📄 medicine

Recurrence After Endoscopic Management of Upper Tract Urothelial Carcinoma: Incidence, Predictors, and Clinical Consequences in an International Multicenter Cohort

In an international multicenter cohort of 277 patients, high-grade biopsy histology was identified as the strongest independent predictor of recurrence following endoscopic management of upper tract urothelial carcinoma, occurring in 34.7% of cases and guiding the need for intensified surveillance and potential delayed radical nephroureterectomy.

modassar awan, maida bada, mohammad jaabou, osama zaytoun, ahmed rabie, dovey zachary, paolo gontero, ryan stevens, luca (…)2026-06-30
📄 medicine

Short-Term Fellow-Eye Aqueous Humor Cytokine and Metabolomic Changes After First-Eye Surgery in Age-Related, Diabetic, and High Myopia– Associated Cataracts

This prospective paired-eye study reveals that short-term aqueous humor cytokine and metabolomic changes in the second eye following first-eye cataract surgery are etiology-dependent, with significant transient molecular fluctuations observed in diabetic and high myopia-associated cataracts but not in age-related cataracts.

Yang Li, Mingbo Li, Taiying Cheng, Wenjun Guo, Youhuan Cai, Min Wang, Taixiang Liu2026-06-30
📄 medicine

Prenatal to Postnatal Outcomes in a Whole Maternal Isodisomy 6: A Case Report with Favorable Prognosis and Literature review

This case report describes a rare instance of whole maternal isodisomy 6 with confined placental mosaicism causing intrauterine growth restriction but resulting in a favorable postnatal outcome at 27 months, suggesting that excluding pathogenic variants via CMA and WES can predict a positive prognosis in similar cases.

Yanping Qian, Qingsong Liu, Shumin Zhao, Jie Ruan, Hao Wang, Bocheng Xu, Zhu Zhang2026-06-30
📄 medicine

Clinical Severity, Early Complications and In-Hospital Mortality After Acute Stroke: A Prospective Cohort of 1,311 Patients From Guinea

This prospective cohort study of 1,311 acute stroke patients in Guinea reveals that delayed hospital presentation, severe neurological impairment, and aspiration pneumonia are key factors driving a high in-hospital mortality rate of 19.6%, with aspiration pneumonia identified as the strongest modifiable predictor of death.

Cheick Ousmane Soumah, Mohamed Tafsir Diallo, Mohamed Traoré, Camara Alpha, Alpha Oumar Sadjo Diallo, Fodé Abass Cissé2026-06-30
📄 medicine

Colour Doppler Ultrasonographic Evaluation of Vascular Healing Dynamics After Endodontic Surgery Using Platelet-Rich Fibrin and Chorion Membranes: A Randomized Controlled Trial

This randomized controlled trial demonstrates that while both platelet-rich fibrin and chorion membranes combined with hydroxyapatite grafts effectively promote periapical healing after endodontic surgery, the chorion membrane group exhibited a superior vascular response on colour Doppler imaging despite no statistically significant difference in hard-tissue healing outcomes.

PROMILA VERMA, JYOTHI MAMIDALA, RHYTHM BAINS, PRAGYA PANDEY, ANIT PARIHAR2026-06-30
📄 medicine

Are the Surgery Parents OK? A Thematic Assessment of the Emotional, Social, and Professional Impact of Parenthood on Surgeons

This qualitative study reveals that while surgeon parents find parenthood meaningful, they face significant emotional and professional challenges due to demanding work schedules and institutional gaps in support, highlighting an urgent need for structural interventions like flexible scheduling and improved childcare resources.

Peter Chmiel, Mary Moya-Mendez, Alexandria L. Soto, Ruby Lopez-Flores, Nagham Bazzi, Shannon Barter, Alisan Fathalizadeh (…)2026-06-30
📄 medicine

Examining Tools for Assessing Technical Skills in Robotic Surgery: A Validity- Focused Systematic Review

This systematic review evaluates the validity of current assessment tools for robotic surgery, revealing that while existing methods like GEARS and OSATS have strong internal structure evidence, there is a significant gap in validated tools covering most ACS/APDS skill modules and a lack of evidence regarding the consequences of assessment.

Naimisha Badri, Amber Chen-Goodspeed, Folarin Adeyemi, Iman Ghaderi2026-06-30
📄 medicine

Setting the Tone: Hidden Curriculum Revealed in Pediatric Surgery Orientation Materials

This study reveals that pediatric surgery orientation materials for general surgery residents convey a hidden curriculum containing both positive messages about compassion and communication and negative assumptions that deprioritize education and view residents as liabilities, highlighting the need to align these written materials with formal educational goals.

Cortnie R. Vaughn, Andrew Mudreac, Michael Kochis, Keisha Patel, Minna M. Wieck2026-06-30