Surgery
Conventional plate osteosynthesis is the corner stone for management of displaced parasymphyseal mandibular fractures that necessitate open reduction and internal fixation (ORIF). Yet, the conventional workflow is labor-intensive, time consuming and limited by variable reduction
Open articleSurgery
With the increasing adoption of totally tubeless percutaneous nephrolithotomy (ttPCNL), prevention of stone fragment migration into the ureter has gained clinical importance. This study aimed to compare the incidence of ureteral fragment migration at the end of PCNL using a 5 Fr
Open articleSurgery
AIM: To compare the regional tissue oxygen saturation under general, spinal, and epidural anesthesias during the posterior lumbar discectomy procedures performed in the prone position. MATERIAL and METHODS: A total of 90 patients with an American Society of Anesthesiologists scor
Open articleSurgery
The aim of this systematic review was to synthesize current evidence on end-of-life (EOL) communication in surgical and neurocritical care settings. While effective EOL communication is essential to support patient-centered decision-making and ethical care, its implementation in
Open articleSurgery
The standard surgical approach to the treatment of pediatric VUR is ureteral reimplantation. Although open surgery is still the standard benchmark for its long-term durability and high success rate, the development of minimally invasive techniques led to the creation of laparosco
Open articleSurgery
To compare clinical, operative, patient-reported, and economic outcomes of robotic versus laparoscopic inguinal hernia repair in adults. We conducted a PRISMA 2020-compliant systematic review and meta-analysis of PubMed, Web of Science, and Google Scholar through June 13, 2025. T
Open articleSurgery
Cleft lip and palate (CLP) frequently cause maxillary hypoplasia, requiring surgical advancement, and virtual surgical planning (VSP) is increasingly used to improve accuracy. This systematic review and meta-analysis synthesized the evidence on VSP-assisted maxillary advancement
Open articleSurgery
Closed-incision negative-pressure wound therapy (ciNPWT) has been shown to reduce complications in high-risk wounds, but there is still no consensus in literature to whether it is effective when compared to standard wound dressing (SWD). Therefore, we aimed to perform a systemati
Open articleSurgery
New England Journal of Medicine, Ahead of Print.
Open articleSurgery
We read with great interest the short-term outcomes of transanal total mesorectal excision (TaTME) for mid and low rectal cancer in Jurriaan B Tuynman and colleagues’ COLOR III trial,1 and the accompanying Comment by Patricia Sylla.2 The reduction in conversion rates versus lapar
Open articleSurgery
On June 3, 2024, a ransomware cyber-attack targeted a major pathology service provider for several National Health Service (NHS) trusts in southeast London, UK,1 severely disrupting essential services such as blood transfusions, pathology testing, and diagnostics, and affecting p
Open articleSurgery
Heart valve disease is a significant cause of morbidity and mortality, and aortic valve replacement (AVR) is a common treatment option. Recently, sutureless biological valves have gained increasing use. This study aimed to evaluate the concordance between preoperative computed to
Open articleSurgery
Small ventral hernia repair is among the most performed general surgical procedures. Despite the routine use of planar polypropylene mesh, surgical site occurrences (SSO) remain a frequent cause of morbidity, readmission, and patient dissatisfaction. A novel mesh-suture integrate
Open articleSurgery
To compare tegileridine-based and sufentanil-based patient-controlled intravenous analgesia (PCIA) for postoperative gastrointestinal recovery in elderly patients undergoing laparoscopic colorectal cancer surgery. In this single-center, double-blind, randomized controlled trial,
Open articleSurgery
Ischemia-reperfusion injury due to vascular pedicle occlusion is one of the most common causes of free flap failure in head and neck cancer reconstruction. Remote ischemic preconditioning (RIPC) has been proposed as an experimental, non-invasive intervention to attenuate flap isc
Open articleSurgery
Comparative randomized evidence specifically evaluating totally extraperitoneal (TEP) and Lichtenstein repair is limited. This study compared sex-related and general health-related quality of life following these two techniques. In this prospective randomized controlled trial, se
Open articleSurgery
Various grafting materials have been used for alveolar ridge preservation with varying degrees of success in maintaining ridge dimensions. This study compared the clinical and radiographic outcomes of a composite graft plug containing bioactive, resorbable calcium apatite crystal
Open articleSurgery
Quality of life (QoL) and bowel function are key outcomes in mid- and low rectal cancer. The comparative impact of laparoscopic total mesorectal excision (LaTME) versus transanal total mesorectal excision (TaTME) on patient-reported outcomes and long-term oncological results in r
Open articleSurgery
Axillary lymph node dissection (ALND) in breast cancer causes substantial arm morbidity and long-term functional impairment. Less extensive axillary surgery, such as targeted axillary dissection (TAD), significantly reduces this risk. Although omission of ALND is standard in clin
Open articleSurgery
Managing chronic postsurgical pain is challenging. Evidence supporting the use of perioperative lidocaine to prevent it is inconsistent, potentially due to insufficient infusion duration. To determine the effect of extending lidocaine infusion to 24 hours for treating chronic pos
Open articleSurgery
The UroLume endoprosthesis (AMS/Endo-care), commercially available 1988-2007 and FDA-approved in 1996, was positioned as a permanent minimally invasive solution for recurrent bulbar urethral stricture and benign prostatic hyperplasia. Despite early procedural success, long-term d
Open articleSurgery
Class II malocclusion affects aesthetics and function. Traditional anchorage methods have limitations, and microimplant anchorage (MIA) requires thorough comparison. The objective of this study was to compare the efficacy of MIA with traditional anchorage in treating patients wit
Open articleSurgery
Postoperative sleep disturbance (PSD) is a complication that often follows surgery. The condition is closely associated with impaired recovery, heightened pain sensitivity, and increased risk of chronic postsurgical pain. While pharmacological interventions like dexmedetomidine a
Open articleSurgery
Magnetically actuated surgical systems represent a disruptive class of mechatronic devices that offer a promising approach to enhance minimally invasive (MIS) procedures by reducing tissue trauma. This literature systematic review synthesizes 10 years evidence, from 2016 to 2026,
Open articleSurgery
The optimal suture material for laparoscopic inguinal hernia repair in children remains controversial. This study aimed to compare the outcomes of absorbable sutures (AS) versus non-absorbable sutures (NAS), focusing on recurrence and suture-related complications. A systematic li
Open articleSurgery
With the growing application of the transoral endoscopic thyroidectomy vestibular approach (TOETVA) for papillary thyroid carcinoma (PTC), understanding patient preferences is critical to improving communication and supporting informed decision-making. This study aimed to identif
Open articleSurgery
Postoperative exudation after thyroidectomy can compromise healing. Although Sapylin (Group A Streptococcus pyogenes) promotes wound repair, its efficacy and safety in endoscopic thyroid cancer surgery remain unclear. This randomized controlled trial evaluated Sapylin's impa
Open articleSurgery
To investigate the clinical value of intraoperative high-frequency ultrasound in assessing the capsular continuity of thyroid follicular neoplasms and to evaluate its feasibility in guiding optimal frozen section sampling during surgical resection to improve diagnostic accuracy.
Open articleSurgery
Parathyroid preservation during total thyroidectomy with central neck dissection in papillary thyroid carcinoma remains challenging due to the glands' delicate vascular anatomy and risk of inadvertent devascularization or excision. Although advanced technologies exist, lowco
Open articleSurgery
Emergency abdominal surgeries comprise most of emergencies and are high-risk procedures owing to their urgency and the limited time for optimization of comorbidities. Enhanced recovery after surgery (ERAS) protocols, in an adapted form, can potentially improve patient outcomes in
Open articleSurgery
Although laparoscopy continues to be the predominant minimally invasive approach in most emergency settings, the advantages of robotics, well established in elective surgery, are currently being explored in selected scenarios and specialized centres. A systematic review was condu
Open articleSurgery
To evaluate the association between interhospital transfer and postoperative mortality after emergency general surgery operations. In compliance with Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement standards, a systematic review including ran
Open articleSurgery
Readmissions following emergency laparotomy are frequent, and mainly a result of late-onset postoperative complications, worsening of pre-existing comorbidities, and non-compliance with care instructions. This review aimed to describe current evidence on readmission after emergen
Open articleSurgery
Early mobilization is considered a key strategy for enhancing recovery after elective surgery, yet its effect after emergency surgery remains unclear. Through this systematic review, we aim to isolate mobilization as a postoperative variable in an emergency setting to clarify its
Open articleSurgery
To evaluate the effect of Enhanced Recovery After Surgery (ERAS) protocols on mortality and morbidity after trauma and non-trauma emergency laparotomies. A PRISMA-compliant meta-analysis using random-effects modelling was conducted. All studies comparing outcomes of ERAS with no
Open articleSurgery
To compare postoperative pain, hernia-specific Quality of Life, inflammatory response and the long-term hernia-related complaints between self-fixating mesh and limited tack fixation in laparoscopic totally extraperitoneal (TEP) inguinal hernia repair. This prospective double-bli
Open articleSurgery
Patients undergoing minimally invasive esophagectomy (MIE) frequently experience moderate-to-severe postoperative pain and anxiety-depressive symptoms, compromising postoperative quality of recovery (QoR). Esketamine is a promising adjunct for analgesia and anxiolysis; however, t
Open articleSurgery
Postoperative ileus is a transient impairment of gastrointestinal motility that occurs after surgery and anesthesia. Currently, there is a sustained trend toward investigating the role of serotonin as a regulator of intestinal motor function. To evaluate the clinical efficiency o
Open articleSurgery
Many authors have investigated whether a new functional end-to-end anastomosis, the Kono-S, or the resection of the mesentery could allow better results following primary ileocolic-resection for Crohn Disease. The Resection of the mesentery vs Kono-S anastomosis in preventing sur
Open articleSurgery
During Flexible ureteroscopy; Failed primary placement of the ureteral access sheath (UAS) or backloading of flexible ureteroscopy occurred in up to 22% of patients who required ureteric stent insertion for some time. This study was conducted to compare the outcomes of two versus
Open articleSurgery
This study aims to evaluate the feasibility of 3D printing in percutaneous nephrolithotomy (PCNL) for the treatment of complex renal calculi. Eighty patients with complex kidney stones admitted to Guangdong Second People's Hospital for PCNL surgery from October 1, 2021, to D
Open articleSurgery
To examine the effects of fiber post material and coronal preparation timing on the sealing ability of post-core systems and to determine whether these factors interact under thermal and mechanical aging conditions. A 2×2 factorial design was used. 60 freshly extracted single-roo
Open articleSurgery
Postthrombotic syndrome (PTS) is a disabling complication of deep vein thrombosis and is associated with impaired functional status. To assess the impact of stent placement for post-thrombotic syndrome on functional outcomes and quality of life. The Aspirin Plus Rivaroxaban Versu
Open articleSurgery
The anesthetic characteristics of ultrasound-guided two-point rhomboid intercostal block (RIB) have not been fully established. This study compared the analgesic efficacy of ultrasound-guided two-point RIB with that of two-point thoracic paravertebral block (TPVB) for postoperati
Open articleSurgery
Chronic rhinosinusitis (CRS) is a prevalent inflammatory disorder that significantly impairs quality of life. Emerging evidence suggests that vitamin D plays an immunomodulatory role in sinonasal inflammation; however, its clinical significance in CRS remains unclear. To systemat
Open articleSurgery
Postoperative respiratory complications, particularly in patients with poor oral hygiene, contribute significantly to morbidity and healthcare burden. The oral cavity serves as a reservoir of pathogenic micro-organisms that, when aspirated during or after surgery, can lead to res
Open articleSurgery
BACKGROUND This study compared the effects of ultrasound-guided modified thoracoabdominal nerves block through the perichondrial approach (M-TAPA) and subcostal transversus abdominis plane (TAP) block on postoperative recovery after laparoscopic cholecystectomy. MATERIAL AND METH
Open articleSurgery
This noninferiority trial aimed to evaluate whether the serratus posterior superior intercostal plane block (SPSIPB) provides noninferior postoperative analgesia compared with the thoracic paravertebral block (TPVB) after unilateral mastectomy. This prospective, randomized, asses
Open articleSurgery
Older adults undergoing laparoscopic transabdominal preperitoneal (TAPP) hernia repair often experience inadequate analgesia and delayed mobilization. We tested the hypothesis that dual-plane abdominal wall blocks (transversus abdominis plane + rectus sheath block, TAP+RSB) using
Open articleSurgery
Successful apicoectomy relies on effective bone healing at the resected root apex. Platelet-rich fibrin (PRF) and bone graft materials have been proposed to enhance regeneration, yet comparative evidence using both two-dimensional (2D) and three-dimensional (3D) imaging remains l
Open articleSurgery
This paper was designed to reveal the effects of evidence-based rehabilitation nursing (EBRN) combined with early neck and shoulder exercises on cervical mobility in patients with thyroid cancer (TC) undergoing transoral endoscopic thyroidectomy via the vestibular approach (TOETV
Open articleSurgery
To compare the perioperative outcomes of a novel laparoscopic-like 3-arm + 2-port and traditional 4-arm + 1-port models in robot-assisted distal gastrectomy with Billroth II reconstruction in patients with resectable, non-metastatic gastric cancer. This randomized controlled tria
Open articleSurgery
Surgical site infections represent a significant complication after emergency laparotomy, contributing to increased morbidity, mortality, and healthcare costs. Negative pressure wound therapy (NPWT) may reduce the incidence of surgical site infections; however, evidence from rand
Open articleSurgery
Artificial intelligence (AI) is beginning to be used within digital surgical wound monitoring to facilitate implementation at scale. AI acceptability is essential to its success. This study aimed to explore patient and staff acceptability of an AI-based digital surgical wound mon
Open articleSurgery
Papillary puncture is commonly recommended in percutaneous nephrolithotomy (PCNL) because it is thought to reduce the risk of vascular injury. In patients with multiple renal stones, however, calyceal anatomy and stone distribution can make a strict papillary approach difficult.
Open articleSurgery
An Exchange about "Minimally Invasive versus Open Pancreatoduodenectomy for Resectable Neoplasms".
Open articleSurgery
Progress in artificial intelligence (AI)-based analysis of surgical videos has been constrained by reliance on manual frame-level annotations rather than patient-level outcomes. In addition, concerns about data privacy restrict the exchange of laparoscopic video data and, thereby
Open articleSurgery
To evaluate the efficacy and safety of prophylactic mesh reinforcement (PMR) at the closure of emergency midline laparotomy (EML), with a pre-specified subgroup analysis of contaminated and dirty wounds (CDC class III-IV). PRISMA 2020-compliant review (PROSPERO CRD420261324766; O
Open articleSurgery
Background bilateral chronic subdural hematoma (CSDH) is frequently encountered in neurosurgical practice, particularly in older adults. While burr-hole drainage remains the standard treatment, the optimal surgical strategy for bilateral disease is still debated. In daily practic
Open articleSurgery
Objective Artificial intelligence (AI) is beginning to be used within digital surgical wound monitoring to facilitate implementation at scale. AI acceptability is essential to its success. This study aimed to explore patient and staff acceptability of an AI-based digital surgical
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