Operating theatres have a substantial environmental impact, contributing to greenhouse gas emissions and waste. This systematic review, involving 8,286 participants, investigated factors influencing sustainability in operating theatres. Barriers were identified in domains like knowledge, environmental resources, social influences, and beliefs about consequences. The most common facilitator was intention. While there’s a desire to adopt sustainable […]

This study delves into the impact of perioperative immunonutrition on patients with head and neck or gastrointestinal (GI) cancers. Researchers analyzed 48 randomized controlled trials involving 4,825 patients and found that immunonutrition significantly decreased both total postoperative complications and infectious complications compared to standard nutritional therapy. This suggests that immunonutrition can play a vital role […]

This systematic review dives into the world of surgical skills, focusing on the transferability between laparoscopic and robot-assisted surgery. Out of 33 studies that explored the shift from laparoscopy to robotic procedures, 17 found a positive transfer, while 15 did not. Interestingly, only three out of 11 studies examined the reverse transition from robot-assisted to […]

This qualitative study delves into the world of academic surgeons, exploring how compensation structures, whether based on clinical productivity incentives or fixed salaries, impact their experiences. While incentivizing high-quality patient care, education, and innovation is the ideal aim, the interplay between compensation models and clinical activities, practice development, and surgeon well-being has remained uncharted territory. […]

This groundbreaking study introduces Imaging Photoplethysmography (IPPg) as a new method for quantitatively evaluating organ perfusion during laparoscopic surgeries. In clinical settings, researchers successfully used a laparoscope connected to a digital monochrome camera, along with green light illumination, to assess organ perfusion in cancer patients. They found that IPPg could visualize and quantify perfusion gradients […]

A survey of 79 surgeons in an academic hospital system compared workload, physical discomfort, and neuromusculoskeletal disorders (NMSDs) across four surgical modalities: endoscopic, laparoscopic, open, and robot-assisted (Da Vinci). Physical demand and mental workload were highest in open surgery. Robotic surgeons reported lower shoulder and finger discomfort and a significantly lower prevalence of NMSDs (7%) […]

Researchers conducted a multicenter study to assess the impact of continuing preoperative aspirin monotherapy in patients on antiplatelet therapy (APT) during gastroenterological surgery. The study revealed that patients who continued aspirin had significantly lower rates of thromboembolic complications compared to those who discontinued aspirin or were not on APT. These findings emphasize the importance of […]

Sham-controlled randomized trials, which involve sham surgical procedures, are essential for evaluating the risks and benefits of some surgeries. This study explores the ethics of sham surgery trials and argues that patients can benefit from participating. When the procedure under study is ineffective, patients who receive the sham procedure experience fewer harms than the full […]