Pub Date : 2025-06-01DOI: 10.1016/j.jviscsurg.2025.01.004
Thomas Baron , Charles De Ponthaud , Sébastien Gaujoux
{"title":"Intraoperative pancreatoscopy during left pancreatectomy for intraductal papillary mucinous neoplasia (with video)","authors":"Thomas Baron , Charles De Ponthaud , Sébastien Gaujoux","doi":"10.1016/j.jviscsurg.2025.01.004","DOIUrl":"10.1016/j.jviscsurg.2025.01.004","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 3","pages":"Pages 229-231"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076105","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 : 2025-06-01DOI: 10.1016/j.jviscsurg.2025.02.006
Alexandra Pellegrin , Hugo Defives , Charles Sabbagh
{"title":"Long stenosis in Crohn's disease: Stricturoplasty according to Finney","authors":"Alexandra Pellegrin , Hugo Defives , Charles Sabbagh","doi":"10.1016/j.jviscsurg.2025.02.006","DOIUrl":"10.1016/j.jviscsurg.2025.02.006","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 3","pages":"Pages 209-212"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606412","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 : 2025-06-01DOI: 10.1016/j.jviscsurg.2025.01.008
Frédéric de la Codre
{"title":"Measuring performance in visceral surgery: Interests, tools, and perspectives","authors":"Frédéric de la Codre","doi":"10.1016/j.jviscsurg.2025.01.008","DOIUrl":"10.1016/j.jviscsurg.2025.01.008","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 3","pages":"Pages 176-177"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366329","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}
The legal concept of medical error is focused on the liability of professionals and healthcare establishments in the event of patient harm. Encompassing medical hazard and loss of chance, this approach is aimed at determining indemnification for harm following a medical accident occurring in a patient. Risk management associated with an adverse event strives to prevent errors and to minimize their deleterious consequences. Search for medical accident avoidability is the main concept characterizing this approach. Analysis by feedback from operational experience allows professionals to anonymously and non-punitively learn from their mistakes, the key objective being to improve their practices. The objective of the present study was to consider medical or surgical error first in a legal framework and then from a risk management standpoint, thereby enabling the surgeon to better understand the specificities of these approaches with their different purposes and to expressly integrate them in his practice, in such a way as to promote patient and professional safety.
{"title":"Medical error: From a legal framework to an approach based on surgical risk management","authors":"Margaux Borie , Jean-François Gravié , Frédéric Borie","doi":"10.1016/j.jviscsurg.2025.03.002","DOIUrl":"10.1016/j.jviscsurg.2025.03.002","url":null,"abstract":"<div><div>The legal concept of medical error is focused on the liability of professionals and healthcare establishments in the event of patient harm. Encompassing medical hazard and loss of chance, this approach is aimed at determining indemnification for harm following a medical accident occurring in a patient. Risk management associated with an adverse event strives to prevent errors and to minimize their deleterious consequences. Search for medical accident avoidability is the main concept characterizing this approach. Analysis by feedback from operational experience allows professionals to anonymously and non-punitively learn from their mistakes, the key objective being to improve their practices. The objective of the present study was to consider medical or surgical error first in a legal framework and then from a risk management standpoint, thereby enabling the surgeon to better understand the specificities of these approaches with their different purposes and to expressly integrate them in his practice, in such a way as to promote patient and professional safety.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 3","pages":"Pages 191-198"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732740","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 : 2025-06-01DOI: 10.1016/j.jviscsurg.2025.03.010
Alain Valverde
{"title":"Pedicular clamping by the laparoscopic approach","authors":"Alain Valverde","doi":"10.1016/j.jviscsurg.2025.03.010","DOIUrl":"10.1016/j.jviscsurg.2025.03.010","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 3","pages":"Pages 213-217"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133109","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}
Rectourethral fistula (RUF) is associated with poor quality of life related to urinary functional symptoms (pneumaturia, fecaluria, urine passing through the rectum) or urinary tract infections (upper or lower, often recurrent). Most are iatrogenic, occurring after surgery such as radical prostatectomy, where their prevalence ranges from 0.03 in various series. RUF can also occur after radiation therapy administered for prostate cancer. Management of RUF is complex and depends on whether the patient has had previous radiation therapy or not. Different surgical techniques have been evaluated, but currently there is no consensus as to the best approach. The York-Mason technique is preferred for simple RUF in patients without prior irradiation, while for more complex cases, with antecedent irradiation, transperineal approaches with muscular flap interposition are often recommended. Evaluation of quality of life is crucial, because management of RUF can have severe consequences on urinary continence and sexual function. Despite successful anatomical repair, patients often continue to suffer from functional sequalae that affect their quality of life. Although progress has been achieved in the treatment of RUF, a coherent and efficient management algorithm is necessary to standardize the practical aspects and improve the outcomes. This update summarizes the different strategies that are available for management of RUF and underscores the importance of an individualized approach.
{"title":"Rectourethral fistulas after treatment for prostate carcinoma: Update and new management algorithm","authors":"Maëlig Poitevin , Matthieu Ferragu , Pierre Bigot , Thibaut Culty , Aurélien Venara","doi":"10.1016/j.jviscsurg.2025.01.010","DOIUrl":"10.1016/j.jviscsurg.2025.01.010","url":null,"abstract":"<div><div>Rectourethral fistula (RUF) is associated with poor quality of life related to urinary functional symptoms (pneumaturia, fecaluria, urine passing through the rectum) or urinary tract infections (upper or lower, often recurrent). Most are iatrogenic, occurring after surgery such as radical prostatectomy, where their prevalence ranges from 0.03 in various series. RUF can also occur after radiation therapy administered for prostate cancer. Management of RUF is complex and depends on whether the patient has had previous radiation therapy or not. Different surgical techniques have been evaluated, but currently there is no consensus as to the best approach. The York-Mason technique is preferred for simple RUF in patients without prior irradiation, while for more complex cases, with antecedent irradiation, transperineal approaches with muscular flap interposition are often recommended. Evaluation of quality of life is crucial, because management of RUF can have severe consequences on urinary continence and sexual function. Despite successful anatomical repair, patients often continue to suffer from functional sequalae that affect their quality of life. Although progress has been achieved in the treatment of RUF, a coherent and efficient management algorithm is necessary to standardize the practical aspects and improve the outcomes. This update summarizes the different strategies that are available for management of RUF and underscores the importance of an individualized approach.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 3","pages":"Pages 199-208"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426561","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}
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