Evaluation of ChatGPT-4 for the detection of surgical site infections from electronic health records after colorectal surgery: A pilot diagnostic accuracy study.

Background: Surveillance of surgical site infection (SSI) relies on manual methods that are time-consuming and prone to subjectivity. This study evaluates the diagnostic accuracy of ChatGPT for detecting SSI from electronic health records after colorectal surgery via comparison with the results of a nationwide surveillance programme.

Methods: This pilot, retrospective, multicentre analysis included 122 patients who underwent colorectal surgery.

Appropriate Use of Antibiotics in Acute Pancreatitis: A Scoping Review.

Background: While selective use of antibiotics for infected pancreatic necrosis (IPN) in acute pancreatitis (AP) is recommended, studies indicate a high rate of inadequate treatment.

Methods: A search of PubMed, Scopus, and Cochrane databases was conducted, focusing on primary research and meta-analyses. Data were categorized based on core concepts, and a narrative synthesis was performed.

Surgical site infection prevention measures in General Surgery: Position statement by the Surgical Infections Division of the Spanish Association of Surgery.

Surgical site infection is associated with prolonged hospital stay and increased morbidity, mortality and healthcare costs, as well as a poorer patient quality of life. Many hospitals have adopted scientifically-validated guidelines for the prevention of surgical site infection. Most of these protocols have resulted in improved postoperative results.

Prophylactic synthetic mesh can be safely used to close emergency laparotomies, even in peritonitis.

Background: This study was conducted to determine the efficacy and safety of the use of a partially absorbable large pore synthetic prophylactic mesh in emergent midline laparotomies for the prevention of evisceration and incisional hernia.

Methods: Retrospective analysis of all patients who underwent an emergency midline laparotomy between January of 2009 and July of 2010 was performed. Patients with complicated ventral hernia repair, postoperative death, and lack of follow-up were excluded.

[Transient high frequency nodal rhythm after a high voltage electric shock. Report of one case].

Electrical shock can cause a direct myocardial damage and different types of arrhythmias, which are uncommon and occur more often when there is a high voltage exposure. We report a 19-year-old male that received a high voltage shock, falling thereafter from an altitude of four meters. On admission to the emergency room, he had second and third degree burns in the right hand and the left thigh.

Results of a laparoscopic approach for the treatment of acute small bowel obstruction due to adhesions and internal hernias.

Introduction: Laparotomy is the standard approach for the surgical treatment of acute small bowel obstruction (ASBO).

Patients And Methods: From February 2007 to May 2012 we prospectively recorded all patients operated by laparoscopy in our hospital because of ASBO due to adhesions (27 cases) and/or internal hernia (6 cases). A preoperative abdominal CT was performed in all cases.

[A comparison of laparoscopic versus open repair for the surgical treatment of perforated peptic ulcers].

Objective: To analyse the outcomes of laparoscopic versus open repair for perforated peptic ulcers (PPU).

Methods: All patients undergoing PPU repair between January 2002 and March 2012 were included in the study. Demographic characteristics, operation time, complications, and length of hospital stay were evaluated.

Inguinal syndrome secondary to Prevotella bivia after accidental bite in orogenital sex.

The authors report a case of an inguinal bubo in a young man caused by an anaerobe, Prevotella bivia, which was acquired during oral sexual intercourse. As far as the authors know, this is the first reported case of a sexually transmitted infection by Prevotella. Prevotella spp.

[Results of a multidisciplinary and multifocal project to reduce bacteraemia caused by central venous catheters in non critical patients in a university hospital].

Objective: To evaluate a multidisciplinary and multifocal intervention in order to reduce catheter related bloodstream infections (CRBI), based on previously identified risk factors in non-critical patients.

Methods: A pre-post-intervention study, 2004-2006.

Population: patients with a central venous catheter (CVC).

[Diabetic mastopathy in diabetes mellitus type 2].

Diabetic mastopathy is a little known entity and can easily be mistaken for breast carcinoma. This entity has mainly been described in patients with diabetes type 1 and, to a much lesser extent, in those with other endocrine disorders. We describe a case of diabetic mastopathy associated with diabetes mellitus type 2, which showed a rapid clinical course.

Preoperative risk factors for mortality after relaparotomy: analysis of 254 patients.

Introduction: The aim of this work was to analyze preoperative mortality risk factors after relaparotomy for abdominal surgery in a unit of General Surgery at a University Hospital.

Methods: A total of 314 relaparotomies in 254 patients were performed between February 2004 and February 2008. We analyzed data about past medical history, first operation, as well as clinical and biochemical parameters previous to reoperation.

Surgery for sporadic primary hyperparathyroidism: controversies and evidence-based approach.

Introduction: Sporadic primary hyperparathyroidism is due to single adenoma in over 90-95% of instances. Careful medical history and precise preoperative identification of the enlarged gland by parathyroid Tc-mibi scintigraphy and neck ultrasound allow selecting patients for minimally invasive parathyroidectomy, a focused intervention with minimal skin opening and tissue dissection. Small (<300 mg) adenomas continue to challenge preoperative imaging, and most of them will still require a bilateral exploration.

Usefulness of preoperative Tc-mibi parathyroid scintigraphy in secondary hyperparathyroidism.

Background And Aims: The usefulness of Tc-mibi parathyroid scintigraphy (Tc-PS) in planning parathyroidectomy for secondary hyperparathyroidism is not well known. The aim of this study was to review our experience with Tc-PS concerning: (1) the identification of hyperplastic glands, (2) detection of major ectopias and (3) prevention of recurrences.

Patients And Methods: Thirty-three consecutive patients undergoing first-time subtotal parathyroidectomy for renal hyperparathyroidism had a dual-phase planar Tc-PS performed, and glands were classified as detected, weak, or not detected.

Blood transfusions and postoperative infections in patients undergoing elective surgery.

Background: Postoperative infections result from the interactions of bacteria, the surgical technique, and host defense mechanisms. Thus, identifying single determinant factors has proved difficult.

Magnitude Of The Risk: In a recent survey of 2,809 colorectal resections, transfusion was the single most powerful risk factor for postoperative infection.