Langenbecks Arch Surg13 Mar 2024
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…
World J Surg12 Mar 2024
Authors found that patients with Alzheimer's disease and related dementias had lower rates of achieving textbook outcomes and home discharge after major surgery, along with higher healthcare expenditures. They also had increased odds of postoperative complications, extended length-of-stay, readmissions, and mortality. These findings highlight the…
Perspectives, Opinions and Curiosities11 Mar 2024
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…
BMJ Open11 Mar 2024
Approximately 52% of patients were mobilised within 6 hours post surgery, increasing to 96% within 24 hours. Patients with daytime postoperative recovery unit arrival, shorter anaesthesia duration (
Digital Surgery and Telemedicine10 Mar 2024
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…
Ann Surg10 Mar 2024
Researchers developed and validated a pioneer surgical anonymization algorithm, named Robotic Anonymization Network (ROBAN), for real-time removal of out-of-body images during live surgery streaming. The algorithm achieved a high ROC AUC score of 99.89% after post-processing, outperforming previous state-of-the-art methods and offering reliable, accurate, and…
J Am Coll Surg9 Mar 2024
Patients with behavioral health disorders (BHD) had lower rates of resection and higher odds of complications, longer hospital stays, readmission, and higher in-hospital expenditures. They were also less likely to achieve a postoperative textbook outcome and had worse long-term survival. Initiatives targeting BHD are crucial…
Perspectives, Opinions and Curiosities8 Mar 2024
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
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
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…