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STITCHES Insights
- Strategies to Prevent Adhesions: What Every Surgeon Needs to Know
Adhesions 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 Recovery
Practical, 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 Pancreatoduodenectomy
Why 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 Case
Why 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
- Same-Admission Cholecystectomy Cuts Risks for Cholangitis PatientsPerforming cholecystectomy at the same admission for patients with choledocholithiasis-associated cholangitis significantly lowers complications and readmissions. Same-admission cholecystectomy led to a 1.3% 30-day readmission rate versus 13.8% for deferred surgery (p=0.0023). Recurrence of biliary events was virtually eliminated (0%) in those treated same-admission compared to 56.5% in deferred cases (p<0.001). Surgical delay poses increased risks, even in grade III cholangitis. Consider immediate surgery following clinical stabilization to improve outcomes. Deferred surgery was often due to perceived high surgical risk (21.3%)… Read more: Same-Admission Cholecystectomy Cuts Risks for Cholangitis Patients
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