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Langenbecks Arch Surg13 Mar 2024

Identifying Challenges and Opportunities for Future Surgeons

Research identifies educational challenges and opportunities for the next generation of surgeons, focusing on surgical innovations, culture, and mentoring. Current issues include burnout, well-being, gender bias, and the need for technological expertise to meet evolving demands. Surgery must adapt curricula and transform its culture to…

Perspectives, Opinions and Curiosities11 Mar 2024

Simulation Model Enhances Surgery Throughput Efficiency

Researchers developed a discrete-event simulation model for assessing operating room efficiency in thoracic, gastrointestinal, and orthopedic surgeries. Utilizing the model, they found that improving operating room preparation time and reducing operative time were the most effective strategies for increasing throughput. Large reductions in operative time…

Digital Surgery and Telemedicine10 Mar 2024

Virtual Informed Consent and the Importance of Trust-Building

Virtual formats for informed consent in surgery may hinder trust-building, as they rely on an information-transfer model rather than a trust-building one. This study suggests that a trust-building model is essential for a fuller understanding of the consent process, highlighting potential shortcomings of virtual formats…

Perspectives, Opinions and Curiosities8 Mar 2024

Higher Rates of Surgical Site Infections in Safety Net Hospitals for Socioeconomically Marginalized Patients

Safety net hospitals, serving economically disadvantaged patients, exhibit a 1.29 times increased risk of surgical site infections (SSIs) after gastrointestinal surgery compared to non-safety net hospitals. Despite adjustments for socioeconomic factors, this heightened risk persists, challenging the efficacy of existing financial incentive programs in reducing…

BMC Surg8 Mar 2024

Impact of Hospital and Surgeon Volume on Complications in Emergency Intra-Abdominal Surgery

Complications in emergency intra-abdominal surgery were significantly associated with hospital and surgeon volume when appropriate heterogeneity was achieved. Low surgeon volume was consistently linked to higher complications, while low hospital volume showed increased complications in the sensitivity analysis. Overall, higher hospital and surgeon volume were…

BMJ Open8 Mar 2024

Procalcitonin and CRP Predictors of Postoperative Complications in Elderly Patients

Plasma concentrations of procalcitonin and C reactive protein within 24 hours of surgery, along with their perioperative changes, were valuable predictors of major complications in elderly patients after non-cardiac surgery. Procalcitonin at 24 hours, C reactive protein at 24 hours, and their changes were particularly…