Advancements in Surgery: Trends in Prevention, Diagnostic and Treatment

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Medical Research".

Deadline for manuscript submissions: closed (28 May 2024) | Viewed by 1246

Special Issue Editors


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Guest Editor
3rd Surgical Clinic, Faculty of Medicine, Comenius University and Merciful Brothers University Hospital, 811 08 Bratislava, Slovakia
Interests: pharmacology and therapeuticsthis

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Guest Editor
Department of Surgery and Transplant Centre, Jessenius Medical Faculty Martin, University Hospital Martin, Comenius University in Bratislava, Bratislava, Slovakia
Interests: surgical techniques; clinical application

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Guest Editor
Department of Oncosurgery, National Cancer Institute, 833 10 Bratislava, Slovakia
Interests: cardiac tamponade; childhood volvulus; heart tumor; hemorrhoidectomy; hemorrhoids; lymphadenectomy; orchiectomy; teratoma of the mediastinum; testicular cancer

Special Issue Information

Dear Colleagues,

In recent years, there have been significant advances in prevention, diagnosis and treatment in general surgery, especially in terms of addressing gastrointestinal diseases. This Special Issue aims to showcase some of the most innovative and promising approaches in this field. General surgery is used to treat a broad category of disorders; the scope of this Issue includes a wide range of related topics.

This Issue aims to publish articles that show new diagnostic tools and methods for detecting all types of diseases addressed by general surgery. We are looking to explore the use of artificial intelligence and machine learning algorithms to analyze medical images and identify early signs of cancer and other gastrointestinal diseases. In addition, we seek to combine these methods with clinical examination, which is the most important aspect of the treatment of patients. We are also looking for new studies and opinions in field of colorectal cancer, as well as investigations into all types of hernia.

In terms of treatment, there are also exciting new developments in general surgery which are still not handled as standard practice.

We accept original articles, clinical trials, systematic reviews and meta-analyses.

Dr. Ľudovít Danihel
Dr. Marek Smolár
Dr. Daniel Pindak
Guest Editors

Manuscript Submission Information

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Keywords

  • diagnosis
  • treatment
  • new approaches
  • clinical examination
  • artificial intelligence

Published Papers (2 papers)

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14 pages, 1117 KiB  
Review
Management Considerations for Cervical Corpectomy: Updated Indications and Future Directions
by Marco Foreman, Devon Foster, Wiley Gillam, Christopher Ciesla, Chris Lamprecht and Brandon Lucke-Wold
Life 2024, 14(6), 651; https://doi.org/10.3390/life14060651 - 21 May 2024
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Abstract
Together, lower back and neck pain are among the leading causes of acquired disability worldwide and have experienced a marked increase over the past 25 years. Paralleled with the increasing aging population and the rise in chronic disease, this trend is only predicted [...] Read more.
Together, lower back and neck pain are among the leading causes of acquired disability worldwide and have experienced a marked increase over the past 25 years. Paralleled with the increasing aging population and the rise in chronic disease, this trend is only predicted to contribute to the growing global burden. In the context of cervical neck pain, this symptom is most often a manifestation of cervical degenerative disc disease (DDD). Traditionally, multilevel neck pain related to DDD that is recalcitrant to both physical and medical therapy can be treated with a procedure known as cervical corpectomy. Presently, there are many flavors of cervical corpectomy; however, the overarching goal is the removal of the pain-generating disc via the employment of the modern anterior approach. In this review, we will briefly detail the pathophysiological mechanism behind DDD, overview the development of the anterior approach, and discuss the current state of treatment options for said pathology. Furthermore, this review will also add to the current body of literature surrounding updated indications, surgical techniques, and patient outcomes related to cervical corpectomy. Finally, our discussion ends with highlighting the future direction of cervical corpectomy through the introduction of the “skip corpectomy” and distractable mesh cages. Full article
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21 pages, 1979 KiB  
Systematic Review
Surgical Site Infections in Colorectal Cancer Surgeries: A Systematic Review and Meta-Analysis of the Impact of Surgical Approach and Associated Risk Factors
by Valentin Calu, Catalin Piriianu, Adrian Miron and Valentin Titus Grigorean
Life 2024, 14(7), 850; https://doi.org/10.3390/life14070850 - 5 Jul 2024
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Abstract
Background: Surgical site infections (SSIs) represent a noteworthy contributor to both morbidity and mortality in the context of patients who undergo colorectal surgery. Several risk factors have been identified; however, their relative significance remains uncertain. Methods: We conducted a meta-analysis of observational studies [...] Read more.
Background: Surgical site infections (SSIs) represent a noteworthy contributor to both morbidity and mortality in the context of patients who undergo colorectal surgery. Several risk factors have been identified; however, their relative significance remains uncertain. Methods: We conducted a meta-analysis of observational studies from their inception up until 2023 that investigated risk factors for SSIs in colorectal surgery. A random-effects model was used to pool the data and calculate the odds ratio (OR) and 95% confidence interval (CI) for each risk factor. Results: Our analysis included 26 studies with a total of 61,426 patients. The pooled results showed that male sex (OR = 1.45), body mass index (BMI) ≥ 25 kg/m2 (OR = 1.09), American Society of Anesthesiologists (ASA) score ≥ 3 (OR = 1.69), were all independent risk factors for SSIs in colorectal surgery. Conversely, laparoscopic surgery (OR = 0.70) was found to be a protective factor. Conclusions: The meta-analysis conducted revealed various risk factors, both modifiable and non-modifiable, associated with surgical site infections (SSIs) in colorectal surgery. These findings emphasize the significance of targeted interventions, including optimizing glycemic control, minimizing blood loss, and using laparoscopic techniques whenever feasible in order to decrease the occurrence of surgical site infections in this particular group of patients. Full article
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