Category: Perspectives, Opinions and Curiosities

Mentorship Improves Early-Career Success in Surgery

A structured mentoring committee significantly enhances academic trajectories for early-career surgeons. After 8 years, 58 mentees rated the program highly, with 94% finding the information valuable. 90% felt the meetings contributed to their academic success and 88% appreciated the communication following sessions. Implementing formal mentoring in surgical departments can lead to better faculty development and […]

Antimicrobial Dressings Cut Surgical Site Infection Rates

Using silver and DACC dressings significantly lowers surgical site infections (SSIs), which can improve recovery times and reduce costs. Silver dressings reduce SSI risk by 22% (RR 0.78; moderate certainty). DACC dressings halve the risk of SSI (RR 0.49; moderate certainty). Mupirocin dressings show no significant impact on SSIs. Consider adopting silver or DACC dressings […]

Global Cancer Surgery Access Requires Urgent Attention

Access to safe and timely cancer surgery is critical but lacking, especially in low- and middle-income countries. Over 80% of patients with solid tumors will require at least one surgical intervention. Low- and middle-income countries will face rising cancer burdens, intensifying demand for surgery. Surgeons must be aware of these disparities to adapt treatment strategies. […]

New Model Predicts Surgical Risks in Emergencies

A new tabular foundation model outperforms traditional methods in predicting surgical risks for emergency patients, improving decision-making. In a study of 7,281 emergency surgery patients, the model demonstrated a mortality prediction accuracy of 0.89 and a morbidity accuracy of 0.82. It achieved better calibration scores (0.04 for mortality and 0.15 for morbidity) than logistic regression […]

Framework for Surgical Sabermetrics Enhances Training

Surgeons can leverage an innovative framework for integrating data-driven performance metrics into surgical training to improve education and patient outcomes. Interactive workshops with 54 participants from 13 countries identified priority methods: real-time feedback for technical skills and dashboards for non-technical skills. The framework allows supervising surgeons to access structured performance reports while protecting trainee data […]

Guidelines for Greener Operating Rooms in Canada

Surgeons can lower their environmental impact with new actionable guidelines for sustainable operating room practices. 21 recommendations are organized into four key areas: reduce waste, reuse items, recycle materials, and rethink practices. Focus on reducing pharmaceutical waste and unnecessary energy use can help cut greenhouse gas emissions from ORs. Adopting these strategies not only benefits […]

Robotic Surgery Access Linked to Lower Open Rates

Access to robotic surgical systems reduces open surgery rates, particularly in disadvantaged areas. Higher social vulnerability correlates with increased open surgery rates: 18.3% in low-vulnerability vs. 32.7% in high-vulnerability areas. Areas without robotic systems have significantly higher open surgery rates: 42.9 vs. 19.4 per 100 procedures. Consider availability of robotic systems when assessing patient options […]

Title: Enhancing Surgical Culture Through Faculty Engagement

Surgeon belonging is crucial for improving engagement and retention in academic settings. Institutional alignment with personal values fosters connection and engagement. Recognition of contributions boosts professional identity and inclusion. Enhancing relationships can mitigate social isolation and strengthen community. Departments should prioritize equitable recognition and relational support. Journal Article by Szczygiel LA, Niba V (…) Barret […]

Postoperative Sleep Disruptions Vary by Surgical Risk

High-risk surgeries significantly impact sleep quality, essential for recovery. High-risk procedures showed reduced REM and deep sleep lasting through day 7 (deep sleep: -18.7 minutes; REM: -12.4 minutes; p < 0.001). Acute reductions in total sleep were also noted (-19.4 minutes; p = 0.004). Complications increased with less total sleep; each 10-minute drop raised odds […]

More Female Residents Could Mean More Female Applicants in Surgery

Increasing female representation in surgery can enhance mentorship and attract more women to the field. Higher percentages of female residents correlate with more female applicants (r = 0.943, p < 0.0001). The strongest correlation was seen in urology (r = 1.0, p < 0.0001), followed by general surgery (r = 0.944, p = 0.016). Prioritizing […]