Accurate assessment of #burn depth and total body surface area (TBSA) is critical for clinical decision-making; however, it remains subjective and prone to interobserver variability. Multimodal large language models (MLLMs) are increasingly encountered in clinical contexts, but whether these systems can reliably assess burn images remains unclear. We evaluated four MLLMs (GPT-5.4 Pro, Grok 4.1,… Continue reading AI-based burn image assessment: Reliability and clinical error patterns of multimodal large language models in a repeated-inference study
Category: Surgery
Preoperative Angiotensin-Converting Enzyme Inhibitor Use and Its Effect on Intraoperative Hypotension in Non-cardiac Surgeries: A Meta-Analysis
Angiotensin-converting enzyme inhibitors (#ACE inhibitors ) are widely prescribed for cardiovascular and renal conditions, and a large proportion of patients presenting for non-cardiac surgery are chronic users of these agents. However, the optimal perioperative management of ACE inhibitors remains controversial, particularly regarding their association with intraoperative hypotension. This meta-analysis aimed to systematically evaluate the effect… Continue reading Preoperative Angiotensin-Converting Enzyme Inhibitor Use and Its Effect on Intraoperative Hypotension in Non-cardiac Surgeries: A Meta-Analysis
Perioperative Best Practices and Delirium in Patients With Cognitive Impairment
Importance: Despite substantial advances in #perioperative care, patients with #cognitive impairment are at increased risk for postoperative delirium. Understanding the association of perioperative best practices with delirium prevention may inform tailored strategies for this high-risk group.Objective: To examine associations between anesthesia-related best practices and postoperative delirium in patients with cognitive impairment.Design, setting, and participants: This… Continue reading Perioperative Best Practices and Delirium in Patients With Cognitive Impairment
Effect of Continuous Perioperative Transcutaneous Electrical Acupoint Stimulation on Postoperative Delirium in Elderly Patients Undergoing Laparoscopic Gastrointestinal Surgery: A Randomized Controlled Trial
Purpose: To investigate the effect of perioperative continuous TEAS on the incidence of POD in elderly patients undergoing laparoscopic gastrointestinal surgery.Patients and methods: In this prospective, double-blind, randomized controlled trial, 180 elderly patients (age ≥65 years, ASA I-III) scheduled for laparoscopic gastrointestinal #surgery were randomized into three groups: Group A received continuous TEAS (n=60), Group… Continue reading Effect of Continuous Perioperative Transcutaneous Electrical Acupoint Stimulation on Postoperative Delirium in Elderly Patients Undergoing Laparoscopic Gastrointestinal Surgery: A Randomized Controlled Trial
Laparoscopic peritoneal lavage versus surgical resection for the treatment of complicated perforated diverticulitis: A systematic review and meta-analysis
Introduction: Colonic diverticular disease ( #diverticulosis ) is a currently worldwide increasing gastrointestinal disorder with a particularly high prevalence in Western countries. The operative treatment of acute diverticulitis could be executed through open or laparoscopic techniques. A non-resectional procedure, namely laparoscopic peritoneal lavage (LPL) and drainage, has also been adopted as a less invasive treatment… Continue reading Laparoscopic peritoneal lavage versus surgical resection for the treatment of complicated perforated diverticulitis: A systematic review and meta-analysis
Severe #copper deficiency–related polyneuropathy following laparoscopic sleeve #gastrectomy: A case report and literature review
Highlights•Timely copper repletion may yield favorable outcomes in severe copper deficiency–related polyneuropathy.•Review of prior SG and RYGB cases of copper deficiency–related polyneuropathy and their treatments and outcomes.•Neurological complication rates following SG and RYGB reported since 1976.•Reported incidence of copper deficiency between 6 and 24 mo after SG and RYGB.•Recommended laboratory tests for neurological complications following… Continue reading Severe #copper deficiency–related polyneuropathy following laparoscopic sleeve #gastrectomy: A case report and literature review
Automatic #robotic doppler #sonography of leg #arteries
PurposeRobot-assisted systems offer an opportunity to support the diagnostic and therapeutic treatment of vascular diseases to reduce radiation exposure and support the limited medical staff in vascular medicine. In the diagnosis and follow-up care of vascular pathologies, Doppler ultrasound has become the preferred diagnostic tool. The study presents a robotic system for automatic Doppler ultrasound… Continue reading Automatic #robotic doppler #sonography of leg #arteries
Long-term #cancer outcomes after #bariatric surgery
ObjectiveObesity is associated with increased cancer risk. Because of the substantial and sustained weight loss following bariatric surgery, postsurgical patients are ideal to study the association of weight loss and cancer.MethodsRetrospectively (1982–2019), 21,837 bariatric surgery patients (surgery, 1982–2018) were matched 1:1 by age, sex, and BMI with a nonsurgical comparison group. Procedures included gastric bypass,… Continue reading Long-term #cancer outcomes after #bariatric surgery
Association of Preoperative High-Intensity Interval Training With Cardiorespiratory Fitness and Postoperative Outcomes Among Adults Undergoing Major SurgeryA Systematic Review and Meta-Analysis
Importance Preoperative high-intensity interval training (HIIT) is associated with improved cardiorespiratory fitness (CRF) and may improve surgical outcomes.Objective To summarize data from studies comparing the association of preoperative HIIT vs standard hospital care with preoperative CRF and postoperative outcomes.Data Sources Data sources included Medline, Embase, Cochrane Central Register of Controlled Trials Library, and Scopus databases with no language… Continue reading Association of Preoperative High-Intensity Interval Training With Cardiorespiratory Fitness and Postoperative Outcomes Among Adults Undergoing Major SurgeryA Systematic Review and Meta-Analysis
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