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Surgeries, Volume 6, Issue 4

2025 December - 34 articles

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Articles (34)

  • Article
  • Open Access
1,438 Views
8 Pages

17 December 2025

Background: Tight blood pressure control is a cornerstone of postoperative cardiac surgery patients. In addition, plasma lactate levels are frequently monitored in this setting as it is a marker for malperfusion, with early elevated levels being asso...

(This article belongs to the Special Issue Cardiothoracic Surgery, 2nd Edition)
  • Article
  • Open Access
1,908 Views
29 Pages

New Methodology for the Shoulder Biomechanical CAD Model Position Parametrization

  • Vítor Maranha,
  • Luis Roseiro,
  • Pedro Carvalhais and
  • Maria A. Neto

16 December 2025

Background: The development of CAD, FEA, and biomechanical models of the shoulder is challenging due to the joint’s complexity. The spatial relationships between bones, muscles and ligaments are difficult to parameterize, both statically and dy...

  • Systematic Review
  • Open Access
1 Citations
2,348 Views
15 Pages

PerClot for Use in Surgical Hemostasis: A Systemic Review and Meta-Analysis of Clinical Data

  • Terri Siebert,
  • Stephen Dierks,
  • Piotr Maniak and
  • Torben Colberg

16 December 2025

Objective: To demonstrate that PerClot’s efficacy is non-inferior to other hemostatic treatments and its safety is non-inferior to the standard of care (SoC) during surgery. Methods: Applying keywords and inclusion criteria, we queried electron...

  • Case Report
  • Open Access
1 Citations
1,251 Views
11 Pages

6 December 2025

Background: Trapeziometacarpal osteoarthritis (TMC OA) is a prevalent degenerative disorder that causes considerable pain and functional limitations, especially in older individuals, whose ideal treatment is still debated in the literature. Various t...

(This article belongs to the Section Hand Surgery and Research)
  • Review
  • Open Access
4 Citations
4,871 Views
15 Pages

Comprehensive Overview of Current Pleural Drainage Practice: A Tactical Guide for Surgeons and Clinicians

  • Paolo Albino Ferrari,
  • Cosimo Bruno Salis,
  • Elisabetta Pusceddu,
  • Massimiliano Santoru,
  • Gianluca Canu,
  • Antonio Ferrari,
  • Alessandro Giuseppe Fois and
  • Antonio Maccio

2 December 2025

Introduction: Chest drainage is central to thoracic surgery, pleural medicine, and emergency care, yet practice remains heterogeneous in tube caliber, access, suction, device selection, and removal thresholds. This narrative review aims to synthesize...

  • Case Report
  • Open Access
1 Citations
837 Views
8 Pages

Endoscopic Management of an Inflammatory Lesion Suspected of Being a Brown Tumor of the Frontal Process of the Maxilla—Case Report

  • Tomasz Marecik,
  • Michał Gontarz,
  • Krzysztof Gąsiorowski,
  • Jakub Bargiel and
  • Grażyna Wyszyńska-Pawelec

2 December 2025

The study reports a diagnostic challenge involving an inflammatory lesion mimicking a brown tumor. A 23-year-old male patient was referred for treatment of a cystic lesion in the left frontal process of the maxilla and ethmoid region. The leading sym...

  • Article
  • Open Access
1 Citations
1,992 Views
15 Pages

Minimally Invasive Subcutaneous Adipose Tissue Biopsy in a Nonhuman Primate Model: Approach and Outcomes

  • Cheyenna M. Espinoza,
  • Cole Myers,
  • Scott H. Oppler,
  • Laura Hocum Stone,
  • Davis Seelig,
  • Parthasarathy Rangarajan,
  • Sabarinathan Ramachandran and
  • Melanie L. Graham

26 November 2025

Background/Objectives: Adipose tissue (AT) plays significant roles in energy storage, metabolite signaling, and immunomodulation. The understanding of its underlying mechanisms of dysregulation can provide insight into complex disease processes throu...

  • Article
  • Open Access
1,728 Views
15 Pages

A Novel Modification of Anconeus Muscle Flap for Extensor Digitorum Communis-Selective Lateral Epicondylitis: Preliminary Clinical Study

  • Ignazio Marcoccio,
  • Jacopo Maffeis,
  • Pasquale Gravina,
  • Carolina Civitenga and
  • Andrea Gervasio

25 November 2025

Introduction: Lateral epicondylitis (LE) typically affects the extensor carpi radialis brevis (ECRB) tendon, while isolated degeneration of the extensor digitorum communis (EDC) origin is rare and poorly characterized. Surgical debridement of these l...

(This article belongs to the Special Issue Feature Papers in Hand Surgery and Research)
  • Brief Report
  • Open Access
1,992 Views
7 Pages

25 November 2025

Background: The Orbay approach to volar distal radius described a volar zig-zag incision across the wrist crease, allowing a more distal exposure than traditional approaches. This adaptation enhances mobilization of the proximal radial fragment and i...

(This article belongs to the Section Hand Surgery and Research)
  • Article
  • Open Access
2,469 Views
11 Pages

A Comparison of Functional Outcomes in Open Fractures of Phalanges, Early Versus Delayed Treatment, and Considerations on Tulipan’s Classification

  • Camillo Fulchignoni,
  • Silvia Pietramala,
  • Andrea Cruciani,
  • Alessio Greco,
  • Stella La Rocca,
  • Leopoldo Arioli,
  • Emanuele Gerace and
  • Lorenzo Rocchi

21 November 2025

Background: Open phalangeal fractures raise timing questions that may not mirror long-bone protocols. We aimed to test whether time-to-surgery is associated with infection, time to union, and return to work. Methods: A single-centre retrospective coh...

(This article belongs to the Section Hand Surgery and Research)
  • Case Report
  • Open Access
1,737 Views
9 Pages

Facelift Approach for Hemimandibulectomy and Costochondral Autologous Graft Reconstruction in a Pediatric Odontogenic Myxoma

  • Alice Marzi Manfroni,
  • Valerio Cancilla,
  • Edlira Baruti Papa,
  • Marjon Sako and
  • Francesco Laganà

20 November 2025

Background: Odontogenic myxoma (OM) is a rare, benign, but locally aggressive tumor of odontogenic mesenchymal origin. This study aims to expand current knowledge by integrating a concise literature review with a detailed case report of a surgically...

(This article belongs to the Special Issue Oral and Maxillofacial Surgery: Balance Between Innovative and Proven Procedures, Drugs and Materials, 2nd Edition)
  • Article
  • Open Access
1 Citations
1,529 Views
15 Pages

20 November 2025

Background: Total knee arthroplasty (TKA) is the gold standard for advanced hemophilic arthropathy. However, surgical management in hemophilic patients is complex due to joint deformities, bleeding risk, and systemic comorbidities. This study aimed t...

  • Article
  • Open Access
1 Citations
2,036 Views
14 Pages

Postprocedural Pyrolysis: A Feasibility Study on Chemical Recycling of Plastics Used During Surgery

  • Nils Prinz,
  • Anne Püllen,
  • Dimitri Barski,
  • Barbara Hermann,
  • Christian Haessler and
  • Thomas Otto

20 November 2025

Background: Hospitals generate large volumes of single-use plastic waste, which are predominantly incinerated. To improve sustainability, standardized procedure-specific surgical trays have been implemented, reducing waste and setup time. This early...

  • Article
  • Open Access
1 Citations
2,282 Views
16 Pages

Quadrant-Specific Distribution of Peritoneal Metastases as a Prognostic Factor in Colorectal Cancer Treated with CRS and HIPEC

  • Valentina Zucchini,
  • Fabrizio D’Acapito,
  • Massimo Framarini,
  • Giulia Elena Cantelli,
  • Giulia Marchetti,
  • Eleonora Pozzi,
  • Riccardo Turrini,
  • Marco Barbini and
  • Giorgio Ercolani

15 November 2025

Background: Peritoneal metastasis (PM) from colorectal cancer (CRC) carries a poor prognosis. The Peritoneal Cancer Index (PCI) is among the principal prognostic stratification tools, yet the prognostic value of the anatomical distribution of disease...

  • Article
  • Open Access
1,715 Views
10 Pages

Free Peritoneal Cancer Cells in Patients with Adenocarcinoma of the Stomach or Esophagogastric Junction: Risk Factors and Outcomes

  • Asada Methasate,
  • Akarawin Sirimongkol,
  • Chawisa Nampoolsuksan,
  • Jirawat Swangsri and
  • Thammawat Parakonthun

10 November 2025

Background/Objectives: To identify independent predictors of free peritoneal cancer cells (FPCC), and to investigate survival outcomes relative to peritoneal cytology status among patients who underwent intended curative gastrectomy for adenocarcinom...

  • Review
  • Open Access
1 Citations
2,030 Views
17 Pages

Inguinal Herniation of the Transplanted Ureter: A Systematic Review

  • Pajtim Emini,
  • Riccardo Scarponi,
  • Salvatore Spiezia,
  • Pasquale Avella,
  • Luigi Ricciardelli,
  • Germano Guerra,
  • Graziano Ceccarelli and
  • Michele De Rosa

10 November 2025

Herniation of the transplanted ureter into the inguinal canal is an exceptionally rare complication following renal transplantation. Most cases present as delayed-onset obstructions, typically occurring more than one year post-transplant and often in...

  • Article
  • Open Access
1,588 Views
9 Pages

Severe Versus Mild–Moderate Pulmonary Hypertension: Outcomes Following Mechanical Mitral Valve Replacement with Posterior Leaflet Preservation

  • Binh Thanh Tran,
  • Viet Anh Le,
  • Dung Tien Nguyen,
  • Duong Minh Vu,
  • Vinh Duc An Bui,
  • Phu Duc Bui,
  • Nam Van Nguyen and
  • Thang Ba Ta

5 November 2025

Background: Pulmonary hypertension is common in left-sided heart valve disease, with historical studies reporting mortality rates up to 31% in severe cases undergoing mitral valve surgery. This study evaluates the impact of severe pulmonary hypertens...

(This article belongs to the Special Issue Cardiothoracic Surgery)
  • Article
  • Open Access
1,644 Views
12 Pages

The Burden of Weight on Joint Replacement: A 1.6 Million-Patient Analysis of BMI and Hip Arthroplasty Outcomes

  • Yaron Berkovich,
  • Shelly Feygelman,
  • Ela Cohen Nissan,
  • Linor Fournier,
  • Yaniv Steinfeld and
  • David Maman

29 October 2025

Background: THA is a gold-standard intervention for end-stage hip osteoarthritis, historically performed in older adults. However, the growing global obesity epidemic is reshaping this landscape. Emerging evidence suggests that elevated body mass ind...

  • Review
  • Open Access
5,805 Views
32 Pages

28 October 2025

Background: Pelvic autonomic nerve injury during colorectal surgery causes debilitating urinary, bowel, and sexual dysfunction. This review synthesizes contemporary evidence on neuroanatomy, nerve-sparing techniques, and functional outcomes to minimi...

  • Review
  • Open Access
2 Citations
6,586 Views
15 Pages

Minimizing Postoperative Scars in Upper Eyelid Blepharoplasty: A Concise Review

  • Fredrik Andreas Fineide,
  • Ayyad Zartasht Khan,
  • Lars Christian Boberg-Ans,
  • Richard C. Allen,
  • Elin Bohman,
  • Kim Alexander Tønseth and
  • Tor Paaske Utheim

23 October 2025

Background: Upper eyelid blepharoplasty is one of the most common aesthetic surgeries performed worldwide. The procedure consists of removing excess skin with or without muscle and/or fat from the upper eyelid by a transcutaneous approach and placeme...

  • Article
  • Open Access
1 Citations
3,775 Views
12 Pages

Ultrasound-Guided Carpal Tunnel Release: Results from a Multicenter Italian Cohort of 735 Patients

  • Andrea Poggetti,
  • Alberto Rinaldi,
  • Marco Biondi,
  • Prospero Bigazzi,
  • Priscilla Di Sette,
  • Pierfrancesco Pugliese,
  • Angela Sulpasso,
  • Federico Pilla,
  • Francesco Smeraglia and
  • Antonio Brando

21 October 2025

Background/Objectives: Ultrasound-guided carpal tunnel release (UGCTR) has emerged as a minimally invasive alternative to open surgery for the treatment of carpal tunnel syndrome (CTS). This study aimed to evaluate the clinical outcomes, complication...

(This article belongs to the Section Hand Surgery and Research)
  • Article
  • Open Access
2 Citations
2,363 Views
18 Pages

Comparative Clinical and Volumetric Outcomes of Contemporary Surgical Techniques for Lumbar Foraminal Stenosis: A Retrospective Cohort Study

  • Renat M. Nurmukhametov,
  • Vladimir Klimov,
  • Abakirov Medetbek,
  • Stepan Anatolevich Kudryakov,
  • Medet Dosanov,
  • Anastasiia Alekseevna Guseva,
  • Petr Ruslanovich Baigushev,
  • Timur Arturovich Kerimov and
  • Nicola Montemurro

20 October 2025

Background: Lumbar foraminal stenosis (LFS) is a prevalent degenerative condition associated with significant radicular pain and impaired quality of life. Advances in minimally invasive and fusion-based surgical techniques have introduced new strateg...

  • Article
  • Open Access
1 Citations
1,654 Views
13 Pages

17 October 2025

Background and Objectives: Effective pain management is essential for optimizing recovery after laparoscopic cholecystectomy (LC). Ultrasound-guided erector spinae plane (ESP) and transversus abdominis plane (TAP) blocks are validated techniques, but...

  • Article
  • Open Access
2,920 Views
21 Pages

Perioperative Complications in the Primary Vaginal Mesh Surgery for Pelvic Organ Prolapse

  • Francesco Deltetto,
  • Irene Deltetto,
  • Antonella Giannantoni,
  • Margaret Jorgensen,
  • Stefano Landi,
  • Marco Manni,
  • Luisa Marcato,
  • Daniela Mirabella,
  • Alessandro Libretti and
  • Valentino Remorgida

16 October 2025

Background/Objectives: The use of vaginal mesh for pelvic organ prolapse (POP) repair remains controversial following global restrictions due to safety concerns. This study evaluated intra- and perioperative morbidity following a standardized single-...

  • Systematic Review
  • Open Access
2,681 Views
16 Pages

Negative Pressure Wound Therapy for Surgical Site Infection Prevention Following Pancreaticoduodenectomy: A Systematic Review and Meta-Analysis

  • Musaed Rayzah,
  • Nasser A. N. Alzerwi,
  • Bandar Idrees,
  • Ahmed A. Alhumaid,
  • Yaser Baksh,
  • Afnan Alsultan and
  • Fares Rayzah

10 October 2025

Background/Objectives: Surgical site infections (SSIs) following pancreaticoduodenectomy contribute to significant morbidity and healthcare costs. Negative pressure wound therapy (NPWT) has emerged as a potential preventive intervention; however, evi...

  • Article
  • Open Access
4 Citations
2,795 Views
24 Pages

Background/Objectives: Machine learning has been suggested as a way to improve how we predict anesthesia-related complications after surgery. However, many studies report overly optimistic results due to issues like data leakage and not fully using i...

  • Article
  • Open Access
1 Citations
1,278 Views
9 Pages

Tray Application Versus the Standard Surgical Procedure: A Prospective Evaluation

  • Dimitri Barski,
  • Wilfried von Eiff,
  • Jochen Cramer,
  • Stefan Welter and
  • Thomas Otto

(1) Background: trays are surgery-specific sets of required materials and medical devices, assembled in consultation between manufacturer and user, and provided in a sterile package. (2) Methods: in a high-volume urological center performing 11,920 o...

  • Article
  • Open Access
3,439 Views
6 Pages

Utilization of a Combined Procedure for Hemorrhoids and Chronic Anal Fissure Is Safe and Feasible

  • Rachel Gefen,
  • Adham Handal,
  • Carmel Ben-Ezra,
  • Shani Y. Parnasa,
  • Ido Mizrahi,
  • Mahmoud Abu-Gazala,
  • Alon J. Pikarsky and
  • Noam Shussman

Background: Hemorrhoids and anal fissure are among the most common benign anorectal conditions. The incidence of synchronous symptomatic hemorrhoids and chronic anal fissure is unknown. In this study we evaluated the outcomes of our experience with c...

  • Article
  • Open Access
3,298 Views
20 Pages

Surgical and Radiologic Outcomes Following Pulmonary Lobectomy: A Single-Center Experience

  • Raluca Oltean,
  • Liviu Oltean,
  • Andreea Nelson Twakor and
  • Teodor Horvat

30 September 2025

Background: Pulmonary lobectomy remains the gold standard for early-stage non-small cell lung cancer, with the primary goal of complete tumor removal. Postoperative imaging is critical for evaluating recovery and identifying complications, yet system...

(This article belongs to the Special Issue Cardiothoracic Surgery)
  • Article
  • Open Access
1 Citations
1,738 Views
8 Pages

Exploring the Role of Artificial Intelligence in Enhancing Surgical Education During Consultant Ward Rounds

  • Ishith Seth,
  • Omar Shadid,
  • Yi Xie,
  • Stephen Bacchi,
  • Roberto Cuomo and
  • Warren M. Rozen

30 September 2025

Background/Objectives: Surgical ward rounds are central to trainee education but are often associated with stress, cognitive overload, and inconsistent learning. Advances in artificial intelligence (AI), particularly large language models (LLMs), off...

  • Article
  • Open Access
771 Views
9 Pages

30 September 2025

Background: Liver biopsy performed after less invasive workup, including imaging, for evaluation of abnormal liver function studies occasionally reveals large bile duct obstruction on histology without evidence of biliary obstruction on prior imaging...

  • Article
  • Open Access
2,721 Views
12 Pages

29 September 2025

Background/Objectives: The global incidence of thyroid cancer has been increasing, necessitating improved diagnostic strategies for detecting lymph node metastases. Fine-Needle Aspiration Biopsy (FNA) is a widely used diagnostic tool; however, its ac...

  • Review
  • Open Access
1 Citations
8,032 Views
10 Pages

26 September 2025

Background: Primary cicatricial alopecias (PCA) are inflammatory disorders that cause permanent hair loss through follicular destruction and fibrosis. Hair transplantation (HT) may restore coverage in stable or end-stage PCA cases. This review assess...

  • Article
  • Open Access
2 Citations
5,289 Views
13 Pages

25 September 2025

Background/Objectives: Meniscectomy is commonly performed to treat meniscal injury. Recovery of patients and restoration of functional capacity may be influenced by several factors, among which postoperative rehabilitation could play a significant ro...

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Surgeries - ISSN 2673-4095