Background: Intraoperative portal vein pressure (PVP) may reflect a mismatch between portal inflow and graft capacity after adult liver transplantation, but proposed thresholds vary and their clinical certainty is unclear.
Methods: We systematically searched PubMed/MEDLINE, Embase, CENTRAL, and Scopus from inception through March 2026 for adult liver-transplant studies reporting intraoperative PVP and postoperative graft outcomes. Two reviewers independently screened records and extracted data. Threshold/prediction studies were assessed wi....[more]
Background: Research has shown that identifying retained stones and bile duct injury is difficult. This study aimed to explore the use of laparoscopic ultrasonography (LUS) in detecting common bile duct (CBD) stones and evaluating biliary anatomy during laparoscopic cholecystectomy for patients with gallbladder stones.
Methods: This case series enrolled 77 adult patients of both genders with symptomatic gallbladder stones who were scheduled for laparoscopic cholecystectomy. Patients underwent LUS to detect CBD stones before proceeding with ....[more]
Background: Laboratory tests are integral to surgical decision-making, yet unnecessary blood tests (BTs) contribute to increased healthcare costs, hospital-acquired anemia, and patient discomfort. Currently, no global guidelines exist for their appropriate use in emergency surgery. This study aimed to evaluate surgeons' attitudes, perceived clinical impact, cost awareness, and ordering practices regarding routine BTs in acute care settings.
Materials and Methods: A web-based survey, designed following the CHERRIES checklist, was distr....[more]
Background: Gastric cancer is considered the second leading cause of cancer-related mortality, which is ranked as the fourth most common malignancy in terms of diagnosis. For resectable gastric cancer, neoadjuvant chemotherapy has been showed to be well-tolerated and effective, with enhanced mean overall survival (OS) and progression-free survival (PFS). The aim of our study was to assess and compare the effectiveness and safety of two commonly used perioperative chemotherapy regimens, FOLFOX6 and FLOT, for resectable and locally-advanced-gastric adenocarcinoma. <....[more]
Background: Hemorrhoidectomy is the conventional intervention for symptomatic or high-grade hemorrhoids; yet, problems such as postoperative discomfort, wound dehiscence, and moisture in the anal region are prevalent. Moist anal regions considerably affect patient comfort and hygiene yet remain inadequately researched. Objectives: To assess the efficacy of flavonoids in alleviating postoperative pain and the occurrence of wet anus.
Materials and Methods: A retrospective cohort analysis was performed with 180 individuals who underwent hemor....[more]
