In a breakthrough study, researchers introduced the first histopathologic grading system for Median Arcuate Ligament Syndrome (MALS). Examining specimens from 36 patients who underwent robotic MALS surgery, the team identified unique nerve and lipogranuloma findings. Histopathologic abnormalities correlated with postoperative improvement, supporting nerve compression and inflammation as key contributors to MALS pain. The study advocates […]

As the COVID-19 storm hit, the financial tango between surgeons and industry partners took a hit. Examining payments from 2014 to 2021, researchers found a 47% drop in general payments and a 26.5% dip in research payments from 2019 to 2020. All surgical subspecialties felt the squeeze, with travel/lodging payments witnessing the most significant shake-up. […]

Surgical leaders unite to transform support for surgeon-scientists, facing challenges of institutional neglect and time constraints. Task force recommendations include cultivating a growth mindset in surgeons, emphasizing mentorship with structured accountability, ensuring financial sustainability through diversified funding, and enhancing structural and strategic support. Building a supportive community culture and reshaping institutional and funding agency expectations […]

A study of 25,070 cancer surgery patients reveals that community privilege significantly influences access to high-volume surgical centers. Residents in less privileged areas (lower income, non-white) faced longer travel distances and were less likely to choose high-volume hospitals. Individuals in the least privileged communities had over 70% greater odds of bypassing high-volume centers. The findings […]

In a survey of 7,233 residents across 324 programs, 82.2% reported appropriate autonomy, linking to lower burnout, suicidality, and thoughts of leaving. Female residents were less likely to report adequate autonomy. Satisfaction with workload, work-life balance, faculty engagement, camaraderie, and resources correlated with perceived autonomy. Qualitative insights highlighted autonomy’s crucial role in residency, identified barriers, […]

In a global study of 22,552 major general surgery patients, 16.3% experienced myocardial injury after noncardiac surgery (MINS). Shockingly, 89.9% of MINS cases showed no symptoms, emphasizing the hidden danger. Those with MINS faced a nearly 5-fold increase in 30-day mortality (6.8% vs. 1.2%), underlining its prognostic importance. This exposes the need for routine postoperative […]

Surgeons often face inadequate introductions to new practice settings. This study, implementing a tailored onboarding program in an academic-affiliated community hospital, showed outstanding process adherence, user satisfaction, and improved readiness to practice. Results affirm the feasibility and effectiveness of local teams implementing robust onboarding, ensuring smooth transitions for surgeons practicing across diverse settings in the […]

This review delves into the evolving realm of liquid biopsy, a groundbreaking tool with the potential to transform cancer care. Researchers explored its clinical applications in the context of surgical patients. While circulating tumor cells (CTCs) and circulating tumor DNA (ctDNA) have been studied extensively, their practical use in surgical settings is not yet fully […]

To streamline global clinical trial operations, Clinical Trial Units (CTUs) within academic research institutions worldwide must harmonize services to meet international standards. A survey involving experienced CTU members aimed to identify the most crucial services for seamless clinical trial execution. The results revealed that services related to research project quality and coordination were of utmost […]