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New Insights into Abdominal Surgery
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New Insights into Abdominal Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "General Surgery".

Deadline for manuscript submissions: 10 July 2025 | Viewed by 2484

Special Issue Editor

Dr. Pietro Fransvea

E-Mail Website
Guest Editor
Emergency Surgery and Trauma Department, IRCCS A. Gemelli University Polyclinic Foundation, Sacred Heart Catholic University, Rome, Italy
Interests: intestinal failure; acute care surgery; trauma

Special Issue Information

Dear Colleagues,

“New Insights into Abdominal Surgery” serves as a platform to consolidate recent advancements and address pivotal challenges in the fields of acute care, trauma, and artificial intelligence in surgery. This Special Issue aims to encapsulate the evolving landscape of abdominal emergency surgery by highlighting the current research status and identifying the core issues that demand our attention. By delving into innovative techniques, emerging technologies, and novel therapeutic approaches, this Special Issue seeks to enhance patient outcomes and surgical practices. The scope of this Special Issue encompasses diverse aspects of abdominal surgery, including, without being limited to, trauma and acute care surgery, minimally invasive surgery in emergency settings, and pre/post-operative care strategies. Furthermore, it encourages interdisciplinary collaboration and knowledge exchange between surgeons and other specialists, such as radiologists, dieticians, and infectiologists, to cover the relationship between the outcomes of surgery and multiple pre-operative variables. Moreover, we would like to address the enhanced identification of acute-care surgical patients at risk of sepsis. Accordingly, this Special Issue endeavors to catalyze transformative breakthroughs, optimize surgical outcomes, and, ultimately, improve the quality of patient care in abdominal surgery.

Dr. Pietro Fransvea
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • acute care surgery
  • trauma
  • minimally invasive emergency surgery
  • artificial intelligence
  • outcome prediction

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (2 papers)

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Research

16 pages, 270 KiB  
Article
Clinical Impact of Sarcopenia in the Decision-Making Process for Patients with Acute Diverticulitis
by Caterina Puccioni, Pietro Fransvea, Elena Rodolfino, Marco Cintoni, Alessandro Vacca, Dario Benedetto, Maria Cristina Mele and Gabriele Sganga
J. Clin. Med. 2025, 14(1), 7; https://doi.org/10.3390/jcm14010007 - 24 Dec 2024
Viewed by 848
Abstract
Background: Acute diverticulitis (AD), an inflammatory complication of diverticulosis, affects around 4% of individuals with diverticulosis, with increased incidence in older populations. This study aims to assess the impact of sarcopenia, the age-related loss of muscle mass, on the clinical decision-making and outcomes [...] Read more.
Background: Acute diverticulitis (AD), an inflammatory complication of diverticulosis, affects around 4% of individuals with diverticulosis, with increased incidence in older populations. This study aims to assess the impact of sarcopenia, the age-related loss of muscle mass, on the clinical decision-making and outcomes of patients with AD. Materials and Methods: A retrospective study was conducted on 237 patients admitted to the Emergency Department (ED) between January 2014 and February 2022. Patients diagnosed with AD Hinchey ≥ 2 via contrasted tomography (CT) were included. Sarcopenia was assessed using CT scans at the third lumbar vertebra (L3), with skeletal muscle area (SMA) normalized by height to calculate the skeletal muscle index (SMI). Patients were divided into two groups based on sarcopenia status and analysed for surgical outcomes, non-operative management (NOM) success, and complications. Results: The prevalence of sarcopenia was 46%. Sarcopenic patients were significantly older and had lower BMI and higher frailty scores. A higher proportion of sarcopenic patients underwent Hartmann, while non-sarcopenic patients more often had anastomosis. Sarcopenia did not significantly affect overall morbidity, mortality, or the failure rate of NOM. However, sarcopenic patients with a BMI > 25 had a higher likelihood of requiring redo surgeries. Conclusions: Sarcopenia plays a critical role in the surgical management of AD but does not predict worse clinical outcomes. The decision to perform surgery, particularly Hartmann’s procedure, is influenced by sarcopenia, yet morbidity and mortality rates are comparable between sarcopenic and non-sarcopenic patients. These findings highlight the need for sarcopenia to be considered in preoperative assessments. Full article
(This article belongs to the Special Issue New Insights into Abdominal Surgery)
14 pages, 515 KiB  
Article
A Retrospective Analysis of Emergency Versus Elective Surgical Outcomes in Colon Cancer Patients: A Single-Center Study
by Roxana Loriana Negruț, Adrian Coțe and Adrian Marius Maghiar
J. Clin. Med. 2024, 13(21), 6533; https://doi.org/10.3390/jcm13216533 - 30 Oct 2024
Cited by 3 | Viewed by 1180
Abstract
Introduction: Emergency surgical interventions for colon cancer are often associated with poorer outcomes compared to elective surgeries due to the advanced state of the disease and the urgency of intervention. This retrospective study aimed to evaluate the management of emergency management of colon [...] Read more.
Introduction: Emergency surgical interventions for colon cancer are often associated with poorer outcomes compared to elective surgeries due to the advanced state of the disease and the urgency of intervention. This retrospective study aimed to evaluate the management of emergency management of colon cancer and to evaluate differences in patient outcomes. Conducted at a single surgical emergency center, the study analyzed 182 cases, focusing on demographics, tumor characteristics, surgical methods and patient outcomes. Material and Methods: A retrospective observational study was conducted, involving 182 cases who underwent surgery for colon cancer in a single surgical emergency center. Data was collected from hospital records, encompassing demographic details, tumor characteristics, surgical intervention detail and outcomes, alongside with inflammatory profiles. Statistical analyses included descriptive statistics and t-tests with standard significance at p < 0.05. Results: The study showed that emergency cases had significantly poorer in-hospital survival rates (75.42%) compared to elective surgeries. Inflammatory markers such as Neutrophil-Lymphocyte Ratio, Platelet-Lymphocyte Ratio were higher in emergency cases, suggesting heightened systemic stress. Emergency surgery was also associated with a higher incidence of ostomy and postoperative complications. Conclusions: Emergency surgery for colon cancer is linked to more advanced tumors, increased physiological stress and lesser clinical outcomes. Early detection strategies and active targeted screening could reduce the need for emergency interventions. Future research should focus on early diagnosis protocols and enhancing public health strategies to minimize emergency presentations, thereby leading to better outcomes for colon cancer patients. Full article
(This article belongs to the Special Issue New Insights into Abdominal Surgery)
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