Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland最新文献_第7页

Transmetatarsal amputation versus multiple toes amputations for non-ischemic diabetic foot infection management 经跖骨截肢与多趾截肢对非缺血性糖尿病足感染的治疗。

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-09-05 DOI: 10.1016/j.surge.2025.08.005

Moustafa Mabrouk , Ahmed Fouda , Mohammed ElKassaby

Background

The management of diabetic foot infections (DFIs) is a complex multidisciplinary process and often necessitates surgical interventions. Unfortunately, amputations such as single or multiple toes amputations (MTA) or full transmetatarsal amputation (TMA) are often the unavoidable solution. This study aimed to compare the clinical outcomes of TMA versus MTA in managing non-ischemic diabetic foot infections.

Methods

This was a retrospective study on non-ischemic diabetic foot infection patients comparing the results of TMA and MTA in terms of healing, ulcer recurrence and overall complications, including further formal amputations.

Results

The healing rate was substantially higher in TMA group (89.3 % vs. 74.5 %, p=0.004). TMA group exhibited a significantly lower incidence of further proximal amputation (8.7 % vs. 21.3 %, p=0.002) and ulcer recurrence (11.3 % vs. 25.3 %, p=0.002). Tissue necrosis occurred less frequently in TMA group (4.5 % vs. 12.8 %, p<0.05). No significant differences were found between the groups regarding infection, hematoma, or residual edema.

Conclusions

Transmetatarsal amputation for diabetic foot infection demonstrated superior healing rates, lower ulcer recurrence, and reduced need for proximal amputation compared to multiple toe amputations for managing non-ischemic diabetic foot infections.

Level of evidence

level 3 retrospective study

背景：糖尿病足感染（dfi）的治疗是一个复杂的多学科过程，经常需要手术干预。不幸的是，截肢，如单趾或多趾截肢（MTA）或全跖骨截肢（TMA）往往是不可避免的解决方案。本研究旨在比较TMA与MTA治疗非缺血性糖尿病足部感染的临床结果。方法：对非缺血性糖尿病足感染患者进行回顾性研究，比较TMA和MTA在愈合、溃疡复发和包括进一步正式截肢在内的总体并发症方面的结果。结果：TMA组愈合率明显高于TMA组（89.3% vs. 74.5%, p=0.004）。TMA组进一步近端截肢发生率（8.7%比21.3%,p=0.002）和溃疡复发率（11.3%比25.3%,p=0.002）显著降低。TMA组的组织坏死发生率较低（4.5% vs. 12.8%）。结论：与多趾截肢相比，经跖骨截肢治疗糖尿病足感染的治愈率更高，溃疡复发率更低，并且治疗非缺血性糖尿病足感染的近端截肢需求减少。证据等级：3级回顾性研究。

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引用次数: 0

Applied anatomy of accessory tendons of extensor hallucis longus muscle and hallux valgus deformity: a cadaveric and radiologic study 拇长伸肌副肌腱与拇外翻畸形的应用解剖：尸体及影像学研究。

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-08-26 DOI: 10.1016/j.surge.2025.08.004

Mustafa Aydin , Mehmet Aydin , Ayhan Comert , Emrah Koksal , Necati Salman , Emre Donmez , Omer Levent Karadamar , Begum Aslantas Kaplan , Murat Igde , Trifon Totlis , Necdet Kocabıyık

Introduction

The accessory tendon of the extensor hallucis longus (ATEHL) represents a common anatomical variant. However, the role of ATEHL in the etiology of hallux valgus (HV) has not yet been fully elucidated. This study aimed to determine the incidence and morphology of the ATEHL in cadavers and examine its possible correlation with the HV deformity presence and the relevant angular measurements of the feet.

Materials and methods

The study included 63 embalmed cadaveric feet. Following documentation of the demographic parameters of the cadavers, the dorsal aspect of the first ray was carefully dissected. The existence and morphological features of the ATEHL were recorded and analyzed. Subsequently, plain radiographs were taken to assess the hallux valgus angles (HVA) and intermetatarsal angles (IMA) without weight-bearing simulation. In this evaluation, HVA exceeding 15° and IMA exceeding 9° were characterized as hallux valgus (HV) deformity. Statistical analysis was used to examine any correlations between ATEHL existence and HV deformity presence, HVA degrees and IMA degrees.

Results

An ATEHL was found in 37 out of 63 cadaveric feet (58.73 %). A HV deformity was identified in 32 out of 63 cadaveric feet (50.79 %). The prevalence of the ATEHL was significantly higher in specimens with a HV deformity (26/32, 81.25 %) compared to specimens without a HV deformity (6/32, 18.75 %) (p < 0.001). A positive correlation was found between ATEHL existence and both HVA and IMA degrees (p < 0.001).

Conclusions

An ATEHL may be found in more than half of individuals. The current cadaveric and radiologic study revealed that ATEHL existence is significantly more common in feet with HV deformity and associated with increased HVA and IMA degrees. Further biomechanical studies are necessary to clarify the ATEHL role on the pathogenesis of HV deformity.

简介：拇长伸肌副肌腱（ATEHL）是一种常见的解剖变异。然而，ATEHL在拇外翻（HV）病因学中的作用尚未完全阐明。本研究旨在确定尸体中ATEHL的发生率和形态，并检查其与HV畸形存在和足部相关角度测量的可能相关性。材料与方法：研究对象为63只经防腐处理的尸体足。在记录了尸体的人口统计学参数后，我们仔细地解剖了第一条射线的背侧。记录并分析了ATEHL的存在及形态特征。随后，在没有负重模拟的情况下，采用平片评估拇外翻角（HVA）和跖间角（IMA）。在本评价中，HVA超过15°和IMA超过9°被认为是拇外翻（HV）畸形。采用统计学分析来检验ATEHL存在与HV畸形存在、HVA程度和IMA程度之间的相关性。结果：63只尸体足中有37只（58.73%）存在ATEHL。63只尸体足中有32只（50.79%）存在HV畸形。有HV畸形的患者患ATEHL的比例（26/32,81.25%）明显高于无HV畸形的患者（6/32,18.75%）(p结论：超过一半的患者存在ATEHL。目前的尸体和放射学研究表明，ATEHL的存在在HV畸形足中更为常见，并与HVA和IMA度增加有关。需要进一步的生物力学研究来阐明ATEHL在HV畸形发病机制中的作用。

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引用次数: 0

Moral injury and second victim syndrome in healthcare providers: A continuum 道德伤害和第二受害者综合症在医疗保健提供者：一个连续体。

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-08-12 DOI: 10.1016/j.surge.2025.08.001

Aisling O'Donnell , Michael Devine

引用次数: 0

Environmental impact of single-use items and their contamination levels in elective orthopaedic surgery 选择性骨科手术中一次性用品对环境的影响及其污染水平。

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-08-12 DOI: 10.1016/j.surge.2025.07.007

Jessica Rotaru , Peggy Miller , Luke McGarry , John M. O'Byrne

Background

Single-use items have dominated operating theatres since the 1980s, initially perceived to carry a lower risk of surgical site infection and occupational blood exposure while maintaining hospital expenditure. The topic of reusable surgical gowns and drapes has naturally emerged due to discussions regarding climate change. Considering reusable alternatives is the next step in reducing the carbon footprint of operating theatres.

Methods

Clinical waste attributable to single-use items was collected from 93 cases in an elective orthopaedic hospital over four weeks, comprising knee arthroplasty and arthroscopy, hip arthroplasty, foot and ankle and upper limb. Tourniquet use, operation time and blood loss were other parameters collected in each operation. Disposable gowns were visually examined and graded by contamination level. Clinical waste was weighed using a handheld electronic scale.

Results

The mean waste from knee, hip and minor (upper limb, foot and ankle) operating theatres was 3533g, 3966g and 2349g respectively. The average number of gowns used per case was four, as was the number of drapes. Minor operating theatres had the lowest levels of contamination, with 84.34 % of gowns not contaminated at all. Tourniquet use was associated with less waste, carbon emissions, and gown contamination.

Conclusion

A large proportion of operating theatre waste is attributable to disposable items such as gowns and drapes. In the elective orthopaedic setting, these are not heavily contaminated, especially in procedures where tourniquets are utilised. Given the environmental impact of clinical waste, we advocate for the use of reusable alternatives in these procedures.

背景：自20世纪80年代以来，一次性用品在手术室占主导地位，最初被认为在维持医院支出的同时具有较低的手术部位感染和职业性血液暴露风险。由于有关气候变化的讨论，可重复使用的手术服和窗帘的话题自然出现了。考虑可重复使用的替代品是减少手术室碳足迹的下一步。方法：收集某骨科择期医院4周内93例一次性用品废弃物，包括膝关节置换术及关节镜、髋关节置换术、足踝关节及上肢。止血带的使用、手术时间和出血量是每次手术的其他参数。对一次性长袍进行目视检查，并按污染程度分级。使用手持式电子秤称医疗废物的重量。结果：膝关节、髋关节和下肢（上肢、足部和踝关节）手术室的平均废物量分别为3533g、3966g和2349g。每个病例使用的长袍的平均数量是四件，窗帘的数量也是如此。小手术室的污染程度最低，84.34%的手术服完全没有污染。止血带的使用与更少的废物、碳排放和长袍污染有关。结论：手术室废弃物的很大一部分是一次性用品，如手术衣和窗帘。在选择性矫形设置中，这些没有严重污染，特别是在使用止血带的程序中。鉴于医疗废物对环境的影响，我们提倡在这些程序中使用可重复使用的替代品。

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引用次数: 0

Feasibility of pancreaticoduodenectomy for octogenarian based on safety and postoperative nutritional recovery 基于安全性和术后营养恢复的八旬老人胰十二指肠切除术的可行性。

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-08-05 DOI: 10.1016/j.surge.2025.07.005

Naoki Iwanaga, Hiroyuki Sugo, Takeshi Yamamoto, Takuji Noro, Michio Machida, Ikuo Watanobe

Background

Pancreaticoduodenectomy (PD) for very elderly patients was still controversial. We evaluated the feasibility of PD for octogenarian (patients older than 80 years) from safety and postoperative nutritional changes including body composition.

Methods

We included 141 consecutive patients who underwent PD: 24 patients aged ≥80 years were assigned to the octogenarian group, and the remaining 117 were assigned to the non-octogenarian group. Surgical outcomes and the change in postoperative nutritional status (body weight and serum albumin level during 12 months post-surgery) were compared. Among latest 24 patients, the change of body composition was also evaluated using bioelectrical impedance analysis.

Results

Preoperatively, the octogenarian group had a significantly lower Katz index score for Activities of Daily Living (P = 0.038), higher incidence of comorbidities (P < 0.05), lower serum albumin levels (P = 0.033), and lower body weight (P = 0.017) than the non-octogenarian patients; however, the incidence of morbidity and mortality was the same in both groups. Overall survival rates were lower in the octogenarian group, even without significant difference. Multivariate analysis showed that the diagnosis of pancreatic cancer (P = 0.022), the serum albumin level (P = 0.018), and the UICC stage (P = 0.009) were useful to be an independent and significant predictor of overall survival. In assessment of postoperative nutritional status including body composition, the octogenarian group was not inferior compared to the non-octogenarian group.

Conclusions

In this study, PD for octogenarian was safe and feasible including nutritional aspects. Although careful patient selection and optimal perioperative care are necessary to consider whether PD is indicated for elderly patients, the advanced age alone should not be an exclusion criterion in considering of PD.

背景：胰十二指肠切除术（PD）对高龄患者的治疗仍有争议。我们从安全性和术后营养变化（包括身体成分）两方面评估了八十多岁（80岁以上）患者PD的可行性。方法：我们纳入141例连续接受PD治疗的患者，其中24例年龄≥80岁的患者被分配到80岁组，其余117例被分配到非80岁组。比较手术结果和术后营养状况（术后12个月体重和血清白蛋白水平）的变化。在最近的24例患者中，还使用生物电阻抗分析评估了身体成分的变化。结果：老年组术前日常生活活动Katz指数评分显著低于老年组（P = 0.038），合并症发生率显著高于老年组(P)。结论：本研究中，老年PD治疗在营养方面是安全可行的。虽然仔细的患者选择和最佳的围手术期护理是考虑老年患者是否适用PD的必要条件，但不应仅将高龄作为考虑PD的排除标准。

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引用次数: 0

Use of omental flap in left-sided hepatectomy for prevention of delayed gastric emptying: a systematic review and meta-analysis 在左侧肝切除术中使用网膜瓣预防胃排空延迟：系统回顾和荟萃分析。

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-07-31 DOI: 10.1016/j.surge.2025.07.006

Stefan Simeonovski , Karim Ataya , Tsonka Lukanova , Yusuf Ahmed , Dima Salloum , Ivelin Takorov

Background

Delayed gastric emptying (DGE) is a widespread complication after left-sided hepatectomy (LSH). The usage of omental flap (OF) in patients after LSH is thought to reduce the incidence of DGE. Therefore, a meta-analysis was performed in order these findings to be explored.

Methods

Pubmed, Embase and Cochrane Central were searched for studies comparing usage of omental flap to no-OF in patients after LSH. The primary outcome was DGE. Statistical analysis was performed using Review Manager 5.4 (Cochrane Collaboration). Heterogeneity was assessed using I² statistics. Odds ratios (OR) were computed for binary endpoints using a random-effects model.

Results

358 patients were included from 7 studies, of which 2 were randomized controlled trials (RCTs). Male sex was predominant (68 %). OF was used for prevention of DGE in 155 cases. In 3 of the studies the greater omentum was divided for the preparation of the flap. DGE (OR 0.10; 95 % CI 0.04–0.23; p < 0.00001; I² = 0 %) and overall morbidity (OR 0.31; 95 % CI 0.13–0.74; p = 0.008; I² = 0 %) were significantly reduced in the OF group, compared to the no-OF group.

Discussion

Utilization of omental flap in patients with left-sided hepatectomy significantly reduces the incidence of DGE and overall morbidity, compared to the no-omental flap procedure.

背景：胃排空延迟（DGE）是左侧肝切除术（LSH）后常见的并发症。在LSH患者中使用网膜瓣（of）被认为可以减少DGE的发生率。因此，为了探索这些发现，进行了荟萃分析。方法：检索Pubmed， Embase和Cochrane Central，以比较LSH患者使用网膜瓣和不使用网膜瓣的研究。主要结局为DGE。采用Review Manager 5.4 （Cochrane Collaboration）进行统计分析。采用I2统计量评估异质性。使用随机效应模型计算二元终点的优势比（OR）。结果：7项研究共纳入358例患者，其中2项为随机对照试验（rct）。男性占多数（68%）。155例应用OF预防DGE。在3项研究中，大网膜被分开以准备皮瓣。Dge(或0.10；95% ci 0.04-0.23；p 2 = 0 %)和总发病率(OR 0.31；95% ci 0.13-0.74；p = 0.008；I2 = 0%)，与无OF组相比，OF组显著降低。讨论：与不使用大网膜皮瓣相比，在左侧肝切除术患者中使用大网膜皮瓣可显著降低DGE的发生率和总体发病率。

{"title":"Use of omental flap in left-sided hepatectomy for prevention of delayed gastric emptying: a systematic review and meta-analysis","authors":"Stefan Simeonovski , Karim Ataya , Tsonka Lukanova , Yusuf Ahmed , Dima Salloum , Ivelin Takorov","doi":"10.1016/j.surge.2025.07.006","DOIUrl":"10.1016/j.surge.2025.07.006","url":null,"abstract":"<div><h3>Background</h3><div>Delayed gastric emptying (DGE) is a widespread complication after left-sided hepatectomy (LSH). The usage of omental flap (OF) in patients after LSH is thought to reduce the incidence of DGE. Therefore, a meta-analysis was performed in order these findings to be explored.</div></div><div><h3>Methods</h3><div>Pubmed, Embase and Cochrane Central were searched for studies comparing usage of omental flap to no-OF in patients after LSH. The primary outcome was DGE. Statistical analysis was performed using Review Manager 5.4 (Cochrane Collaboration). Heterogeneity was assessed using I<sup>2</sup> statistics. Odds ratios (OR) were computed for binary endpoints using a random-effects model.</div></div><div><h3>Results</h3><div>358 patients were included from 7 studies, of which 2 were randomized controlled trials (RCTs). Male sex was predominant (68 %). OF was used for prevention of DGE in 155 cases. In 3 of the studies the greater omentum was divided for the preparation of the flap. DGE (OR 0.10; 95 % CI 0.04–0.23; p < 0.00001; I<sup>2</sup> = 0 %) and overall morbidity (OR 0.31; 95 % CI 0.13–0.74; p = 0.008; I<sup>2</sup> = 0 %) were significantly reduced in the OF group, compared to the no-OF group.</div></div><div><h3>Discussion</h3><div>Utilization of omental flap in patients with left-sided hepatectomy significantly reduces the incidence of DGE and overall morbidity, compared to the no-omental flap procedure.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 6","pages":"Pages 387-392"},"PeriodicalIF":2.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765730","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}

引用次数: 0

Size of small pneumothorax on chest radiograph as a predictor for failure of conservative management in thoracic stab wounds - A critical analysis of 284 cases at a major trauma centre in South Africa. 胸片上小气胸的大小作为胸刺伤保守治疗失败的预测因素——对南非一家主要创伤中心284例病例的关键分析。

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-07-14 DOI: 10.1016/j.surge.2025.06.005

Victor Kong, Cynthia Cheung, Daniel Lee, Jonathan Ko, William Yeung, Hong Lee, Reuben He, Howard Wain, Damian Clarke

Introduction: Selective conservative management of asymptomatic patients with small pneumothorax (PTX) in the setting of thoracic stab wounds (SWs) appears safe, but the correlation between the size of PTX and rate of failure of conservative management remains largely unknown.

Materials and methods: A prospective study was conducted over a 14-year period on patients with isolated thoracic SWs who were asymptomatic with small PTX on CXR (<2 cm) and underwent clinical observation at a major trauma centre in South Africa.

Results: 284 patients were included (91 % male, mean age: 24 yrs). Eight (3 %) eventually required TT, and all other patients were managed successfully with clinical observation alone. There was no morbidity or mortality as a direct result of our selective conservative management approach. The need for TT was based on the size of initial PTX; Group A: <0.5 cm (0 %), Group B: ≥0.5 to < 1 cm (0 %), Group C: ≥1 cm to < 1.5 cm (3 %) and Group D: ≥1.5 cm to < 2 cm (13 %). For every 0.5 cm increase in PTX size, there was a five-fold (95 % CI, 1.73 to 16.67, p = 0.004) increased risk for the need for TT.

Conclusion: Selective conservative management of patients with asymptomatic small PTX of < 2 cm on CXR following thoracic SWs appears safe although the greater the size of the initial PTX, there was a higher risk of failure of conservative management. This should alert clinicians to remain vigilant and have a low threshold for intervention.

摘要：对胸椎刺伤（SWs）的无症状小气胸（PTX）患者进行选择性保守治疗似乎是安全的，但PTX的大小与保守治疗失败率之间的相关性在很大程度上仍然未知。材料和方法：一项为期14年的前瞻性研究，研究对象为无症状且胸腔镜下PTX较小的孤立性胸腔镜患者(结果：纳入284例患者（91%为男性，平均年龄24岁）。8例（3%）最终需要TT治疗，其余患者均通过单独临床观察获得成功。我们的选择性保守治疗方法没有直接导致发病率或死亡率。TT的需求取决于初始PTX的大小；结论：胸椎SWs术后x光检查无症状小PTX < 2cm的患者，选择性保守治疗是安全的，但初始PTX越大，保守治疗失败的风险越高。这应该提醒临床医生保持警惕，降低干预的门槛。

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引用次数: 0

Robotic cholecystectomy reduces the conversion rate in patients with obesity. 机器人胆囊切除术降低肥胖患者的转换率。

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-07-12 DOI: 10.1016/j.surge.2025.07.004

Raul Sebastian, Alba Zevallos, Diana Montenegro, Lourdes Chaves, Pamela Sullivan, James Harris

Background: Obesity is associated with technical challenges during laparoscopic cholecystectomy (LC) and a high risk of intra-postoperative complications. Robotic-assisted cholecystectomy (RC), with its superior visualization and precision, may offer better outcomes. This study compares intraoperative and 30-day postoperative outcomes in patients with a BMI greater than 30 undergoing LC versus RC.

Methods: Patients with a BMI greater than 30 who underwent LC and RC at our institution from January 2021 to May 2024 were included to compare outcomes such as conversion rate, length of stay, and operative time between groups. Then, we conducted a subgroup analysis comparing LC patients who required conversion to open surgery with those who did not to compare outcomes.

Results: 637 patients were included (505 LC and 132 RC). RC patients had lower rates of conversion to open surgery (0.0 % vs. 3.2 %, P = 0.038) and shorter hospital stays (1 [0.5-2] vs. 1 [1-2] days, P < 0.001) compared to LC. When sub-analyzed patients LC patients, those who required conversion to open surgery had a longer length of stay (4 [3-6.5] vs. 1 [1-2] days, P < 0.001), and operative time (224.31 ± 88.17 vs. 104.27 ± 37.88 min, P < 0.001) compared to those who did not require conversion.

Conclusion: Patients with obesity who underwent RC have reduced conversion to open rates compared to LC. Furthermore, a reduced conversion to open rate with RC potentially leads to a shorter hospital stay. RC offers better postoperative outcomes in patients with obesity.

背景：肥胖与腹腔镜胆囊切除术（LC）中的技术挑战和术后并发症的高风险相关。机器人辅助胆囊切除术（RC），其优越的可视化和精度，可能提供更好的结果。这项研究比较了BMI大于30的LC和RC患者的术中和术后30天的结果。方法：纳入2021年1月至2024年5月在我院接受LC和RC治疗的BMI大于30的患者，比较两组之间的转换率、住院时间和手术时间等结果。然后，我们进行了亚组分析，比较了需要转换为开放手术的LC患者和不需要转换为开放手术的患者的结果。结果：纳入637例患者（505例LC， 132例RC）。RC患者转开腹率较低（0.0% vs. 3.2%, P = 0.038），住院时间较短(1 [0.5-2]vs. 1[1-2]天，P结论：与LC相比，接受RC的肥胖患者转开腹率降低。此外，RC降低了转换到打开率，可能会缩短住院时间。RC为肥胖患者提供了更好的术后预后。

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引用次数: 0

Unsolicited emails from presumed predatory journals: An early-career surgical trainee's perspective 来自掠夺性期刊的不请自来的电子邮件：一个早期职业外科实习生的观点。

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-07-12 DOI: 10.1016/j.surge.2025.07.002

Andrew Keane

Background

The proliferation of open access (OA) publishing has been accompanied by a rise in unsolicited academic correspondence, often originating from so-called “predatory” publishers. Early-career surgeons may be particularly vulnerable to predatory journals due to pressure to publish in order to enter and advance through training. This observational study aims to characterize the nature and volume of unsolicited emails received by a surgical trainee following the publication of a single paper.

Methods

All unsolicited emails received by the author between September 10th 2024 and December 31st 2024, were collated and analysed. Emails were assessed for their origin, journal/publisher, structure, requested contribution, relevance and associated Article Processing Charges (APCs). Where emails lacked this information, it was sought from journal and publisher websites. Publication legitimacy was assessed by the journal or publisher's presence on Beall's list of potential predatory journals, inclusion in the Directory of Open Access Journals (DOAJ) and the Committee on Publication Ethics (COPE).

Results

A total of 264 emails were received, 227 of which were soliciting journal articles. These represented 109 individual journals, comprising 44 publishers and 10 standalone journals. High levels of flattery (92.95 %) and poor grammar (91.19 %) were noted in the emails. In terms of legitimacy, 87.15 % (n = 95) were on Beall's list whereas 8 (7.3 %) were members of COPE and 2 (1.8 %) listed in DOAJ. APCs were mentioned in 36.56 % of emails and clearly stated in 11.45 %. The mean APC was 2006.18 USD, median APC was 1988.5 USD. Withdrawal fees were charged by 58.7 % (n = 64) of journals with a mean cost of 1039.68 USD and median cost of 680.25 USD. The remaining emails included conference invites (n = 28), editorial board invites (n = 6) and book chapter requests (n = 3).

Conclusion

This study highlights the high volume and typical characteristics of predatory journal solicitations following a single publication. With increasing pressure on surgical trainees to publish, awareness of predatory practices is essential. Transparent vetting tools and guidance from training bodies are needed to safeguard academic standards in surgical training.

背景：开放获取（OA）出版的扩散伴随着不请自来的学术信件的增加，这些信件通常来自所谓的“掠夺性”出版商。早期职业外科医生可能特别容易受到掠夺性期刊的影响，因为他们迫于压力要发表文章，以便通过培训进入并获得晋升。本观察性研究旨在描述一名外科实习生在发表一篇论文后收到的未经请求的电子邮件的性质和数量。方法：对作者于2024年9月10日至2024年12月31日收到的所有非应邀电子邮件进行整理和分析。评估电子邮件的来源、期刊/出版商、结构、请求投稿、相关性和相关文章处理费（apc）。如果电子邮件中缺少这些信息，则从期刊和出版商网站上寻找。发表合法性是通过期刊或出版商在Beall潜在掠夺性期刊名单上的存在来评估的，包括开放获取期刊目录（DOAJ）和出版伦理委员会（COPE）。结果：共收到电子邮件264封，其中期刊征文227封。这些期刊代表109个独立期刊，包括44个出版商和10个独立期刊。邮件中有大量的奉承（92.95%）和蹩脚的语法（91.19%）。就合法性而言，87.15% （n = 95）在Beall的名单上，8人（7.3%）是COPE的成员，2人（1.8%）是DOAJ的成员。36.56%的邮件提到了apc， 11.45%的邮件明确说明了apc。平均APC为2006.18美元，中位数APC为1988.5美元。58.7% （n = 64）的期刊收取撤稿费，平均成本为1039.68美元，中位数成本为680.25美元。其余的邮件包括会议邀请（n = 28），编委会邀请（n = 6）和图书章节请求（n = 3）。结论：本研究突出了单次发表后掠夺性期刊邀约的高数量和典型特征。随着外科培训生发表文章的压力越来越大，意识到掠夺性行为是至关重要的。需要透明的审查工具和培训机构的指导，以保障外科培训的学术标准。

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引用次数: 0

Therapeutic Endoluminal Vacuum Therapy (EVT): A gold standard management for oesophageal and selected gastric and duodenal perforations 治疗性腔内真空疗法（EVT）：治疗食道穿孔和部分胃、十二指肠穿孔的金标准

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-07-09 DOI: 10.1016/j.surge.2025.04.009

Alexander Ribbits , Imad-Ud-Din Saqib , Mohamed Abdelrahman , Zeeshan Afzal , Irum Amin , John Bennett , Andrew Butler , Stavros Gourgiotis , Richard Hardwick , Robert O'Neill , Peter Safranek , Vijayendran Sujendran , Ayesha Noorani , Andrew Hindmarsh

引用次数: 0