Modifiable risk factors for perioperative hidden blood loss in unilateral biportal endoscopic surgery: a systematic review and meta-analysis
Unilateral biportal endoscopic (UBE) surgery enables precise treatment of lumbar spine pathologies due to its inherent advantages typical of minimally‑invasive endoscopic procedures, including reduced intraoperative blood loss and minimal soft tissue dissection. However, hidden blood loss (HBL) remains a significant challenge in UBE, with limited data regarding its incidence and risk factors.
When helpful becomes harmful: a case-based narrative review of esophageal mesh migration after hiatal hernia repair
Hiatal hernia (HH) repair with mesh reinforcement is a commonly performed procedure to reduce the recurrence of HH. Mesh migration (MM) remains a rare but serious complication.
Adrenal hemorrhage: diagnostics, management, and treatment. Review and clinical update
Adrenal hemorrhage (AH) is a rare and often underdiagnosed condition that can present with nonspecific symptoms and may be life-threatening. Accurate diagnosis and tailored management are essential.
Protective effect of complete endoscopic thyroidectomy through different approaches on the recurrent laryngeal nerve
Papillary thyroid carcinoma (PTC) is a malignancy originating from the thyroid follicular epithelium, accounting for over 80% of thyroid cancer globally. It is often asymptomatic in its early stages, but over time, it may invade the unilateral recurrent laryngeal nerve (RLN), leading to hoarseness, weak speech, or dysphagia. In order to prevent further complications, prompt treatment is required, and surgery remains the primary and most effective option.
Augmented reality with intraoperative indocyanine green lymphatic mapping in colorectal cancer: personalized surgery or a glowing distraction? A scoping review
Colorectal cancer (CRC) is a leading cause of cancer-related death globally, where precise lymph node (LN) assessment remains critical for accurate staging and prognosis. Indocyanine green fluorescence imaging (ICG-FI) has emerged as a potential tool to enhance intraoperative lymphatic visualization and guide tailored lymphadenectomy.
Risk factors and prediction model for stone mucosa adhesion before retrograde intrarenal surgery
Preoperative assessment of ureteral adhesions related to stones is crucial for choosing the right surgical approach.
T‑shaped sling with modified posterior pelvic reconstruction: a technical note with video vignette
To address the lack of standardized procedures for concurrent stress urinary incontinence (SUI), cystocele, and vaginal laxity, we developed a novel, integrated approach that employs a customized inverted T-shaped sling for bladder neck-to-midurethral suspension combined with modified posterior pelvic reconstruction. The widened sling design with posteriorly shifted suspension vector prevents postoperative voiding dysfunction associated with traditional slings. The modified reconstruction technique employs high-strength absorbable barbed sutures for bilateral levator ani plication and perineal body reinforcement, which reduces urogenital hiatus dimensions, corrects vaginal laxity, and prevents long-term recurrence through the enhanced level III support. A 46-year-old woman with concomitant SUI, stage II cystocele (according to the Pelvic Organ Prolapse Quantification system), and vaginal laxity successfully underwent the procedure. Magnetic resonance imaging performed 6 months portsurgery confirmed adequate bladder repositioning. During the 24-month follow-up, SUI symptoms were resolved, pelvic / perineal discomfort diminished, and vaginal laxity during intercourse improved. This technique appears to represent a feasible single-stage solution for women presenting with concurrent SUI, cystocele, and vaginal laxity, providing comprehensive anatomical and functional restoration.
Innovative combination of unilateral biportal endoscopic discectomy and interlaminar dynamic stabilization using the IntraSPINE device for huge lumbar disc herniation: technical note and preliminary report
The unilateral biportal endoscopy (UBE) technique has demonstrated favorable outcomes in lumbar discectomy and decompressive laminectomy. IntraSPINE is an innovative interlaminar dynamic stabilization device providing a minimally-invasive alternative for the treatment of degenerative lumbar diseases.
Microultrasound imaging for accuracy of diagnosis in prostate cancer: a single‑center observational study
Research results suggest that high-resolution ultrasonography (microUS) can be used to estimate the risk of prostate cancer (PCa) and identify suspicious areas, enabling precise biopsy during examination.
Best medical treatment vs endovascular repair for uncomplicated acute type B aortic dissection: a comparative study
Both best medical treatment (BMT) and endovascular repair (ER) are viable treatment strategies in uncomplicated acute type B aortic dissection (TBAD). However, long-term outcomes of these 2 approaches remain a topic of debate.
Safety and efficacy of combining transcervical fibroid ablation with operative hysteroscopy
Minimally-invasive, organ-preserving techniques for uterine fibroid management have gained popularity. This study assesses the safety and effectiveness of combining transcervical fibroid ablation (TFA) with operative hysteroscopy (HSC).
Paracervical block during vaginal natural orifice transluminal endoscopic surgery reduces postoperative pain and analgesic consumption: a retrospective cohort study
Vaginal natural orifice transluminal endoscopic surgery (vNOTES) for bilateral tubal ligation may cause notable early postoperative pain, leading to opioid use. Paracervical block (PBC) could support analgesia within enhanced recovery after surgery (ERAS) pathways.
Outcomes of a newly established bariatric program in a hospital without an intensive care unit: a retrospective analysis of safety and effectiveness
Bariatric surgery effectively contributes to substantial weight loss and improvement of obesity‑related comorbidities. Establishing new bariatric programs, particularly in hospitals without intensive care units, requires tailored implementation strategies and careful resource planning to ensure both safety and efficacy.
Stent with radioactive seeds placement for obstructive hilar cholangiocarcinoma: comparison between unilateral and bilateral placement
Biliary stenting with radioactive seed placement has become a frequently applied palliative intervention for patients with obstructive hilar cholangiocarcinoma (HC). Despite its increasing use, evidence comparing unilateral and bilateral stenting with radioactive seed placement remains limited.
Unilateral biportal endoscopy for upper lumbar disc herniation: surgical challenges and clinical outcomes
Upper lumbar disc herniation (ULDH) is a rare type of herniation occurring at the L1/L2 or L2/L3 level. Due to its high location, associated with small spinal canal volume and complex anatomy, surgical treatment of this condition is challenging.
Impact of video -based incentive on patient willingness to read the informed consent form with comprehension before minimally-invasive surgery: a randomized controlled trial
The purpose of the informed consent (IC) form is to enable patients to make a conscious choice based on complete and comprehensible information about a planned surgical procedure, its risks, benefits, and alternative treatment methods. Obtaining information about other therapeutic options is particularly important in the case of laparoscopic surgeries which are becoming increasingly popular. Unfortunately, as the literature indicates, most patients do not read the IC form.
Safe and effective antireflux surgery in lung transplant recipients: preliminary results
Obliterative bronchiolitis, the clinical manifestation of bronchiolitis obliterans syndrome (BOS), is a major complication of lung transplantation and one of the primary causes of chronic lung allograft dysfunction leading to poor survival outcomes.
Allogeneic fibroblasts vs conventional debridement after successful endovascular interventions for treating chronic ulcers induced by peripheral artery disease
Fibroblasts are stromal and connective tissue cells that play crucial roles in the intracellular matrix and granulation tissue synthesis during tissue proliferation. They are also responsible for epithelialization and healing of skin lesions.
Preoperative decompression for left-sided obstructive colorectal cancer: a comparative study between a stent and a decompression tube
Stents and decompression tubes (DTs) are both commonly utilized for preoperative decompression in patients with left-sided obstructive colorectal cancer (OCRC). However, the comparative effectiveness and oncological safety of these 2 approaches remain uncertain.
Outcomes of Nissen sleeve gastrectomy in a short‑term follow‑up: a new future?
Sleeve gastrectomy (SG) is the most commonly performed bariatric procedure worldwide, offering significant weight loss and remission of obesity-related diseases. However, SG is associated with a high risk of gastroesophageal reflux disease (GERD). To mitigate this issue, a modified procedure combining SG with Nissen fundoplication (Nissen-sleeve gastractomy [NSG]) has been developed.
Technical variability and safety of sleeve gastrectomy: a nationwide survey of bariatric centers in Poland
Sleeve gastrectomy (SG) is the most frequently performed bariatric procedure in Poland. While considered technically straightforward, significant variation exists in the operative technique, which may affect safety outcomes.
