Malnutrition and Decreased Phase Angle Predict Postoperative Complications in Oncologic Abdominal Surgery
Preoperative malnutrition and decreased phase angle (< -0.5) on postoperative day 1 were independent predictors of postoperative morbidity in patients undergoing major oncologic upper-GI surgery. Patients with malnutrition had a higher complication rate, and a decline in phase angle was associated with a 13% increase in complication risk. Further investigation is needed to determine if proactive interventions can prevent these negative outcomes.
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.