Archives
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EDITORIAL ARTICLE
Vol. 1 No. 1 (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 (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What once required large incisions, prolonged hospital stays, and significant postoperative morbidity has increasingly been replaced by approaches that prioritize precision, reduced tissue trauma, and faster patient recovery.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 (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 (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 (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 (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.
