Breast abscess is a condition as old as mankind, references to which are available in ancient scriptures in the civilizations world over. It is a commonly occurring condition reported in female patients visiting the surgery OPD. Other conditions of the breast such as tuberculosis [....] » Read More
Many UK hospitals are now incorporating online platforms to house Patient information & Data. This includes Diagnoses, past medical history, blood results, and outstanding tasks. One notable system that is being used is known as Nerve Centre. Nerve Centre is currently being u [....] » Read More
Background: Anastomotic leakage is a major complication following colorectal resections. Perfusion of bowel ends at the anastomotic site found to be one of the most important modifiable risk factors in preventing anastomotic leakage. Fluorescence angiography (FA) using indocyanin [....] » Read More
Background: Multimodal prehabilitation aims to optimize patients’ physical and psychological readiness for surgery through interventions such as exercise, nutritional support, and psychological counseling. While Enhanced Recovery After Surgery (ERAS) protocols have imp [....] » Read More
Introduction: Traumatic diaphragmatic hernia is characterized by the passage of part of the abdominal contents into the thoracic cavity through a diaphragmatic injury resulting from trauma at the thoracoabdominal transition. Diaphragmatic rupture occurs in 0.8% of patients involv [....] » Read More
Introduction: Laparoscopic minimally invasive surgery is increasingly used for various comorbidities, including chronic kidney disease (CKD) patients on peritoneal dialysis (PD). It was necessary to complete PD in CKD patients and transit them to program hemodialysis before color [....] » Read More
Introduction: Surgical methods of hernia repair are similar in HD and non-dialysis patients. Although anterior abdominal wall hernia is a contraindication to PD, it is common in CKD patients receiving PD. Materials: In our center, we divided CKD patients receiving PD and diagn [....] » Read More
Purpose: Esophageal cancer is characterized by a high global incidence and mortality rate. Current neoadjuvant protocols including neoadjuvant chemotherapy (NCT) demonstrate limited efficacy in controlling recurrence and metastasis for locally advanced esophageal squamous cell ca [....] » Read More
Purpose: The optimal extent of lymph node (LN) dissection after neoadjuvant therapy in esophageal squamous cell carcinoma (ESCC) remains unclear, especially when comparing patients with pathological complete response (pCR) to those with residual disease (non-pCR). This study aime [....] » Read More
Short Description of what will be discussed during the presentation (about 250 - 500 words) Aims: To explore the treatment experience of robot assisted duodenum-preserving total pancreatic head resection (R-DPPHR) for benign and low-grade malignant diseases of the pancreatic head [....] » Read More
Colorectal cancer is the third most common malignancy globally and the second leading cause of cancer-related mortality. In India, rectal cancer is more prevalent than colon cancer and often presents at a younger age, with 35% of cases in patients under 40. The anatomical complex [....] » Read More
Background and Aims: For awake fibreoptic intubation (AFOI), it is essential to ameliorate the cough, swallowing and gag reflexes which can be done by various airway nerve blocks. The superior laryngeal nerve (supplying sensations above vocal cords) and recurrent laryngeal nerve [....] » Read More
Right iliac fossa pain is most common clinical presentation encountered in surgical opd. Usually during evaluation, diagnosis is uncertain in some cases and patient suffers a lot. Clinical symptoms usually not involved during evaluation of patient this also makes diagnosis more d [....] » Read More
Background: Near-infrared spectroscopy (NIRS) is a continuous, real-time method for evaluating regional oxygen saturation (rSO2) that can detect early declines in renal tissue oxygenation. This study aims to assess the effectiveness of NIRS in monitoring the perfusion of tra [....] » Read More
McKrittick-Wheelock syndrome refers to a condition characterized by a large rectal mass accompanied by excessive mucoid discharge and associated electrolyte imbalances, including hyponatremia and hypochloremia. This is a benign condition that can unexpectedly lead to serious illn [....] » Read More
Aim: To determine significance of patient-prosthesis mismatch (PPM) (indexed effective orifice area < 1,2 cm²/m²) after combined mitral-aortic valve replacement (MAVR) + TV`s plasty (TV) in pts with small cavity of left ventricle (SCLV) (end-diastolic volume (ED [....] » Read More
Aim: To research possibilities of open mitral comissurothomy (OMC) in correction of mitral valve disease (MVD). Materials: Analyzed group consists of 245 patients (pts) with MVD operated in Institute during period from 01.01.1981 till 01.01.2018. Average age was 53,3&plu [....] » Read More
Background : Anesthetic morbidity and mortality in neonates in the immediate postoperative period refers to the medical complications and deaths that can occur in neonates in the period following surgery. It remains a major concern in developing countries where the technical plat [....] » Read More
Background: Enhanced recovery after cesarean section (ERAC) is an evidence-based, standardized and new paradigm peri-operative care program that comprises a multi-disciplinary team with the principal goal of improving quality of surgical care. The care bundles of ERAC include but [....] » Read More
Introduction: Most hospitals in the United Kingdom serving a population of 300,000-400,000 people admit about 100 cases of acute pancreatitis each year. It carries a wide spectrum of disease from mild (80%) to severe (20%) with prolonged hospital stay and risk of death. The [....] » Read More
Background: Around 22,000 thyroidectomies are performed annually in England. Common indications include FNA result (38%), compressive symptoms (24%) and thyrotoxicosis (19%). Recognised complications include pain, bleeding (re-operation), infection, vocal cord palsy (VCP) an [....] » Read More
Among the specific complications of operations on the organs of the neck, the main place is occupied by a violation of the mobility of the vocal cords. Thanks to the introduction of non-invasive methods for recording a signal from the vocal folds, using intraoperative neuromonito [....] » Read More
Objective: To find out the common presentation, anatomical location and stage of colorectal carcinoma in patients presenting to the tertiary care hospital. Study design: Descriptive case series. Place & Duration of study: Department of Surgery Ward - 3, J [....] » Read More
Aims: This report explores a case of Empty Nose Syndrome (ENS) following turbinate reduction surgery, focusing on management strategies in an outpatient setting. Methods: We present a case of a young male with ENS and obstructive sleep apnea who underwent surgery using acellul [....] » Read More
Background: Acute pain is one of the most common complications following surgery and has a detrimental effect on patients’ quality of life. It also poses significant healthcare and economic burdens. The role non-opioids play in managing post-surgical pain is increasing [....] » Read More
Purpose of Study: While opioids remain essential for acute postoperative pain management, inappropriate prescribing—especially at hospital discharge—contributes significantly to ongoing opioid use, dependency, and diversion. National guidelines such as the Opioid Anal [....] » Read More
Nasogastric tube (NGT) insertion is a procedure that is performed commonly. As with any procedure, there are known complications of NGT insertion – mostly related to local complications or airway related complications. Stimulation of the nasal cavity, pharynx or oesophagus [....] » Read More
Tracheobronchopathia osteochondroplastica(TPO) is characterized by multiple osseous and cartilaginous nodule in the submucosa of the trachea and main bronchi. The clinical manifestations are variable, from no symptom to cough, hemoptysis, dyspnea. There is no specific treatment u [....] » Read More
This study delved into the intricate landscape of gene expression in advanced papillary thyroid carcinoma (PTC) by analyzing RNA-sequencing data from 13 patients. The primary objective was to pinpoint core genes that are significantly associated with tumor invasion and metastasis [....] » Read More
Presentation: A male in his twenties was brought to the emergency department after slipping and falling onto an erect iron rod at a construction site. The rod had been cut from the concrete pillar by co-workers, and the patient was transported with the rod still impale [....] » Read More
Aim: To compare the effect of the timing of Percutaneous Transhepatic Gallbladder Drainage (PTGBD) intervention on the difficulty of elective Laparoscopic cholecystectomy (LC) in high-risk patients with acute cholecystitis. Methods: A retrospective analysis was used to collect [....] » Read More
Background : Effective multi-modal analgesia post laparotomy facilitates early mobilisation and return to function after major surgery and is a significant component of Enhanced Recovery After Surgery (ERAS) programmes. Local anaesthetic infusion with Rectus Sheath Catheters are [....] » Read More
Background: Robotic pancreatectomy is an emerging minimally invasive technique increasingly adopted inNHSsurgical units. While it offers potential advantages in precision and recovery, intraoperative conversion to open surgery remains a concern. This study investigates the incide [....] » Read More
Aims: To highlight the diagnostic and therapeutic challenges of asymptomatic pneumoperitoneum in elderly patients and to demonstrate that conservative, non-operative management can be a safe and effective approach in the absence of clinical deterioration or peritonitis. Method [....] » Read More
Background: For the treatment of benign splenic tumors in children, the indications for laparoscopic partial splenectomy are clear, but there is still controversy regarding the surgical complications and safety. This study aims to analyze the surgical outcomes of single-incision [....] » Read More
Schwannomas rarely occur in the head and neck region. Intraparotid facial nerve schwannoma is a rare tumor accounting for only 0.2 - 1.5 % of all parotid tumors. 9% of FNS occur in the parotid gland with only 20 % symptomatic. Methods: 38-year-old male came with complaints of [....] » Read More
Introduction: Head and neck cancer is the common cancer amongst Indian males. Neck nodes are the best predictor of outcome in these cancers, and survival drops by 50% in node -positive necks. Neck dissections are therefore essential aspect of management of head and neck cancers. [....] » Read More
Introduction: Spontaneous intracerebral hematomas (SICH) or spontaneous intraparenchymal hematomas are defined as the occurrence of hemorrhage in the cerebral parenchyma without any vascular or parenchymal abnormality or any coagulation disorder that could explain the bleedi [....] » Read More
Cellulitis is a painful and potentially serious infection of the skin and underlying tissue affecting approximately 1 in 40 people per year- resulting in 100,000 admissions in hospital in UK each year. The Dundee classification system and NICE guidelines provide a framework for m [....] » Read More
Tarlov cysts remain a topic of controversy, from the first publication of Tarlov in 1938 and even now a myriad of treatments have been proposed for larger sacral cysts. For several reasons which will be discussed, Tarlov cysts have the tendency to be regarded as incidental findin [....] » Read More
Background: A giant anterior sacral meningocele is a very rare swelling in the sacrococcygeal region and is difficult to diagnose preoperatively, as it does not usually present as an exophytic swelling. The aim is to present a newborn with a giant anterior sacral meningocele [....] » Read More
Introduction: Home mechanical ventilation became possible once electricity became widely available. From 1930 through 1952, it was via negative pressure body ventilators. Subsequently, it became possible via tracheostomy (TVS) or up to continuous noninvasive ventilatory supp [....] » Read More
This session will explore the integration of AI-driven infrared imaging and robotics to revolutionize postoperative care through telerounding. Dr. Brioschi will demonstrate how robotic-assisted thermal analysis can help identify complications at an early stage, improving patient [....] » Read More
Background: Breast cancer remains a leading cause of cancer-related death in women worldwide. Since 2019, female breast cancer has surpassed lung cancer as the most commonly diagnosed cancer, with an estimated 2.3 million new cases (11.7%), followed by lung cancer (11.4%). T [....] » Read More
The integration of regenerative medicine with surgical practice is transforming the landscape of maxillofacial reconstruction. This presentation explores the emerging role of bioengineered soft tissues in facial surgery, where functional restoration intersects with aesthetic refi [....] » Read More
Study design: Single Surgeon Observation Study: 77 patients with VCF undergoing kyphoplasty over 18 months. OBJECTIVE: To highlight the relationships between age, sex, and spinal levels treated by kyphoplasty with balloon pressure, volume, and cement volume. Summary of ba [....] » Read More
Historically, patients undergoing emergency surgery are routinely instructed to fast from food for six hours and clear fluids for two hours before arriving to theatre [1]. However, in practice, patients often remain fasted for much longer periods of time, causing unnecessary unpl [....] » Read More
Historically, patients undergoing emergency surgery are routinely instructed to fast from food for six hours and clear fluids for two hours before arriving to theatre [1]. However, in practice, patients often remain fasted for much longer periods of time, causing unnecessary unpl [....] » Read More
Introduction: Gallstone disease is the leading risk factor for pancreatitis, an inflammatory condition wherein the exocrine pancreas releases its enzymes prematurely, leading to auto-digestion. The British Society of Gastroenterology (BSG) 2005 guidelines recommend definitive gal [....] » Read More
Primary hyperparathyroidism is a common endocrine disorder defined by abnormally elevated levels of parathyroid hormone associated with hypercalcemia. It is the number one cause of hypercalcemia in the community, with a prevalence of 0.84% and an incidence of 4 to 6 per [....] » Read More
Reinke’s oedema is a benign pathology of the vocal fold characterised by polypoidal degeneration of its subepithelial space, with resulting dysphonia and in severe cases dyspnoea. It is more common among females and smoking is a strong risk factor. Multiple conditions of th [....] » Read More
Aim: Effective post-operative pain management is critical for optimizing recovery and reducing complications in thoracic surgery patients. This study aimed to enhance pain control strategies by implementing a multimodal analgesia protocol and educational interventions, in ac [....] » Read More
Introduction: The Preferred Reporting Of CasE Series in Surgery (PROCESS) guidelines were developed in 2016 in order to improve the reporting quality of surgical case series. Since its inception, it has been updated twice, in 2018 and 2020, and has been cited over 1000 times [....] » Read More
Introduction: First released in 2017, the STROCSS guidelines have become integral for promoting high-quality reporting of observational research in surgery. However, regular updates are essential to ensure they remain relevant and of value to surgeons. Building on the 2021 u [....] » Read More
Inguinal hernia repair is one of the most common procedures performed globally and an index procedure for surgical trainees. In the UK it is usually performed in a surgical setting under general anaesthesia. There is a growing trend towards laparoscopic repair. However open ingui [....] » Read More
Although the current literature points to surgical complication as the most common cause of entero-cutaneous fistulae, the formation of a colo-cutaneous fistula following a microdiscectomy is an unusual complication. Derivation of iatrogenic fistulae is rare, however, can carry i [....] » Read More
Children born with cleft lip and palate have many problems that need to be solved for successful habilitation. The complexity of these problems requires that numerous health care practitioners cooperate in providing the specialized knowledge and skills necessary to ensure compreh [....] » Read More
Enhanced Recovery After Surgery (ERAS) protocols aim to optimize postoperative recovery by minimizing surgical stress, reducing complications, and promoting early mobilization and feeding. Anesthesia plays a critical role in the success of ERAS in colorectal surgery by contributi [....] » Read More
Background: Upper gastrointestinal bleeding (UGIB) is a significant medical emergency associated with high morbidity and mortality. While national audits in the UK have provided valuable insights into UGIB management, there is limited data from single-center audits in the Irish h [....] » Read More
Background: Intermittent Pringle Manipulation (IPM) is one of the most common methods used for controlling blood loss during laparoscopic hepatectomy (LH). But ischemia–reperfusion injury (IRI) is associated with IPM. Ischemic injury exposes the liver cells to hypoxia, [....] » Read More
Head injury is a leading cause of morbidity and mortality worldwide. Neuroprotective agents like Cerebroprotein, a peptide-based drug with neurotrophic and neuroprotective effects, have shown potential in enhancing recovery and mitigating secondary brain injury. This study evalua [....] » Read More
Statement of the Problem: End-stage renal disease (ESRD) is strongly associated with an elevated incidence of pulmonary arterial hypertension (PAH), which significantly contributes to increased mortality, morbidity. PAH resulting from aetiologies other than left-sided heart [....] » Read More
Introduction: Structural rhinoplasty is a complex surgical procedure that aims to restore and enhance nasal structure and function by reconstructing the underlying framework. Robust grafting material is required for durable results. In secondary and multiple times operated [....] » Read More
Introduction: Squamous cell carcinoma is the most common oral cancer, representing up to 84- 97% of all malignant neoplasms of the oral cavity. The GLOBOCAN 2020, documented 377,713 new cancer cases and 177,757 deaths worldwide. Surgical therapy is the prime treatment option fo [....] » Read More
Purpose: Urological and sexual dysfunction are recognised risks of rectal cancer surgery; however, there is limited evidence regarding urogenital function comparing robotic to laparoscopic techniques. The aim of this study was to assess the urogenital functional outcomes of [....] » Read More
Objective: To assess the role of laparoscopy in diagnosis and management of patients with isolated blunt abdominal trauma (IBAT). Patients and methods: This was a prospective study of 50 patients who were hemodynamically stable (systolic blood pressure ≥90 mmHg) e [....] » Read More
Introduction: The supraclavicular block is a regional anesthetic technique used as a sole type of anesthesia for upper limb surgery (mid-humerus through the hand), adjunct to general anesthesia or used for postoperative pain control. This block is an excellent alternative to gene [....] » Read More
Background: Bronchiectasis associated with achalasia cardia typically presents bilaterally due to chronic aspiration. Unilateral involvement is exceptionally rare, particularly without tracheoesophageal fistula. This report describes an unusual case of isolated left-sided bronchi [....] » Read More
Introduction: Spontaneous splenic rupture (SSR) is a rare, life-threatening complication, sometimes associated with infections like malaria and dengue fever. This case report details a unique presentation of SSR. Case presentation: A 28-year-old male in Somalia presented with [....] » Read More
Background: Carotid revascularization procedures, including carotid endarterectomy (CEA) and carotid artery stenting (CAS) both transvervical and transfemoral, are commonly performed to reduce stroke risk in patients with symptomatic or asymptomatic carotid stenosis. Despite thei [....] » Read More
Reinke’s oedema is a benign pathology of the vocal fold characterised by polypoidal degeneration of its subepithelial space, with resulting dysphonia and in severe cases dyspnoea. It is more common among females and smoking is a strong risk factor. Multiple conditions of th [....] » Read More
Introduction: Acute diverticulitis, a common surgical condition, can be classified as uncomplicated or complicated. National guidelines recommend antibiotics only for patients with complicated diverticulitis, immunosuppression, or systemic illness. This quality improvement p [....] » Read More
Extracting intramedullary nails presents significant challenges, especially when conventional nail extraction techniquesfail due to thread damage or implant compatibility issues. This technical report presents an innovative approach known as the "hitch-and-compression" [....] » Read More
Background: Sustainable healthcare is increasingly important in reducing the environmental impact of medical intervention. In perioperative medicine, intravenous (IV) drug administration contributes significantly to single-use plastic waste and higher costs compared to oral [....] » Read More
1. A new digital system - Cerner - has been rolled out at PAH, replacing existing programmes for documentation, prescribing, and OP services. 2. Both fluency of the surgical team at using the new IT application CERNER , and functionality of the system are essential in ensuring [....] » Read More
Introduction: The management of abscesses has long been incision and drainage. Many hospitals still routinely culture the pus intra-operatively and discharge patients with empirical antibiotics. Method: This retrospective study in a small district general hospital aims t [....] » Read More
Introduction: Recent years have seen advances in Minimally Invasive Surgery (MIS) to colorectal surgery, including Laparoscopic and Robotic. Apart from shorter length of stay for Robotic assisted surgeries, most studies do not demonstrate a clear advantage of one MIS technique ov [....] » Read More
Introduction: The evolving landscape of surgical education has led to the exploration of alternative models for training environments, including the implementation of Barn-Integrated Operating Rooms (BOR). Early evidence suggests BOR improve theatre efficiency whilst maintaining [....] » Read More
Patients with burn injuries are at increased risk for venous thromboembolism (VTE) and often require higher doses of prophylactic anticoagulation. Despite this, there is no universal guideline for VTE prophylaxis in this population, leading to significant practice variation. At t [....] » Read More
Introduction: Despite the increase in the incidence and prevalence of Crohn's disease, there are no options for a radical cure, and treatment remains quite complicated. The introduction and widespread use of biologics initially showed promising results with a decrease in the [....] » Read More
Gastric cancer is a malignant tumor with high morbidity and mortality. Chemotherapy is the first-line treatment for gastric cancer and has achieved remarkable results in the field of gastric cancer treatment. However, due to individual differences and tumor heterogeneity, the eff [....] » Read More
Multimodal interventions under a single perioperative program, known as Enhanced Recovery After Surgery (ERAS), have been shown to reduce physiological stress and organ dysfunction associated with surgery. ERAS pathways aim to reduce the catabolic effects of surgery and anesthesi [....] » Read More
Background: Catheter directed thrombolysis (CDT) proved to be effective treatment in deep venous thrombosis (DVT), However, there is some concerns about the associated bleeding risk. We assessed the safety and efficacy including technical and clinical success in resolution of ili [....] » Read More
Background: Colloid cysts (CCs) of the third ventricle are rare benign lesions that may present with obstructive hydrocephalus and sudden neurological deterioration. With advancements in minimally invasive neurosurgery, endoscopic resection has emerged as a viable alternative to [....] » Read More
Background: Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are widely used for treating type 2 diabetes and obesity because they induce benefits like glycemic control and weight reduction. However, their further influence on perioperative anesthesia outcomes, such as gastr [....] » Read More
Objective: To explore the relevant risk factors for deep venous thrombosis (DVT) of lower limb occurring 3 months after joint replacement surgery. Methods: A retrospective analysis was conducted on the clinical data of 1,782 patients who underwent joint replacement surgery at [....] » Read More
This presentation will delve into the critical unmet needs in surgical care across low- and middle-income countries (LMICs), based on findings from a comprehensive scoping review. Despite growing global focus on improving surgical equity, approximately 94% of the population in LM [....] » Read More
Background: Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are widely used for treating type 2 diabetes and obesity because they induce benefits like glycemic control and weight reduction. However, their further influence on perioperative anesthesia outcomes, such as gastr [....] » Read More
Hepatic artery aneurysms account for one fifth of splanchnic artery aneurysms and are usually asymptomatic until rupture, at which point, mortality reaches 40% . Appropriate identification can crucially inform intervention options such as endovascular repair or surgical resection [....] » Read More
Stoma surgery is a mutilating procedure that requires the formation of an opening between the intestine or ureters and the abdominal wall and in most cases is permanent. Patients must apply a stoma bag for the collection of urine and/or feces. The author has designed an innovativ [....] » Read More
Extensive burn care advanced over the past few decades to the point where burn victims can now often live. The goal of treating a severely burned patient nowadays is to help them return to their communities, families, and places of employment as fully participating members of soc [....] » Read More
Hernia repair is one of the most commonly performed surgical operations worldwide. Inguinal hernia is a common condition and has a high prevalence rate. Advanced age and male sex are the most important risk factors. Inguinal hernia usually presents with groin swelling with abdomi [....] » Read More
Title : Evolution of surgical oncology
Nagy Habib, Imperial College London, United Kingdom
Progress in medicine, anaesthesia and surgical techniques have reduced significantly immediate and early surgical mortality. On the other hand, intra-operative and post-operative survival have been limited in some cancers such as liver and pancreatic cancer. There has been [....] » Read More
Title : Use of capnography in theatres recovery
Sana Imtiaz, Cambridge University Hospitals, United Kingdom
Use of capnography in theatres recovery: The use of capnography in anaesthetics is vital to aid in early detection of respiratory and cardiovascular complications. It is essential requirement by AAGBI guidelines to have capnography as part of standard anaesthetic moni [....] » Read More
Title : Using respect forms peri-operatively, to document patient wishes in case of deterioration, for patients with a frailty score of 5 or more
Molly Castagna, University Hospitals of Leicester, United Kingdom
Introduction: Frail individuals are making up an increasing proportion of our patients. Research shows that a clinical frailty score (CFS) of 5 or more greatly increases the risk of 90-day mortality post-operatively; with those with a CFS of 7 having nearly 25x the risk of those [....] » Read More
Title : Transitioning from open to minimal access surgery in resource-constrained healthcare settings: Progress, possibilities and pitfalls
Adeyeye Ademola, King’s College Hospital, United Kingdom
Minimally Invasive Surgery (MIS) has revolutionized surgical care globally, offering faster recovery, reduced infection risks, and shorter hospital stays. However, its adoption in Africa (&other resource-constrained settings) remains limited due to economic, infrastructural, [....] » Read More
Title : Advancements and challenges in the application of artificial intelligence in surgical arena: A literature review
Andrew Wanees, The Royal Devon and Exeter University, United Kingdom
This literature review delves into the transformative potential of artificial intelligence (AI) in the field of surgery, exploring its evolution, applications, and technological advancements. AI, with its ability to mimic human intelligence, presents a paradigm shift in surgical [....] » Read More
Title : Reinforcement of the esophageal hiatus using ligamentum teres during sleeve gastrectomy: Outcomes regarding gastroesophageal reflux disease and hiatal hernia
Andrew Wanees, The Royal Devon and Exeter University, United Kingdom
Background: Laparoscopic sleeve gastrectomy (LSG) is a surgery that involves the removal of 75–80% of the stomach. It offers benefits like less postoperative pain and better recovery compared to open surgery, but it also carries the risk of developing gastroesophageal [....] » Read More
Title : The rare case of concurrent caecal volvulus and type IV hiatal hernia presenting simultaneously at distinct anatomical sites, laparoscopy turned into laparotomy
Rehman Saleem, Russells Hall Hospital, United Kingdom
This case report demonstrates the rare case of concurrent caecal volvulus and type IV hiatal hernia presenting simultaneously at distinct anatomical sites. Type IV hiatal hernias, or paraesophageal hernias, are complex and rare conditions, comprising 2-5% of the 5% of all hernias [....] » Read More
Title : Robotic colorectal resections york teaching hospital experience
Saad Masood, York and Scarborough Teaching Foundation Trust, United Kingdom
The colorectal division in a system of seven hospitals, serving a population of 800,000 over 3,400 square miles, completed the shift to a fully robotic surgical service. The workforce is 10,000 strong and the department has 10 colorectal consultants who perform over 250 laparosco [....] » Read More
Title : Intraoperative ureteric visualisation in laparoscopic colorectal surgery
Jayan Dewantha Jayasinghe, Royal Lancaster Infirmary, United Kingdom
Laparoscopic approach is increasingly favoured for colorectal surgery in both elective and emergency settings in all over the world. However, due to lack of haptic feedback, learning curve and increasing demands for training makes laparoscopic surgery more vulnerable to injuries [....] » Read More
Title : Hypertension as a novel predictive marker for symptomatic cholelithiasis in post-bariatric patients: Coincidence or causation?
Jaafar AL Shami, King's College Hospital, United Kingdom
Introduction: As obesity is well known to be associated with gallstone pathology, new advances have shown the role hypertension may play in predicting the occurrence of the latter. This study analyzes the correlation between symptomatic cholelithiasis post-bariatric surgery and h [....] » Read More
Title : Laparoscopic resection of cecal duplication cyst in a 28-year-old male
Jaafar AL Shami, King's College Hospital, United Kingdom
Introduction: Cecal duplication cyst is a congenital anomaly that is rarely observed in adults. It has diverse clinical presentation with different treatment approaches. This article sheds light on a case of cecal duplication cyst in an adult patient where it was laparoscopic sur [....] » Read More
Title : The effect of caudal anesthesia block on perioperative pain control and reduction of the anesthetic agent in pediatric infraumbilical surgery: A prospective randomized trial study a prospective
Zeana Amer Gawe, Ibn Al Nafees Hospital, Bahrain
Background: Caudal epidural block (CEB) is a commonly performed neuraxial block to provide effective pain relief and analgesia in pediatric patients undergoing infraumbilical surgery. Aims: This study aimed to compare the effectiveness of adding CEB to general anesth [....] » Read More
Title : The utility of intraoperative ultrasound in the localization of post-open appendectomy interstitial incisional hernia: A case report
Eunice Patricia O Santos, Manila Doctors Hospital, Philippines
Acute appendicitis is the leading abdominal emergency in the United States, affecting approximately 90 to 100 individuals per 100,000 annually, and appendectomy is among the most frequently performed surgical procedures, with more than 300,000 operations conducted each year. In o [....] » Read More
Title : Surgeons and anesthesiologists: Ethics in the relation and recommendations
Michel Daher, Hopital Saint Georges, Lebanon
The operating room is a concert of care providers, which includes surgeons, anesthesiologists, nurses, and technical support staff. The most critical individual in the operating room, of course, is the patient. In all operating rooms, there is a common technology and common proto [....] » Read More
Title : Disparities in postoperative recovery: An audit of baseline activity return across five surgical subspecialties
James Martin, Nottingham University Hospitals NHS Trust, United Kingdom
Introduction: When looking at prehabilitation’s impact on postoperative outcomes, understanding a patient’s recovery path is essential. This audit investigates the proportion of Nottingham University Hospital patients who returned to baseline and the speed with w [....] » Read More
Title : A comparative analysis of king vision video laryngoscope with macintosh and mccoy laryngoscopes in adults undergoing elective surgical procedure
Nikhil Mathew Simon, North Cumbria Integrated Care NHS Foundation Trust, United Kingdom
Background: The need to secure a patient’s airway is not only of vital importance in any emergency situation but also a routine part of general anaesthesia. The use of the laryngoscope facilitates endotracheal intubation but the force applied by it on the base of the t [....] » Read More
Title : Predictors for appendicectomy severity and outcomes
Ahmed Kassem, Kettering General Hospital, United Kingdom
Aim: This retrospective analysis aimed at evaluating appendicectomy outcomes in view of in-hospital delay and identifying predictive factors for complicated appendicitis. Methods: Data collection of consecutive appendicectomies over eight months period was executed. [....] » Read More
Title : Improving post-operative analgesia regimens after emergency major abdominal surgery
Shifa Bangi, Oxford University Hospitals NHS Trust, United Kingdom
Background: Effective postoperative pain management is paramount for patient recovery after emergency major abdominal surgery, impacting morbidity, length of stay, and overall outcomes. Variability in analgesic prescribing, potential opioid overuse, and underutilisation of non-op [....] » Read More
Title : Survival outcomes in patients with sigmoid volvulus
Rosa D E Bock, NHS Lothian, United Kingdom
Introduction: This study aimed to assess management pathways and outcomes in sigmoid volvulus (SV) in an elderly population with significant morbidity and mortality. Methods: A retrospective review was performed on patients first admitted with SV between 2019-2023 within [....] » Read More
Title : Global trigger tool and patient safety
Sugam Kale, National University Health System, Singapore
Anaesthesia and surgery have now become team events and not an individual pursuit anymore. Working in teams has advantages and disadvantages. The continuity of care is sometimes fragmented. Information gets missed as it gets passed around doctors, nurses and their colleagues work [....] » Read More
Title : Surgical treatment of advanced esophageal achalasia
Jose Luis Braga De Aquino, Pontifical Catholic University, Brazil
Endoscopic and/or laparoscopic myotomy has shown positive results in non-advanced esophageal achalasia due to the development of this surgical technique currently. For the most advanced stages of the disease, esophagectomy seems to be the most indicated procedure due to the invol [....] » Read More
Title : Advanced esophageal cancer palliative surgical therapy using isoperistaltic gastric tube
Jose Luis Braga De Aquino, Pontifical Catholic University, Brazil
Although malignant neoplasms of the esophagus remain a very common disease, their diagnosis might often come late. This issue combined with excessive weight loss due to dysphagia and the association with cardiopulmonary diseases resulting from excessive tobacco use, makes patient [....] » Read More
Title : A modified oblique incision in hamstring tendon graft harvesting during ACL reconstruction
Biao Zhu, Xuzhou Medical University, China
Background: During anterior cruciate ligament (ACL) reconstruction, different methods of harvesting hamstring tendon may lead to different degrees of injury to the inferior patellar branch of the saphenous nerve (IPBSN).Most of recent studies in the literature suggest that t [....] » Read More
Title : Cellulitis uncovered: A retrospective dive into cellulitis management
Anagha Vasant, St Peter’s Hospital, United Kingdom
Cellulitis is a painful and potentially serious infection of the skin and underlying tissue affecting approximately 1 in 40 people per year- resulting in 100,000 admissions in hospital in UK each year. The Dundee classification system and NICE guidelines provide a framework for m [....] » Read More
Title : Understanding perceptions, knowledge and implementation barriers of enhanced recovery after surgery among surgeons and anaesthesiologists
Muhammad Raheel, Leicester General Hospital, United Kingdom
Introduction: Enhanced Recovery After Surgery (ERAS) protocols have demonstrated benefits in improving postoperative outcomes, yet their implementation remains inconsistent, particularly in resource-limited settings. This study aimed to evaluate the knowledge, perceptions, and ba [....] » Read More
Title : Primary mid-ureter squamous cell carcinoma: A diagnostic conundrum in the absence of traditional risk factors
Saad Masood, York and Scarborough Teaching Foundation Trust, United Kingdom
Upper urinary tract carcinomas are mostly urothelial in origin and Squamous cell carcinoma of ureter only constitute 1-1.6 % of all urothelial tumors. Risk factors include chronic irritation, urolithiasis and chronic hydronephrosis. Prognosis is poor as 40 % of cases present with [....] » Read More
Title : Calciphylaxis associated penile gangrene masquerading as penile cancer: A case report
Gregory Lauar E Souza, Mater Dei Hospital, Brazil
60-year-old African American male with a complex medical history, including obesity, diabetes, dyslipidemia, coronary artery disease, hypertension, and end-stage renal disease on hemodialysis, presented in June 2023 with lumbar pain and dysuria. Physical examination revealed seve [....] » Read More
Title : Effect of ascorbic acid on postoperative acute kidney injury in moderate to high-risk patients undergoing valvular heart surgery: A single center randomized controlled trial
Sarah Soh, Yonsei University College of Medicine, Korea, Republic of
Acute kidney injury (AKI) is a common and devastating complication of valvular heart surgery with cardiopulmonary bypass (CPB). The anti-inflammatory, antioxidant, and vasopressor-sparing effects of ascorbic acid (AA) have been validated in patients with sepsis and septic shock. [....] » Read More
Title : Comparison of remimazolam and propofol for rescue treatment for acute tolerance to the EEG effect of propofol on total intravenous anesthesia
Seunghee Cho, Incheon Saint Mary’s Hospital, Korea, Republic of
Background: Propofol is the most widely used agent for total intravenous anestghesia(TIVA) by anesthesiologists.There are remained some reports that the continuous use of propofol in the total intravenous anesthesia(TIVA) induce acute tolerence to the EEG effect.Remima [....] » Read More
Title : Impact of secondary cytoreductive surgery on recurrent ovarian cancer outcomes
Kim Dung Huynh, Taipei Medical University, Taiwan
Background: Recurrent ovarian cancer poses significant challenges, with most patients relapsing after initial treatment. For patients with platinum-sensitive disease, secondary cytoreductive surgery (SCS) has been suggested as a strategy to improve outcomes, including progression [....] » Read More
Title : Identifying chemotherapy benefits in high-risk stage IB gastric cancer patients based on Recurrence Prediction Value (RPV): A multicenter retrospective study in China
Qi Chen He, Fujian Medical University Union Hospital, China
Background: Immediate postoperative anesthetic morbidity and mortality of newborns refers to the medical complications and deaths that can occur in newborns in the period following surgery. It remains a major concern in developing countries where the technical platform is precari [....] » Read More
Title : Ultrasound-guided high-intensity focused ultrasound for the ablation of multiple uterine fibroids: Assessment of safety and efficacy
Gao Hongmei, Chongqing Dianjiang County People's Hospital, China
Background: Uterine fibroids is an extremely common benign gynecologic neoplasm with significant impact on quality of life and reproductive outcomes. Ultrasound-guided high-intensity focused ultrasound (Usg-HIFU) is a minimally invasive procedure that has been increasingly used t [....] » Read More
Title : Outcomes of short-stay laparoscopic cholecystectomy: A study of safety and efficiency at Trat Hospital, Thailand
Thawatchai Trimitwittayakull, Trat Hospital, Thailand
Background: Laparoscopic cholecystectomy (LC) is the standard procedure for treating symptomatic gallstones. The development of an outpatient treatment approach and a short stay model could help reduce hospital stay duration and costs while maintaining safety and efficiency compa [....] » Read More
Title : Effects of perioperative use of two doses of magnesium sulfate infusion on intraoperative blood loss in patients undergoing lumbar spinal fusion surgery
Zahra Rahimi, Isfahan University, Iran (Islamic Republic of)
Background: In general, spinal fusion surgery causes heavy bleeding. The purpose of this study was to evaluate the use of two different doses of magnesium sulfate to control the bleeding in lumbar fusion surgery. Methods: This study was carried out as a randomized double-blind [....] » Read More
Title : Comparison of intraperitoneal versus intravenous dexamethasone on postoperative pain, nausea, and vomiting after laparoscopic cholecystectomy
Behzad Nazemroaya, Isfahan University, Iran (Islamic Republic of)
Background: Despite all of the benefits provided by laparoscopic cholecystectomy, such as rapid recovery and shorter hospital stay for patients, the incidence of postoperative nausea and vomiting (PONV) and postoperative pain (POP) still remains high. Objectives: This st [....] » Read More
Title : Amniotic fluid embolism case series and literature review
Sandra Lynn Jaya Bodestyne, Singapore General Hospital, Singapore
Background: Amniotic fluid embolism (AFE) is a rare but potentially catastrophic complication of pregnancy. It is characterized by acute cardiovascular collapse, altered mental status, and disseminated intravascular coagulation (DIC) occurring during the peripartum period. Althou [....] » Read More
Title : A case report of successful necrosectomy in a case of severe glandular acute necrotizing pancreatitis
Harish Nandagopal J, Krishna Institute of Medical Sciences, India
Introduction: Acute pancreatitis is an acute inflammation of the prior normal gland parenchyma which is usually reversible with raised pancreatic enzyme levels in blood and urine. Severe acute pancreatitis is usually a result of pancreatic glandular necrosis. Necrosis when a [....] » Read More
Title : Awake fiberoptic intubation for airway management in a patient with an ulcer proliferative mass of the aryepiglottic fold obscuring glottic opening
Dielle Martins, ABVIMS Hospital, India
A 45-year-old female, Manju Devi, presented with a 6-month history of progressively changing voice, diculty breathing for the past month, and worsening dysphagia for the past two weeks, parcularly with solids. Direct laryngoscopy revealed an ulceroproliferave mass arising from th [....] » Read More