Publications by authors named "Garyfallia Apostolia Karali"
Background: The surgeon performing a distal gastrectomy, has an arsenal of reconstruction techniques at his disposal, Billroth II among them. Braun anastomosis performed during a Billroth II procedure has shown evidence of superiority over typical Billroth II, in terms of survival, with no impact on postoperative morbidity and mortality.
Aim: To compare Billroth II Billroth II and Braun following distal gastrectomy, regarding their postoperative course.
Article Synopsis
- The study focuses on developing a predictive model called SEAL to assess the risk of serious postoperative complications after emergency laparotomy (EL), aiming to improve patient management.
- Researchers analyzed data from 633 patients and identified six key predictors for complications, demonstrating that SEAL has strong accuracy and calibration compared to the existing ACS-NSQIP model.
- The SEAL model is seen as a valuable tool for personalized risk assessment, with suggestions for further testing in diverse environments to validate its effectiveness.
Background: Accurate preoperative risk assessment in emergency laparotomy (EL) is valuable for informed decision making and rational use of resources. Available risk prediction tools have not been validated adequately across diverse health care settings. Herein, we report a comparative external validation of four widely cited prognostic models.
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- - The study investigates the outcomes of emergency laparotomy (EL) in Greece, comparing results with the National Emergency Laparotomy Audit (NELA) to understand patient outcomes and mortality rates.
- - Conducted from 01.2019 to 05.2020, the study included 633 patients in 11 Greek hospitals, revealing a 30-day post-operative mortality rate of 16.3% and identifying risk factors such as age, ASA class, and pre-existing health conditions.
- - Results show that while patient demographics were similar between Greece and the UK, the Greek cohort had significantly higher mortality rates and lower ICU utilization, indicating a potential quality of care issue that may contribute to the worse outcomes.