https://www.frontiersin.org/journals/surgery RSS Feed for Frontiers in Surgery | New and Recent Articles en-us Frontiers Feed Generator,version:1 2026-09-12T04:16:38.979+00:00 60 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1913793 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1913793 2026-09-11T00:00:00Z Original Research Guoqiang ZhaoJuan DongYina SunShengqiang CaiYuanyuan ZhengJinhong ChenHualin Xu https://www.frontiersin.org/articles/10.3389/fsurg.2026.1858219 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1858219 2026-09-11T00:00:00Z Original Research Jie CangChengjia WangXianwen YanDapeng LiEn Song  0.05). Both patient groups showed significant improvements in VAS and ODI scores postoperatively (all P < 0.05). At 3 and 6 months postoperatively, the UNSES group had significantly lower low back pain VAS and radicular leg pain VAS scores, while the UBE group had a lower ODI score and higher annulus fibrosus closure rate at 6 months (all P < 0.05). The modified MacNab excellent and good rate (93.9% vs. 88.9%) and complication rate (3.03% vs. 8.33%) showed no significant differences (both P > 0.05).ConclusionBoth UNSES and UBE achieve safe and effective short-term efficacy for LDH when combined with standardized annular suture. UNSES is associated with milder perioperative surgical trauma and sustained lower low back and radicular leg pain within 6 months, whereas UBE yields better 6-month lumbar function scores. Extended 1–2-year longitudinal follow-up and controlled trials without annular repair are required to further investigate whether AF suturing exerts long-term protective effects against disc degeneration and reherniation, which cannot be confirmed by our 6-month short-term data.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1899876 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1899876 2026-09-11T00:00:00Z Original Research Wenjing ZhaoGuoqiang ChenYan XuDiyin YangQiaozhen Zhang 12 mmHg occurring within 48 h after initiation of postoperative opioid analgesia in the ICU. Multivariable logistic regression and LASSO regression were used to identify independent predictors, and a nomogram was subsequently developed. Model performance was evaluated using the area under the receiver operating characteristic curve (AUC), calibration plots, and decision curve analysis.ResultsAmong 116 patients, 49 developed IAH. Compared with patients without IAH, those with IAH were older (P = 0.027), had higher body mass index (BMI) (P = 0.006), lower albumin (P = 0.018), higher lactate (P < 0.001), and had a lower rate of oxycodone administration (P = 0.033). Multivariate analysis identified age (OR = 1.07, P = 0.011), BMI (OR = 1.21, P = 0.019), and lactate (OR = 1.22, P = 0.035) as risk factors, while oxycodone use (OR = 0.39, P = 0.033) and albumin (OR = 0.92, P = 0.011) were protective. The nomogram showed good discrimination (AUC = 0.783) and calibration.ConclusionsAdvanced age, elevated BMI, and higher lactate levels were independently associated with increased odds of postoperative IAH in sepsis patients, whereas postoperative oxycodone use was independently associated with a lower odds of postoperative IAH. The nomogram may facilitate early identification of high-risk patients and guide perioperative management.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1913902 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1913902 2026-09-11T00:00:00Z Case Report Tingjun WangShiwei LiuYanlie LiJingming ZhangJiaying WangWei LiGuoliang Wang https://www.frontiersin.org/articles/10.3389/fsurg.2026.1947071 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1947071 2026-09-11T00:00:00Z Case Report Linru YangJin LiuJunhua Zhang https://www.frontiersin.org/articles/10.3389/fsurg.2026.1865715 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1865715 2026-09-11T00:00:00Z Case Report Congwang ChangWei ZhangHui ShuaiPeng ZhangHao GongGuanghua FuJianping Liu https://www.frontiersin.org/articles/10.3389/fsurg.2026.1910831 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1910831 2026-09-11T00:00:00Z Original Research Anyun ChenJianfeng WangKang LiuFan ZhangJiaheng Xie https://www.frontiersin.org/articles/10.3389/fsurg.2026.1931485 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1931485 2026-09-11T00:00:00Z Original Research Xiao HuangYuji ZhangZhenkun LvZhijin LiuShuai DongRuowen ZhouWen JuJihui JuRuixing Hou https://www.frontiersin.org/articles/10.3389/fsurg.2026.1899167 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1899167 2026-09-10T00:00:00Z Original Research Zhenghui HuFeng ZhouPeng SuRuizhe BaiJian Li https://www.frontiersin.org/articles/10.3389/fsurg.2026.1977853 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1977853 2026-09-10T00:00:00Z Editorial Panagiotis MourmourisNikolaos KostakopoulosOmer Argun https://www.frontiersin.org/articles/10.3389/fsurg.2026.1877571 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1877571 2026-09-10T00:00:00Z Original Research Jiye SangGuoJun ZhaoMingming ZhaoJizhong LiYanhong ZhangXiaoting Geng https://www.frontiersin.org/articles/10.3389/fsurg.2026.1926480 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1926480 2026-09-10T00:00:00Z Original Research Wen-Na LiuLi-Hao Deng https://www.frontiersin.org/articles/10.3389/fsurg.2026.1933263 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1933263 2026-09-10T00:00:00Z Original Research Miaomiao QianJie YangDandan Geng https://www.frontiersin.org/articles/10.3389/fsurg.2026.1837069 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1837069 2026-09-10T00:00:00Z Case Report Xiaowen DuJiangwei Tan https://www.frontiersin.org/articles/10.3389/fsurg.2026.1945025 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1945025 2026-09-10T00:00:00Z Original Research Jiang JianAijun XuYaoling DaiZheyu HuangLong ZhangJiang Li 70 dB) and a low-noise group (≤ 70 dB) according to the level of intraoperative ambient noise. The primary outcome was the Tampa Scale of Kinesiophobia (TSK-17) score on the third postoperative day. Secondary outcomes included Visual Analog Scale (VAS) scores (days 1 and 3), Hospital Anxiety and Depression Scale (HADS) scores (day 1), and Harris Hip Score (HHS) (day 3). The association between noise level and TSK score was assessed using Spearman correlations, while multivariate logistic regression evaluated intraoperative noise as a predictor of Kinesiophobia, and independent associations between other postoperative variables and Kinesiophobia were investigated. The discriminative accuracy of intraoperative noise for predicting Kinesiophobia was examined using receiver operating characteristic (ROC) curves.ResultsTSK scores were significantly higher in the high-noise group than in the low-noise group (43.2 ± 5.6 vs. 35.8 ± 5.0, P < 0.001). VAS scores were also significantly higher on postoperative day 1 (5.4 ± 1.3 vs. 4.0 ± 1.1) and day 3 (5.1 ± 1.2 vs. 3.6 ± 1.0; both P < 0.001). HADS scores were higher (10.8 ± 3.0 vs. 8.9 ± 2.4, P < 0.001) in the high-noise group, while HHS scores were lower (69.5 ± 7.4 vs. 76.2 ± 6.8, P < 0.001). Intraoperative noise level correlated positively with the TSK score (r = 0.600, P < 0.001) and was also independently predictive of postoperative kinesiophobia (OR=1.18, 95% CI: 1.09–1.29, P < 0.001). ROC curves showed intraoperative noise predicted kinesiophobia with an AUC = 0.814; optimal cutoff = 72.3 dB (sensitivity = 82.1%, specificity = 75.4%). Lastly, VAS and HADS scores on postoperative day 3 were both independently associated with kinesiophobia (both P < 0.01).ConclusionHigher levels of intraoperative noise during hip arthroplasty were significantly associated with short-term kinesiophobia, increased pain perception, fear of movement, and reduced early functional recovery.Clinical trial registrationwww.medicalresearch.org.cn, identifier MR-33-26-021584.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1869063 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1869063 2026-09-10T00:00:00Z Original Research Sertaç AyçiçekMesut Ali HalisçelikPelin Değirmenci AyçiçekAbdurrahman SengiAhmet Değirmenci https://www.frontiersin.org/articles/10.3389/fsurg.2026.1853922 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1853922 2026-09-10T00:00:00Z Original Research Feng DaiLei DongSongyi QiaoTaotao SongZhen LuXueqiang Shen https://www.frontiersin.org/articles/10.3389/fsurg.2026.1900293 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1900293 2026-09-09T00:00:00Z Original Research Kaiqiang ZhangLi XiaZhenbin Wang  0.05). OLIF demonstrated superior correction of disc height (Δ3.9 ± 1.4 vs. 2.2 ± 0.8 mm, P < 0.001), segmental lordosis (Δ3.8°±1.7° vs. 2.3°±1.8°, P < 0.001), and segmental coronal angle (Δ1.6°±0.6° vs. 1.2°±0.5°, P < 0.001). No significant differences were observed in lumbar lordosis, PI-LL correction, complication rates (10.91% vs. 9.62%, P = 0.826), cage subsidence (12.73% vs. 11.54%, P = 0.850), reoperation rates (3.64% vs. 1.92%, P = 0.618), or fusion rates (92.73% vs. 92.31%, P = 0.934).ConclusionOLIF and TLIF provide equivalent clinical outcomes for single-level lumbar ASDis. OLIF offers advantages in reducing intraoperative blood loss and restoring segmental radiographic parameters, at the cost of longer operative time. TLIF is associated with shorter surgery. Both techniques have comparable complication and fusion rates. Surgical choice should be individualized.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1981170 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1981170 2026-09-09T00:00:00Z Correction Frontiers Production Office https://www.frontiersin.org/articles/10.3389/fsurg.2026.1943267 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1943267 2026-09-09T00:00:00Z Case Report Jin Hang LohZhun Shen TanElaine Zi Fan SohChia Hua LimMuhammad Shafiq AzharJamari SapuanShalimar Abdullah