Administration of dexmedetomidine before surgery markedly lowered serum levels of stress-related biomarkers in patients undergoing ENT procedures. A study involving 100 patients revealed that those receiving dexmedetomidine experienced significant reductions in cortisol, TNF-α, and interleukin-6 levels compared to a control group, with values dropping from 139.73 to 10.18, 99.51 to 0.96, and 85.09 to 0.96, […]

Maximizing tissue use from euthanized porcine models significantly lowers educational costs in surgical training. Harvesting tissues such as the abdominal wall and small intestine resulted in substantial cost reductions, with estimated expenses dropping from $847 to $109 per procurement. The process of timed tissue procurement not only provided similar quality material compared to commercial sources […]

Mobile surgical units (MSUs) effectively enhance surgical care access in underserved remote African communities, according to recent literature. Interventions involving minor and major surgeries, including obstetric procedures, have significantly improved patient outcomes. Despite challenges like financial constraints, the deployment of MSUs leads to reduced healthcare disparities and emergency surgical care accessibility. The narrative review emphasizes […]

A systematic review analyzed 205 studies on healthcare’s environmental impact, revealing effective strategies to lower greenhouse gas (GHG) emissions. Key approaches included changing clinical practices, implementing governance policies, managing waste, and adjusting transportation methods. Over half of the studies focused on macro-level interventions, highlighting the importance of collective action. While numerous frameworks for measuring GHG […]

A study found that grip strength is a significant predictor of postoperative ileus (POI) in patients undergoing abdominal minimally invasive surgery. Among 393 patients analyzed, those with higher grip strength exhibited a reduced risk of developing POI. Specifically, each increase of 1 kg in grip strength correlated with decreased odds of POI. Males and older […]

A comprehensive analysis of 953,612 cancer surgery patients reveals neoadjuvant immunotherapy is not significantly linked to major postoperative morbidity. The study, which evaluated cases across multiple cancer types, found a pooled odds ratio of 0.98, indicating no increased risk. Specifically, adjusted odds ratios varied by cancer type, with none showing significant associations with complications. The […]

In a study of over 9,000 older adults undergoing inpatient general surgery, delirium emerged as the leading complication, occurring in 11.9% of patients. Including geriatric-pertinent complications raised the overall complication rate by 20.4%. Key findings revealed significant ties between complications like delirium and pressure ulcers, with both contributing to over 50% of postoperative functional decline […]

A comprehensive bibliometric analysis conducted from 1978 to 2024 highlights the extensive global research on perioperative frailty, involving 4,119 published papers by 21,879 authors from 95 countries. The United States leads in publication volume, with the University of California system producing the most papers. Key research areas identified include preoperative risk assessment, postoperative complications, and […]

A systematic review and meta-analysis of 12 studies involving 1,201 patients revealed that preoperative oral nutritional supplements (ONS) significantly reduce infectious complications and improve nutritional and immune status in gastrointestinal cancer patients. Key findings included a reduction in white blood cell count and C-reactive protein levels, alongside improved albumin and prealbumin levels. However, no significant […]

A randomized trial demonstrated that surgical trainees using the evidence-based lsppdm pedagogical framework outperformed those in a traditional training program. Trainees in the lsppdm group achieved higher subjective and theoretical assessment scores and completed procedures with greater efficiency and quality. They exhibited enhanced technical and non-technical skills, particularly in laparoscopic cholecystectomy training, compared to their […]