BMC Surgery最新文献

{"title":"Ganga hospital open injury severity score as a predictor of early failure of limb salvage among gustilo type III A and B tibia fractures in Uganda: a prospective cohort study.","authors":"Maxwel Dancan Okuku, Umaru Kabuye, Stephen Angira Khadolwa, Abubakar Mohamed Aweis, Okedi Francis Xaviour, Demoz Abraha, Charles Quealee, Anthony Ayotunde Olasinde, Ibe Michael Usman","doi":"10.1186/s12893-025-02811-1","DOIUrl":"10.1186/s12893-025-02811-1","url":null,"abstract":"<p><strong>Background: </strong>Despite advances in antibiotic therapy and microsurgery, the management of Gustilo and Anderson type IIIA and B open tibia fractures continues to pose a considerable challenge in developing countries. This has evolved from historical immediate amputation to modern approaches that prioritize both aesthetics and functional outcomes. Nonetheless, a consensus on limb salvage versus amputation remains elusive, prompting the development of prognostic limb scoring systems. Our study assessed the predictive accuracy of the Ganga Hospital Open Injury Severity Score (GHOISS) for early failure of limb salvage in Gustilo type IIIA and B tibia injuries.</p><p><strong>Methods: </strong>This was a prospective study that examined open tibia fractures at two tertiary hospitals in the emergency and orthopaedic units between June and October 2023. Fifty-three (26 IIIB and 27 IIIA) satisfied the study inclusion and exclusion criteria. Four injuries (type IIIA) in paediatric patients that had met the inclusion criteria were excluded from analysis to ensure homogeneity and generalizability of the results due to their small numbers. The severity of injury for each Gustilo type III A and B tibia fracture was determined using the GHOISS, and limb salvage decisions were made irrespective of the GHOISS. Follow-up was extended for up to fourteen days to assess the necessity of secondary amputation in salvaged limbs.</p><p><strong>Results: </strong>Among 49 Gustilo type IIIA and B tibia fractures, 43 were successfully salvaged, while 6 necessitated amputation (4 primary, 2 secondary). A GHOISS of 13 demonstrated maximum specificity (90.7%) and sensitivity (83.3%) in predicting amputation, with an AUC of 0.923 (95% CI 0.804-0.977), indicating strong discriminatory accuracy.</p><p><strong>Conclusion: </strong>The GHOISS reliably predicted outcomes in patients with Gustilo type IIIA and B tibia fractures, with a score of 13 demonstrating optimal sensitivity and specificity above which early failure of limb salvage is anticipated.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"77"},"PeriodicalIF":1.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473005","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":"Comparison of the degree of patient satisfaction between transoral thyroidectomy and open thyroidectomy: a survey-based study.","authors":"Jun Sung Lee, Jooyoung Oh, Jayyoung Bae, Jin Seok Lee, Hyeok Jun Yun, Seok-Mo Kim, Hojin Chang, Yong Sang Lee, Young Song, Hang-Seok Chang","doi":"10.1186/s12893-024-02751-2","DOIUrl":"10.1186/s12893-024-02751-2","url":null,"abstract":"<p><strong>Background: </strong>Recent advances in thyroid surgery techniques have increased the number of patients undergoing transoral thyroidectomy, and many patients are concerned about post-thyroidectomy cosmetic effects. This study aimed to compare patient satisfaction after transoral versus conventional thyroidectomy.</p><p><strong>Methods: </strong>This study was conducted from August 2021 to January 2022 at Gangnam Severance Hospital (Seoul, South Korea). A total of 91 patients underwent transoral endoscopic thyroidectomy (TOET) or open thyroidectomy performed by a single surgeon. The Hospital Anxiety and Depression Scale (HADS), Pain Catastrophizing Scale (PCS), and 15-Item Quality of Recovery (QoR-15) postoperative day (POD)#-1 surveys were administered before the surgery. The QoR-15 POD#1 and #2 surveys were administered after the surgery. The Post-traumatic Stress Disorder Checklist surveys were administered on the first day of the outpatient visit after discharge. The survey results were compared to determine the differences between both groups.</p><p><strong>Results: </strong>Only the HADS-Depression survey scores differed significantly between the TOET and open thyroidectomy groups (4.22 ± 0.781 and 5.52 ± 0.84, respectively; P = .039). Multivariable analysis, adjusted for age and weight differences between the conventional and TOET groups, revealed no differences in any of the survey scores, including the HADS-Depression scores. Therefore, no differences were observed in the survey scores between the TOET and open thyroidectomy groups.</p><p><strong>Conclusions: </strong>The subjective postoperative stress about pain and the degree of recovery after surgery were similar between the two groups. Thus, there would be no difference in the patient's satisfaction for surgery between the two groups.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"75"},"PeriodicalIF":1.6,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11841314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469252","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":"Effectiveness of topical application with dexamethasone during sagittal split osteotomy of the mandible in minimising clinical symptoms of postoperative neurosensory disorders.","authors":"Iryna Logvynenko, Larysa Dakhno, Valeriia Bursova","doi":"10.1186/s12893-025-02803-1","DOIUrl":"10.1186/s12893-025-02803-1","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to investigate the effectiveness of topical application with dexamethasone during BSSO due to its anti-inflammatory effect and decreasing of postoperative nerve oedema in minimising clinical symptoms of NSD associated with inferior alveolar nerve (IAN) injury in postoperative period, based on the results of sensory diagnostic tests, such as light touch test and its modifications.</p><p><strong>Methods: </strong>Through randomisation, 2 groups were selected from 22 patients: the experimental- where topical application with solution of dexamethasone phosphate 0.4% (4 mg/1 ml ampules) during sagittal split osteotomy of the mandible was used, and the control- where the classical technique of BSSO was held.</p><p><strong>Results: </strong>Authors performed diagnostics of NSD using Light Touch test on 1st day, 1st week, 1st month, 3rd month and 6th month postoperatively. The experimental group showed improvements in sensory recovery compared to the control group, particularly from 1 week to 3 months post-surgery. By 6 months, both groups achieved similar levels of sensitivity restoration.</p><p><strong>Conclusions: </strong>This confirms the effectiveness of proposed method and opens up further prospects for the updated function of the IAN following the BSSO.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"76"},"PeriodicalIF":1.6,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11841240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469445","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":"Nerve block techniques utilized in post-bariatric surgery: a narrative review.","authors":"He Xiao, Yudie Du, Guangyi Li, Yulin Deng, Yixing Ren","doi":"10.1186/s12893-025-02801-3","DOIUrl":"10.1186/s12893-025-02801-3","url":null,"abstract":"<p><p>Pain relief following bariatric surgery (BS) can be difficult because many patients have obstructive sleep apnea and are more prone to breathing problems caused by excessive opioid use post-surgery. Using nerve blocks is an effective alternative since they enhance patient comfort and decrease the side effects of opioids. In our review, we comprehensively reviewed present methods to alleviate pain after BS including the transversus abdominis plane block (TAPB), the erector spinae plane block (ESPB), the quadratus lumborum block (QLB), the external oblique intercostal block (EOIB), and the rectus sheath block (RB), aiming to summarized the respective and relative advantages of each nerve block for post-BS analgesia. The review concluded that TAPB is the optimized post-BS nerve block for somatic pain and ESPB relieves somatic and visceral pain which can both be combined with RB. Anterior QLB relieves visceral pain and EOIB can be done without the interference of fat. This review also identified key points for future research to improve post-BS nerve blocks.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"74"},"PeriodicalIF":1.6,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11841257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469612","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":"Thyroidectomy under local versus general anesthesia in health camp settings in Uganda: a randomized prospective equivalence single-blind controlled trial.","authors":"Umaru Kabuye, Jane Odubu Fualal, Herman Lule","doi":"10.1186/s12893-025-02810-2","DOIUrl":"10.1186/s12893-025-02810-2","url":null,"abstract":"<p><strong>Background: </strong>Endemic goiter is highly prevalent in Uganda, placing a considerable surgical burden on the healthcare system. Across Africa, prevalence varies widely, reaching 60.2%, with visible goiter affecting 30% of Uganda's rural population despite salt iodization programs. Despite evidence supporting thyroidectomy under local anesthesia (LA) for selected cases, its importance is underestimated moreover with limited access to general anesthesia (GA) and critical care providers in resource-constrained settings. The trial compared outcomes of thyroidectomy under LA versus GA in grade 1-2 uncomplicated euthyroid goiter patients in Uganda, with an aim to assess feasibility of LA as an alternative technique.</p><p><strong>Methods: </strong>In this prospective equivalence randomized, single-blind controlled trial, participants with grade 1-2 uncomplicated euthyroid goiters were enrolled and randomly assigned to two arms (LA and GA) during surgical camps in Uganda. The study compared early postoperative outcomes, including nausea, vomiting, hematoma formation, transient voice changes, and pain at 6, 12, and 24 h. It also assessed overall incurred material and medication costs, patient satisfaction using a 5-point Likert scale, and willingness to undergo a similar procedure with the same anesthetic technique at 30 days.</p><p><strong>Results: </strong>Fifty-eight participants undergoing thyroidectomy received random assignment, twenty-nine for each arm. No significant differences were found between the 2 groups in demographics, symptom duration, and early post-operative complications or patients' level of satisfaction (P > 0.05). However, the overall material and medication costs were significantly lower in the LA Group (P < 0.001).</p><p><strong>Conclusions: </strong>Thyroidectomy under LA can be performed in a well-selected patient population with low complication rates and comparable patient satisfaction to GA. These findings may support LA for thyroidectomy as a valuable cost-efficient alternative, especially in low-resource settings with fewer GA providers.</p><p><strong>Trial registration: </strong>First registered on 31/07/2022, PACTR202208635457430 by Pan African Clinical Trial Registry.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"73"},"PeriodicalIF":1.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460321","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":"Role of wound protectors in preventing surgical site infection in patients undergoing abdominal surgery: a meta-analysis of randomized controlled trials.","authors":"Bo Liu, Jin Ye, Wenjing Sun, Yang Yang, Juan Zhu, Song Zhao","doi":"10.1186/s12893-025-02809-9","DOIUrl":"10.1186/s12893-025-02809-9","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the role of wound protectors (WPs) in surgical site infection (SSI) prevention in patients undergoing abdominal surgery.</p><p><strong>Background: </strong>Despite practitioners having pursued the ultimate aim of \"getting to zero\" for centuries, SSI is still a global healthcare burden. WPs are thought to be able to prevent the incision from bacterial contamination, however, contradictory results have been reported.</p><p><strong>Method: </strong>A meta-analysis was performed to compare the SSI rate in patients with and without WPs after abdominal surgery. It includes subgroup analysis of the SSI rate in different surgical sites and different degrees of wound contamination. A systematic literature search was conducted in the PubMed, Embase, Cochrane Library databases, and Web of Science from their respective inceptions until July 6, 2024. All randomized controlled trials with consistent definitions of SSI were included. The bias of each included RCT was assessed by using the Cochrane Risk of Bias 2. To evaluate the risks of random errors resulting from repeated significant testing, a trial sequential analysis was performed. The quality of evidence was assessed by using GRADEpro Guideline Development Tool.</p><p><strong>Results: </strong>A total of 4779 participants were involved in the 19 RCTs. The results showed that the application of WPs during abdominal surgery could significantly reduce the SSI rate (RR = 0.63, 95% CI: 0.50-0.80, P = 0.0001, very low certainty evidence). Subgroup analysis showed that the implementation of WPs significantly reduced the SSI rate after colorectal and gastrointestinal surgery (RR = 0.58, 95% CI: 0.38-0.91, P = 0.02, very low certainty evidence; RR = 0.49, 95% CI: 0.36-0.67, P < 0.00001, moderate certainty evidence, respectively), while had no clear protect role in other types of abdominal surgery. The WPs significantly reduced the SSI rate in patients with a clean-contaminated wound (RR = 0.64, 95% CI: 0.46-0.89, P = 0.008, very low certainty evidence) and contaminated or dirty wound (RR = 0.61, 95% CI: 0.41-0.92, P = 0.02, moderate certainty evidence), respectively.</p><p><strong>Conclusions: </strong>The results indicated that the WPs should not be used indiscriminately in all abdominal but gastrointestinal surgery. For patients with contaminated or dirty incisions, WPs should be considered. More studies are needed to determine the effect of WPs in laparoscopic surgery.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"72"},"PeriodicalIF":1.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450786","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 nomogram for postoperative pulmonary infections in esophageal cancer patients: a two-center retrospective clinical study.","authors":"Shuang Li, Chen Fang, Zheng Tao, Jingfeng Zhu, Haitao Ma","doi":"10.1186/s12893-025-02794-z","DOIUrl":"10.1186/s12893-025-02794-z","url":null,"abstract":"<p><strong>Background: </strong>Postoperative pulmonary infections (POPIs) occur in approximately 13-38% of patients who undergo surgery for esophageal cancer, negatively impacting patient outcomes and prolonging hospital stays. This study aims to develop a novel clinical prediction model to identify patients at risk for POPIs early, thereby enabling timely intervention by clinicians.</p><p><strong>Methods: </strong>This study included 910 patients from two hospitals. Of these, 795 patients from one hospital were randomly assigned to the training cohort (n = 556) and the validation cohort (n = 239) at a 7:3 ratio. The external test cohort consisted of 115 patients from the second hospital. A nomogram was developed via logistic regression to predict the incidence of POPIs. The model's discrimination, precision and clinical benefit were evaluated by constructing a receiver operating characteristic (ROC) curve, calculating the area under the ROC curve (AUC), performing a calibration plot, conducting decision curve analysis (DCA) and clinical impact curves (CIC).</p><p><strong>Results: </strong>Multivariate logistic regression revealed that age, anemia, neoadjuvant therapy, T stage, thoracic adhesions and duration of surgery were independent risk factors for POPIs. The AUC for the training cohort was 0.8095 (95% CI: 0.7664-0.8527), that for the validation cohort was 0.8039 (95% CI: 0.7436-0.8643), and that for the external test cohort was 0.7174 (95% CI: 0.6145-0.8204). Calibration plots demonstrated good agreement between the predicted and observed probabilities, while DCA and CIC demonstrated good clinical applicability of the model in three cohorts.</p><p><strong>Conclusion: </strong>The nomogram, which incorporates six key factors, effectively predicts the risk of POPIs and can serve as a valuable tool for clinicians in identifying high-risk patients.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"70"},"PeriodicalIF":1.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450784","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":"Preoperative inflammatory markers and tumor markers in predicting lymphatic metastasis and postoperative complications in colorectal cancer: a retrospective study.","authors":"Huiming Wu, Yize Wang, Min Deng, Zhensheng Zhai, Dingwen Xue, Fei Luo, Huiyu Li","doi":"10.1186/s12893-025-02795-y","DOIUrl":"10.1186/s12893-025-02795-y","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To analyze the impact of preoperative inflammatory markers and tumor markers on lymphatic metastasis and postoperative complications in colorectal cancer patients, and explore their predictive value for these outcomes. Furthermore, based on the preoperative inflammatory and tumor marker indicators with significant effects, predictive models for the risk of lymphatic metastasis and the incidence of postoperative complications will be constructed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This study retrospectively analyzed the clinical data of CRC patients who underwent surgical treatment at Shanxi Bethune Hospital between January 2021 and June 2024. Preoperative inflammatory markers and tumor markers were compared between the lymph node-positive and lymph node-negative groups. Variables were selected using Lasso regression, and independent factors influencing lymph node metastasis were identified through multivariate logistic regression analysis. Based on these results, a Nomogram prediction model was constructed, and its accuracy was evaluated using a calibration curve. The discriminatory ability of the model was assessed with the ROC curve, and its clinical applicability was analyzed using the DCA curve. Similarly, for predicting postoperative complications, Pearson correlation analysis was used to examine the relationships between preoperative inflammatory markers, tumor markers, and complications. ROC curves were employed to calculate the AUC and optimal cutoff values for each marker. Kaplan-Meier (KM) curves were used to analyze the impact of these markers on DFS. Independent factors were identified through univariate and multivariate logistic regression analyses, and a Nomogram model was constructed and validated.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 196 patients were included in the study. The NLR, PLR, FAR, CEA, CA199, and CA724 levels were significantly elevated in the lymph node metastasis group (P &lt; 0.05). Lasso regression identified smoking history, NLR, FAR, and CA724 as non-zero coefficient variables. Multivariate logistic regression further confirmed smoking history (HR = 4.20), NLR (HR = 2.52), FAR (HR = 1.18), and CA724 (HR = 1.32) as independent predictors of lymph node metastasis (P &lt; 0.05). The Nomogram prediction model constructed based on these results showed high prediction accuracy, with a ROC curve AUC of 0.880, indicating excellent discriminatory ability. The DCA decision curve demonstrated good clinical applicability. In postoperative complication prediction, Pearson correlation analysis revealed a positive correlation between NLR, PLR, FAR, CA199, and CA724 with complication rates (P &lt; 0.05), with correlation coefficients of 0.24, 0.34, 0.16, 0.19, and 0.19, respectively, with PLR showing the strongest correlation. ROC curve analysis showed that the AUCs for NLR, PLR, LMR, FAR, and CAR were 0.633, 0.675, 0.467, 0.580, and 0.559, with optimal cutoff values of 4.29, 261.71, 3.39, 18.20, and 11.","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"71"},"PeriodicalIF":1.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450785","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":"Impact of Rosenthal effect-based nursing intervention on self-care ability and hope level in patients undergoing breast surgery.","authors":"Yao-Yao Ye, Ya-Chen Cao, Xue-Jie Lu, Xiao Xiang","doi":"10.1186/s12893-025-02797-w","DOIUrl":"10.1186/s12893-025-02797-w","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the impact of Rosenthal effect-based nursing intervention on self-care ability and hope level in patients undergoing breast surgery.</p><p><strong>Methods: </strong>A total of 200 patients with breast disease admitted to the First Affiliated Hospital of Wenzhou Medical University for treatment from January 2022 to January 2023 were randomly divided into the observation group (n = 100) and the control group (n = 100). The control group was given routine nursing care, while the observation group was additionally given Rosenthal effect-based nursing intervention. Afterward, the psychological status, self-care ability, hope level, and quality of life were compared between the 2 groups pre-and post-intervention.</p><p><strong>Results: </strong>After the intervention, the observation group saw lower Self-Rating Anxiety Scale and Self-Rating Depression Scale scores than the control group. Meanwhile, the post-intervention scores of health knowledge, management skills, responsibility, management concept, positive action, close relationship with others, attitude towards the present and future, social function, psychological function, physical function, and material lifewere higher in the observation group compared with those in the control group, with statistically significant differences (p < 0.05).</p><p><strong>Conclusion: </strong>Rosenthal effect-based nursing intervention is beneficial for improving the psychological status, self-care ability, hope level, and quality of life of patients undergoing breast surgery. The findings suggest that this intervention should be considered for integration into standard care protocols for breast surgery patients to optimize their post-surgical outcomes and well-being. Future research should focus on evaluating the long-term effectiveness and feasibility of implementing this intervention in diverse clinical settings.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"68"},"PeriodicalIF":1.6,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426545","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":"Arthroscopically assisted repair of foveal triangular fibrocartilage complex tear using modified \"double loop suture\" - a retrospective cohort study.","authors":"Wen Zheng, Ling Long Zhao, Xue Jun Yu, Peng Li, Sheng Tao Xiang, Wen Liang Cao","doi":"10.1186/s12893-025-02806-y","DOIUrl":"10.1186/s12893-025-02806-y","url":null,"abstract":"<p><strong>Background: </strong>The triangular fibrocartilage complex (TFCC) plays an important role in distal radioulnar joint (DRUJ) stabilization, and is frequently torn. In particular, when conservative treatment fails, surgical treatment is needed.</p><p><strong>Methods: </strong>In this retrospective study, fourteen individuals with TFCC foveal tears and DRUJ instability were admitted to the department and treated with arthroscopic-assisted modified \"double loop suture\" transosseous repair between January 2021 and 2023. During surgery, an osseous tunnel was established, and two nickel-based alloy loops and a 2-0 polydioxanone II (PDS II) suture were used to achieve anatomic repair of the tear. All patients received supervised rehabilitation exercises after surgery.</p><p><strong>Results: </strong>The patients were followed for an average of 15 months. The mean visual analog scale (VAS) score, which was used to assess the pain intensity experienced by patients using their affected hand, significantly decreased from 5 (95% CI 4-6) points preoperatively to 2 (95% CI 1-3) points at the final follow-up (p < 0.05). The grip strength and Disabilities of the Arm, Shoulder, and Hand (DASH) score before surgery were 17 (95% CI 13-22) kg and 35 (95% CI 26-44) points, respectively, compared with 21 (95% CI 16-25) kg and 16 (95% CI 9-22) points at the final follow-up (p < 0.05). The median Patient-Rated Wrist Evaluation (PRWE) score was 28 (IQR 21, 48) before surgery, which then significantly decreased to 10 (IQR 6, 15) at the final follow-up. The mean flexion‒extension range of the wrist significantly increased from 111 (95% CI 100-122) degrees before surgery to 116 (95% CI 106-126) degrees postsurgery (p < 0.05), and the mean pronation‒supination range of the forearm significantly improved from 125 (95% CI 110-140) degrees to 135 (95% CI 121-149) degrees at the final follow-up assessment (p < 0.05). None of the assessed individuals exhibited DRUJ instability, as evaluated by the ballottement test or developed surgery-related complications such as postoperative infection, injury to the dorsal branch of the ulnar nerve or iatrogenic ulnar styloid fracture caused by the establishment of an osseous tunnel.</p><p><strong>Conclusion: </strong>Arthroscopic-assisted modified \"double loop suture\" is a secure and efficient approach for achieving anatomic repair of TFCC foveal tears, with satisfactory functional improvement and DRUJ stability restoration.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"69"},"PeriodicalIF":1.6,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426543","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}