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Ann Surg8 Jun 2024

Educational Technologies Enhance Surgical Training

Novel technologies and opportunities in surgical education can improve effectiveness and efficiency. Recommendations include establishing a multidisciplinary oversight body and personalized educational programs. Consensus on implementing these technologies was high. Advancements in technology-based assessment and data analytics have the potential to elevate the quality of…

Perspectives, Opinions and Curiosities8 Jun 2024

Impact of Nutritional Support on Prognosis in Critical Surgical Patients

High-risk patients identified by the mnutric score had significantly poorer in-hospital survival rates compared to low-risk patients. Adequate nutritional support was associated with improved prognosis, highlighting the importance of timely intervention in critically ill surgical patients. Inadequate nutritional support and high mnutric scores were significant…

J Surg Res6 Jun 2024

Factors associated with loss to follow-up in surgical trials

Loss to follow-up (LTFU) is uncommon in surgical randomized controlled trials. Characteristics associated with reduced LTFU include standard-of-care outcome assessments, surgery for transplantation or cancer. Increased LTFU risk is seen in trials with patient-reported outcomes and longer follow-up periods. Understanding these factors can help investigators…

J Surg Oncol5 Jun 2024

Reduced Hospital Readmission and Mortality with Early Primary Care Follow-up

Early primary care physician follow-up after gastrointestinal cancer surgery significantly lowered 90-day readmission rates by 38% and decreased mortality risk by 50%. Patients with post-discharge PCP visits had lower healthcare costs and better outcomes. Integrating in-hospital and community-based care is crucial for improving patient results…

J Robot Surg5 Jun 2024

Improved Robotic Training with Virtual Reality Curriculum

General surgery residents demonstrated improved compliance and robotic performance in virtual and inanimate domains through a 2-week robotic curriculum incorporating a virtual reality (VR) simulation. Residents completing the VR curriculum showed significant improvement in VR test scores, objective structured assessment of technical skills (OSATS) scores,…

Surg Endosc4 Jun 2024

Automatic Tissue Recognition in Surgery with Hyperspectral Imaging

Hyperspectral imaging, combined with machine learning, enables automatic tissue recognition during surgery. A study utilizing convolutional neural networks achieved high true positive rates for skin and liver tissues. Misclassifications mainly occurred between tissues with similar origins. The study underscores the potential of hyperspectral imaging in…

J Surg Res4 Jun 2024

Shock Index as a Strong Predictor in Geriatric Trauma Patients

Shock Index (SI) is a critical indicator of outcomes in trauma patients. A study comparing SI values in different age groups reveals that geriatric patients have higher SI and mortality rates. Each 0.1 increase in SI is associated with increased mortality, need for blood transfusion,…

JAMA Netw Open2 Jun 2024

Frailty Assessment Using Diagnostic Codes

Frailty, linked to adverse outcomes following minor stressors, was quantified effectively through an adapted Risk Analysis Index (RAI) using ICD-10-CM data. The RAI-ICD parameters showed good discrimination in hospitalized patients, allowing for classification into different frailty categories. Adverse outcomes rose with increasing frailty levels. The…

Perspectives, Opinions and Curiosities2 Jun 2024

Evaluation of Proximie Virtual Platform for Medical Student Education in ENT Surgery

Proximie, a virtual operating platform, was assessed as an effective tool for delivering ENT teaching to medical students. In a study, 96% of students highly rated its educational value and 57% preferred it over physical attendance for its convenience and improved surgical field view. The…

Cir Cir2 Jun 2024

Effect of Training Programs on Surgical Performance in Single-port Laparoscopic Surgery

Training in single-port laparoscopic surgery using articulating laparoscopic instruments enhances skills quality, leading to smoother learning curves. All groups displayed significant performance differences, with Group C showing improvements in nine motion analysis parameters and a high level of technical competence. Group A notably enhanced bimanual…