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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
- Prophylactic Insulin Improves Glycemia in Major SurgeryIn nondiabetic patients undergoing major abdominopelvic surgery, prophylactic glucose-insulin-potassium infusion was feasible and improved perioperative glucose control without severe hypoglycemia. In this pilot trial, 103 patients were randomized; 97% completed treatment, with no severe hypoglycemic episodes. Euglycemia occurred in 42% with prophylactic insulin versus 27% with placebo. Hyperglycemia occurred in 37% versus 48%, and treatment insulin was needed in 26% versus 45%. Complications were less frequent with prophylaxis (12% vs. 21%), but confidence intervals were wide and the study was… Read more: Prophylactic Insulin Improves Glycemia in Major Surgery
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