Article
Oncology
Ayesha P. Ng, Yas Sanaiha, Arjun Verma, Cory Lee, Aaron Akhavan, Joshua G. Cohen, Peyman Benharash
Summary: This study evaluated the risk of financial toxicity among inpatients undergoing gynecologic cancer resections and found that uninsured patients were more likely to experience complications, longer hospital stays, and higher costs compared to insured patients. Approximately half of the uninsured patients were at risk of financial toxicity. Among insured patients, factors such as Black and Hispanic race, public insurance, and open operative approaches were associated with greater odds of financial toxicity.
GYNECOLOGIC ONCOLOGY
(2022)
Article
Surgery
David S. Liu, Sean G. Stevens, David Watson, Su Kah Goh, Vijayaragavan Muralidharan, Enoch Wong, Jonathan Fong, Darren J. Wong
Summary: This study aimed to determine the effect of early versus postoperative chemoprophylaxis on the incidence of VTE and bleeding in high-risk patients undergoing major abdominal surgery. The results showed that starting chemoprophylaxis postoperatively reduced bleeding risk without affecting the occurrence of VTE.
Review
Oncology
Violante Di Donato, Giuseppe Caruso, Giorgio Bogani, Andrea Giannini, Ottavia D'Oria, Giorgia Perniola, Innocenza Palaia, Francesco Plotti, Roberto Angioli, Ludovico Muzii, Pierluigi Benedetti Panici
Summary: This article discusses the impact of frailty assessment on gynecological cancer surgery outcomes, showing that frail patients are more likely to experience postoperative complications and worse oncologic outcomes. The modified frailty index (mFI) is the most widely used tool and tailored therapeutic strategies should be considered for patients with 3 or more frailty defining items.
GYNECOLOGIC ONCOLOGY
(2021)
Article
Multidisciplinary Sciences
Sebastian Roth, Catrin Jansen, Rene M'Pembele, Alexandra Stroda, Udo Boeken, Payam Akhyari, Artur Lichtenberg, Markus W. Hollmann, Ragnar Huhn, Giovanna Lurati Buse, Hug Aubin
Summary: This study found that baseline FAR is independently associated with in-hospital TeC in patients undergoing VA-ECMO therapy, and may contribute to the prediction of TeC in this cohort.
SCIENTIFIC REPORTS
(2021)
Article
Surgery
Ji Geun Yoo, Eun Young Ki, Su Mi Kim, Yoo Hyun Chung, Hee Jin Kang, Gyul Jung, In Sun Hwang, In Cheul Jeung
Summary: This study aimed to evaluate the association between abdominal fat distribution parameters and incisional hernia in patients who underwent transumbilical single-port laparoscopic surgery. By reviewing the medical records of 2116 patients who underwent this surgery, it was found that high visceral fat area was an independent risk factor for incisional hernia.
ASIAN JOURNAL OF SURGERY
(2023)
Article
Medicine, General & Internal
Jiazhu Qin, Xiaoxiao Ye, Changzhou Ye, Xuliang Huang, Huanhuan Sun, Xinyu Zhao, Yao Tong, Manala Mazomba, Yunchang Mo
Summary: This study evaluated the effect of transcutaneous electrical acupoint stimulation (TEAS) on high-risk PONV patients undergoing laparoscopic gynecological surgery. The results showed that TEAS combined with dexamethasone and palonosetron can effectively prevent PONV, reduce postoperative abdominal distention and pain, and shorten the first postoperative flatus time, while improving nursing satisfaction.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Oncology
Matthew K. Wagar, Janelle N. Sobecki, Thevaa Chandereng, Ellen M. Hartenbach, Sumer K. Wallace
Summary: The incidence of postoperative VTE in gynecologic cancer patients undergoing MIS is low and does not appear to differ by MIS modality. Patients with longer operating room times are more likely to experience VTE. Age, smoking status, BMI, type of cancer, and stage are not significant risk factors for VTE.
GYNECOLOGIC ONCOLOGY
(2021)
Article
Obstetrics & Gynecology
Xing Xin, Hailong Huang, Weixin Lu, Yunli Li, Fanke Zeng, Shaoshuai Wang, Ling Feng
Summary: Albumin concentration was found to be a candidate indicator for predicting cVTE in surgical patients in the gynecology department, especially in ovarian cancer patients with albumin concentrations less than 35 g/L. A combination of the albumin and D-dimer parameters may improve the predictive ability for cVTE.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2022)
Review
Oncology
Jia Deng, Wenting Hu, Yang Li, Kai Xiong, Tinghui Yue, Xiangquan Lai, Tianbao Xiao
Summary: ICG in laparoscopic colorectal surgery can reduce the risk of anastomotic leakage, improve lymph node detection, and shorten hospitalization time. However, there are no significant statistical differences in operation duration, intraoperative bleeding, and postoperative morbidity.
FRONTIERS IN ONCOLOGY
(2022)
Letter
Medicine, General & Internal
Tatsuya Fujikawa
Summary: This article discusses the use of antiplatelet and anticoagulant agents during surgery, as well as the role of tranexamic acid in reducing bleeding.
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Article
Obstetrics & Gynecology
Kristen Pepin, Francis Cook, Parmida Maghsoudlou, Sarah L. Cohen
Summary: The study developed a model for predicting adverse outcomes at the time of laparoscopic hysterectomy for benign indications, with variables such as race, surgical history, and body mass index being predictive factors. The model had c-statistic values of 0.74 and 0.72 in derivation and validation cohorts, and is most suitable for patients at lower risk.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2021)
Article
Surgery
Wenqin Sun, Fengling Li, Xianxue Wang, Hongbo Liu, Hong Mo, Daobo Pan, Shihong Wen, Aiguo Zhou
Summary: The study aimed to explore the effects of dexmedetomidine on kidney and other organ function in patients undergoing elective laparoscopic surgery for colorectal cancer. Results showed significantly lower NGAL levels in the DEX group at 1 and 5 days postoperatively compared to the Control group, with no differences in BUN and Cr levels. Serum DAO activity and I-FABP levels were also significantly lower in the DEX group. Therefore, perioperative DEX administration may provide kidney and intestinal protection during laparoscopic surgery for colorectal cancer patients.
JOURNAL OF SURGICAL RESEARCH
(2021)
Article
Medicine, General & Internal
Manfredi Tesauro, Andrea M. Guida, Leandro Siragusa, Bruno Sensi, Vittoria Bellato, Nicola Di Daniele, Andrea Divizia, Marzia Franceschilli, Giuseppe S. Sica
Summary: This study aimed to evaluate the impact of preoperative immunonutrition on in-hospital length of stay in patients undergoing laparoscopic colorectal cancer resection under an ERAS program. The results showed that preoperative immunonutrition was associated with significantly shorter length of stay. No significant differences were observed in secondary outcomes.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Hematology
Supakorn Lorchaivej, Prapaporn Suprasert, Tanop Srisuwan, Jintana Rujiwetpongstorn
Summary: The present study evaluated the prevalence and risk factors of postoperative lower limb deep vein thrombosis (DVT) in Thai gynecologic patients. The prevalence of postoperative DVT was 5%, and the independent risk factors were elderly patients and receiving a perioperative blood transfusion.
THROMBOSIS JOURNAL
(2022)
Article
Surgery
Omair A. Shariq, Katherine A. Bews, Nicholas P. McKenna, Benzon M. Dy, Melanie L. Lyden, David R. Farley, Geoffrey B. Thompson, Travis J. McKenzie, Elizabeth B. Habermann
Summary: This study investigated the outcomes and trends of ambulatory laparoscopic adrenalectomy in a multicenter cohort of patients and found that same-day discharge was not associated with complications or unplanned readmissions within 30 days. Ambulatory laparoscopic adrenalectomy is a safe and feasible alternative to inpatient hospitalization for selected patients.