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Background: Prolonged postoperative ileus (PPOI) is associated with higher morbidity and extended inpatient stay. Although evidence suggests that PPOI is more common following right‐sided resections, it is uncertain if return to bowel function is similar following extended right (ERH) versus right hemicolectomy (RH). Methods: The recovery of patients undergoing ERH and RH in a regional hospital in New Zealand was retrospectively compared, from 2012 to 2021. Rates of PPOI, return of bowel function and postoperative complications were compared. Other factors potentially relating to PPOI were analysed. Results: 293 patients were included (42 who underwent ERH, and 251 RH). PPOI was more common following ERH than RH (43% vs. 25%, P = 0.02). When accounting for the operative approach, rate of PPOI was not significantly different (42% open ERH vs. 36% open RH; P = 0.56). Excluding PPOI, return of bowel function did not differ between groups. Patient undergoing ERH versus RH had significantly higher length of stay (1 day) and Hb drop (2.5 g/L) postoperatively. Conclusion: Higher rates of PPOI have been demonstrated in ERH versus RH however when controlling for approach, there was not a significant difference. Further interrogation into rates of PPOI (particularly after laparoscopic surgery) are warranted to tailor locoregional ERAS protocols. [ABSTRACT FROM AUTHOR]

The article discusses a rare case of a 90-year-old man with recurrent acalculous cholecystitis in a parastomal hernia, which required surgical management with open cholecystectomy. The patient had a history of bladder carcinoma and ileal conduit surgery. The case highlights the challenges of managing cholecystitis in a hernia, the need for careful dissection, and the potential risks of recurrence despite conservative treatment. The authors emphasize the importance of further research on the safety of closing hernial defects during cholecystectomy. [Extracted from the article]

Behavioral characteristics and injection practices associated with skin and soft tissue infections among people who inject drugs: a community-based observational study. While the patient would not discuss his needle practices, we hypothesize that this could be explained by the practice of needle-licking among intravenous drug users (IVDUs). [Extracted from the article]

The article presents a case study of an old woman who was suffering from chronic back pain and experienced tingling of lips, tongue and fingers. The computed tomographic scan and magnetic resonance imaging revealed a mass in her pancreas and she was diagnosed with Guillian-Barré syndrome. The article discusses the rare cases of pancreatic neuroendocrine tumours that arises from islet cells. Surgical methods are suggested to be the chief diagnostic modality for such tumours.