A new structured surgical handover system significantly improves patient outcomes and safety in emergency general surgery. After implementing the SIPS handover, vital signs improved significantly at 12 hours (21.5% vs 16.8%) and 24 hours (26.8% vs 20.0%). Staff-reported safety events dropped from 19.7% to 4.6% after the intervention. Enhancing handover quality without extending meeting time […]

30-60% of surgeons report burnout, with significant risks of anxiety and depression. Major stressors include long hours and insufficient support. Individual strategies like mindfulness help but aren’t enough; organizational changes are necessary for effective resilience. Fostering surgeon well-being can enhance patient outcomes and reduce workforce attrition. Systemic barriers, like stigma, hinder help-seeking behaviors. Systematic Review […]

A systematic review confirms that simulation training significantly boosts robotic surgical proficiency for trainees. Simulation improves performance metrics like gears (SMD 1.22) and OSATS (SMD 1.08). Task completion times improve (SMD -0.95), along with reduced error rates (SMD -1.03). Integration of expert feedback and defined proficiency standards accelerates learning. Notable performance plateaus occur after 15 […]

Preoperative medication for opioid use disorder (OUD) reduces complications in surgical patients with OUD. Among 917,754 surgical patients, 1.6% had OUD; of these, 27.6% were using medication for OUD preoperatively. Patients with OUD had significantly higher rates of postoperative opioid use (42.2% vs. 8.2%), ED visits (21.7% vs. 6.9%), and readmissions (6.6% vs. 2.2%) compared […]

A quarterly cadaver-based training program enhances open surgical skills in residents, vital for addressing trauma surgery gaps. Residents showed significant improvement in complex abdominal and vascular procedures over three years. Chief residents achieved performance parity with attending surgeons in 33 trauma procedures. This approach helps ensure future surgeons are adequately prepared for open surgical challenges. […]

Chewing gum significantly reduces time to first postoperative flatus and bowel movement by over 12 and 19 hours, respectively, while cutting hospital stays by nearly a day. It also lowers the incidence of bowel obstruction. Involving nearly 5,000 patients across 35 trials, this systematic review endorses gum as an effective, safe, and cost-efficient addition to […]

Robot-assisted surgery (RAS) adoption in the Netherlands skyrocketed over the last decade, jumping from 1% to 33% for pancreatic resections. The trend reflects broader integration across gastrointestinal and thoracic surgeries, with RAS now utilized in 20% of all procedures. Notably, rectal surgeries experienced the greatest uptick, with adoption peaking at 45%. This growth offers significant […]

A retrospective analysis of 479 general surgery patients revealed that 12.5% developed surgical site infections (SSIs). Independent risk factors for SSIs included elevated body mass index, diabetes mellitus, emergency surgeries, prolonged operative times, conventional operating room settings, changes in surgical personnel, and poor adherence to infection control measures like instrument sterilization and hand hygiene. Addressing […]