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STITCHES Insights
- Strategies to Prevent Adhesions: What Every Surgeon Needs to KnowAdhesions are one of those surgical complications we’d all prefer to never think about—but we don’t get that luxury. They’re common, costly, and often underestimated. Whether it’s a patient returning with chronic abdominal pain, secondary infertility, or adhesive small bowel… Read more: Strategies to Prevent Adhesions: What Every Surgeon Needs to Know
- 6 Gut-Checks for Faster RecoveryPractical, evidence-based strategies to shorten ileus and length of stay Every surgeon has lived this story. The operation is clean. The dissection elegant. The anastomosis airtight. Your patient looks stable, lines are out, and pain is well controlled. You’re ready… Read more: 6 Gut-Checks for Faster Recovery
- The End of the Automatic Drain in PancreatoduodenectomyWhy knowing when not to place a drain may matter more than how to manage one. The Bottom Line: Routine prophylactic abdominal drainage after pancreatoduodenectomy (PD) is no longer universally necessary and may even increase certain risks in low-risk patients.… Read more: The End of the Automatic Drain in Pancreatoduodenectomy
- The Leadership Style That Works In Crisis Will Fail In Every Routine CaseWhy The Best OR Leaders Learn To Shift Gears The Bottom Line: True surgical leadership isn’t about being the loudest voice in the room. It’s about knowing when to command, when to collaborate, and when to get out of the… Read more: The Leadership Style That Works In Crisis Will Fail In Every Routine Case
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TOP STITCHES
- Portomesenteric Venous Thrombosis After Pancreatic Surgery Is CommonAfter pancreatic cancer surgery with vascular resection, portomesenteric venous thrombosis (PVT) is frequently encountered, particularly late PVT, which has significant implications for patient outcomes. Early PVT occurred in 3.3% of patients, with incidence dropping from 12% to 1.6% following standardization of surgical techniques. Late PVT affected 21.5% of patients, typically diagnosed around 7.4 months post-surgery, and is associated with local recurrence in 75% of cases, leading to significantly shorter recurrence-free survival (median 9.0 vs 16.3 months). Surgeons should consider the… Read more: Portomesenteric Venous Thrombosis After Pancreatic Surgery Is Common
LATEST STITCHES
- Portomesenteric Venous Thrombosis After Pancreatic Surgery Is Common
- KRAS Mutations in Duodenal Fluid Detect Resectable Pancreatic Cancer
- Pancreatic Fistulas Are Common Post-Distal Pancreatectomy
- Postoperative Antibiotics After Appendectomy Show No Benefit
- Liver Transplantation in Primary Liver Cancer: A Personalized Approach

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