical oesophagus after the resection of hypopharyngeal carcinoma with cervical oesophageal involvement. Coblator plasma surgery and catheter dilation may effectively address the problem of eating difficulties in patients with postoperative pharyngoesophageal stenosis.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"447"},"PeriodicalIF":1.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The safety and efficacy of appendectomy, endoscopic retrograde appendicitis therapy, and antibiotic treatment for acute uncomplicated appendicitis: a systematic review and network meta-analysis of randomized controlled trials.","authors":"Jianing Wang, Jiaxin Yin, Chongmin Wang, Yan Zhu","doi":"10.1186/s12893-025-03176-1","DOIUrl":"10.1186/s12893-025-03176-1","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Appendicitis, as a prevalent acute abdominal condition in general surgery, has established a comprehensive diagnostic and therapeutic framework. However, significant academic debate persists regarding the optimal treatment strategy. With advancements in minimally invasive techniques, endoscopic retrograde appendicitis therapy (ERAT) has emerged as an innovative therapeutic approach, providing new options for clinical decision-making. This study employed network meta-analysis to systematically evaluate and compare the clinical efficacy and safety profiles of three treatment modalities: conventional appendectomy, the ERAT, and pharmacological conservative therapy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We systematically reviewed randomized controlled trials (RCTs) published through 2024 that evaluated the three treatment strategies for acute uncomplicated appendicitis. Databases searched included PubMed, Web of Science, Embase, CNKI, Cochrane Central Register of Controlled Trials, and Wanfang. The surface under the cumulative ranking curve (SUCRA) was used to rank the comparative effectiveness of each intervention.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 23 RCTs were included. Regarding complications, the ERAT group (SUCRA, 99.7%) demonstrated significantly lower rates than antibiotics (SUCRA, 37.8%; OR, 0.20; 95% CI, 0.06-0.67), while appendectomy (SUCRA, 12.5%) showed significantly higher rates versus the ERAT (OR, 6.33; 95% CI, 2.35-17.03), with no significant difference between appendectomy and antibiotics. For recurrence, appendectomy (SUCRA, 99.9%) exhibited lower rates than both antibiotics (SUCRA, 2.2%; OR, 0.06; 95% CI, 0.03-0.11) and the ERAT (SUCRA, 53.2%; OR, 0.27; 95% CI, 0.12-0.64), while the ERAT showed significantly lower recurrence than antibiotics (OR, 0.22; 95% CI, 0.08-0.57). Treatment failure analysis revealed appendectomy (SUCRA, 94.6%) had significantly lower rates than antibiotics (SUCRA, 2.2%; OR, 0.05; 95% CI, 0.02-0.15), with no other significant intergroup differences. Hospital stay showed no statistical differences. Cochrane RoB 2.0 assessment indicated overall sound methodological quality. Network meta-analysis demonstrated good consistency (P &gt; 0.05) with low heterogeneity (τ² low-to-moderate; I² &lt; 50%), and adult subgroup analysis yielded similar trends.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Each treatment modality demonstrates unique value in specific clinical scenarios. Conventional appendectomy remains the most reliable definitive treatment approach at present. As a minimally invasive alternative, the ERAT shows promising potential in select patient populations, though broader clinical implementation requires further evidentiary support. While antibiotic therapy avoids surgical intervention, it carries significantly higher risks of recurrence and treatment failure. Additional rigorously designed multicenter randomized controlled trials are needed to optimize current therapeutic decision-ma","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"435"},"PeriodicalIF":1.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integration of mobile CT and basal anesthesia for pain-free preoperative localization of small pulmonary nodules: a retrospective cohort study.","authors":"Mengxu Yao, Yungang Sun, Qiang Zhang, Feng Shao","doi":"10.1186/s12893-025-03116-z","DOIUrl":"10.1186/s12893-025-03116-z","url":null,"abstract":"","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"431"},"PeriodicalIF":1.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative evaluation of median arcuate ligament syndrome using a transit-time flowmeter: a case report.","authors":"Daisuke Koike, Hiroyuki Kato, Masahiro Shimura, Kazuma Horiguchi, Hiroki Tani, Yoshiki Kunimura, Takahiko Higashiguchi, Toki Kawai, Hironobu Yasuoka, Takayuki Ochi, Takahiro Tashiro, Yukio Asano, Masahiro Ito, Yutaro Kato, Tsunekazu Hanai, Akihiko Horiguchi","doi":"10.1186/s12893-025-03177-0","DOIUrl":"10.1186/s12893-025-03177-0","url":null,"abstract":"<p><strong>Background: </strong>Median arcuate ligament syndrome (MALS) is a rare surgical condition caused by external compression of the celiac artery, resulting in compromised blood flow. Intraoperative evaluation is typically based on visual findings alone, and reliable, quantitative methods for assessing surgical success remains limited.</p><p><strong>Case: </strong>A 74-year-old man was referred to our hospital with a diagnosis of early gastric cancer. Radiological findings revealed severe compression at the root of the celiac axis (CA), demonstrating the characteristic hook sign of MALS. Mild enlargement of the pancreaticoduodenal arcade arteries was observed without evidence of aneurysm formation. Concurrent surgery for gastric cancer and MALS was performed. A transit-time flowmeter (TTFM; Transonic Systems) revealed a mean flow of -119 mL/min in the common hepatic artery (CHA), indicating retrograde blood flow. After releasing the compression of the CA, the blood flow in the CHA was restored, with a mean flow of 317 mL/min. The postoperative course was uneventful, and the patient was discharged on postoperative day 21. Postoperative CT showed enlargement of the CA; however, the root lumen diameter remained smaller than that of the midsection of the CHA.</p><p><strong>Conclusion: </strong>The TTFM effectively detected retrograde blood flow in the CHA and its recovery after decompression. It may serve as a reliable method for determining the indication for MALS surgery and for evaluating surgical success intraoperatively.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"427"},"PeriodicalIF":1.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Petroleum jelly vs. Saline in tracheostomy wound care and pressure injury prevention: a randomized controlled trial.","authors":"Chidchanok Chutimasaengtrakul, Sarinya Urathamakul, Kanokrat Bunnag","doi":"10.1186/s12893-025-03224-w","DOIUrl":"10.1186/s12893-025-03224-w","url":null,"abstract":"<p><strong>Background: </strong>Tracheostomy-related pressure injuries (TRPIs) compromise recovery and prolong hospital stay.</p><p><strong>Methods: </strong>We conducted a prospective randomized controlled trial at a tertiary hospital to compare the efficacy of petroleum jelly application versus normal saline irrigation in preventing peristomal pressure injuries and promoting tracheostomy wound healing. This study enrolled 28 participants, aged 18-80 years, who underwent tracheostomy procedures at Vajira Hospital, Navamindradhiraj University. They were randomly assigned using a permuted-block randomization methods (block size = 4) to either the petroleum jelly application group or the sodium chloride irrigation (0.9% NaCl solution) group. The outcomes were evaluated by one physician and one nurse at first, second, and fourth weeks postoperatively using the Pressure Ulcer Scale for Healing (PUSH) Tool and Skin Integrity Score.</p><p><strong>Results: </strong>The petroleum jelly application group demonstrated significantly lower mean scores on the PUSH Tool at first, second, and fourth weeks than the sodium chloride irrigation group. Moreover, the petroleum jelly application group exhibited significantly higher median scores for skin integrity at first, second, and fourth weeks than the sodium chloride irrigation group. The interrater reliability between the two observers was good to excellent. The petroleum-jelly arm showed faster improvement on both scoring tools across all follow-up points.</p><p><strong>Conclusions: </strong>The participants who received petroleum jelly application following tracheostomy demonstrated better results in preventing pressure injuries and maintaining skin integrity compared with those who received sodium chloride irrigation.</p><p><strong>Trial registration: </strong>TCTR20240806002 (Thai Clinical Trials Registry), registered on August 6, 2024. Retrospectively registered. ( https://www.thaiclinicaltrials.org/show/TCTR20240806002 ).</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"452"},"PeriodicalIF":1.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A convenient and self-adjustable laparoscopic intracorporeal pringle maneuver using He's belt.","authors":"Huilan Zeng, Jiaqiang Mo, Sili Lu, Qing Ye, Zhangyuanzhu Liu, Jianyi Wang, Yanbei Yin, Peiying Zhong, Ting Xiao, Yanjiao Hu, Lijun Lin, Jianxin Peng, Junming He","doi":"10.1186/s12893-025-03214-y","DOIUrl":"10.1186/s12893-025-03214-y","url":null,"abstract":"","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"451"},"PeriodicalIF":1.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}