Archives
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AN UNCOMMON RECURRENCE OF CARCINOMA CERVIX IN THE SIGMOID COLON: A CASE REPORT
Vol. 1 No. 2 (2026)AN UNCOMMON RECURRENCE OF CARCINOMA CERVIX IN THE SIGMOID COLON: A CASE REPORTVol. 1, Issue No. 2 | July 2026
Cervical cancer most commonly recurs within the pelvis or metastasizes to the lungs, lymph nodes, liver, and bones. However, isolated recurrence in the sigmoid colon is exceptionally rare, posing significant diagnostic and therapeutic challenges. This case report published in the Journal of the European Society of Surgery (JESS) presents a unique case of cervical squamous cell carcinoma recurring in the sigmoid colon just nine months after successful radical surgery, highlighting the importance of vigilant postoperative surveillance and multidisciplinary management in patients with unusual metastatic presentations.
The report describes the case of a 43-year-old woman who initially underwent laparoscopic radical hysterectomy with bilateral pelvic lymphadenectomy for HPV-associated cervical squamous cell carcinoma. During follow-up, advanced MRI, CT imaging, and colonoscopy identified an isolated recurrent tumor infiltrating the sigmoid colon, urinary bladder wall, and left rectus muscle. The patient successfully underwent laparoscopic en bloc resection involving the sigmoid colon, bladder wall, rectus muscle, skin, and subcutaneous tissue, achieving complete (R0) tumor excision. Histopathological examination confirmed metastatic cervical carcinoma involving the full thickness of the colonic wall, and the patient subsequently received adjuvant chemotherapy with a favorable clinical response.
This case emphasizes the importance of recognizing rare gastrointestinal metastases in patients with a history of cervical cancer, particularly when presenting with bowel obstruction or unexplained gastrointestinal symptoms. It also demonstrates the value of comprehensive imaging, endoscopic evaluation, meticulous surgical planning, and multidisciplinary treatment in achieving successful outcomes. The report provides valuable clinical insights for gastrointestinal surgeons, gynecologic oncologists, colorectal surgeons, oncologists, and clinicians managing complex recurrent pelvic malignancies.
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TRANSITIONING TO ROBOTIC COMPLETE MESOCOLIC EXCISION WITH CENTRAL VASCULAR LIGATION
Vol. 1 No. 2 (2026)TRANSITIONING TO ROBOTIC COMPLETE MESOCOLIC EXCISION WITH CENTRAL VASCULAR LIGATION: A PROPENSITY SCORE-MATCHED RETROSPECTIVE COHORT COMPARISON OF QUALITY, SAFETY AND ONCOLOGICAL OUTCOMES VERSUS STANDARD LAPAROSCOPIC RIGHT HEMICOLECTOMYVol. 1, Issue No. 2 | July 2026
Robotic-assisted colorectal surgery continues to reshape the landscape of minimally invasive cancer treatment by offering enhanced precision, improved visualization, and greater surgical dexterity. As the adoption of robotic platforms increases worldwide, evaluating their clinical effectiveness and oncological safety compared with established laparoscopic techniques has become increasingly important.
This research article in the Journal of the European Society of Surgery (JESS) presents a propensity score-matched retrospective cohort study comparing robotic complete mesocolic excision (CME) with central vascular ligation (CVL) against standard laparoscopic right hemicolectomy. The study evaluates perioperative outcomes, postoperative complications, oncological quality, and patient safety to assess the clinical impact of robotic surgery in right-sided colon cancer.
The findings demonstrate that robotic CME with CVL provides comparable short-term clinical and oncological outcomes while offering the technical advantages of enhanced visualization, improved instrument control, and precise dissection during complex colorectal procedures. This study contributes valuable evidence supporting the safe implementation of robotic-assisted colorectal surgery and serves as an important resource for colorectal surgeons, surgical oncologists, researchers, and healthcare professionals involved in minimally invasive gastrointestinal surgery.
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INTRAOPERATIVE CHOLANGIOGRAM IN ROUTINE CHOLECYSTECTOMY: REAL BENEFIT VERSUS OVERUSE OF AVAILABLE RESOURCES
Vol. 1 No. 2 (2026)INTRAOPERATIVE CHOLANGIOGRAM IN ROUTINE CHOLECYSTECTOMY: REAL BENEFIT VERSUS OVERUSE OF AVAILABLE RESOURCESVol. 1, Issue No. 2 | July 2026
Intraoperative cholangiography (IOC) has long been used during cholecystectomy to improve visualization of the biliary anatomy and detect common bile duct stones. However, its routine use remains a subject of ongoing debate, particularly regarding its effectiveness in preventing bile duct injuries and its impact on operative time, healthcare costs, and resource utilization.
This review article in the Journal of the European Society of Surgery (JESS) critically examines the current evidence comparing routine and selective intraoperative cholangiography during laparoscopic cholecystectomy. The review evaluates the role of IOC in bile duct injury prevention, detection of choledocholithiasis, operative efficiency, and cost-effectiveness while assessing whether routine implementation offers meaningful clinical advantages over a selective, risk-based approach.
The findings suggest that although IOC improves the early recognition of biliary injuries and assists in identifying anatomical variations, its routine application does not significantly reduce the overall incidence of bile duct injury. Instead, a selective approach based on patient risk factors and intraoperative findings appears to provide a more balanced strategy, optimizing patient safety while reducing unnecessary procedures and healthcare expenditure. This review offers valuable guidance for general surgeons, hepatobiliary specialists, surgical trainees, and healthcare professionals involved in evidence-based gallbladder surgery.
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POSTOPERATIVE MORBIDITY AND MORTALITY FOLLOWING ELECTIVE VERSUS EMERGENCY ESOPHAGEAL SURGERY
Vol. 1 No. 2 (2026)POSTOPERATIVE MORBIDITY AND MORTALITY FOLLOWING ELECTIVE VERSUS EMERGENCY ESOPHAGEAL SURGERY: A SYSTEMATIC REVIEW AND META-ANALYSISVol. 1, Issue No. 2 | July 2026
Esophageal surgery remains one of the most technically demanding procedures in gastrointestinal and thoracic surgery, with postoperative outcomes influenced by patient condition, surgical timing, and perioperative management. Understanding the differences between elective and emergency esophageal surgery is essential for improving clinical decision-making and optimizing patient care.
This systematic review and meta-analysis in the Journal of the European Society of Surgery (JESS) evaluates the current evidence comparing postoperative morbidity and mortality following elective versus emergency esophageal surgery. By analyzing published studies from multiple international centers, the review examines postoperative complications, mortality, pulmonary events, sepsis, length of hospital stay, and overall clinical outcomes associated with both surgical settings.
The findings indicate that emergency esophageal surgery is consistently associated with higher postoperative morbidity, increased pulmonary and septic complications, prolonged hospitalization, and greater resource utilization compared with elective procedures. The review highlights the importance of early diagnosis, timely referral, multidisciplinary perioperative care, and treatment in experienced, high-volume centers to improve patient outcomes. This comprehensive analysis provides valuable guidance for esophageal surgeons, gastrointestinal surgeons, thoracic surgeons, surgical oncologists, trainees, and healthcare professionals involved in the management of complex esophageal diseases.
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SHOULD OPEN CHOLECYSTECTOMY REMAIN IN SURGICAL TRAINING? A NARRATIVE REVIEW IN THE ERA OF ADVANCED LAPAROSCOPY AND ROBOTICS
Vol. 1 No. 2 (2026)SHOULD OPEN CHOLECYSTECTOMY REMAIN IN SURGICAL TRAINING? A NARRATIVE REVIEW IN THE ERA OF ADVANCED LAPAROSCOPY AND ROBOTICSVol. 1, Issue No. 2 | July 2026
Minimally invasive surgery has transformed the management of gallbladder disease, with laparoscopic cholecystectomy established as the standard of care and robotic-assisted techniques gaining widespread adoption. Despite these advances, open cholecystectomy continues to play a vital role in managing complex biliary conditions, difficult anatomy, and intraoperative complications. As exposure to open surgery declines during residency training, an important question arises: should this essential skill remain part of modern surgical education?
This review article in the Journal of the European Society of Surgery (JESS) explores the continuing relevance of open cholecystectomy within contemporary surgical training. Drawing upon current international guidelines, systematic reviews, educational studies, and clinical evidence, the authors examine its role in difficult gallbladder surgery, bailout strategies, conversion from laparoscopy, robotic surgery, and competency-based surgical education. The review also discusses the challenges created by reduced trainee exposure and proposes a structured framework for preserving open surgical skills in future training programs.
The findings conclude that while open cholecystectomy is no longer a routine procedure, it remains an indispensable safety competency for managing complex biliary disease, preventing major complications, and ensuring preparedness in both high-resource and resource-limited healthcare settings. This comprehensive review offers valuable guidance for general surgeons, hepatobiliary surgeons, surgical educators, residents, and healthcare professionals involved in modern gastrointestinal surgery and surgical curriculum development.
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AGE-RELATED DIFFERENCES IN SEVERITY, MANAGEMENT, AND OUTCOMES OF ACUTE APPENDICITIS: A BALKAN SINGLE-CENTER RETROSPECTIVE COHORT STUDY
Vol. 1 No. 2 (2026)AGE-RELATED DIFFERENCES IN SEVERITY, MANAGEMENT, AND OUTCOMES OF ACUTE APPENDICITIS: A BALKAN SINGLE-CENTER RETROSPECTIVE COHORT STUDYVol. 1, Issue No. 2 | July 2026
Acute appendicitis remains one of the most common surgical emergencies worldwide, yet its presentation and outcomes differ significantly with age. Older adults often present with atypical symptoms, delayed diagnosis, and a higher risk of perforation and postoperative complications. Understanding these age-related differences is essential for improving emergency surgical care and reducing adverse outcomes.
This original research article in the Journal of the European Society of Surgery (JESS) presents a retrospective cohort study of 261 patients who underwent appendectomy at a tertiary surgical center in North Macedonia between January 2024 and December 2025. Patients were grouped into those younger than 60 years and those aged 60 years or older. The study evaluated disease severity, diagnostic imaging, surgical approach, postoperative complications, hospital stay, and predictors of complicated appendicitis. The findings revealed that older patients had significantly higher rates of complicated appendicitis, greater use of CT imaging, lower rates of laparoscopic surgery, increased postoperative morbidity, and longer hospital stays. Multivariable analysis identified age ≥60 years as the strongest independent predictor of complicated appendicitis, followed by the presence of comorbidities.
The study concludes that older adults with suspected acute appendicitis require earlier diagnostic imaging, careful perioperative assessment, and timely surgical intervention to reduce complications. While laparoscopic appendectomy should remain the preferred approach whenever technically feasible, clinicians should recognize that elderly patients frequently present with more advanced disease requiring individualized management strategies. These findings provide valuable evidence for general surgeons, emergency physicians, surgical trainees, and healthcare professionals involved in the management of acute abdominal emergencies and geriatric surgical care.
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CONVERSION FROM LAPAROSCOPIC TO OPEN SURGERY IN ELECTIVE CHOLECYSTECTOMY: A CLINICAL AUDIT ON COMPLIANCE WITH INTERNATIONAL GUIDELINES AND IMPLICATIONS FOR QUALITY IMPROVEMENT
Vol. 1 No. 2 (2026)CONVERSION FROM LAPAROSCOPIC TO OPEN SURGERY IN ELECTIVE CHOLECYSTECTOMY: A CLINICAL AUDIT ON COMPLIANCE WITH INTERNATIONAL GUIDELINES AND IMPLICATIONS FOR QUALITY IMPROVEMENTVol. 1, Issue No. 2 | July 2026
Laparoscopic cholecystectomy is the standard treatment for symptomatic gallstone disease, offering faster recovery and reduced postoperative morbidity compared with open surgery. However, conversion to open cholecystectomy remains an essential safety strategy in cases where difficult anatomy or complex biliary pathology prevents safe laparoscopic dissection. Evaluating when and why conversion occurs is fundamental to maintaining high standards of surgical care and patient safety.
This original research article in the Journal of the European Society of Surgery (JESS) presents a clinical audit conducted at NMC Al Nahda Specialty Hospital, Dubai, United Arab Emirates, assessing compliance with internationally recognized SAGES and WSES guidelines for elective laparoscopic cholecystectomy. The audit reviewed elective procedures performed between January and September 2025, examining conversion rates, documentation practices, intraoperative decision-making, adherence to the Critical View of Safety (CVS), and quality improvement measures. The findings demonstrated an elective conversion rate of 2.48%, well below the internationally accepted benchmark of 5%, with all conversions supported by appropriate clinical indications, including dense adhesions, unclear biliary anatomy, failure to achieve the Critical View of Safety, and complex biliary pathology.
The audit concludes that conversion to open surgery should be recognized as a proactive safety decision rather than a surgical complication. While overall compliance with international guidelines was excellent, the study also identified opportunities to strengthen operative documentation, communication protocols, and preoperative risk assessment through structured quality improvement initiatives. This publication provides valuable insights for general surgeons, hepatobiliary surgeons, surgical trainees, clinical auditors, and healthcare professionals committed to enhancing patient safety, surgical governance, and evidence-based quality improvement in gallbladder surgery.
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POSTOPERATIVE STRATEGY IN THE LONG-TERM PERIOD AFTER SURGICAL TREATMENT OF STRANGULATED INGUINAL HERNIA
Vol. 1 No. 2 (2026)POSTOPERATIVE STRATEGY IN THE LONG-TERM PERIOD AFTER SURGICAL TREATMENT OF STRANGULATED INGUINAL HERNIAVol. 1, Issue No. 2 | July 2026
Strangulated inguinal hernia remains one of the most common surgical emergencies, with long-term recovery influenced not only by the choice of operative technique but also by comprehensive postoperative care. Optimizing rehabilitation through structured physical activity, nutritional guidance, and long-term follow-up plays a vital role in improving patient outcomes, reducing chronic pain, and enhancing quality of life after hernia repair.
This original research article in the Journal of the European Society of Surgery (JESS) evaluates the long-term impact of an individualized postoperative management strategy following surgical treatment of strangulated inguinal hernia. The study included 95 patients who underwent either laparoscopic transabdominal preperitoneal (TAPP) repair or open Lichtenstein hernioplasty, with outcomes assessed six months after surgery using the SF-36 Health Status Survey. The research compared physical and psychological health, pain intensity, adherence to exercise and dietary recommendations, and overall quality of life between the two treatment groups. The findings demonstrated superior functional recovery, improved quality-of-life scores, and reduced postoperative pain among patients treated with the laparoscopic TAPP technique while highlighting the benefits of structured rehabilitation and individualized postoperative care.
The study concludes that combining minimally invasive hernia repair with personalized postoperative rehabilitation can significantly enhance long-term clinical outcomes and patient well-being. By emphasizing evidence-based recovery strategies, including exercise, nutritional support, and continuous follow-up, this publication provides valuable guidance for general surgeons, hernia specialists, rehabilitation professionals, and healthcare practitioners involved in optimizing postoperative care after inguinal hernia surgery.
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ASSESSMENT OF OPERATIVE DIFFICULTY AND POSTOPERATIVE OUTCOMES IN LAPAROSCOPIC CHOLECYSTECTOMY
Vol. 1 No. 2 (2026)ASSESSMENT OF OPERATIVE DIFFICULTY AND POSTOPERATIVE OUTCOMES IN LAPAROSCOPIC CHOLECYSTECTOMYVol. 1, Issue No. 2 | July 2026
Laparoscopic cholecystectomy is the gold standard for the treatment of symptomatic gallstone disease, offering reduced postoperative pain, shorter hospital stays, and faster recovery compared with open surgery. However, operative difficulty varies considerably among patients and can significantly influence intraoperative decision-making, conversion rates, postoperative complications, and overall clinical outcomes. Identifying factors associated with difficult surgery is essential for improving patient safety and surgical planning.
This original research article in the Journal of the European Society of Surgery (JESS) presents a prospective observational study of 420 patients who underwent laparoscopic cholecystectomy at Prime Hospital, Dubai, United Arab Emirates, between 2020 and 2024. The study evaluates operative difficulty using standardized intraoperative grading while examining its relationship with operative time, conversion to open surgery, postoperative complications, and hospital stay. The findings demonstrate that patients with moderate to very severe operative difficulty experienced significantly longer operative times, higher conversion rates, increased postoperative morbidity, and prolonged hospitalization compared with those undergoing easier procedures.
The study concludes that early recognition of difficult laparoscopic cholecystectomy through comprehensive preoperative assessment and standardized intraoperative grading can improve surgical planning, patient counseling, and clinical outcomes. By emphasizing evidence-based risk stratification and adherence to established safety principles, this publication provides valuable insights for general surgeons, hepatobiliary surgeons, surgical trainees, and healthcare professionals involved in minimally invasive biliary surgery.
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COLONOSCOPY FINDINGS AND PREDICTORS OF SIGNIFICANT COLORECTAL LESIONS IN ADULT PATIENTS
Vol. 1 No. 2 (2026)COLONOSCOPY FINDINGS AND PREDICTORS OF SIGNIFICANT COLORECTAL LESIONS IN ADULT PATIENTSVol. 1, Issue No. 2 | July 2026
Colonoscopy remains the gold standard for detecting benign, premalignant, and malignant colorectal lesions, enabling both diagnosis and therapeutic intervention during the same procedure. Early identification of clinically significant colorectal lesions is essential for reducing colorectal cancer-related morbidity and mortality. This original research article published in the Journal of the European Society of Surgery (JESS) evaluates colonoscopy findings and identifies the clinical predictors associated with significant colorectal lesions among adult patients undergoing colonoscopy at Prime Hospital, Dubai, UAE. The prospective observational study included 350 adult patients who underwent colonoscopy between 2020 and 2023 for lower gastrointestinal symptoms or colorectal cancer screening. Significant colorectal lesions were identified in 30.0% of patients, with colorectal polyps (23.4%) representing the most common finding, followed by hemorrhoids (21.1%), while advanced adenoma (10.9%) was the most frequent significant lesion.
The study demonstrated that patients aged over 50 years, male sex, rectal bleeding, altered bowel habits, unexplained weight loss, iron deficiency anemia, and a positive fecal occult blood test (FOBT) were significantly more likely to have clinically important colorectal lesions. Multivariate analysis identified unexplained weight loss as the strongest independent predictor, followed by positive FOBT and iron deficiency anemia. These findings support a risk-based approach to colonoscopy referrals, emphasizing the importance of prioritizing patients with alarm symptoms for early diagnostic evaluation. The authors conclude that timely colonoscopic assessment can improve the detection of premalignant adenomas and colorectal cancer, facilitating earlier treatment and better patient outcomes.
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PREDICTORS OF COMPLICATED APPENDICITIS AND THEIR IMPACT ON APPENDECTOMY OUTCOMES
Vol. 1 No. 2 (2026)PREDICTORS OF COMPLICATED APPENDICITIS AND THEIR IMPACT ON APPENDECTOMY OUTCOMESVol. 1, Issue No. 2 | July 2026
Acute appendicitis is one of the most common surgical emergencies worldwide. While many patients present with uncomplicated disease, delayed diagnosis or advanced inflammation can lead to complicated appendicitis, increasing operative complexity, postoperative complications, and healthcare utilization. Early identification of patients at higher risk is essential for timely intervention, optimized surgical planning, and improved clinical outcomes.
This original research article published in the Journal of the European Society of Surgery (JESS) evaluates the clinical, laboratory, and radiological predictors of complicated appendicitis and their impact on appendectomy outcomes. The prospective observational study included 400 patients who underwent appendectomy in a UK hospital, comparing uncomplicated and complicated appendicitis to identify factors associated with disease severity and postoperative outcomes. The study found that 34.5% of patients had complicated appendicitis, with perforated appendicitis being the most common presentation. Independent predictors included pain lasting more than 48 hours, elevated C-reactive protein (CRP), hyperbilirubinemia, rebound tenderness or guarding, appendicolith, and periappendiceal fluid collection, all of which were strongly associated with increased operative difficulty and poorer surgical outcomes.
Patients with complicated appendicitis experienced significantly longer operative times, prolonged hospital stays, higher rates of surgical site infection, intra-abdominal abscess, postoperative ileus, reoperation, and readmission compared with those with uncomplicated disease. The study emphasizes that prompt recognition of high-risk clinical and imaging findings can facilitate earlier surgical intervention, improve perioperative decision-making, and reduce postoperative morbidity. These findings provide valuable evidence for surgeons, emergency physicians, and healthcare professionals involved in the diagnosis and management of acute appendicitis.
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RISK FACTORS ASSOCIATED WITH RECURRENCE FOLLOWING VENTRAL HERNIA REPAIR
Vol. 1 No. 2 (2026)RISK FACTORS ASSOCIATED WITH RECURRENCE FOLLOWING VENTRAL HERNIA REPAIRVol. 1, Issue No. 2 | July 2026
Ventral hernia repair is one of the most frequently performed abdominal wall procedures, yet recurrence remains a significant challenge that increases patient morbidity, the need for repeat surgery, healthcare costs, and reduced quality of life. Identifying patients at greater risk of recurrence before surgery enables surgeons to optimize modifiable factors, select appropriate repair techniques, and improve long-term outcomes.
This original research article published in the Journal of the European Society of Surgery (JESS) evaluates the clinical, patient-related, operative, and postoperative factors associated with recurrence following ventral hernia repair. The prospective observational study included 220 adult patients who underwent elective or emergency ventral hernia repair at Prime Hospital, Dubai, UAE, between January 2024 and December 2025. The study reported an overall recurrence rate of 15.0%, with recurrence occurring most frequently between 7 and 12 months after surgery. Independent predictors of recurrence included previous hernia repair, defect size greater than 5 cm, surgical site infection, overweight or obesity, diabetes mellitus, and tissue repair, while previous hernia repair emerged as the strongest predictor.
The findings also demonstrated that recurrence was significantly more common among patients with smoking history, chronic cough or COPD, and postoperative mesh infection. The study highlights the importance of comprehensive preoperative risk assessment, optimization of modifiable risk factors such as weight management and glycemic control, preference for mesh-based repair when appropriate, and strict infection prevention strategies. These measures can substantially reduce recurrence rates, improve surgical outcomes, and support evidence-based decision-making for surgeons managing ventral hernias.
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POSTOPERATIVE COMPLICATIONS AND RECOVERY PATTERN FOLLOWING BREAST SURGERY
Vol. 1 No. 2 (2026)POSTOPERATIVE COMPLICATIONS AND RECOVERY PATTERN FOLLOWING BREAST SURGERYVol. 1, Issue No. 2 | July 2026
Breast surgery is routinely performed for both benign breast conditions and breast cancer, yet postoperative complications can significantly influence patient recovery, hospital stay, quality of life, and the timing of further treatment. This original research article published in the Journal of the European Society of Surgery (JESS) evaluates the pattern of postoperative complications and recovery outcomes among patients undergoing breast surgery while identifying the major factors associated with postoperative morbidity. The retrospective observational study included 250 adult patients who underwent elective or emergency breast surgery between 2023 and 2025 at a tertiary care hospital in India. Breast carcinoma accounted for 64.8% of surgeries, with modified radical mastectomy (32.8%) being the most commonly performed procedure. Overall, 28.0% of patients experienced postoperative complications, with sensory disturbance (13.6%), persistent postoperative pain (12.4%), shoulder stiffness (11.2%), surgical site infection (10.0%), and seroma formation (8.8%) representing the most frequently reported complications.
The study also demonstrated encouraging recovery outcomes, with 82.0% of patients achieving wound healing within two weeks, 77.6% returning to normal daily activities within four weeks, and 80.8% achieving complete recovery by six weeks. Statistical analysis identified several significant predictors of postoperative complications, including age over 50 years, diabetes mellitus, obesity, anemia, smoking history, breast carcinoma, modified radical mastectomy, axillary lymph node dissection, operative duration exceeding 90 minutes, drain duration longer than seven days, and neoadjuvant chemotherapy. The authors conclude that comprehensive preoperative risk assessment, optimization of modifiable risk factors, meticulous surgical technique, standardized postoperative care, and early physiotherapy can substantially improve recovery and reduce postoperative morbidity following breast surgery.
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Intramural Gastric Hematoma in Patient with Primary Thrombocytopenia
Vol. 1 No. 2 (2026)INTRAMURAL GASTRIC HEMATOMA IN PATIENT WITH PRIMARY THROMBOCYTOPENIA
Vol. 1, Issue No. 2 | July (2026)
Intramural gastric hematoma is an exceptionally rare clinical condition that can present with symptoms mimicking gastric tumors or other acute abdominal disorders, making accurate diagnosis both challenging and essential. Early recognition through advanced imaging and clinical assessment plays a crucial role in preventing unnecessary surgical intervention and improving patient outcomes.
This issue of the Journal of the European Society of Surgery (JESS) presents a unique case of intramural gastric hematoma associated with primary thrombocytopenia. The report highlights the patient's clinical presentation, diagnostic evaluation using computed tomography (CT) and magnetic resonance imaging (MRI), multidisciplinary decision-making, conservative treatment strategy, and long-term follow-up.
The article also reviews the existing literature on gastric intramural hematomas, discussing their etiology, imaging characteristics, differential diagnosis, and current treatment approaches. By emphasizing evidence-based management and the importance of accurate diagnosis, this publication provides valuable insights for surgeons, radiologists, gastroenterologists, emergency physicians, and clinicians involved in the care of patients with rare gastrointestinal disorders.
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EDITORIAL ARTICLE
Vol. 1 No. 1 April (2026)The European Society of Surgery (ESS) was established almost thirty years ago, in the 20th century. In the same year, Great Britain transferred sovereignty of Hong Kong to China, European Union consisted of 15 countries, the first edition of “Harry Potter and the Philosopher’s Stone” was released.
Luc Arthur Michel our first General Secretary wrote « that our goal was to build bridges between surgical communities in Europe and beyond, and to enable the exchange of surgical knowledge.
Time passed, some other international surgical societies vanished, but our society remained. This is thanks to the enthusiastic and hard-working members who have been supporting the Society in many ways. In 2026, we decided to open a new scientific journal, which will publish papers from all surgical disciplines. We hope that JESS will serve for many years as a source of knowledge for medical community.
The initiative came early on in 2026 from the ESS President Dr. Vinod K. Singhal and our members from Dubai. Abruptly, a new war came making the future more obscure.
Even in these difficult times, as after the fall of the Berlin Wall, the ESS goal is to continue facilitating the exchange of ideas and expertises. Medicine, medical knowledge and research should help people and should be accesible for all who need it.
This is why we do invite all surgeons to join the ESS members by publishing their opinions and scientific achievements in the JESS.
Editor in Chief
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Antoni M. Szczepanik MD. PhD FEBS -
THE FUTURE OF MINIMALLY INVASIVE ABDOMINAL SURGERY: INNOVATION AND PRECISION IN MODERN SURGICAL PRACTICE
Vol. 1 No. 1 April (2026)Over the past three decades, abdominal surgery has undergone a profound transformation with the advent and rapid evolution of minimally invasive techniques. What once required large incisions, prolonged hospital stays, and significant postoperative morbidity has increasingly been replaced by approaches that prioritize precision, reduced tissue trauma, and faster patient recovery.
Minimally invasive abdominal surgery, particularly laparoscopic and robotic-assisted procedures, has become a cornerstone of modern surgical practice. These techniques not only improve clinical outcomes but also enhance patient comfort and recovery time, making them a preferred choice across a wide range of gastrointestinal and hepatobiliary conditions.
The integration of advanced technologies such as robotics, artificial intelligence, and high-definition imaging has further refined surgical precision. Robotic-assisted systems provide enhanced dexterity, improved visualization, and better ergonomics, allowing surgeons to perform complex procedures with greater accuracy.
Additionally, innovations like fluorescence imaging and real-time navigation tools are improving intraoperative decision-making. These technologies enable better identification of anatomical structures, reducing complications and improving overall surgical safety.
The adoption of Enhanced Recovery After Surgery (ERAS) protocols has also contributed significantly to improved patient outcomes. By combining minimally invasive techniques with optimized perioperative care, patients experience shorter hospital stays, reduced complications, and faster return to normal life.
Despite these advancements, challenges remain in ensuring global access to minimally invasive surgical care. Continued investment in training, infrastructure, and international collaboration is essential to bridge this gap and make advanced surgical care accessible worldwide.
The future of abdominal surgery lies in the seamless integration of technology with surgical expertise and patient-centered care. As innovation continues to evolve, minimally invasive techniques will play an increasingly vital role in delivering safer, more effective, and more efficient healthcare solutions.
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USE OF WEIGHT REDUCTION MEDICATIONS AND IMPACT ON OBESITY SURGERY
Vol. 1 No. 1 April (2026)This research article evaluates the clinical impact of preoperative weight-reduction medications on outcomes in patients undergoing bariatric surgery. The study compares medication-exposed and non-exposed groups to assess differences in weight loss, surgical eligibility, and perioperative safety.
Findings demonstrate that patients receiving pharmacotherapy achieved significantly greater preoperative weight loss, higher total body weight reduction, and improved body mass index (BMI) outcomes compared to those without medication. A notable proportion of patients achieved sufficient weight loss to defer surgery, highlighting the potential of pharmacological therapy as both an alternative and adjunct to surgical intervention.
Despite improved weight loss outcomes, perioperative safety and complication rates remained comparable between groups, supporting the safe integration of pharmacotherapy into bariatric care pathways. The study emphasizes the growing role of GLP-1 receptor agonists and related therapies in modern obesity management.
Overall, the findings support a more personalized and multidisciplinary approach to obesity treatment, combining medical and surgical strategies to optimize patient outcomes and long-term health benefits.
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USE OF ROBOTICS IN GENERAL SURGERY AND ITS IMPACT ON HEALTHCARE QUALITY AND DELIVERY – REAL BENEFITS VERSUS MARKETING TOOL
Vol. 1 No. 1 April (2026)This study evaluates the impact of robotic-assisted surgery on healthcare quality, patient outcomes, and cost-effectiveness in general surgical practice. A comparative analysis between robotic and conventional approaches was conducted to assess perioperative outcomes and recovery metrics.
The findings demonstrate that robotic surgery offers significant clinical benefits, including reduced blood loss, shorter hospital stays, lower postoperative pain, and improved patient satisfaction. These advantages highlight the role of robotic systems in enhancing surgical precision and recovery outcomes.
However, robotic procedures were associated with longer operative times and higher direct hospital costs. The study emphasizes the importance of balancing technological advancement with economic considerations when adopting robotic systems in healthcare settings.
Additionally, stakeholder perceptions suggest that while robotic surgery is widely regarded as beneficial, its adoption is also influenced by institutional strategy and market-driven factors. The findings underline the need for evidence-based integration of robotic technologies into surgical practice.
Overall, robotic surgery represents a significant advancement in modern healthcare, offering improved clinical outcomes while raising important questions regarding cost, accessibility, and long-term value.
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE WITH EMPHASIS ON SURGICAL DISCIPLINES: A MIXED-METHODS EVALUATION OF IMPLEMENTATION AND OUTCOMES
Vol. 1 No. 1 April (2026)This study evaluates the implementation and impact of artificial intelligence (AI) in healthcare, with a particular focus on surgical disciplines. A mixed-methods approach was used to assess clinical outcomes, operational efficiency, and adoption patterns across multi-center surgical settings.
The findings indicate that AI integration significantly improved operational performance, including reductions in hospital length of stay and ICU admissions. At the same time, key clinical outcomes such as complications, readmissions, and mortality remained stable, supporting the safety of AI implementation in surgical workflows.
Increased adoption of AI tools, improved staff training, and enhanced perceptions of usability, governance, and trust contributed to successful implementation. The study highlights the importance of aligning AI systems with clinical workflows to maximize effectiveness.
However, challenges such as alert fatigue, data integration issues, and equity considerations in diverse patient populations remain critical. Addressing these factors is essential for ensuring safe and scalable deployment of AI technologies in healthcare systems.
Overall, artificial intelligence demonstrates strong potential to enhance surgical care delivery by improving efficiency and decision-making, while requiring robust governance frameworks and continuous monitoring to ensure long-term value.
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CLINICAL AND IMMUNOLOGICAL ASPECTS OF TREATMENT OF STRANGULATED INGUINAL HERNIAS USING THE TAPP METHOD
Vol. 1 No. 1 April (2026)This study evaluates the clinical and immunological outcomes of laparoscopic transabdominal preperitoneal (TAPP) hernia repair compared with the conventional Lichtenstein technique in patients with strangulated inguinal hernias.
The results demonstrate that TAPP repair significantly reduces postoperative complications, shortens hospital stay, and enables faster patient recovery. Patients treated with laparoscopic techniques were mobilized earlier and required less postoperative analgesia compared to those undergoing open surgery.
In addition to improved clinical outcomes, patients undergoing TAPP repair showed better adherence to postoperative rehabilitation and dietary recommendations, contributing to enhanced recovery and long-term outcomes.
Immunological analysis revealed improved restoration of T-cell immunity and overall immune balance in the TAPP group. These findings indicate that minimally invasive techniques not only improve surgical outcomes but also support better immune system recovery.
Overall, laparoscopic TAPP hernia repair represents a more effective and physiologically favorable approach for treating strangulated inguinal hernias compared to traditional open techniques.
