1 November 2026
Background: Personalized medicine is a new milestone in surgical disciplines. Orthopedic surgery is no exception. Opportunities and solutions to previously unsolvable problems have become possible thanks to the advent of customized implants. Therefor...
Background/Objectives: In the modern treatment of renal stones, intrarenal pressure management is an important safety factor in flexible ureteroscopy. Modern techniques that include real-time monitoring of intrarenal pressure, continuous irrigation,...
Background/Objectives: Uterine fibroids are among the most common benign pelvic tumors in women. Although their prevalence may be underestimated due to asymptomatic patients, they are linked to significant morbidity. Computational simulations emerge...
Background/Objectives: Structured perioperative education may support self-management after metabolic and bariatric surgery (MBS), but evidence from resource-variable settings remains limited. This study evaluated the association between a structured...
Background/Objectives: Recurrent groin and ventral hernias remain technically challenging, and the optimal operative approach is not uniform. This study compared postoperative outcomes after open and minimally invasive repair and examined recurrent i...
Background: Anesthesiologist-estimated blood loss is a frequent outcome in retrospective blood-conservation studies, but whether it captures the effect of tranexamic acid (TXA) in total knee arthroplasty (TKA) is unknown. Methods: This retrospective...
Background/Objectives: Postoperative pain remains a major clinical and public health challenge, contributing to delayed recovery, increased opioid use, and risk of chronic postsurgical pain. A variety of postoperative analgesic interventions and stra...
Objective: A two-center, retrospective study was conducted on patients who underwent mandibular reconstruction surgery with fibula free flap from 2017 to 2023 at the departments of maxillofacial surgery of Perugia (Group I) and Ancona (Group II) hosp...
Peripheral lymphedema is a chronic and progressive condition characterized by impaired lymphatic drainage, leading to fluid accumulation, tissue fibrosis and significant deterioration in quality of life. Lymphovenous anastomosis (LVA) has emerged as...
Background and Objectives: Observational comparisons of laparoscopic and open colorectal resection are vulnerable to confounding by indication because fitter patients with earlier disease are preferentially offered the minimally invasive approach. Us...
Background and Objectives: C-arm fluoroscopy is used across virtually every anatomical region and target disease in orthopaedic, spinal, and interventional practice, yet the operator’s own radiation burden is rarely quantified at the point of c...
Background and Objectives: The growing global burden of surgical disease—including trauma, burns, congenital anomalies, and oncological defects—disproportionately affects populations in low- and middle-income countries (LMICs), where adva...
Background/Objectives: This study aimed to evaluate the diagnostic accuracy of computed tomography (CT) in detecting postoperative complications following reconstructive urinary diversion. Methods: We retrospectively analyzed 151 patients (2004&ndash...
Background: Bibliometric comparisons can describe highly cited literature but do not represent the full output of a discipline. The NIH-supported Relative Citation Ratio (RCR) field- and time-normalizes citation rates, while the Altmetric Attention S...
Background/Objectives: Combined closed post-traumatic avulsion of the extensor carpi radialis longus (ECRL) and extensor carpi radialis brevis (ECRB) tendons is exceptionally rare. We describe a case and review the literature, with particular attenti...
Background/Objectives: The escalating incidence of cesarean deliveries has driven an increase in cesarean scar pregnancy (CSP). Given the risks of hemorrhage and uterine rupture, surgical intervention is recommended; however, the optimal modality rem...
Background/Objectives: Chronic injuries of the radial collateral ligament (RCL) of the thumb metacarpophalangeal (TMCP) joint are becoming an increasingly common clinical challenge. In cases without degenerative changes, surgical treatment with ligam...
Background/Objectives: Perilunate dislocations (PLDs) and perilunate fracture-dislocations (PLFDs) are uncommon but severe wrist injuries for which the prognostic influence of treatment timing and initial injury severity remains incompletely defined....
Background: Metal hypersensitivity to spinal implants is a rare complication documented predominantly in isolated case reports. While nickel, cobalt, and chromium are the most commonly implicated allergens, titanium alloys used in cervical fusion con...
Background/Objectives: Documentation burden is a major source of dissatisfaction among outpatient surgeons, and artificial intelligence (AI) tools—from general-purpose language models to purpose-built ambient scribes—have emerged as poten...
Background: Venous thromboembolism (VTE) is an uncommon but clinically important complication after metabolic and bariatric surgery (MBS). Although established clinical risk factors for postoperative VTE have been described, the relationship between...
Background/Objectives: The expansion of minimally invasive and transcatheter approaches has progressively blurred boundaries between medical and surgical disciplines. Valvular heart diseases, especially aortic ones, exemplify this translational shift...
IgG4-related disease (IgG4-RD) is a systemic fibroinflammatory disorder that can affect multiple organs, while sinonasal involvement remains uncommon and poorly characterized. Its clinical and radiological resemblance to malignancy may delay diagnosi...
Introduction: Posterior tibial slope (PTS) influences sagittal knee mechanics, affecting flexion–extension, ligament tension, and implant stability in total knee arthroplasty (TKA). Robotic-assisted (RA) TKA with functional alignment (FA) allow...
Background: The Meek micrografting technique remains an important option in burn reconstruction, particularly when donor sites are limited. By expanding a small split-thickness skin graft into a regularly spaced micrograft array, the method can achie...
Background/Objectives: Trapeziometacarpal (TM) joint involvement is common in inflammatory rheumatic disease and may result in pain, instability, and functional impairment. Although TM arthroplasty is widely performed for primary osteoarthritis, evid...
Objectives: Reconstruction of complex midfacial defects remains challenging due to the need to restore three-dimensional anatomy, functional integrity, and facial symmetry. This study aimed to evaluate the clinical effectiveness, safety, and function...
Background/Objectives: Peripheral nerve injuries of the median and ulnar nerves frequently cause significant functional impairment in young patients. When primary repair is not possible, autologous sural nerve grafting remains the gold-standard recon...
Background/Objectives: To evaluate the clinical effects of alveolar ridge preservation using a hyaluronic acid-based product combined with a resorbable collagen cone compared with spontaneous healing. Methods: In this prospective pilot comparative cl...
Background/Objectives: Patients aged ≥65 years undergoing colorectal cancer surgery are at increased risk of postoperative complications and mortality due to advanced age, comorbidity burden, frailty, and reduced physiological reserve. The aim of...
Background/Objectives: Maxillary sinus floor augmentation (MSFA) is a predictable procedure for the rehabilitation of the atrophic posterior maxilla. The prolonged healing time associated with particulate bone grafts poses a clinical challenge. This...
Liver transplantation (LT) has evolved from a contraindicated procedure for malignancy into an established oncologic therapy for selected primary and secondary hepatic cancers. Advances in tumor biology, molecular profiling, immunotherapy, and peri-t...
Background/Objectives: Enhanced Recovery After Surgery (ERAS) has substantially advanced perioperative care across multiple surgical disciplines. Research in colorectal surgery has clearly demonstrated the effectiveness of ERAS programs; however, evi...
Background/Objectives: Caesarean section (CS) is the most frequently performed abdominal operation worldwide, and surgical technique continues to evolve to reduce peri-operative morbidity. Electrosurgery is now used in the majority of surgical proced...
Background: Management of high-grade carotid artery stenosis with concomitant ipsilateral parotid gland tumor presents a rare and challenging surgical condition. Due to the rarity of this dual pathology, standardized guidelines are lacking. Material ...
Background: This study evaluated temporal changes in stage distribution, registry-recorded primary-site surgery, survival outcomes, and exploratory short-term mortality prediction among patients with early-onset testicular germ cell tumors, defined i...
Background: The growing awareness of breast cancer’s molecular diversity has not changed the technical foundations of surgery itself, but it has profoundly reshaped how surgeons think about surgery. Rather than molecular biology prescribing spe...
Background: Acute appendicitis is the leading pediatric surgical emergency. Identifying drivers of disease severity and laparoscopic-to-open conversion remains critical for surgical planning. We evaluated the discriminative performance of clinical sc...
Background: Combined bone and soft-tissue loss of the lower extremity requires complex reconstructive pathways. While acute post-traumatic infected defects and chronic osteomyelitis differ clinically, both present reconstructive challenges that deman...
Background: This study aims to evaluate the effect of postoperative posturing on graft detachment and rebubbling rates following Descemet Membrane Endothelial Keratoplasty (DMEK). Methods: This was an interventional comparative cohort study, assessin...
Laser technology has recently gained renewed interest in hysteroscopic surgery due to advances in fiber-optic delivery systems, device miniaturization, and the growing adoption of office-based procedures. In this context, laser energy represents a po...
Objective: Traumatic dislocation and fracture–dislocation of the hip are rare and severe injuries often associated with high-energy trauma. Early recognition and rapid, stable reduction are essential for successful treatment; otherwise, this ty...
Background/Objectives: This paper synthesizes and evaluates the potential origins of ectopic salivary gland pathologies in the human nasopharynx. By combining historical reports with an original comparative analysis, this study aims to clarify the pr...
Intravascular papillary endothelial hyperplasia (IPEH), also known as Masson’s tumor, is a rare benign vascular lesion first described in 1923. Its pathogenesis involves thrombus formation influenced by stasis, trauma, hormones, or radiation, f...
Background and Objectives: A number of published studies comparing transanal haemorrhoidal dearterialization (THD) and conventional haemorrhoidectomy (CH) have primarily focused on short-term outcomes, while data on long-term results remains scarce....
Background: Chronic distal radioulnar joint (DRUJ) instability secondary to triangular fibrocartilage complex (TFCC) injury remains challenging to treat. This study describes a novel mini-open dorsal technique for TFCC reconstruction and reports prel...
Background/Objectives: Frontal sinus surgery remains one of the most challenging procedures in endoscopic sinus surgery due to the complex and variable anatomy of the frontal recess. While several radiological parameters have been proposed to guide s...
A 52-year-old man presented with an unrepaired common canalicular laceration resulting from a traffic accident 1.5 months prior to referral. Cutaneous and conjunctival scars were identified medial to the right lower lacrimal punctum. During surgery,...
Objective: Long-term data on ejaculation-sparing transurethral surgery for primary bladder neck obstruction (PBNO) in young men remain limited. We report the extended outcomes of the ZANCLE technique—a monopolar or bipolar unilateral “Z&r...
Background: Despite modern technology of energy instruments, secure arterial vessel sealing remains a surgical challenge. Particularly in cases of fragile vessel walls or limited visibility, additional reinforcement techniques are potentially desirab...
