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BMC Surg22 Oct 2024

Mobile surgical units improve access to healthcare in remote Africa

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…

BMJ21 Oct 2024

Healthcare systems can significantly reduce their greenhouse gas emissions.

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…

Surg Endosc21 Oct 2024

Grip strength decreases risk of postoperative ileus in surgery

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…

Ann Surg Oncol9 Oct 2024

Neoadjuvant immunotherapy does not increase postoperative complications.

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…

Perspectives, Opinions and Curiosities7 Oct 2024

Delirium is the most common complication in older surgical patients.

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,…

Perspectives, Opinions and Curiosities6 Oct 2024

Significant research trends in frailty and surgery identified

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…

Medicine (Baltimore)6 Oct 2024

Preoperative oral nutritional supplements improve outcomes for gastrointestinal cancer surgery

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…

BJS Open5 Oct 2024

Laparoscopic training using lsppdm framework enhances surgical skills

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…

Acta Cir Bras4 Oct 2024

Artificial intelligence is transforming surgical training.

Advances in artificial intelligence are significantly enhancing surgical education. Researchers highlight its potential for creating realistic simulations, offering personalized feedback, and improving diagnostic capabilities. While AI-assisted surgeries promise greater precision and minimally invasive techniques, challenges such as data security, resistance to adaptation, and ethical issues…

Ann Surg3 Oct 2024

A new score enhances prediction of in-hospital mortality post-surgery

A novel comorbidity score, termed the comorbid operative risk evaluation (CORE), outperformed existing indices in predicting in-hospital mortality among surgical patients. Using data from 699,155 records, the CORE score achieved higher accuracy than both the Elixhauser Comorbidity Index and the Charlson Comorbidity Index across multiple…