SciCombinator

Discover the most talked about and latest scientific content & concepts.

Journal: The British journal of surgery

163

Discrimination between simple and perforated appendicitis in patients with suspected appendicitis may help to determine the therapy, timing of surgery and risk of complications. The aim of this study was to estimate the accuracy of magnetic resonance imaging (MRI) in distinguishing between simple and perforated appendicitis, and to compare MRI against ultrasound imaging with selected additional (conditional) use of computed tomography (CT).

Concepts: Medical imaging, Nuclear magnetic resonance, Radiography, Magnetic resonance imaging, Radiology, Medical ultrasonography, Ultrasound, Virtopsy

95

Laparoscopic Roux-en-Y gastric bypass (LRYGB) is an effective treatment for morbid obesity, but might aggravate gastrointestinal complaints and food intolerance. The long-term prevalence of these symptoms has not been well studied.

Concepts: Nutrition, Obesity, Malnutrition, Bariatric surgery, Gastric bypass surgery, Bariatrics, Duodenum, Beriberi

28

Endoscopic submucosal dissection is gaining popularity in the treatment of early gastric cancer. This study aimed to identify clinicopathological factors predictive of lymph node metastasis in patients with the poorly differentiated early gastric cancer to assess the feasibility of using endoscopic submucosal dissection for these cancers.

Concepts: Cancer, Breast cancer, Metastasis, Oncology, Lung cancer, Cancer staging, Lymph node, Stomach cancer

28

Selection criteria for surgical training are not scientifically proven. There is a need to define which attributes predict future surgical performance. The aim of this study was to examine the predictive value of specific attributes that impact on surgical performance.

Concepts: Scientific method, Prediction, Futurology, Future, Science, Hypothesis, Forecasting, Aristotle

28

A systematic review and network meta-analysis was undertaken to consider the evidence for the efficacy and tolerability of placebo, cilostazol, naftidrofuryl oxalate and pentoxifylline in patients with intermittent claudication due to peripheral arterial disease (PAD).

Concepts: Evidence-based medicine, Systematic review, Randomized controlled trial, Meta-analysis, Intermittent claudication, Angiology

27

Self-expanding metallic stents (SEMS) may be used in acute obstructing left-sided colonic cancers to avoid high-risk emergency surgery. However, oncological safety remains uncertain. This study evaluated the long-term oncological outcome of SEMS as a bridge to elective curative surgery versus emergency resection.

Concepts: Cancer, Oncology, Chemotherapy, Amputation

26

The extent of lymphadenectomy in the treatment of gastric cancer has been debated for more than two decades. This meta-analysis sought to evaluate the effectiveness and safety of extended lymphadenectomy in patients with gastric cancer.

25

Postoperative wound complications are common following surgical procedures. Negative-pressure wound therapy (NPWT) is well recognized for the management of open wounds and has been applied recently to closed surgical incisions. The evidence base to support this intervention is limited. The aim of this study was to assess whether NPWT reduces postoperative wound complications when applied to closed surgical incisions.

Concepts: Evidence-based medicine, Systematic review, Topology, Wound, Meta-analysis, Publication bias, Topological space, Chronic wound

25

Seroma formation, the most prevalent postoperative complication after mastectomy, is an inflammatory process that is potentially preventable via local steroid administration. This study investigated the effect of local steroid administration on seroma formation.

Concepts: Pharmacology, Epidemiology, Clinical trial, Medical statistics, Effectiveness, Pharmaceutical industry, Clinical research, Prevention

18

For more than a century, appendicectomy has been the treatment of choice for appendicitis. Recent trials have challenged this view. This study assessed the benefits and harms of antibiotic therapy compared with appendicectomy in patients with non-perforated appendicitis.

Concepts: Medicine, Antibiotic resistance, Phage therapy, Antibiotic, General surgery, Appendicitis, Vermiform appendix, Appendicectomy