SURGERY

Discussion
Parathyroid hormone-based algorithm reduces complications after total thyroidectomy
Chereau N, Gaujoux S, Ghander C, Bertocchio JP, Buffet C and Menegaux F
Hypocalcemia after total thyroidectomy is a frequent complication that can be predicted and best managed by the postoperative measurement of parathyroid hormone levels.
The efficacy of negative-pressure wound therapy (NPWT) in the prevention of surgical site occurrences in open abdominal surgery: A randomized clinical trial
Moreno Gijón M, Suárez Sánchez A, de Santiago Álvarez I, Rodicio Miravalles JL, Amoza Pais S, Rodríguez Uría R, Sanz Navarro S, Díaz Vico T, Turienzo Santos E and Sanz Álvarez L
The secondary consequences of surgical site occurrences, especially surgical site infections, worsen the patient's outcomes while significantly increasing health care costs. The implementation of preventive measures to reduce this complication rate should be one of the priorities to improve health care.
Development and validation of an artificial intelligence system for surgical case length prediction
Ramamurthi A, Neupane B, Deshpande P, Hanson R, Brown KR, Christians KK, Evans DB and Kothari AN
Accurate case length estimation is a vital part of optimizing operating room use; however, significant inaccuracies exist with current solutions. The purpose of this study was to develop and validate an artificial intelligence system for improved surgical case length prediction by applying natural language processing and machine-learning methods.
Racial/ethnic differences in tumor biology and treatment outcomes in women with ductal carcinoma in situ
Black DM, Day CN, Piltin MA, Klassen CL, Pruthi S and Hieken TJ
Racial differences in invasive breast cancer exist, but less is known about ductal carcinoma in situ. Our aim was to assess racial/ethnic differences in ductal carcinoma in situ tumor biology and treatment.
Expedited discharge and risk of readmission after ostomy construction
Burge KG, Sheffer HF, Smithson M, McLeod C, Chu D and Hollis RH
Expedited discharge after surgery with construction of an ostomy may leave patients less prepared for home self-care, leading to increased hospital readmissions. We evaluated whether readmission rates were greater for patients with an expedited discharge (1-2 days) compared with nonexpedited discharge (3-5 days) after ostomy construction.
Letter to the editor on "Lung ultrasonography underdiagnoses clinically significant pneumothorax"
Adhikari S and Blaivas M
Discussion
Complex blunt traumatic abdominal wall hernias: Experience from a high-volume abdominal core health center
Mazzola Poli de Figueiredo S, Maskal SM, Ellis RC, Mishra Z, Fafaj A, Messer N, Krpata DM, Miller BT, Beffa LRA, Petro CC, Prabhu AS and Rosen MJ
Traumatic abdominal wall hernias are rare and commonly involve the lateral abdominal wall due to shearing off the oblique and transversus abdominis muscles from the iliac crest. The vast majority of the current literature focuses on the index trauma admission, includes few patients, and provides little to no detail about the hernia repair itself. We aim to report our center's high-volume experience with a definitive repair of chronic traumatic lateral abdominal wall hernias.
Discussion
Identification of tumor-antigen signatures and immune subtypes for mRNA vaccine selection in muscle-invasive bladder cancer
Xu Z, Wu Y, Bai Y, Chen X, Fu G and Jin B
Muscle-invasive bladder cancer continues to lack reliable diagnostic and prognostic biomarkers. Recently, tumor vaccines targeting specific molecules have emerged as a promising treatment in inhibiting tumor progression, which was rekindled under the background of coronavirus disease-2019 pandemic. However, the application of mRNA vaccine targeting muscle-invasive bladder cancer-specific antigens remains limited, and there has been a lack of comprehensive studies or validations to identify suitable patient subgroups for vaccination. This study aims to explore novel muscle-invasive bladder cancer antigen signatures to identify patients most likely to benefit from vaccination.
Comment on "Implementation of a novel peer review system and promotion of women surgeons"
Chellapandian H and Jeyachandran S
Video-based surgical quality assessment of minimally invasive right hemicolectomy by medical students after specific training
Grüter AAJ, Toorenvliet BR, Tanis PJ and Tuynman JB
Recently, a competency assessment tool has been developed within the RIGHT project, a national quality improvement program for minimally invasive right hemicolectomy in patients with colon cancer. This study aimed to evaluate whether trained medical students can reliably evaluate minimally invasive right hemicolectomy videos using a competency assessment tool.
Creative destruction and surgery: The underappreciated X factor
Charles RA, Amin AL, Runnels P and Winter JM
Research progress on animal models of peritoneal adhesion
Pu Z, Nian H, Li Z, Zhong P, Ma S and Li J
Peritoneal adhesion is a common complication of abdominal and pelvic surgery that can cause various clinical symptoms, including abdominal pain, intestinal obstruction, and female infertility, significantly impacting patient quality of life. Animal models of peritoneal adhesion are important tools for studying the mechanisms of adhesion formation and evaluating the effectiveness of prevention and treatment. Various methods for constructing animal models of peritoneal adhesion include physical injury, chemical injury, ischemia, infection, foreign body stimulation, and simulated surgery; however, none can fully simulate peritoneal adhesion in patients clinically. Therefore, this review aimed to explore previous methods used to construct peritoneal adhesion animal models and summarize their principles, characteristics, and applications. Similarly, it summarizes macroscopic and microscopic evaluation indicators, such as peritoneal adhesion gross assessment, histological scoring, and molecular markers. On the basis of this, we proposed a new animal model of peritoneal adhesion that simulates the factors contributing to peritoneal adhesion formation in clinical surgery. peritoneal adhesion formation was stable and standardized using our proposed model, providing a foundation for the establishment and application of peritoneal adhesion animal models.
Comparative analysis of treatment modalities for solitary, small (≤3 cm) hepatocellular carcinoma: A systematic review and network meta-analysis of oncologic outcomes
Choi WJ, Ivanics T, Rajendran L, Li Z, Gavira F, Jones O, Gravely A, Claasen M, Yoon PD, Ladak F, Rana M, Gotlieb N, Dini Y, Naccarato K, McCluskey S, Ferreira R, Msallak H, Chow J, Abreu P, Rabindranath M, Selvanathan C, Muaddi H, Magyar CTJ, Englesakis M, Beecroft R, Vogel A, O'Kane G, Hansen B and Sapisochin G
Solitary hepatocellular carcinoma measuring ≤3 cm represents approximately 30% of hepatocellular carcinoma cases, yet treatment guidelines lack robust evidence. This study compares oncologic outcomes after ablation, liver resection, and liver transplantation for solitary, small hepatocellular carcinoma.
Fluorescence-guided pancreatic surgery: A scoping review
Piper TB, Schaebel GH, Egeland C, Achiam MP, Burgdorf SK and Nerup N
Although fluorescence guidance during various surgical procedures has been shown to be safe and have possible better clinical outcomes than without the guidance, the use of fluorophores in pancreatic surgery is novel and not yet well described. This scoping review involved a systematic methodology of the currently available literature and aimed to illuminate the use of fluorophores in pancreatic surgery from a clinical view.
Association of transplant recipient status with clinical and financial outcomes among patients undergoing major surgery
Mehdi Khan MM, Woldesenbet S, Munir MM, Khalil M, Endo Y, Katayama E, Altaf A, Rashid Z, Schenk A and Pawlik TM
Transplant recipients undergoing surgery may represent a vulnerable population because of transplant-related comorbidities as well as reliance on immunosuppressive medications. We sought to characterize the association of prior transplant status on postoperative outcomes among patients undergoing major non-transplant-related surgical procedures.
Letter to the Editor: Which individual components of a colorectal surgery enhanced recovery program are associated with improved surgical outcomes?
Ajaz M
Discussion
Response to the Editor: RE: Routine use of robotics in cholecystectomy: Another brick in the wall
Maegawa FB