Category: Perspectives, Opinions and Curiosities

The Validation Status of Current and Emerging Minimally Invasive Robotic Surgical Platforms

Most existing robotic surgical platforms are at the early stages of evaluation, with the majority being in the preclinical to developmental and exploratory stage. A scoping review of 23 different robotic platforms from 21 companies revealed that only one multiport system is fully evaluated, while the rest are at various stages of assessment. None of […]

No Significant Impact of Preoperative Midazolam on Patient Satisfaction in Older Surgical Patients

Despite its widespread use, the effect of preoperative oral midazolam on patient satisfaction in older surgical patients remained unclear. Researchers conducted a double-blind, placebo-controlled clinical trial on 607 patients aged 65 to 80 years undergoing elective inpatient surgery. The study found that a single low dose of oral midazolam did not significantly alter global perioperative […]

Feasibility and Safety of Early Home Transfer for Surgical Patients

A cohort study evaluated the effectiveness and safety of a hospital at home (HAH) program for surgical patients. The study included 325 patients who underwent various surgeries and were transferred to the HAH unit. Results showed that overall escalation of care during HAH occurred in 7.3% of patients, with a 7% 30-day readmission rate. Most […]

Pragmatic Sleep Protocol Yields No Increase in Postoperative Sleep Time in Surgical Oncology Patients

Researchers conducted a randomized controlled trial to evaluate the effects of a sleep protocol on postoperative sleep time in surgical oncology patients. The study included 101 patients undergoing major oncologic surgery, with half receiving the sleep protocol and half receiving standard care. Results showed no significant difference in postoperative sleep time between the two groups. […]

Surgeon-Driven Cost Variability in Gastrointestinal Operations

Cost aspects of care episodes attributable to surgeons’ management decisions were evaluated in a tertiary academic cancer center. A study involving 1540 patients undergoing gastrointestinal operations revealed significant variations in total direct costs between surgeons. The main drivers of cost differences included operating room (OR) supplies, central medical supply, laboratory, and supportive care. This study […]

The Impact of Fatigue on Surgical Performance

Researchers conducted a systematic review to evaluate the effect of fatigue on surgical outcomes. Out of 7,251 studies, 134 were included in the analysis, comprising over 1.6 million surgeries. Simulator studies showed that fatigue led to a deterioration in surgical outcomes in 46% of cases, while real-life studies reported a deterioration in 35.5% of cases. […]

Medical Students’ Perceptions on Family Planning Influence Specialty Choice

Medical students in a qualitative study revealed four main perceptions that impact their choice of medical specialty: (1) there is no ideal time for family building within a medical career, (2) family planning is a taboo topic, (3) surgical specialties provide less support for family building, and (4) residents with children are seen as a […]

Force Feedback Function in Surgical Robot Improves Suturing Procedure

Adding a force feedback function to robotic surgical systems significantly reduced the maximal force applied to the robotic forceps while maintaining the quality of suturing. The force feedback function did not affect the objectively assessed suturing score but slightly shortened the task accomplishment time in younger surgeons. This suggests that robots with force feedback can […]

Frailty and Healthcare Utilization Before and After Major Surgery

A study analyzed healthcare utilization patterns before and after major surgery and their association with pre-operative frailty. The results showed that frail patients had worse post-operative outcomes and higher costs during the surgical period. Four distinct utilization trajectories were identified, with a subgroup of patients experiencing a transition from low to high healthcare utilization after […]

Sterile Gloves Are Not Superior to Nonsterile Gloves for Wound and Laceration Repair

This systematic review and meta-analysis compared the use of sterile and nonsterile gloves for wound and laceration repair. The analysis found no significant difference in the rates of infection or wound healing between the two types of gloves. These results suggest that nonsterile gloves are equally effective in preventing complications during wound and laceration repair, […]