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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
- New Insights on DNR Orders in Elderly Surgical PatientsIn older adults undergoing surgery, new Do Not Resuscitate (DNR) orders often indicate significant risk factors and timing that can guide surgical decision-making. Only 2.3% of 47,564 cases resulted in new perioperative DNR orders. Key predictors of DNR orders: ASA IV/V (2.6x), disseminated cancer (3.3x), and emergent surgery (3.5x). DNR orders typically occur early post-surgery; 32.5% were placed within 24 hours. Among patients who died, DNR was commonly set 5.2 days prior to death, emphasizing a need for prompt goals-of-care… Read more: New Insights on DNR Orders in Elderly Surgical Patients
LATEST STITCHES
- New Insights on DNR Orders in Elderly Surgical Patients
- Navigating Surgical Responsibilities in Acute GI Care
- Novel Laparoscopic Technique for Duodenal Perforation Repair
- Conservative management of postoperative bowel obstructions works for some patients.
- Ventral hernia management shifting based on new trials
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