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Surg Endosc17 Jul 2025

Mixed-reality feedback aids in assessing surgical training proficiency

A study evaluated visual attention and mental workload in novice surgeons using laparoscopic box trainers, revealing that eye-tracking metrics can effectively differentiate proficiency levels. Notably, trainees exhibited shorter fixation durations with pediatric trainers compared to adult ones, and their pupil diameters varied based on training…

JAMA Netw Open17 Jul 2025

Postoperative delirium significantly increases risks for older adults.

A national study of over 5.5 million hospitalizations highlights that older adults undergoing major noncardiac surgery with postoperative delirium face markedly increased risks. Patients with delirium had 3.5 times higher odds of death or major complications, nearly 2.8 times the risk of dying within 30…

Ann Med16 Jul 2025

Circadian rhythm modulation may combat gastrointestinal cancer

Emerging research highlights the significant impact of circadian rhythm on gastrointestinal cancer (GIC) progression and treatment. Modulating key circadian genes, like bmal1 and per1, shows potential in suppressing tumor advancement through various pathways. The review emphasizes the crucial role these genes play in GIC initiation,…

Perspectives, Opinions and Curiosities16 Jul 2025

Elevated triglyceride-glucose index linked to higher sepsis risk

A retrospective study involving 1,884 patients revealed a 12.3% incidence of sepsis post-major abdominal surgery. Elevated triglyceride-glucose index (TyGI) levels were associated with a 90.7% increased risk of sepsis, as indicated by a hazard ratio of 1.907. Subgroup analysis identified significant interaction effects, particularly in…

Ann Surg14 Jul 2025

AI Pipeline Enhances Detection of Surgical Site Infections

An AI-based system was developed to assess patient-submitted postoperative wound images, aiming to streamline the detection of surgical site infections (SSI). Among 6,060 patients studied, the model achieved an impressive incision detection accuracy of 94% and 73% accuracy for SSI detection. This technology demonstrated robust…

J Surg Res13 Jul 2025

High-fidelity simulation improves surgical trainees’ confidence in trauma procedures

A new high-fidelity simulation model, known as OS3, significantly boosts surgical trainees' confidence and skills in managing vascular trauma. Analysis of surveys from 183 participants revealed that increasing postgraduate years correlated with higher self-assessments of knowledge and skills. Despite this, many trainees reported difficulties with…

Front Med (Lausanne)10 Jul 2025

A dynamic nomogram for predicting intraoperative blood transfusion needs

A dynamic nomogram model has been developed to aid in intraoperative blood transfusion decision-making, demonstrating strong predictive capabilities. Utilizing data from 1,410 surgical patients, the model identifies key independent risk factors such as surgical grading, estimated blood loss, and preoperative hemoglobin levels. With a remarkable…

Am Surg8 Jul 2025

Nonadherence to Antibiotic Guidelines Results in Waste and Costs

A retrospective analysis revealed that 92% of patients undergoing certain elective surgeries received unnecessary prophylactic antibiotics, despite guidelines recommending against their use. This nonadherence resulted in an estimated financial waste of US$3,279 and significant environmental impact, as 94% of the cases were classified as clean.…

Digital Surgery and Telemedicine6 Jul 2025

AI-enhanced coaching improves laparoscopic surgery training

A new study introduces SmartCoach, an AI-assisted program designed to enhance surgical coaching for laparoscopic pancreatoduodenectomy. By automating video analysis and facilitating real-time assessments, this approach aims to overcome barriers such as limited expert feedback and the labor-intensive nature of traditional coaching. Preliminary data highlighted…