We are delighted to announce a first Impact Factor of 3.396! Prof. Derek Alderson, outgoing EiC: “This is a great result for a young open access journal focused on general surgery. Making high-quality studies available to a global audience will remain our mission.” 🎉🥳
#ICYMI
Complications after open and laparoscopic right-sided colectomy with central lymphadenectomy for colon cancer: randomized controlled trial
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This study found no significant difference in complications between the two groups. Standardized oncologic
No plans for the weekend yet🥳🥳🥳?
Why not brush up your knowledge on open abdomen in trauma, acute care, and vascular and endovascular surgery with our latest comprehensive, expert, narrative review!!
➡️
Great work by
@DerekRoberts01
, Ari Leppäniemi,
Therapeutic value of lymph node dissection for Siewert type II and III adenocarcinoma: meta-analysis
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The present study demonstrates the profile of dissection rate, metastatic incidence, 5-year overall survival rate and therapeutic value index for each
📢 ANNOUNCEMENT: We're very happy to announce that we have a new Editor-in-Chief for BJS Open! Congratulations
@villesallinen
! For more information, please see the official announcement:
Implementation of a quadruple intraoperative anastomotic assessment (4-Check) during transanal TME for rectal cancer consisting of:
1)🟢🔬 indocyanine green-evaluation of colonic stump
2) 🟢🔬indocyanine green-evaluation of intraluminal anastomosis perfusion
3) 🫧everse air
Total neoadjuvant therapy followed by a watch-and-wait strategy for patients with rectal cancer (TOWARd): protocol for single-arm phase II/III confirmatory trial (JCOG2010)
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The concept of total neoadjuvant therapy with a watch-and-wait strategy has been
Artery first appraoch results in ↗️outcomes for PD, but can it also be applied in DP with celiac axis resection❓
🇨🇳 comparison of mod art frist (mafa, n=35) vs traditional (n=71) approach
📢Mafa : ↘️🩸 loss, ↗️ LN harvest & R0, ↘️ ischemic comp
Thoughts and own experiences?
One-year outcomes following operative or non-operative management of adhesional small bowel obstruction
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Most patients with adhesional small bowel obstruction are treated non-operatively. However, recent registry studies suggest that operative management
Preoperative multimodal prehabilitation before elective colorectal cancer surgery in patients with WHO performance status I or II: randomized clinical trial
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In this randomized clinical trial comparing patients undergoing 4 weeks of multimodal
Effects of early postoperative mobilization following gastrointestinal surgery: systematic review and meta-analysis
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Early postoperative mobilization is considered a key element of enhanced recovery after surgery protocols. This review describes that
Update of the international HerniaSurge guidelines for groin hernia management
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Background
Groin hernia repair is one of the most common operations performed globally, with more than 20 million procedures per year. The last guidelines on groin hernia
Does mesenteric excision matter in
#Crohns
?
The SPICY study will compare limited vs extensive mesenteric excision in primary TI surgery in an
#RCT
Endpoint: Endoscopic recurrence at 6 months.
n= 138.
Protocol here:
#some4surgery
#colorectalsurgery
#IBD
Reactivation leakages following stoma reversal after rectal cancer surgery: an underestimated problem
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🚫💦To prevent anastomotic leakage (AL) and to reduce its clinical consequences, diverting stomas are often constructed during index rectal cancer
#ICYMI
‘4-Check’ protocol for intraoperative anastomotic assessment during transanal total mesorectal excision: retrospective cohort study
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The '4-Check' multimodal anastomotic integrityprotocol, incl.
🟢indocyanine green-evaluation of colonic stump and
Our newest metaanalysis of 18 RCTs (n=2659) shows consistent⤵️of incisional hernia up to 4y postop with no relevant differences in wound infections and dehisence.
Thoughts why this is still not broadly implemented in the surgical community?
#SoMe4Surgery
New on Early View: Prognostic impact of residual lateral lymph node metastasis after neoadjuvant (chemo)radiotherapy in patients with advanced low rectal cancer
Impact of wearable wireless continuous vital sign monitoring in abdominal surgical patients: before–after study
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A before–after study including 908 abdominal surgery patients showed wearable continuous vital signs monitoring on the general ward was
Undergraduate teaching of surgical skills in the UK: systematic review
Undergraduate medical students must be proficient in certain surgical skills as set out by General Medical Council and Royal College regulations. There appears a deficit in such
Development and validation of a novel risk score to predict overall survival following surgical clearance of bilobar colorectal liver metastases
➡️
In this EAHPBA-endorsed multicenter study incl. 1236😷undergoing surgery for bilobar liver mets of CRC from
Delighted to share our international multicentre study 🇬🇧🇪🇺🇧🇷🇯🇵🇰🇷
-> nomogram to predict overall survival following surgical clearance of bilobar colorectal liver mets
THANKS to ALL collaborators, 1200+ patients
@EAHPBA
@IHPBA
@BjsOpen
@GBIHPBAnews
🧵
Global cost of postoperative ileus following abdominal surgery: meta-analysis
Background
Following abdominal surgery, postoperative ileus is a common complication significantly increasing patient morbidity and cost of hospital admission. This is the
#ICYMI
A systematic review and network meta-analysis of RCTs was performed to determine the optimal preoperative bowel preparation strategy in elective colorectal surgery. Sixty RCTs involving 16 314 patients were included; network meta-analysis demonstrated a significant
Ursodeoxycholic acid can help dissolve gall🪨, however there is⚖️ regarding benefit/non-benefit!
In our newest 📜, authors show that evidence is scarce, but 7/8 showed ⤵️ biliary pin after UDCA -> Level 1⃣ evidence urgently needed!
#some4surgery
#some4hpb
Minimally invasive versus open synchronous colorectal and hepatic resection for metastatic colorectal cancer: American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) analysis
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❓~15% of patients with CRC have synchronous
MRI-predicted extramural vascular invasion and tumour deposit are main predictors of disease-free survival in patients undergoing surgical resection for rectal cancer
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mrTD/EMVI is a major prognostic indicator in rectal cancer. A risk stratification for
Long-term expectant management of common bile duct stones in non-dilated common bile duct: retrospective cohort study
In this short report, the authors show that expectant management of asymptomatic lithiasis with non-dilated duct at time of cholecystectomy allows CBD clearance
Lymph node examination and survival in resected pancreatic ductal adenocarcinoma: retrospective study
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This study examined 466 patients undergoing pancreatectomy for pancreatic ductal adenocarcinoma (PDAC) between 2007-2018 at two 🇩🇪European university
Impact of circumferential resection margin on survival in ampullary cancer: retrospective analysis
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🏺🦀Ampullary carcinoma is a rare tumour entity with different histological subtypes. Identification of risk factors influencing postresection survival
Value of 💩 immunochemistry test (FIT) for detection of polyps/adenomas in symptomatic 😷?
🏴 study (2017-2019, n=3496) finds low sensitivity ( 46%) and AUC of 0.63!
-> FIT only recommended for prioritizing!
#some4surgery
#colorectalsurgery
@BJSAcademy
New on Early View: Cohort study of the effect of surgical repair of symptomatic diastasis recti abdominis on abdominal trunk function and quality of life
Risk of malignancy in radiologically and cytologically discordant thyroid nodules, based on Thyroid Imaging, Reporting and Data System (TI-RADS) and Bethesda classifications
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❓What do you do if you have a thyroid nodule with TI-RADS 5 (T5, >80%
Classification of mucinous appendiceal neoplasm is important. But we need to agree a classification system:
#systematicreview
, 38 studies
9 = Ronnett's
6=PSOGI
7=AJCC
Plus other comments on how classification works (or not!).
#openacess
#some4peritoneum
#ICYMI
Should you perform pancreatoduodenectomy in >80yo?
Short answer: Yes! Comparable outcomes as younger patients!
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Summary: By the end of this decade, 70 per cent of all diagnosed pancreatic ductal adenocarcinomas (PDACs) will be in the elderly.
Strategies to reduce postop ☔️ fistula remain the holy 🍷 of pancreatic surgery.
🇪🇸 RCT (n=64) shows 90% ↘️ in POPF rate after application of 2 polyethylene glycol-coated haemostatic patches!! Will this change practice?
#SoMe4Surgery
#some4hpb
@BJSAcademy
POPF prevention 🐳 any help from haemostatic patches?!
🩹 Polyethylene glycol-coated haemostatic patch for prevention: RCT from 🇪🇸
📉 POPF reduction 90% (!!!) regardless of other risk factors
🧐 What is your practice?!
#ICYMI
the latest state of the art review be
@BJSurgery
editor
@paulo_sutt
et al. on fluorescence-guided surgery🟢🔬🔪and how it can be used for issue perfusion, lymph node assessment, anatomy of vital structures & 🦀tissue 🔬:
@BJSAcademy
#SoMe4Surgery
This paper is fascinating.
Clinical judgement overestimates and underestimates both general (e.g. mortality) and specific (e.g. anastomotic leak) outcomes. Senior and junior surgeons showed variable performance.
#openaccess
#some4surgery
#surgicalresearch
#FOAMed
#ICYMI
: BJSOpen papers popular on
#SoMe
in 2022
Jan:
NGT in Whipples:
↔️complications, pancreatic fistula,time to oral intake, pulmonary complications, length of stay, death.
#SoMe4HPB
@BJSAcademy
Our editorial team just finished a 2d intense strategic meeting discussing the future of our journal!
Lots of areas to work on💪💪 with changes and ideas to hopefully further improve📈the journal📔! Stay tuned!
Thanks to all the authors for your valuable contributions to our
This paper had a thread going for days on
#gastricemptying
(including a discussion about people screaming in sympathy with the pylorus when it's resected...)
You can read the full paper
#openaccess
right here:
#SoMe4Surgery
Abdominal drainage after elective colorectal surgery: propensity score-matched retrospective analysis of an Italian cohort
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The current study examined the impact of abdominal drain usage after elective colorectal surgery in Italy.
Analyzing 6157
New on Early View: Cluster‐randomized crossover trial of chlorhexidine–alcohol versus iodine–alcohol for prevention of surgical‐site infection (SKINFECT trial)
Demographics, diagnostics, treatment, and outcomes of patients presenting with acute groin hernia: 15-year multicentre retrospective cohort study
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Acute groin hernia presentations are a common feature of the emergency general surgery workload. This
Have you read the comprehensive review of post-hepatectomy
#liver
failure by
@sparrelid
& colleagues?
Comprehensive summary of literature for all involved in preventing and managing this complication.
#some4surgery
#some4hpb
#ICYMI
Bariatric surgery, novel glucose-lowering agents, and insulin for type 2 diabetes and obesity: Bayesian network meta-analysis of randomized controlled trials
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This network meta-analysis compared the effects of bariatric surgery, novel
How many ports do you need for
#lapchole
- 3 or 4?
#systematicreview
of 18 trials/2085 patients
Pain, LOS better in 3 port
No other differences
Note, evidence quality is low
So 3 port an option but shouldn't risk safe op for this
#some4surgery
#some4hpb
Surgeon views regarding the adoption of a novel surgical innovation into clinical practice: systematic review
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Factors affecting the adoption of surgical innovations into healthcare are not well understood. The aim of this systematic review was to
#ICYMI
Consensus-defined sarcopenia predicts adverse outcomes after elective abdominal surgery: meta-analysis
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The consensus definition of sarcopenia was recently updated to emphasize both low muscle strength 💪 and mass 🏋️♂️. Based on this definition,
Radiomics preoperative-Fistula Risk Score (RAD-FRS) for pancreatoduodenectomy: development and external validation
➡️
Accurately predicting clinically relevant postoperative pancreatic fistula before surgery may assist surgeons in better counselling
The first ever Radiomics 👾 preoperative fistula risk score !!!
Development 🇳🇱 and external validation 🇮🇹
🐳 The radiomics-based preop FRS performed similarly to the existing scores ( ROC 0.8)
💪 Great added value considering only CT derived data!
Hi
#SoMe4Surgery
.
We're on a mission to get
@BjsOpen
to the big 10K followers mark! 🎉 Join us in this amazing journey and let's make it happen together.
Tag a friend, spread the word, and don't forget to follow
@BjsOpen
for awesome content! 🚀
💪
#RoadTo10K
#CommunityPower
🥅network meta-analysis of RCTs comparing bariatric surgery🤜🤛novel glucose-lowering agents and insulin for type 2 diabetes and obesity shows:
🔪 significantly ⤴️rates of achieving HbA1c < 7.0 % compared to SGLT2i , DPP4i, insulin or placebo/usual care. However, no
Clinical impact of routine response assessment after preoperative chemotherapy in patients with gastric cancer
😲very limited yield of CT with only 1.3% detected interval mets (compared to 10% during surgery!)
➡️CT cant correctly identify patients with incurable disease after NCT
How fast do colonic tumours grow? This single centre review suggests 34% volume increase every 62 days or so. Probably most relevant in borderline T-stage tumours - more data will be needed!
#colorectalresearch
#SoMe4Surgery
#openaccess
A five year
#retrospective
#cohort
study explored link between early post-op discharge and
#ERAS
(n=965)
-> adherence to >80% ERAS components associated with early discharge. Long operations, drains, and complications assoc w/longer stays.
#SoMe4Surgery
🎆🎇🎊🎆🎇🎊
The Editorial Team of
@BjsOpen
wishes you and your loved ones a happy new year and would like to thank you for your contributions to the journal as author, peer-reviewer or reader during 2023!
🎆🎇🎊🎆🎇🎊
We are looking forward to your submissions in 2024 and wish
Safety of core muscle training immediately after abdominal surgery: systematic review
➡️
The limited available evidence indicates that abdominal wall muscle exercises 💪 immediately after surgery🔪does not increase fascial dehiscence or incisiconal hernia.
Comprehensive assessment of the management of acute cholecystitis in🏴 shows that only 60% have emerg CCE on index admission 🏥. 🔪during index admission ⤵️the risk for 90-day🪦!!!
#SoMe4Surgery
#MedTwitter
#some4hpb