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Medicina
Special Issues
Advances in Gastrointestinal Surgeries
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Advances in Gastrointestinal Surgeries

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Surgery".

Deadline for manuscript submissions: 31 January 2026 | Viewed by 242

Special Issue Editors

Dr. Matei Bratu

E-Mail Website
Guest Editor
Department of General Surgery—Emergency Clinical Hospital of Bucharest, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Interests: oncologic surgery; minimal invasive surgery; general surgery; laparoscopic surgery
Dr. Bogdan Diaconescu

E-Mail Website
Guest Editor
Department of Anatomy, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania
Interests: general surgery; laparoscopy, minimally invasive surgery; colorectal cancer; colorectal anatomy; general surgery
Special Issues, Collections and Topics in MDPI journals
Dr. Florin Iordache

E-Mail Website
Guest Editor Assistant
Emergency Hospital of Bucharest, Carol Davila University of Medicine and Pharmacy Bucharest, Bucharest, Romania
Interests: general surgery; laparoscopy, minimally invasive surgery; colorectal cancer; colorectal anatomy; general

Special Issue Information

Dear Colleagues,

Gastrointestinal surgery is seeing continuous growth due to advances in minimally invasive surgery, such as robotic, laparoscopic, and endoscopic techniques, which offer key advantages over open surgery. Moreover, image-guided surgery with the adjunct use of artificial intelligence has seen significant advancements in recent years.

The aim of this Special Issue is to showcase novel GI surgery techniques centered on maximizing benefits for the patient in every way possible.

High-impact research is vital in discovering new methods for treating patients and addressing areas that have previous not received sufficient attention or interest and for which we still lack clear solutions.

Authors are welcome to submit original articles, reports on novel treatment strategies and advances in decision-making, clinical outcome studies, comparative studies, narrative reviews, scoping reviews, and systematic reviews and meta-analyses that will fuel innovation and offer hope for patients.

Dr. Matei Bratu
Dr. Bogdan Diaconescu
Guest Editors

Dr. Florin Iordache
Guest Editor Assistant

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. Medicina is an international peer-reviewed open access monthly 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 2200 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

  • minimal invasive surgery
  • oncologic surgery
  • endoscopic surgery
  • rare cases

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

Published Papers (1 paper)

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Research

9 pages, 414 KiB  
Article
A Decade-Long Case Series Report on the Surgical Management of Complicated Umbilical Hernia in Patients with Decompensated Liver Cirrhosis Utilizing Incisional Negative Pressure Therapy
by Miha Petrič, Danaja Plevel, Uroš Tršan and Blaž Trotovšek
Medicina 2025, 61(7), 1262; https://doi.org/10.3390/medicina61071262 - 12 Jul 2025
Viewed by 167
Abstract
Background and Objectives. Umbilical hernia is particularly common among patients with liver cirrhosis, affecting about 20% of this group, compared to 3–8.5% in healthy individuals. This increased prevalence is mainly due to weakened abdominal fascia, elevated intra-abdominal pressure, and malnutrition. The rapid [...] Read more.
Background and Objectives. Umbilical hernia is particularly common among patients with liver cirrhosis, affecting about 20% of this group, compared to 3–8.5% in healthy individuals. This increased prevalence is mainly due to weakened abdominal fascia, elevated intra-abdominal pressure, and malnutrition. The rapid progression of umbilical hernias often leads to complications such as skin necrosis, perforation, and strangulation. Historically, patients with liver cirrhosis and complicated umbilical hernia have faced high morbidity and mortality rates. However, recent advancements in perioperative management, especially in controlling ascites, have improved outcomes in elective treatments. Despite these advancements, managing patients with decompensated liver cirrhosis and complicated umbilical hernia in emergency settings remain a significant surgical challenge. Materials and Methods: We conducted a retrospective review of patients treated for complicated umbilical hernia at the University Medical Centre Ljubljana from 2015 to 2024, using prospectively collected data. This analysis involved implementing hernioplasty combined with incisional negative pressure wound therapy (iNPWT) as part of the surgical protocol. The primary endpoint of our study was the rate of local complications, while the secondary endpoints included the rate of systemic complications and 90-day mortality. Results: We treated 28 consecutive patients with complicated umbilical hernia and liver cirrhosis. Local wound complications were observed in three (10.7%) patients. Systemic complications developed in 10 patients (35.7%). The median duration of hospitalization was 8 days (range: 5–29), and no readmissions were recorded within the 30-day period. Two (7.1%) patients died within 90 days. Conclusions: Our experience indicates that iNPWT, when combined with surgical repair, can be safely utilized, yielding outcomes comparable to elective hernia repairs, even in emergency contexts. Further randomized controlled trials are necessary to validate these findings and optimize treatment protocols. Full article
(This article belongs to the Special Issue Advances in Gastrointestinal Surgeries)
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