Mindfulness interventions show promise in reducing perioperative pain and opioid use, offering a non-pharmacological approach to improve outcomes following surgery. Evidence suggests that brief mindfulness sessions preoperatively can alleviate pain and anxiety, while more extensive interventions postoperatively may help patients with persistent pain or prolonged opioid use. Understanding the psychophysiological mechanisms behind mindfulness is essential […]
Category: Perspectives, Opinions and Curiosities
SKA3 – A Potential Therapeutic Target in Cancer Precision Surgery
Researchers explored the role of spindle and kinetochore-associated complex subunit 3 (SKA3) in cancer. SKA3, a key component in chromosomal segregation and cell division, has been identified as having oncogenic properties contributing to tumor development. This review integrates bibliometric analysis, pan-cancer studies, and narrative summary to assess SKA3’s role in cancer. The authors also identify […]
Improved Skill Transfer with 3D-Printed Model for Laparoscopic Biliary-Enteric Anastomosis Training
A randomized controlled trial found that training with a 3D-printed model for laparoscopic biliary-enteric anastomosis led to significantly shorter operation times, higher performance scores, and greater goal achievement compared to traditional training methods. This suggests improved skill acquisition and transferability to a clinical setting with the novel simulation model. Randomized Controlled Trial by Shen J, […]
Factors influencing pursuit of academic surgery careers among general surgery residency graduates
17% of general surgery residency graduates pursued academic surgery careers. Factors associated with this choice included graduating from a top-20 program, working with a research mentor, holding an advanced degree, and publishing during residency. Only research productivity during residency predicted early career success. Programs should support trainees’ research efforts to cultivate academic surgeons effectively. Journal […]
Accuracy of Conflicts in Interest Reporting in General Surgery Journals
Study finds high inaccuracy (31%) in self-reported conflicts of interest (COIs) in prominent general surgical journals. Authors from the US had the lowest accuracy rate at 69%, compared to the UK (93%) and Australia (96%). Most inaccuracies were observed in corresponding/senior authors (39%), highlighting the need for journals to verify COIs for more accurate reporting. […]
Magnetic Compression Anastomosis: A Sutureless Alternative for Superior Gastrointestinal Outcomes
Magnetic compression anastomosis (MCA) offers sutureless passage construction for tubular organs, showing promise due to low recurrence rates and improved clinical outcomes compared to conventional treatments. The review highlights MCA’s use in various gastrointestinal diseases, showcasing superior anastomotic results compared to surgical sutures. Although initial studies demonstrate safety and feasibility, larger prospective studies are needed […]
Impact of high-volume low complexity Surgical Hubs on elective surgery backlog
Utilizing a mixed methods approach, the MEASURE study aims to evaluate the productivity, patient care, and workforce impact of the high-volume low complexity surgical hubs programme on the backlog of elective surgery patients in England. The study, informed by the consolidated framework for implementation research, involves six interlinked work packages and has received ethics approval. […]
Higher Attrition Rates in Placebo-Controlled Surgical Trials
Placebo-controlled surgical trials showed similar recruitment but significantly higher attrition compared to non-operative trials. Incorporating additional follow-up timepoints can reduce attrition rates in placebo-controlled studies. Researchers should consider strategies to mitigate dropout and loss to follow-up in surgical trials with placebo controls. Journal Article by Natarajan P, Menounos S (…) Adie S et 7 al. […]
Long-Term Mastery Learning Curve Analysis in Robotic Hepatectomies: A Decade of Experience
A decade-long analysis of 500 robotic hepatectomies reveals the learning curve to achieve long-term mastery. Cumulative sum chart analysis identified a significant minimum number of cases required to overcome the learning curve for minor, major, and technically challenging minor resections. This data can guide surgeons during early robotic hepatectomy experiences, enhancing patient safety and outcomes. […]
High Hospital Market Competition Linked to Worse Outcomes and Higher Costs in Complex Cancer Surgery
High hospital market competition was associated with poorer postoperative outcomes and higher hospitalization costs in complex cancer surgery cases. Patients treated in high-competition markets had lower odds of achieving optimal outcomes and incurred greater healthcare costs compared to those in low-competition markets. Geographic disparities were also observed in the distribution of hospital market competition. Journal […]