A multicentre, parallel-arm, randomised trial in China aims to assess whether continuous glucose monitoring (CGM) improves surgical outcomes for patients with diabetes or impaired glucose tolerance compared to conventional monitoring. The study targets a significant cohort of over 10,000 participants and measures the comprehensive complication index (CCI) within 30 postoperative days. By employing rigorous statistical […]

A meta-analysis of 15 studies with 382 participants reveals that video-based coaching (VBC) markedly improves surgical technical skills. Participants who received VBC scored significantly higher than controls, with average performance scores showing a standardized mean difference of 0.71. Additionally, improvement from baseline to final performance also demonstrated a significant standard mean difference of 0.98. The […]

A stepped-wedge cluster randomised hybrid study will evaluate the effectiveness of local adaptations in hypothermia prevention for perioperative patients. Conducted in five major hospitals in Queensland, Australia, the trial aims to reduce the incidence of hypothermia upon arrival at the post-anaesthetic care unit. Key outcomes include temperature monitoring, active warming strategies, and various clinical and […]

A study analyzed the impact of glycemic control on surgical outcomes in 502,478 patients, revealing that diagnosed diabetes and Hba1c levels significantly influence postoperative complications. While undiagnosed prediabetes correlated with lower surgical risks, undiagnosed diabetes increased medical complications. Notably, those with very low and high Hba1c levels faced more complications, with moderate control (Hba1c 7-8%) […]

A scoping review has highlighted the potential of emerging interdisciplinary strategies to significantly lower surgical site infections (SSIs). From an initial 1,679 papers, 45 were analyzed, revealing that these approaches can enhance the efficacy of preventive measures. The findings will inform further qualitative and quantitative research aimed at developing standardized protocols for preoperative preparations, ultimately […]

A study involving 408 patients with gastrointestinal cancers revealed inadequate knowledge, moderate attitudes, and suboptimal practices regarding whole-course management. Mean scores indicated a significant deficit in understanding, with knowledge influencing both attitudes and practices positively. The structural equation model underscored that enhancing knowledge could lead to improved attitudes and practices. Findings suggest that targeted health […]

A multicenter cohort study involving 1,902 patients with atrial fibrillation found that discontinuing Factor Xa inhibitors before low-risk procedures results in minimal complications. Following the Perioperative Factor Xa Inhibitor Discontinuation protocol, rates of major bleeding were just 0.1%, and no thromboembolic events occurred within 30 days post-procedure. These findings support a standardized approach for managing […]

Significant improvements in pain, physical workload, depression, and quality of life were observed in surgeons after completing ergonomic training and posture exercises. Following a one-month intervention, participants demonstrated enhanced awareness of ergonomic practices, leading to reduced musculoskeletal disorders. The study highlights the critical need for surgical professionals to adopt proper posture and endurance training to […]

A systematic scoping review reveals that surgeons face significant emotional turmoil while caring for dying patients and their families. The study, analyzing 26 articles, found that without personalized and timely support, surgeons are at risk of depression, burnout, and substance abuse, impacting patient safety and satisfaction. Key themes identified include the effects on personal identity […]