Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland最新文献

{"title":"Size of small pneumothorax on chest radiograph as a predictor for failure of conservative management in thoracic stab wounds - A critical analysis of 284 cases at a major trauma centre in South Africa.","authors":"Victor Kong, Cynthia Cheung, Daniel Lee, Jonathan Ko, William Yeung, Hong Lee, Reuben He, Howard Wain, Damian Clarke","doi":"10.1016/j.surge.2025.06.005","DOIUrl":"https://doi.org/10.1016/j.surge.2025.06.005","url":null,"abstract":"<p><strong>Introduction: </strong>Selective conservative management of asymptomatic patients with small pneumothorax (PTX) in the setting of thoracic stab wounds (SWs) appears safe, but the correlation between the size of PTX and rate of failure of conservative management remains largely unknown.</p><p><strong>Materials and methods: </strong>A prospective study was conducted over a 14-year period on patients with isolated thoracic SWs who were asymptomatic with small PTX on CXR (<2 cm) and underwent clinical observation at a major trauma centre in South Africa.</p><p><strong>Results: </strong>284 patients were included (91 % male, mean age: 24 yrs). Eight (3 %) eventually required TT, and all other patients were managed successfully with clinical observation alone. There was no morbidity or mortality as a direct result of our selective conservative management approach. The need for TT was based on the size of initial PTX; Group A: <0.5 cm (0 %), Group B: ≥0.5 to < 1 cm (0 %), Group C: ≥1 cm to < 1.5 cm (3 %) and Group D: ≥1.5 cm to < 2 cm (13 %). For every 0.5 cm increase in PTX size, there was a five-fold (95 % CI, 1.73 to 16.67, p = 0.004) increased risk for the need for TT.</p><p><strong>Conclusion: </strong>Selective conservative management of patients with asymptomatic small PTX of < 2 cm on CXR following thoracic SWs appears safe although the greater the size of the initial PTX, there was a higher risk of failure of conservative management. This should alert clinicians to remain vigilant and have a low threshold for intervention.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643995","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":"Robotic cholecystectomy reduces the conversion rate in patients with obesity.","authors":"Raul Sebastian, Alba Zevallos, Diana Montenegro, Lourdes Chaves, Pamela Sullivan, James Harris","doi":"10.1016/j.surge.2025.07.004","DOIUrl":"https://doi.org/10.1016/j.surge.2025.07.004","url":null,"abstract":"<p><strong>Background: </strong>Obesity is associated with technical challenges during laparoscopic cholecystectomy (LC) and a high risk of intra-postoperative complications. Robotic-assisted cholecystectomy (RC), with its superior visualization and precision, may offer better outcomes. This study compares intraoperative and 30-day postoperative outcomes in patients with a BMI greater than 30 undergoing LC versus RC.</p><p><strong>Methods: </strong>Patients with a BMI greater than 30 who underwent LC and RC at our institution from January 2021 to May 2024 were included to compare outcomes such as conversion rate, length of stay, and operative time between groups. Then, we conducted a subgroup analysis comparing LC patients who required conversion to open surgery with those who did not to compare outcomes.</p><p><strong>Results: </strong>637 patients were included (505 LC and 132 RC). RC patients had lower rates of conversion to open surgery (0.0 % vs. 3.2 %, P = 0.038) and shorter hospital stays (1 [0.5-2] vs. 1 [1-2] days, P < 0.001) compared to LC. When sub-analyzed patients LC patients, those who required conversion to open surgery had a longer length of stay (4 [3-6.5] vs. 1 [1-2] days, P < 0.001), and operative time (224.31 ± 88.17 vs. 104.27 ± 37.88 min, P < 0.001) compared to those who did not require conversion.</p><p><strong>Conclusion: </strong>Patients with obesity who underwent RC have reduced conversion to open rates compared to LC. Furthermore, a reduced conversion to open rate with RC potentially leads to a shorter hospital stay. RC offers better postoperative outcomes in patients with obesity.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627550","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":"Unsolicited emails from presumed predatory journals: An early-career surgical trainee's perspective.","authors":"Andrew Keane","doi":"10.1016/j.surge.2025.07.002","DOIUrl":"https://doi.org/10.1016/j.surge.2025.07.002","url":null,"abstract":"<p><strong>Background: </strong>The proliferation of open access (OA) publishing has been accompanied by a rise in unsolicited academic correspondence, often originating from so-called \"predatory\" publishers. Early-career surgeons may be particularly vulnerable to predatory journals due to pressure to publish in order to enter and advance through training. This observational study aims to characterize the nature and volume of unsolicited emails received by a surgical trainee following the publication of a single paper.</p><p><strong>Methods: </strong>All unsolicited emails received by the author between September 10th 2024 and December 31st 2024, were collated and analysed. Emails were assessed for their origin, journal/publisher, structure, requested contribution, relevance and associated Article Processing Charges (APCs). Where emails lacked this information, it was sought from journal and publisher websites. Publication legitimacy was assessed by the journal or publisher's presence on Beall's list of potential predatory journals, inclusion in the Directory of Open Access Journals (DOAJ) and the Committee on Publication Ethics (COPE).</p><p><strong>Results: </strong>A total of 264 emails were received, 227 of which were soliciting journal articles. These represented 109 individual journals, comprising 44 publishers and 10 standalone journals. High levels of flattery (92.95 %) and poor grammar (91.19 %) were noted in the emails. In terms of legitimacy, 87.15 % (n = 95) were on Beall's list whereas 8 (7.3 %) were members of COPE and 2 (1.8 %) listed in DOAJ. APCs were mentioned in 36.56 % of emails and clearly stated in 11.45 %. The mean APC was 2006.18 USD, median APC was 1988.5 USD. Withdrawal fees were charged by 58.7 % (n = 64) of journals with a mean cost of 1039.68 USD and median cost of 680.25 USD. The remaining emails included conference invites (n = 28), editorial board invites (n = 6) and book chapter requests (n = 3).</p><p><strong>Conclusion: </strong>This study highlights the high volume and typical characteristics of predatory journal solicitations following a single publication. With increasing pressure on surgical trainees to publish, awareness of predatory practices is essential. Transparent vetting tools and guidance from training bodies are needed to safeguard academic standards in surgical training.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627551","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":"Interpretation of Indocyanine Green Fluorescence Angiography for Parathyroid Gland Evaluation: A Simple Machine Learning Method","authors":"Philip D. McEntee ,&nbsp;Joseph E. Greevy ,&nbsp;Frédéric Triponez ,&nbsp;Marco S. Demarchi ,&nbsp;Ronan A. Cahill","doi":"10.1016/j.surge.2025.04.013","DOIUrl":"10.1016/j.surge.2025.04.013","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 4","pages":"Page 256"},"PeriodicalIF":2.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144578850","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":"Intratumoural variability of fluorescent signals may accurately classify rectal neoplasia","authors":"Patrick A. Boland ,&nbsp;Ashokkumar Singaravelu ,&nbsp;Philip D. McEntee ,&nbsp;Alice Moynihan ,&nbsp;Ronan A. Cahill","doi":"10.1016/j.surge.2025.04.007","DOIUrl":"10.1016/j.surge.2025.04.007","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 4","pages":"Page 254"},"PeriodicalIF":2.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144579450","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":"Peri-operative thromboprophylaxis in patients undergoing bariatric surgery: a prospective pilot study to evaluate anti-Xa levels using our current dosing regimen of enoxaparin","authors":"Czara Kennedy ,&nbsp;Therese McCarthy ,&nbsp;Odhrán Ryan ,&nbsp;Donal O’Shea ,&nbsp;Karen Murphy ,&nbsp;Waqas Butt ,&nbsp;Naomi Fearon ,&nbsp;Helen Heneghan","doi":"10.1016/j.surge.2025.04.011","DOIUrl":"10.1016/j.surge.2025.04.011","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 4","pages":"Page 255"},"PeriodicalIF":2.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144579182","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":"List of editors","authors":"","doi":"10.1016/S1479-666X(25)00118-0","DOIUrl":"10.1016/S1479-666X(25)00118-0","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 4","pages":"Page i"},"PeriodicalIF":2.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144579445","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":"Laparoscopic-assisted Transversus Abdominis Plane Block versus Port-site Infiltration in Appendectomy: A Multicentre, Single-blinded Randomised Controlled Trial","authors":"Gavin P. Dowling ,&nbsp;Gordon R. Daly ,&nbsp;Sandra Hembrecht ,&nbsp;Sorcha O'Grady ,&nbsp;Aisling Hegarty ,&nbsp;Trudi Roche ,&nbsp;Gerard Hill ,&nbsp;Gabriel Orsi ,&nbsp;Oisin Brennan ,&nbsp;Jan Sorenson ,&nbsp;Colm Power ,&nbsp;David Kearney ,&nbsp;Abeeda Butt ,&nbsp;Michael Boland ,&nbsp;Ishwarya Balasubramanian ,&nbsp;Andrew Maguire ,&nbsp;Niamh McCawley ,&nbsp;Deborah McNamara ,&nbsp;John Burke ,&nbsp;William Robb ,&nbsp;Arnold D.K. Hill","doi":"10.1016/j.surge.2025.04.008","DOIUrl":"10.1016/j.surge.2025.04.008","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 4","pages":"Page 254"},"PeriodicalIF":2.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144579451","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 ureteroscopy and laser lithotripsy in the management of obstructing urolithiasis with associated urosepsis – A prospective multi-institutional study","authors":"James Connor ,&nbsp;John O’Kelly ,&nbsp;Steven Anderson ,&nbsp;Ailish Naughton ,&nbsp;David Galvin ,&nbsp;Kieran Breen ,&nbsp;Diarmaid Moran ,&nbsp;Mark Quinlan ,&nbsp;Barry McGuire ,&nbsp;Niall Davis","doi":"10.1016/j.surge.2025.04.012","DOIUrl":"10.1016/j.surge.2025.04.012","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 4","pages":"Page 255"},"PeriodicalIF":2.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144578849","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 MISHAP Trial: Managing Injuries - a Study of Hand Appearance and Psychosocial Dysfunction","authors":"I. Marinescu ,&nbsp;E. Phoenix ,&nbsp;E. Geary ,&nbsp;D. Mclaughlin ,&nbsp;C. Morrison ,&nbsp;R. Dolan","doi":"10.1016/j.surge.2025.04.014","DOIUrl":"10.1016/j.surge.2025.04.014","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 4","pages":"Page 256"},"PeriodicalIF":2.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144578851","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}