Category: Perspectives, Opinions and Curiosities

Heart-shaped Tension-Reducing Suture Shows Promising Outcomes in Hypertrophic Scar Repair

Heart-shaped tension-reducing suture combined with lbd suturing technique led to improved scar quality in hypertrophic scar patients. Results showed reduction in scar width, significant enhancements in scar assessment scores, and higher levels of patient satisfaction postoperatively. This novel approach demonstrated better outcomes in color, stiffness, thickness, and overall scar opinion, highlighting its clinical efficacy and […]

Surgeon Workload’s Impact on Pregnancy Outcomes

Surgeons experiencing high workload during pregnancy have increased risks of major complications, preeclampsia/gestational hypertension, intra/post-partum complications, unplanned cesarean sections, and preterm deliveries. Most institutions lack policies for workload modification, leading to many surgeons not adjusting their workload. These findings highlight the importance of creating a supportive workplace culture and implementing formal policies to protect the […]

Age, BMI, and Surgery Duration Impact Microbial Composition of Surgical Infections

Age, BMI, and duration of surgery significantly influence the microbial composition of surgical-site infections, with older age, lower BMI, and longer surgical procedures associated with a shift from skin bacteria to intestinal pathogens like enterobacterales and enterococcus spp. These patient-dependent factors were identified as key predictors of microbial composition in surgical infections, regardless of the […]

Cameroon’s Health Policies Overlook Key Areas in Surgery and Anesthesia

Health policies in Cameroon predominantly focus on maternal and neonatal care, with limited attention to health financing. Stakeholders like civil society organizations and private entities support these policies. The Cameroonian Ministry of Public Health is a significant funder of surgery, obstetrics, trauma, and anesthesia (SOTA) care. 59 out of 136 policies and events mention SOTA-related […]

New Model Predicts Post-Surgery Pulmonary Infections Using sTREM-1 and TIM-4

In a study of 96 gastrointestinal surgery patients, researchers identified key risk factors for postoperative pulmonary infections, including smoking, longer surgical duration, and low preoperative hemoglobin levels. A predictive model was developed utilizing soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) and T cell immunoglobulin and mucin domain-4 (TIM-4), which demonstrated high accuracy for predicting […]

High prevalence of work-life conflicts among surgical residents associated with poor well-being

Work-life conflicts are common among surgical residents, with a significant proportion reporting various challenges in personal life management. Female residents and parents are more likely to experience work-life conflicts, leading to increased risks of career dissatisfaction, burnout, attrition thoughts, and suicidality. However, well-designed program-level interventions could effectively support work-life integration in surgical residency, emphasizing the […]

Task division in robotic pancreaticoduodenectomy improves outcomes and education

Task division by multiple console surgeons in robotic pancreaticoduodenectomy significantly reduced operation time and postoperative complications compared to a single console surgeon approach. Despite less experienced surgeons, the turnover between resection and reconstruction led to safer pancreatojejunostomy. Surgeons adopting the multiple approach observed early benefits with reduced surgical time and fewer complications, highlighting the potential […]

Omentoplasty Reduces Complications in Various Surgeries

Omentoplasty significantly lowers overall complications, particularly in gastrointestinal and liver surgery. It reduces postoperative infection in thoracic and liver surgery. Patients with a BMI over 25 undergoing esophageal or gastrointestinal surgery benefit the most. No significant differences in pelvi-perineal surgery were found, except for specific cases. Overall, omentoplasty effectively prevents postoperative infection and decreases complications […]

Positive reaction to immersive robotic surgical training

Researchers found that using 3D visors for immersive robotic surgery training garnered positive feedback from medical students and residents. Nearly 90% of participants expressed high engagement and intention to use the technology. The median System Usability Scale score was 80, and the median Simulator Sickness Questionnaire score was 44.88. These results suggest that immersive reality […]

Improved Resident Well-being Through Palliative Care Curriculum

A palliative care curriculum was shown to reduce moral injury symptoms in surgical residents, with over 50% reporting guilt and functional impairment pre-intervention. Post-intervention, 30% experienced improvements. The curriculum focused on self-reflection, communication skills, and peer support, offering a practical and impactful tool for enhancing resident well-being in surgical training programs. Journal Article by Koti […]