- Outcomes of Long-Term Absorbable Mesh Use for Ventral Hernia Repair in Immunosuppressed Patients. [Journal Article]World J Surg. 2026 Oct 04. [Online ahead of print]WJ
- CONCLUSIONS: Immunosuppressed patients with P4HB mesh had similar short- and mid-term infectious complications to non-immunosuppressed patients. Long-term recurrence rates remain to be evaluated.
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- Bolus-Only Versus Bolus-Plus-Infusion Tranexamic Acid for Trauma: A Propensity Score-Matched Study. [Journal Article]World J Surg. 2026 Oct 04. [Online ahead of print]WJ
- CONCLUSIONS: In this single-center retrospective cohort study, a 1-g TXA bolus alone was associated with mortality outcomes comparable to those of the conventional bolus-plus-infusion regimen among patients treated within 3 hours of injury. Prospective studies are warranted to validate these findings.
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- From Effectiveness to Long-Term Impact. Sustainability of a Frugal Managed Surgical Consultation Network in Low-Income Settings: Evidence From Malawi. [Journal Article]World J Surg. 2026 Oct 04. [Online ahead of print]WJ
- CONCLUSIONS: The Malawi Surgical MCN has evolved into a sustainable, locally owned platform supporting real-time decision-making, capacity building, and coordination of surgical care across district and central hospitals. Its continuation, after donor funding ended, demonstrates the feasibility of affordable, digitally enabled clinical networks in resource-constrained environments. The MCN is a potentially scalable model that could be used to strengthen surgical systems and reduce inequities in access to specialist care across sub-Saharan Africa and other similar contexts.
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- Direct-to-Implant Versus Two-Stage Tissue Expander/Implant Reconstruction: A Decade of Institutional Experience From China. [Journal Article]World J Surg. 2026 Oct 03. [Online ahead of print]WJ
- CONCLUSIONS: TE group had higher complication rates than DTI group, but postoperative radiotherapy significantly modifies the risk profile. In irradiated patients, TE may offer a protective effect against flap necrosis. These findings provide evidence-based guidance for individualized surgical decision-making in Asian populations.
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- Predictive Value of Follow-Up CT in Conservatively Managed Traumatic Brain Injury. [Journal Article]World J Surg. 2026 Oct 03. [Online ahead of print]WJ
- Progression of intracranial hematoma on routine follow-up CT in conservative managed traumatic brain injury patients rarely leads to operative intervention. Initial Marshall score is. more predictive than progression of intracranial hematoma on routine follow-up CT for the need of surgical intervention (AUC 0.88 vs. 057, p=0.016).
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- Effects of Lymphatic and Venous Invasion Status on Postoperative Prognosis and Metastasis Pattern in Patients With Esophageal Squamous Cell Carcinoma: A Retrospective Cohort Study. [Journal Article]World J Surg. 2026 Oct 01. [Online ahead of print]WJ
- CONCLUSIONS: LI and VI provide distinct and complementary prognostic information for patients with ESCC. VI positivity, especially when it coexists with LI, is associated with worse postoperative survival and a higher risk of distant metastasis. These findings support the use of risk-adapted postoperative strategies for improved clinical outcomes.
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- Development of a Predictive Model for Patient Compliance in Enhanced Recovery After Surgery (ERAS) Programs for Colorectal Surgery. [Journal Article]World J Surg. 2026 Oct 01. [Online ahead of print]WJ
- CONCLUSIONS: The newly developed compliance model will enable early identification of patients at risk of low adherence, thus supporting personalized perioperative management and improved recovery outcomes.
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- Socioeconomic Vulnerability as a Predictor of Burn Severity: Development of a Multidimensional Risk Model. [Journal Article]World J Surg. 2026 Oct 01. [Online ahead of print]WJ
- CONCLUSIONS: ICU admission following burn injury is influenced by a combination of injury severity, physiological response, and social vulnerability. Incorporating social determinants of health into burn severity assessment may improve early risk stratification and provide a more comprehensive framework for predicting critical care needs, particularly in resource-limited settings.
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- Interpret With Caution the Protective Effect of Delayed Appendectomy Within 24 Hours. [Letter]World J Surg. 2026 Sep 27. [Online ahead of print]WJ
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- Turning the World Health Organization Emergency Medical Team Experiences Into Actionable Standards as Climate Disasters, Mass Casualty Incidents and Conflict Outpace Our Systems of Response. [Journal Article]World J Surg. 2026 Sep 27. [Online ahead of print]WJ
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- Short-Term Clinical Outcomes and Complication Timing in Patients With Postoperative Delirium After Major Emergency Abdominal Surgery: A Prospective Cohort Study. [Journal Article]World J Surg. 2026 Sep 26. [Online ahead of print]WJ
- CONCLUSIONS: Delirium was strongly associated with worse short-term outcomes after emergency abdominal surgery. Delirium onset coincided with the highest complication rate, underscoring the systemic physiological stress associated with delirium. These findings support the importance of early detection of delirium and possible prevention strategies.
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- The Leaky Pipe: Closing the Surgical Data-Learning Loop in Low- and Middle-Income Countries. [Journal Article]World J Surg. 2026 Sep 26. [Online ahead of print]WJ
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- Factors Predicting the Need for Intravenous Calcium Infusion in Patients With Advanced Primary Hyperparathyroidism Undergoing Parathyroidectomy. [Journal Article]World J Surg. 2026 Sep 25. [Online ahead of print]WJ
- CONCLUSIONS: Young age, bony symptoms, BNE, and higher PTH levels and gland weight are significant predictors of the need for IV Ca after PTx in advanced PHPT. However, most patients can be effectively managed with oral Ca and vitamin D supplementation.
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- Perioperative Outcomes of Patients With Pancreatic Neuroendocrine Neoplasms in the Context of Different Body Composition Phenotypes. [Journal Article]World J Surg. 2026 Sep 25. [Online ahead of print]WJ
- CONCLUSIONS: This study describes the role of BC in patients undergoing surgery for pNEN showing that impaired BC is highly prevalent in pNEN patients. Obesity-related phenotypes and myosteatosis show a potentially negative impact on perioperative outcomes, underscoring the relevance of BC assessment in preoperative risk stratification and surgical decision-making.
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- The Evolution of Terrorism-Related Injuries in the Sahel: Perspective From Local Surgical Teams. [Journal Article]World J Surg. 2026 Sep 25. [Online ahead of print]WJ
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