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Dynamic high-strength sutures and tapes were compared to conventional options in a biomechanical study. Results showed that the novel sutures required fewer securing throws for knot security, with nice-knot configurations having higher ultimate force and lower slippage compared to cow-hitch knots. The study highlights the…
Long-standing inequities in society, healthcare, and surgery have been highlighted, emphasizing the need for diversity, equity, and inclusion. A white paper by SAGES explores the current state of diversity in surgery and outlines efforts for meaningful change. Emphasizing the importance of DEI, the paper stresses…
Implementing a standardized handoff protocol for surgical technicians in the operating room significantly improved communication during staff changes. The pilot study showed a substantial increase in the completion of critical handoff elements, with 100% of observed cases including handoffs and addressing all elements 99.6% of…
Patients undergoing major oncological abdominal surgery can benefit from continuous vital sign monitoring using wireless patches, which detected clinical deterioration earlier than nurse measurements. Among 227 patients, 22% experienced complications, with discrepancies in measurements largely due to respiratory rate. The sensium® patch identified elevated respiratory…
Recent changes in the residency matching process, such as the shift to a pass/fail USMLE Step 1 scoring system, have raised concerns among surgical specialties. Research productivity, virtual interviews, and preference signaling play crucial roles in residency match outcomes. Despite these changes improving accessibility, the…
Higher levels of authenticity were linked to lower rates of burnout and depression among surgeons, while accepting external influence and self-alienation were associated with increased depression and burnout. The study underscores the importance of promoting authenticity to support mental health in the surgical profession. Targeted…
Resident and fellow trainees in surgical oncology procedures demonstrate low rates of achieving practice-ready performance in breast, soft tissue, endocrine, and hpb cases. Despite this, attending surgeons provide limited supervision even for high-performing trainees. The study underscores the critical need for surgical training programs to…
AI-assisted coaching program, SmartCoach, significantly enhanced surgical performance and safety for novice surgeons in laparoscopic cholecystectomy procedures. Surgeons in the coaching group showed substantial improvement in performance scores and critical view of safety achievement compared to self-learning counterparts. Participants expressed high satisfaction with the program,…
A meta-analysis of randomized clinical trials found that Enhanced Recovery After Surgery (ERAS) guidelines were associated with decreased hospital length of stay by 1.88 days and reduced risk of complications. However, there was no significant impact on readmission or mortality rates. Future research should focus…
Providers in veterans affairs hospitals utilize elements of shared decision-making when caring for critically ill surgical patients in the ICU. Through qualitative interviews, key components of shared decision-making were identified, along with barriers and facilitators to its implementation. These findings offer valuable insights for interventions…
