The impact of body mass index on colorectal surgery: A short-term outcome and cost analysis in an Asian cohort of 3169 patients.

Background: Extremes of body weight may be associated with poorer outcomes after colorectal surgery (CRS). We aimed to compare perioperative results and healthcare costs across the full range of body mass index (BMI) categories in an Asian cohort following CRS.

Materials And Methods: This retrospective study was conducted using the American College of Surgeons - National Surgical Quality Improvement Programme (ACS-NSQIP) Participant Use Data File to identify patients ≥18 years old who underwent major elective CRS between January 2018 and December 2023.

Critical appraisal of postpancreatectomy hemorrhage after pancreatoduodenectomy: an analysis of risk factors, treatment and outcomes in 860 consecutive cases.

Background: Postpancreatectomy haemorrhage (PPH) is an important and potentially life-threatening complication after pancreatoduodenectomy (PD). The aim of this study is to characterize PPH in a single institutional cohort of patients who underwent PD and analyse the incidence, risk factors, treatment and outcomes of PPH.

Methods: We performed a retrospective analysis of 860 consecutive patients who underwent PD between January 1997 and July 2021 at a tertiary referral centre.

Utility of the BeBack re-entry catheter to treat resistant cephalic arch occlusion in a haemodialysis patient: Case report and review of the literature.

Background: Cephalic arch stenosis is a common complication in haemodialysis patients with brachiocephalic arteriovenous fistula (AVF) that can lead to access dysfunction. For resistant lesions that fail conventional endovascular treatment, a possible salvage approach to avoid open surgery is via sharp recanalization using re-entry catheters.

Methods: We describe the unprecedented use of the BeBack re-entry catheter (Bentley InnoMed GmbH), previously the GoBack catheter (Upstream Peripheral Technologies), to overcome a recalcitrant cephalic arch occlusion by sharp recanalization in a 73-year-old female with thrombosed left brachiocephalic AVF that failed revascularization using conventional catheter and wire techniques.

A challenging case of severe bilateral septic arthritis with osteomyelitis of the sternoclavicular joint in a patient with end-stage renal disease.

Septic arthritis of the sternoclavicular joint (SCJ) is a rare condition that comprises <1% of all joint infections. We report a case of severe bilateral septic arthritis of the SCJ in a patient with end-stage renal disease on peritoneal dialysis. A 44-year-old female presented with right SCJ infection 1 month after recovering from a tenckhoff catheter exit-site infection.

Occult Antenatal Fetal Abdominal Emergencies Resulting in Unplanned Preterm Delivery.

Acute abdomen in the fetus can present as nonspecific fetal distress, and occasionally necessitate emergency cesarean section for the mother and subsequent emergency neonatal surgery. Often, preoperative diagnosis in utero is challenging. The authors herein report two cases, a case of primary segmental antenatal intestinal volvulus resulting in the mother presenting at 35 wk with symptoms and decreased fetal movements, and another case of a rapidly distending fetal abdominal mass at 31 wk manifesting as fetal hydrops.

Systematic review of the efficacy of a hybrid operating theatre in the management of severe trauma.

Background: Hybrid operating theatres (OT) allow for simultaneous interventional radiology and operative procedures, serving as a one-stop facility for the treatment of severely injured patients. Several countries have adopted the use of the hybrid OT however their clinical impact in improving efficiency and quality of care remains unclear. This study systematically reviews the clinical impact of the hybrid OT for treatment of the severely injured.

Systematic review of current prognostication systems for primary gastrointestinal stromal tumors.

Background: The advent of tyrosine kinase inhibitors as adjuvant therapy has revolutionized the management of GIST and emphasized the need for accurate prognostication systems. Numerous prognostication systems have been proposed for GIST but at present it remains unknown which system is superior. The present systematic review aims to summarize current prognostication systems for primary treatment-naive GIST.

Laparoscopic wedge resection for suspected large (≥5 cm) gastric gastrointestinal stromal tumors.

Background: Laparoscopic wedge resection (LWR) for small gastric gastrointestinal stromal tumors (GIST) is now widely accepted, but its application for large GISTs remains controversial. This study aims to evaluate the feasibility and safety of LWR for suspected large (≥5 cm) gastric GISTs.

Methods: Retrospective review of 82 consecutive patients who underwent attempted LWR for suspected gastric GIST.