Front Surg17 Dec 2024
A novel silicone-based training model for laparoscopic appendectomy was developed, combining clinical and engineering insights. Iteratively refined through four stages and stakeholder consensus, the model closely mimics anatomical structures and provides realistic haptic feedback. At a cost of only €9.67, it is scalable for various…
Digital Surgery and Telemedicine15 Dec 2024
An umbrella review of 44 studies highlights the significant potential of extended reality (XR) technologies in surgical training, particularly for orthopedics, neurology, and laparoscopy. Findings revealed that XR improves surgical skills and procedural accuracy while reducing risks and operating room time. User-friendly systems increased accessibility…
Surg Endosc14 Dec 2024
A survey involving 1,045 gastrointestinal surgery professionals across 38 European countries revealed a significant knowledge gap regarding dedicated robotic training programs. Notably, 68% of experts and trainees were unaware of such curricula, and 48% of trainees with robotic access had not performed any robotic surgeries.…
Int J Med Robot13 Dec 2024
A study analyzing 335 patients undergoing Da Vinci surgery revealed that 195 experienced pressure injuries, identifying key risk factors including age, surgery duration, BMI, and the presence of a nasogastric tube. Through logistic regression analysis, researchers established a reliable prediction model to assess pressure injury…
Ann Surg Oncol11 Dec 2024
Prehabilitation significantly improves functional capacity and reduces postoperative complications in surgical oncology patients undergoing major abdominal surgery. An analysis of 27 studies involving 2532 patients found a mean difference of 28.32 meters in the 6-minute walk distance for those who underwent prehabilitation. It also showed…
BMC Surg10 Dec 2024
A clinical trial demonstrated that negative-pressure wound therapy (NPWT) significantly reduces the incidence of surgical site infections and occurrences in laparotomy patients compared to conventional dressings. Among 275 participants, those using NPWT had a 13% lower absolute risk for infections and a 12% reduction in…
BMC Surg10 Dec 2024
An artificial intelligence system was developed for predicting surgical case lengths, significantly outperforming current electronic health record estimates. Analyzed data from 125,493 inpatient elective surgical cases revealed the categoricalboost regressor using clinical text embeddings achieved a mean absolute error of 46.4 minutes, compared to 120.0…
World J Emerg Surg9 Dec 2024
An international survey involving 1,042 healthcare practitioners highlighted significant knowledge gaps regarding intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) guidelines. While there was general agreement on most existing statements, critical new candidate statements failed to achieve consensus, with only 77% acceptance of normal intra-abdominal…
J Ayub Med Coll Abbottabad8 Dec 2024
Enhanced Recovery After Surgery (ERAS) protocols have shown a notable reduction in postoperative complications, shortened hospital stays, and decreased readmission rates among general surgical patients at Jinnah International Hospital Abbottabad. A retrospective cohort study involving 120 patients compared those under ERAS with a historical control…
J Am Coll Surg5 Dec 2024
A multi-faceted quality improvement initiative effectively eliminated incorrect central line placements and near-miss events in pediatric cancer patients. By redefining responsibilities, adding staff, and modifying processes, the team achieved zero errors over 1,018 consecutive days. This comprehensive approach demonstrates significant improvements in surgical safety and…