Visualisation and quantification of the effects of surgical humidification on intestinal perfusion and viability in a porcine model.

Cold and poorly oxygenated tissues are known to increase the risk of surgical site infection and anastomotic leaks in gastrointestinal surgery. Especially during laparotomy, the abdominal cavity is exposed to the cold dry operating theatre which may contribute to surgical site evaporative cooling, tissue desiccation, and reduced oxygenation. Surgical humidification, the intraoperative insufflation of warm humidified carbon dioxide into the laparotomy wound, is a local intervention designed to prevent the evaporative cooling and desiccation effects of laparotomy.

Autoimmune/Autoinflammatory Syndrome Induced by Adjuvants (ASIA Syndrome) After Polypropylene Mesh Implantation - Protocol of a Pilot Study for Diagnostics and Treatment.

Background: An increasingly vocal movement of patients with systemic complaints, supposedly linked to polypropylene mesh implants, is leading to increasing numbers of patient-preferred mesh-less surgical repairs for inguinal hernia, stress urinary incontinence, and pelvic organ prolapse. However, current literature does not support any association between polypropylene implants and Autoimmune Syndrome Induced by Adjuvants (ASIA). This prospective pilot aims to examine autoimmunity in patients in whom ASIA is suspected, based on previously described criteria.

Intracorporeal vs. extracorporeal anastomosis preference for minimally invasive right hemicolectomy: A combined SAGES and EAES survey.

Introduction: Intracorporeal anastomosis (ICA) for minimally invasive (MIS) right hemicolectomy is associated with lower rates of postoperative ileus, pain, and future ventral incisional hernia when compared to extracorporeal anastomosis (ECA). However, the rate of adoption of ICA has been slow. This may be attributed to the advanced minimally invasive intracorporeal suturing technical skills required for ICA.

Morphological features and molecular mechanisms in peritoneal adhesions from patients with chronic abdominal postoperative pain.

Background: Chronic abdominal pain affects 10-20% of all patients following abdominal surgery, with adhesions as a predominant cause. However, the biological mechanisms underlying adhesion-related pain are not fully elucidated. This study aimed to establish the morphological and molecular phenotype of adhesions in patients with and without chronic postoperative abdominal pain.

Reducing surgical instrument usage: systematic review of approaches for tray optimization and its advantages on environmental impact, costs and efficiency.

Background: Operating rooms generate substantial waste and budget expenditure due to extensive material usage. Reusable instruments are often packaged in trays, which accumulate instruments over time. This review quantifies the advantages of tray optimization (removing redundant instruments), including reduced environmental impact, costs, operating room and processing time.