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A study in Paris public hospitals found robotic-assisted surgery (RAS) effectively decreases the length of hospital stay compared to traditional laparoscopic and open surgeries. An analysis of 9,326 procedures revealed that RAS saved a total of 5,390 hospitalization days, with 86% of these savings from…
A scoping review of 3,674 citations identified 129 relevant articles on implementation science in surgical care. It highlighted major innovations in peri-operative care and safety. Six key constructs emerged as both facilitators and barriers: leadership support, surgeon and staff expertise, team building, environmental context, data…
A comprehensive analysis of over 1.1 million physicians reveals only 16.7% of surgeons are female, highlighting significant ongoing gender disparities in surgery. While there is a gradual increase in female representation, specialty-specific trends show that women are less likely to enter cardiac surgery compared to…
Operative room noise significantly increased error rates for novice surgeons during complex laparoscopic tasks, particularly in circle cutting and suturing, as indicated by p-values of less than 0.01. Higher NASA task load index scores were observed during these tasks, suggesting elevated psychological workload under noise…
Humanistic care in operating room nursing significantly enhances recovery and satisfaction for colorectal cancer patients. A study involving 120 patients revealed that those receiving humanistic care experienced lower systolic/diastolic blood pressure and heart rate during anesthesia emergence. They also had reduced serum stress indicators and…
A systematic review and meta-analysis of 14 randomized controlled trials demonstrated that chlorhexidine-alcohol significantly reduces the incidence of post-operative surgical site infections (SSIs) compared to aqueous/alcoholic iodine solutions (risk ratio 0.30). This effectiveness spans various surgical procedures, with specific RR values of 0.25 for general…
The study revealed that the combined assessment of frailty, using the modified frailty index 5 (mfi-5), and hypoalbuminemia significantly improves surgical outcome predictions. Analyzing data from 9.8 million patients, researchers found that this combined metric outperformed each factor independently regarding morbidity and mortality risks. Specifically,…
A survey involving 1,024 surgeons revealed that 63% are motivated to improve surgical sustainability; however, less than 10% can estimate the carbon footprint of their practices. Most respondents are unconcerned about negative impacts from sustainability efforts, indicating a readiness to implement proposed changes. Preferred educational…
Among 143,582 patients undergoing digestive cancer surgery, those treated at high-volume centers experienced significantly lower 90-day mortality rates compared to low-volume centers. Univariate analysis revealed mortality rates of 5.06% at high-volume centers vs. 7.23% at low-volume centers for gastric surgeries and similar trends across other…
In a comprehensive study of 367,887 patients, findings reveal that women are 44% more likely than men to receive cancer surgery. However, the likelihood decreases for both sexes with age and increasing co-morbid conditions, particularly among women. Men display higher rates of 90-day reoperations (21.2%)…
