Journal of Visceral Surgery最新文献_第6页

Favorable 30-day outcomes of initial open inguinal hernia repair with local anesthesia among frail patients. 局部麻醉下腹股沟疝修补术治疗体弱患者30天预后良好。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-01-09 DOI: 10.1016/j.jviscsurg.2024.12.004

Renxi Li, Jayati Atahar, Ahmed Noureldin, Susan Kartiko

{"title":"Favorable 30-day outcomes of initial open inguinal hernia repair with local anesthesia among frail patients.","authors":"Renxi Li, Jayati Atahar, Ahmed Noureldin, Susan Kartiko","doi":"10.1016/j.jviscsurg.2024.12.004","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2024.12.004","url":null,"abstract":"<p><strong>Background: </strong>Open inguinal hernia repair (OIHR) can be conducted under either general anesthesia (GA) or local anesthesia (LA). Despite a lack of evidence supporting improved perioperative outcomes, GA is the predominant anesthesia type used in OIHR. Frailty is defined as a clinically recognizable state of age-related increased vulnerability. This study aimed to compare the 30-day perioperative outcomes of frail patients undergoing OIHR with either GA or LA.</p><p><strong>Methods: </strong>Patients who underwent initial OIHR were identified in the ACS-NSQIP database from 2005-2021. Patients with a Modified Frailty Index (mFI)≥2 were included. Patients were divided based on GA or LA administered. Multivariable logistic regression was used to compare 30-day perioperative outcomes between frail patients undergoing OIHR under GA or LA.</p><p><strong>Results: </strong>Among 20,129 frail patients who underwent initial OIHR, 13,473 had GA, and 3686 had LA. The 30-day mortality rates for LA and GA were low. However, frail patients who underwent LA had a lower risk of bleeding (aOR 0.282, P=0.04), superficial surgical site infection (aOR 0.450, P=0.03), and discharge not to home (aOR 0.792, P<0.01). In addition, frail patients who underwent LA had shorter operation time (58.42±25.26 vs 67.60±37.17 mins, P<0.01) and a shorter length of stay (0.45±2.30 vs 0.57±2.96 days, P<0.01).</p><p><strong>Conclusion: </strong>Although GA is the dominant anesthesia use (4:1) in OIHR among frail patients, LA emerges as a safe alternative to GA for these patients, offering potential benefits such as reduced complications and increased day-case surgery volume, which may be associated with decreased healthcare costs.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967154","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}

引用次数: 0

Retroperitoneoscopic triple neurectomy technique for postoperative chronic inguinal neuropathic pain (with video). 后腹膜镜三联神经切除术治疗术后慢性腹股沟神经性疼痛（附视频）。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-12-09 DOI: 10.1016/j.jviscsurg.2024.11.009

Fadi Naguib, Elena Belloni, David Moszkowicz

引用次数: 0

Press review

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.jviscsurg.2024.11.003

引用次数: 0

Construction of J-shaped ileal reservoir and manual or stapled ileo-anal anastomosis 构建 J 型回肠贮水池，并进行手动或缝合式回肠肛门吻合术。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.jviscsurg.2024.09.009

Maxime K. Collard, Jérémie H. Lefèvre, Yann Parc

引用次数: 0

Surgical management of penetrating neck wounds. An update on surgical management. Part n°2 – in-hospital management 颈部穿透伤的手术治疗。手术治疗的最新进展。第2部分 - 院内处理。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.jviscsurg.2024.09.008

Willem Paillusson , Rajvansh Sesmun , Catherine Arvieux , Paul Balandraud , Emmanuel Martinod , Paulina Kuczma , Christophe Tresallet

引用次数: 0

Left hepatectomy extended to segments 1, 5 and 8 with reconstruction of the right branch of the hepatic artery for Rennes type X perihilar cholangiocarcinoma 雷恩 X 型肝周胆管癌左肝切除术扩展至第 1、5 和 8 节段，并重建肝动脉右支。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.jviscsurg.2024.10.003

Heithem Jeddou , Stylianos Tzedakis , Karim Boudjema

引用次数: 0

Gastroduodenal intussusception. An insidious complication following gastric plication 胃十二指肠肠套叠。胃成形术后的隐匿并发症

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.jviscsurg.2024.05.003

Dimitrios Kehagias , Charalampos Lampropoulos , Ioannis Kehagias

引用次数: 0

Open surgical repair of Pfannenstiel's incisional hernia (with video) 开放手术修补 Pfannenstiel 切口疝（附视频）。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.jviscsurg.2024.07.010

Audrey Eude, Gauthier Rigole, Damien Bouriez

引用次数: 0

French practice of emergency resuscitative thoracotomy. A study based on the Traumabase Registry 法国急诊胸廓切开术的实践。基于创伤数据库登记的研究。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.jviscsurg.2024.07.002

Hilaire de Malleray , Henri de Lesquen , Guillaume Boddaert , Mathieu Raux , Valentin Lefrançois , Nathalie Delhaye , Pauline Ponsin , Anaïs Cordorniu , Thierry Floch , Fanny Bounes , Elisabeth Gaertner , Alexia Hardy , Julien Bordes , Éric Meaudre , Michael Cardinale

{"title":"French practice of emergency resuscitative thoracotomy. A study based on the Traumabase Registry","authors":"Hilaire de Malleray , Henri de Lesquen , Guillaume Boddaert , Mathieu Raux , Valentin Lefrançois , Nathalie Delhaye , Pauline Ponsin , Anaïs Cordorniu , Thierry Floch , Fanny Bounes , Elisabeth Gaertner , Alexia Hardy , Julien Bordes , Éric Meaudre , Michael Cardinale","doi":"10.1016/j.jviscsurg.2024.07.002","DOIUrl":"10.1016/j.jviscsurg.2024.07.002","url":null,"abstract":"<div><h3>Aim of the study</h3><div>Emergency resuscitative thoracotomy (ERT) has been described as a potentially life-saving procedure for trauma patients who have been admitted in refractory shock or with recent loss of sign of life (SOL). This nationwide registry analysis aimed to describe the French practice of ERT.</div></div><div><h3>Patients and methods</h3><div>From 2015 to 2021, all severe trauma patients who underwent ERT were extracted from the TraumaBase→ registry. Demographic data, prehospital management and in-hospital outcomes were recorded to evaluate predictors of success-to rescue after ERT at 24-hour and 28-day.</div></div><div><h3>Results</h3><div>Only 10/26 Trauma centers have an effective practice of ERT, three of them perform more than 1 ERT/year. Sixty-six patients (74% male, 49/66) with a median age of 37 y/o [26–51], mostly with blunt trauma (52%, 35/66) were managed with ERT. The median pre-hospital time was 64mins [45–89]. At admission, the median injury severity score was 35 [25–48], and 51% (16/30) of patients have lost SOL. ERT was associated with a massive transfusion protocol including 8 RBCs [6–13], 6 FFPs [4–10], and 0 PCs [0–1] in the first 6h. The overall success-to-rescue after ERT at 24-h and 28-d were 27% and 15%, respectively. In case of refractory shock after penetrating trauma, survival was 64% at 24-hours and 47% at 28-days.</div></div><div><h3>Conclusions</h3><div>ERT integrated into the trauma protocol remains a life-saving procedure that appears to be underutilized in France, despite significant success-to-rescue observed by trained teams for selected patients.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 6","pages":"Pages 356-363"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890675","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}

引用次数: 0

Intracolic prosthetic mesh migration 结肠内假体网片移位。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.jviscsurg.2024.06.008

Gaultier Gelly, Alexandru Barbalan, Alexandre Cortes

引用次数: 0