Goal-directed haemodynamic therapy significantly reduces surgical site infections.
A comprehensive analysis of 75 studies involving 13,010 patients reveals that goal-directed haemodynamic therapy (GDHT) significantly lowers the incidence of surgical site infections (SSI) from 13.3% in conventional fluid therapy to 9.4%, marking an absolute risk reduction of 3.9%. With high-certainty evidence, GDHT demonstrates a relative risk of SSI at 0.71, leading to a strong recommendation for its implementation in surgical settings. The need for further studies is unlikely to alter these results.
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.
