Pub Date : 2024-10-01DOI: 10.1016/j.jviscsurg.2024.06.009
Xavier Giraud , Laetitia Geronimi-Robelin , Martin M. Bertrand , Ariane Bell
Introduction
Acute cholecystitis occurs frequently in the elderly. According to the current recommendations specific to the characteristics of each case, these patients are most often treated by delayed cholecystectomy after medical treatment. Our study aimed to compare the success rate of this strategy in patients over and under 75 years of age.
Patients and methods
This was a retrospective single-center analytic observational study that included patients who were hospitalized for acute cholecystitis in a geriatric postoperative unit (unité postopératoire gériatrique [UPOG]) and gastrointestinal surgery unit between 2021 and 2022. The main endpoint was the failure rate of deferred cholecystectomy. Secondary endpoints included: respect for the recommended operative delay, loss of the patient's functional independence during hospitalization, and the reason for surgical abstention.
Results
In total, 290 patients were included. The strategy of delayed elective cholecystectomy was not achieved in 31 (44%) patients 75 years old or older vs. eight (18%) patients younger than 75 years old (P = 0.005). The main reason was the decision not to operate after medical treatment. In both groups, the recommended operative interval was equitably respected and the loss of autonomy during hospitalization was minor. More than one-third of the elderly patients scheduled for elective surgery finally refused to undergo surgery.
Conclusion
The strategy of routine elective cholecystectomy should not be strict in the elderly with acute cholecystitis; the indication for this procedure should take into account the wishes as well as the physiological status of the patient.
{"title":"Evaluation of the surgical management strategy for acute cholecystitis in patients over 75 years old","authors":"Xavier Giraud , Laetitia Geronimi-Robelin , Martin M. Bertrand , Ariane Bell","doi":"10.1016/j.jviscsurg.2024.06.009","DOIUrl":"10.1016/j.jviscsurg.2024.06.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Acute cholecystitis occurs frequently in the elderly. According to the current recommendations specific to the characteristics of each case, these patients are most often treated by delayed cholecystectomy after medical treatment. Our study aimed to compare the success rate of this strategy in patients over and under 75<!--> <!-->years of age.</div></div><div><h3>Patients and methods</h3><div><span>This was a retrospective single-center analytic observational study that included patients who were hospitalized for acute cholecystitis in a geriatric postoperative unit (</span><em>unité postopératoire gériatrique</em> [UPOG]) and gastrointestinal surgery unit between 2021 and 2022. The main endpoint was the failure rate of deferred cholecystectomy. Secondary endpoints included: respect for the recommended operative delay, loss of the patient's functional independence during hospitalization, and the reason for surgical abstention.</div></div><div><h3>Results</h3><div>In total, 290 patients were included. The strategy of delayed elective cholecystectomy was not achieved in 31 (44%) patients 75<!--> <!-->years old or older vs. eight (18%) patients younger than 75<!--> <!-->years old (<em>P</em> <!-->=<!--> <!-->0.005). The main reason was the decision not to operate after medical treatment. In both groups, the recommended operative interval was equitably respected and the loss of autonomy during hospitalization was minor. More than one-third of the elderly patients scheduled for elective surgery finally refused to undergo surgery.</div></div><div><h3>Conclusion</h3><div>The strategy of routine elective cholecystectomy should not be strict in the elderly with acute cholecystitis; the indication for this procedure should take into account the wishes as well as the physiological status of the patient.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 5","pages":"Pages 293-299"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-01DOI: 10.1016/j.jviscsurg.2024.08.001
El-Mahdi Hafiani , Stéphane Ortu , Denis Lopez , Florence Lallemant , Valérie Dumaine , Pierre Cassier , Karem Slim , Patrick Pessaux , with the Collectif d’écoresponsabilité en santé (CERES), the Association française de chirurgie (AFC), the Association pour la prévention et l’étude de la contamination (ASPEC), the Société française d’hygiène hospitalière (SF2H), the Société française d’anesthésie et de réanimation (SFAR), the Société française de chirurgie orthopédique et traumatologique (SOFCOT)
Objective
To issue recommendations for reduced energy consumption in controlled environment zones (CEZ) in operating theaters and interventional sectors.
Design
A committee bringing together seven experts from the SFAR, AFC, SF2H, ASPEC and SOFCOT was convened by CERES. A conflict-of-interest statement was developed at the beginning of the process and enforced throughout the elaboration of the reference document. The experts received no financing from any company commercializing a healthcare product (medicine or medical device). The committee was called upon to follow and respect the GRADE® (grading of recommendations assessment, development and evaluation) method to evaluate quality of the factual data on which the recommendations were based.
Methods
We analyzed the relevant literature and formulated the recommendations in accordance with the GRADE® methodology by identifying three different fields. Each question was formulated in accordance with the PICO (patients, intervention, comparison, outcome) format.
Results
The experts’ attempts at synthesis and application of the GRADE® method led to 16 recommendations. In cases where GRADE® method could not be applied, the recommendations were formulated as expert advice.
Conclusion
Once strong agreement among the experts had been reached, we formulated 15 recommendations for decreased energy consumption and reduced environmental impact in the controlled environment zones of operating theaters and interventional sectors.
{"title":"Professional practice guidelines: Optimization of energy efficiency in controlled environment zones in operating theaters and interventional sectors","authors":"El-Mahdi Hafiani , Stéphane Ortu , Denis Lopez , Florence Lallemant , Valérie Dumaine , Pierre Cassier , Karem Slim , Patrick Pessaux , with the Collectif d’écoresponsabilité en santé (CERES), the Association française de chirurgie (AFC), the Association pour la prévention et l’étude de la contamination (ASPEC), the Société française d’hygiène hospitalière (SF2H), the Société française d’anesthésie et de réanimation (SFAR), the Société française de chirurgie orthopédique et traumatologique (SOFCOT)","doi":"10.1016/j.jviscsurg.2024.08.001","DOIUrl":"10.1016/j.jviscsurg.2024.08.001","url":null,"abstract":"<div><h3>Objective</h3><div>To issue recommendations for reduced energy consumption in controlled environment zones (CEZ) in operating theaters and interventional sectors.</div></div><div><h3>Design</h3><div>A committee bringing together seven experts from the SFAR, AFC, SF2H, ASPEC and SOFCOT was convened by CERES. A conflict-of-interest statement was developed at the beginning of the process and enforced throughout the elaboration of the reference document. The experts received no financing from any company commercializing a healthcare product (medicine or medical device). The committee was called upon to follow and respect the GRADE® (grading of recommendations assessment, development and evaluation) method to evaluate quality of the factual data on which the recommendations were based.</div></div><div><h3>Methods</h3><div>We analyzed the relevant literature and formulated the recommendations in accordance with the GRADE® methodology by identifying three different fields. Each question was formulated in accordance with the PICO (patients, intervention, comparison, outcome) format.</div></div><div><h3>Results</h3><div>The experts’ attempts at synthesis and application of the GRADE® method led to 16 recommendations. In cases where GRADE® method could not be applied, the recommendations were formulated as expert advice.</div></div><div><h3>Conclusion</h3><div>Once strong agreement among the experts had been reached, we formulated 15 recommendations for decreased energy consumption and reduced environmental impact in the controlled environment zones of operating theaters and interventional sectors.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 5","pages":"Pages 344-352"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-01DOI: 10.1016/j.jviscsurg.2024.07.006
Alya Zouaghi Bellemin, Elena Belloni, David Moszkowicz
{"title":"Posterior component separation for the treatment of a complex incisional hernia: Surgical technique (with video)","authors":"Alya Zouaghi Bellemin, Elena Belloni, David Moszkowicz","doi":"10.1016/j.jviscsurg.2024.07.006","DOIUrl":"10.1016/j.jviscsurg.2024.07.006","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 5","pages":"Pages 330-332"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141767825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-01DOI: 10.1016/j.jviscsurg.2024.04.004
{"title":"Post-surgical cellulitis with a torpid outcome","authors":"","doi":"10.1016/j.jviscsurg.2024.04.004","DOIUrl":"10.1016/j.jviscsurg.2024.04.004","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 5","pages":"Pages 320-321"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140761441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-01DOI: 10.1016/j.jviscsurg.2024.05.006
{"title":"Should first-line surgery for terminal ileum Crohn's disease be considered?","authors":"","doi":"10.1016/j.jviscsurg.2024.05.006","DOIUrl":"10.1016/j.jviscsurg.2024.05.006","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 5","pages":"Pages 291-292"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-19DOI: 10.1016/j.jviscsurg.2024.09.006
Antoine Poirier, Manuela Perez, Claire Nomine Criqui
The intestinal mesenteric lipophagic granuloma is a rare and benign mesenteric tumor originating from the differentiation of mesenteric nodes that evolve toward a characteristic volume increase that is responsible for a compressive effect on the adjacent structures.
{"title":"An atypical mesenteric tumor: The intestinal mesenteric lipophagic granuloma.","authors":"Antoine Poirier, Manuela Perez, Claire Nomine Criqui","doi":"10.1016/j.jviscsurg.2024.09.006","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2024.09.006","url":null,"abstract":"<p><p>The intestinal mesenteric lipophagic granuloma is a rare and benign mesenteric tumor originating from the differentiation of mesenteric nodes that evolve toward a characteristic volume increase that is responsible for a compressive effect on the adjacent structures.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号