Low-volume Ambulatory Surgery Centers Linked to Higher Revisit Rates, especially for Multimorbid Patients
The study assessed the association between surgical volume and patient outcomes in ambulatory surgery centers (ASCs). It found that patients who had surgery at low-volume ASCs had a higher odds of revisiting within 7 days compared to those at higher-volume ASCs. This association was more pronounced among patients with multimorbidity, particularly those undergoing orthopedic procedures. The findings highlight the importance of surgical volume as an indicator of patient outcomes and suggest that older patients with multimorbidity should carefully consider the location of their care.
Closing a midline laparotomy with small, closely spaced fascial bites prevents more incisional hernias than the traditional large-bite technique, and the benefit lasts beyond two years.
Over five decades, surgery went from the most disruptive research field to the only one where papers, on average, reinforce existing ideas rather than redirect the field.
Members of the Society of American Gastrointestinal and Endoscopic Surgeons want a say in how surgery will work beyond Earth, and robotics tops their list.
