Long-term survival following adrenalectomy for secondary adrenal tumors: A systematic review and meta-analysis.

Background: Secondary adrenal tumors (SATs) are uncommon, and the benefits of adrenalectomy for SATs have not been well-established. A systematic review and meta-analysis were conducted to assess the survival benefits of adrenalectomy for SATs.

Method: ology: A systematic literature search was performed (1990-2022).

Is Robotic-Assisted Surgery Better?

The surgical platform for robotic-assisted surgery has enabled many surgeons to join a popular trend in minimally invasive surgery, which offers prospective benefits to patients (eg, shorter hospital stays, earlier recovery, and less pain) and operational benefits to surgeons. Surgeons without minimally invasive surgical training typically acquired during fellowship training are generally able to perform complex procedures with the robotic platform due to its ergonomic suturing instrumentation, tremor stabilization, 3D visualization, and 4-arm control by a single surgeon. Prospective benefits, however, must be balanced against prospective risks.

Outcomes of laparoscopic modified Cellan-Jones repair versus open repair for perforated peptic ulcer at a community hospital.

Introduction: Minimally invasive or open Graham Patch repair remains the gold standard approach for management of perforated peptic ulcers (PPU). Herein, we report outcomes of laparoscopic technique and compare it with open approach at a community hospital.

Methods: Retrospective observational study conducted comparing laparoscopic modified Cellan-Jones repair (mCJR) versus the standard open repair of PPU.

Near infrared perfusion assessment of gastric conduit during minimally invasive Ivor Lewis esophagectomy.

Introduction: Anastomotic leak and conduit necrosis are devastating complications following Ivor Lewis esophagectomy. Near infrared imaging (NIR) using IndoCyanine Green allows for real time tissue perfusion assessment which may reduce anastomotic leak during minimally invasive Ivor Lewis esophagectomy (MIE).

Methods: Forty consecutive MIE were performed by a single surgeon at a tertiary referral center.

Water harvesting techniques and supplemental irrigation impact on sorghum production.

Background: In general, rain-fed agriculture is practised in many areas in western Sudan. Therefore, it is imperative to adopt appropriate rainwater harvesting and reuse technique(s) by promoting soil and water management research to sustain crop productivity. Sorghum (Sorghum bicolor L.

Salutary effect of calcium channel blockade following hypoxic and septic insult.

Background: Intestinal ischemia and reperfusion is a major problem associated with a high morbidity and mortality following trauma and hemorrhagic shock. Apoptosis is the major mode of cell death following reperfusion. The cytoskeleton damage precedes the apoptotic final microscopic features.

Stress hormone epinephrine increases IgA transport across respiratory epithelial surfaces.

Background: Secretory immunoglobulin A (sIgA) is the principle antibody produced at the respiratory surface. Respiratory sIgA levels are increased early after injury in both human and laboratory animals; the mechanisms are uncertain. Stress hormones, including epinephrine (Epi) and norepinephrine (NE), increase early after injury.

Estrogen modulation of pneumonia? An immunoglobulin A effect.

Background: Laboratory and clinical studies demonstrated a salutary effect of estradiol (E2) on pneumonia and other infectious complications after trauma, while dihydrotestosterone (DHT) failed to show a similar effect. Secretory immunoglobulin A is the principle antibody in the respiratory and other mucosal secretions. Immunoglobulin A (IgA) production and transport into the mucosal secretion is regulated by Toll-like receptor 4 (TLR-4).