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World J Surg15 Jun 2024

Enhancing Surgical Quality in Low-Income Settings

Prospective perioperative registry implemented in Ethiopia showed a 51.4% capture rate for 440 patients, with 5.4% missing data and 90.2% accuracy. Post-pilot modifications increased capture rate to 70.5%. This low-cost electronic registry signifies progress in improving surgical care in under-resourced areas. Strong partnerships and local…

Ann Med Surg (Lond)15 Jun 2024

Optimizing Surgical Management in Pregnancy

Approximately 1-2% of pregnant women undergo non-obstetric surgery under anaesthesia. This systematic review emphasizes the importance of thorough preoperative evaluation, modifications in anaesthetic management to accommodate physiological changes during pregnancy, and prompt urgent surgeries to optimize outcomes for both mother and foetus. Avoiding maternal hypoxaemia,…

J Gastrointest Surg11 Jun 2024

Availability and Accessibility of Surgery in GI Cancer Care

Scarcity in surgical care accessibility for gastrointestinal cancer patients was identified through interviews with 27 providers and 36 survivors in Alabama and Mississippi. Barriers included transportation issues, limited specialized care availability, and low health literacy. Facilitators included charitable aid and centralized care. Results point to…

Postgrad Med11 Jun 2024

Comparison of Malnutrition Screening Tools in Hospitalized Patients

Prompt identification of malnutrition among hospitalized patients is crucial. A study compared 5 screening tools based on GLIM criteria on 1,397 inpatients. Results showed GMS had highest sensitivity (87.40%) and NRS-2002, highest specificity (91.70%). MST aligned well with GLIM, emphasizing early diagnosis importance. Effective screening…

Turk J Med Sci10 Jun 2024

Effectiveness of Intraperitoneal Surfactant in Preventing Intraabdominal Adhesions

Surfactant administration at 70 mg/kg significantly reduced adhesion area and intensity compared to control and adhesion groups in a rat model. Fibrosis and inflammation were also significantly lower with surfactant treatment. Results suggest that intraperitoneal surfactant can effectively prevent postoperative intraabdominal adhesion formation, highlighting its…

Ann Surg9 Jun 2024

31 Key Recommendations to Improve US Surgical Education

Experts identified and agreed upon 31 key recommendations to enhance surgical education and training in 2024. These recommendations focused on various aspects including workforce, medical student education, resident education, and research training. The Delphi method was used to achieve consensus among the panel members, ensuring…

Ann Surg9 Jun 2024

Standardized Screening Improves Substance Use Detection Before Surgery

Standardized taps screening identified unhealthy substance use more effectively than routine ehr documentation among 240 surgical patients. Younger individuals were more likely to exhibit substance use, with alcohol misuse frequently detected only by taps. Clinician documentation had lower sensitivity and accuracy compared to taps, missing…

BMC Surg9 Jun 2024

Improved Preoperative Prediction of Abdominal Adhesion Severity

Novel abdominal ultrasound technique accurately predicts moderate-to-high adhesion severity between the abdominal wall and intestinal tract. The method involves measuring displacement of motion vectors in both animals and clinical trial participants. Results show significantly higher motion difference ratios in groups with adhesions compared to those…

World J Surg9 Jun 2024

Enhancing Surgical Care through Global Mentorship Programs

Global safe surgery mentorship program in Ethiopia shows positive impact, with fellows improving teamwork, leadership skills, and initiating quality improvement projects. Challenges include scheduling, communication, and budget constraints, calling for better program management. Despite obstacles like hospital resistance and the COVID-19 pandemic, the multidisciplinary training…

World J Surg9 Jun 2024

Recycling Waste in General Surgery Operating Rooms

Recycling over 30% of general surgery operating room waste could lead to a 6% reduction in carbon footprint and 3% cost savings annually. Implementing recycling policies and promoting waste segregation could significantly impact both the environment and finances of surgical facilities. Surgeons play a key…