Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Transl Med. Nov 28, 2026; 12(4): 125063
Published online Nov 28, 2026. doi: 10.5528/wjtm.125063
Published online Nov 28, 2026. doi: 10.5528/wjtm.125063
Quantifying abdominal abscess burden using area under the curve methods inspired by dehiscence, infection/inflammation, seroma, hematoma classification
Yuri Tanisawa, Shiki Fujino, Taito Kimura, Naoki Yoneda, Ayumi Nagae, Genta Sawada, Jeong-Ho Moon, Hiroki Fukunaga, Osakuni Morimoto, Shunji Morita, Department of Gastroenterological Surgery, Itami City Hospital, Itami 6648540, Hyōgo, Japan
Author contributions: Tanisawa Y and Fujino S participated in the conception and design of the study and were involved in the acquisition, analysis, or interpretation of data; Tanisawa Y wrote the manuscript; Fujino S and Morita S accessed and verified the study data. All authors critically reviewed and approved the final manuscript and were responsible for the decision to submit the manuscript for publication.
AI contribution statement: We used Gemini solely for the purpose of grammatical correction. The authors carefully reviewed and verified all AI-assisted outputs and take full responsibility for the scientific content of the manuscript.
Institutional review board statement: This investigation was approved by the Institutional Ethics Committee of Itami City Hospital, No. 2987.
Informed consent statement: The need for patient consent was waived due to the retrospective nature of the study.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
Data sharing statement: No additional data are available.
Corresponding author: Shiki Fujino, Consultant, Department of Gastroenterological Surgery, Itami City Hospital, 1-100, Koyaike, Itami 6648540, Hyōgo, Japan. fshiki226@gmail.com
Received: July 1, 2026
Revised: August 24, 2026
Accepted: October 10, 2026
Published online: November 28, 2026
Processing time: 129 Days and 0.6 Hours
Revised: August 24, 2026
Accepted: October 10, 2026
Published online: November 28, 2026
Processing time: 129 Days and 0.6 Hours
Core Tip
Core Tip: Patients with the same Clavien-Dindo grade may undergo markedly different treatment courses for postoperative intra-abdominal abscesses. Inspired by the intervention framework of the dehiscence, infection/inflammation, seroma, hematoma classification, we developed an area under the curve based measure that incorporated both treatment intensity and treatment duration. This approach may help quantify the overall burden of infection management and identify postoperative infections that are difficult to treat.