{"title":"Wandering spleen: Diagnosis and treatment","authors":"Antoine Poirier, Mourad Ben Bader, Nicolas Reibel","doi":"10.1016/j.jviscsurg.2024.05.005","DOIUrl":"10.1016/j.jviscsurg.2024.05.005","url":null,"abstract":"<div><div>Whether congenital or acquired, wandering spleen is a rare entity. In most cases, surgical treatment necessitates splenectomy, or even more rarely, particularly in children, splenopexy.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 6","pages":"Pages 402-403"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263265","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}
Wenjiao Shi , Siyuan Li , Qiuli Liu , Yun Ji , Xiaojian Weng , Jianer Du
{"title":"Up-regulated fatty acid-binding protein 4 promoted cardiac injury during open colorectal surgery in elderly patients","authors":"Wenjiao Shi , Siyuan Li , Qiuli Liu , Yun Ji , Xiaojian Weng , Jianer Du","doi":"10.1016/j.jviscsurg.2024.08.002","DOIUrl":"10.1016/j.jviscsurg.2024.08.002","url":null,"abstract":"<div><h3>Background</h3><div>Fatty acid binding protein 4 (FABP4) has been shown to increase cardiovascular disease. The FABP4 levels in serum and adipose tissue and the possible regulatory mechanisms during colorectal cancer surgery in elderly patients remain unknown.</div></div><div><h3>Methods</h3><div>Four hundred elderly patients with colorectal cancer were recruited, 200 underwent laparoscopic surgery (LS) and 200 underwent open surgery (OS). Blood samples and mesenteric adipose tissue were collected at T1 (beginning of surgery) and T2 (end of surgery). Immunohistochemistry and biochemical analysis were used to evaluate the FABP4, cardiac troponin T (cTnT), creatine kinase-MB (CK-MB) and myoglobin (MYO) levels. Correlations between FABP4 and cTnT, CK-MB, MYO were further analyzed.</div></div><div><h3>Results</h3><div>The expressions of FABP4 in mesenteric adipose tissue were significantly increased at T2 than T1 in OS group. The serum levels of FABP4, cTnT, CK-MB and MYO were significantly increased at T2 than T1 in OS group, and the OS group induced higher FABP4, cTnT, CK-MB and MYO levels than LS group at T2. Pearson's correlation analysis revealed that serum levels of FABP4 were strongly correlated with cTnT, CK-MB, and MYO.</div></div><div><h3>Conclusions</h3><div>OS induced significantly increased FABP4 expressions in adipose tissue and caused cardiac injury in elderly patients with colorectal cancer. FABP4 is closely associated with cardiac injury, raising the possibility that adipose tissue may be causally involved in the pathogenesis of heart dysfunction during open surgery.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 6","pages":"Pages 364-371"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822815","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":"Resuscitative thoracotomy in France: For whom? By whom?","authors":"Catherine Arvieux","doi":"10.1016/j.jviscsurg.2024.10.004","DOIUrl":"10.1016/j.jviscsurg.2024.10.004","url":null,"abstract":"<div><div>Resuscitative thoracotomy is preferentially addressed to patients with penetrating thoracic injury and suffering from severe treatment-resistant hemodynamic instability, without pulse or in cardiopulmonary arrest for at most 15<!--> <!-->minutes. It is practicable in an emergency room, or ideally, in an operating theater. The procedure always begins with left anterolateral thoracotomy and can be prolonged through transversal bi-thoracotomy or, more rarely and according to the presumed origin of the hemorrhage, through median sternotomy. In most cases the procedures to be carried out are relatively simple, and when they are more complex, it is possible to effectuate temporary hemostasis while awaiting the assistance of a second surgeon. We are persuaded that the above procedure should imperatively be learned and become part and parcel of the therapeutic arsenal of the surgeon tasked with management of trauma patients.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 6","pages":"Pages 353-355"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511384","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":"Stoma prolapse repair. Will stapling become the standard technique?","authors":"Karem Slim, Catherine Mattevi","doi":"10.1016/j.jviscsurg.2024.11.004","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2024.11.004","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774063","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":"Hemocholecyst: A rare indication for cholecystectomy.","authors":"Fabien Werey, Hugo Defives, Jean-Marc Regimbeau","doi":"10.1016/j.jviscsurg.2024.09.010","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2024.09.010","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478886","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}
Gabriel Saiydoun , Maxime Vallée , Saadé Saade , Clément Colombier , Krystel Nyango Timoh , Philine de Vries , Cyril Perrenot , Nicolas Berte , Arnaud Delafontaine
{"title":"Accessibility and satisfaction's analysis of simulation-based training in surgery for residents and surgical fellows in France","authors":"Gabriel Saiydoun , Maxime Vallée , Saadé Saade , Clément Colombier , Krystel Nyango Timoh , Philine de Vries , Cyril Perrenot , Nicolas Berte , Arnaud Delafontaine","doi":"10.1016/j.jviscsurg.2024.07.001","DOIUrl":"10.1016/j.jviscsurg.2024.07.001","url":null,"abstract":"<div><h3>Background</h3><div>In surgery, simulated-based training improves the knowledge and interpersonal skills needed for surgeons to improve their performance and meet the “never the first time on a patient” imperative. The objective is to evaluate the effects of a 2017 reform on surgeon's accessibility to simulation-based training, five years after the implementation of the program, and to gauge surgeon satisfaction.</div></div><div><h3>Methods</h3><div>A 27-item national online survey was sent to all surgical residents and fellows in the 13 surgical specialties.</div></div><div><h3>Results</h3><div>Among 523 responses, 405 (77.4%) were residents and 118 (22.6%) were surgical fellows. Two hundred forty-seven (47.2%) of surgical residents and fellows stated they did not have a simulation structure or simulation program in the town of their university hospital center. Two hundred thirty-five (44.9%) reported having simulation training programs and 41 (7.8%) reported having easy and free access to their simulation structure. Regarding simulation-based training, 44.6% of surgical residents and fellows had never received training in technical skills on simulators, 82.2% had never received training in teamwork or interprofessional skills and 76.1% had never received training in behavioral or relational skills. There was a significant difference between the degree of satisfaction of residents at the beginning and at the end of the study (<em>P</em> <!-->=<!--> <!-->0.02).</div></div><div><h3>Conclusion</h3><div>Simulation is a well-established educational tool, but there are still strong inequalities between universities. Despite the national deployment of simulation-based teaching programs and institutional efforts, surgical simulation is insufficiently developed in France, and learner satisfaction is poor.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 5","pages":"Pages 300-309"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735483","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}