The study conducted interviews with 40 operating room staff in a tertiary children’s hospital to explore effective debriefing policies. The findings revealed three key themes: commitment to learning, the importance of creating a safe space for debriefing, and the valuable role of leadership. It was found that psychological safety is both a prerequisite for and […]
Category: Perspectives, Opinions and Curiosities
Aqueous Povidone-Iodine Irrigation Does Not Reduce Surgical Site Infection Incidence Compared to Saline Irrigation
Researchers conducted a randomized controlled trial to compare the effectiveness of intraoperative wound irrigation with aqueous povidone-iodine (PVP-I) versus saline in reducing surgical site infections (SSI) in clean-contaminated wounds after gastroenterological surgery. The study included 941 patients and found that the incidence of incisional SSI was slightly higher in the group receiving PVP-I (7.6%) compared […]
Higher rates of unplanned surgery, longer hospital stays, and increased costs among people experiencing homelessness who undergo surgery for malignancy
People experiencing homelessness (PEH) who undergo surgery for malignancy face significant barriers to access care and experience poorer outcomes compared to housed patients. This retrospective cohort study of 67,034 patients in three US states found that PEH more frequently underwent unplanned surgery (65.3% vs 23.7%) and had longer hospital stays (67.7% longer) compared to housed […]
Strategies to Enhance Trainee Engagement in Surgical Trainee Research Collaboratives
Trainee surgeons engaged in surgical trainee research collaboratives (TRCs) to improve patient care, surgical evidence, and progress their careers. The study revealed that building relationships with key stakeholders, maximizing multi-disciplinary working, and offering training and career development opportunities were effective strategies to enhance trainee engagement in TRCs. Challenges included limited time and confidence, recognition, and […]
Addressing Inequities in Global Cancer Surgery: Solutions for Improved Access and Outcome
Access and quality disparities in surgical cancer care between high and low resource settings have a direct impact on oncological outcomes. As cancer rates continue to rise worldwide, this study investigates the factors contributing to these inequities and proposes potential solutions to overcome the challenges. The findings emphasize the urgent need for global efforts in […]
Operationalizing Value Congruence for Improved Well-Being in General Surgery Residency
The study investigated the impact of value congruence (vc) on well-being and job retention among general surgery residents. Survey #1 revealed a lack of vc, with themes of inaccessibility, inconsiderateness, inauthenticity, and insufficiency of well-being resources. Program directors had varying awareness and alignment with these perceptions. Survey #2 showed that higher vc was significantly associated […]
Long-Term Benefits of Diaphragm Plication Surgery
Patients who underwent open or robotic-assisted transthoracic diaphragm plication for diaphragm paralysis and eventration reported significant improvement in dyspnea and fatigue symptoms, as well as improved overall quality of life and exercise capacity. The majority of patients would recommend the surgery to others. There were no significant differences in symptom improvement or quality of life […]
Smoke Evacuators Effectively Reduce Volatile Organic Compounds and Particles in Surgical Smoke
A randomized controlled trial investigated the impact of smoke evacuators on reducing volatile organic compounds (VOCs) and particles in surgical smoke during laparotomy procedures. The study found that the use of smoke evacuators significantly decreased the levels of acetaldehyde and formaldehyde in surgical smoke compared to the control group. Additionally, the smoke evacuator group had […]
Increasing diversity, specialization, and publication productivity among past presidents of major surgical organizations.
The study examined trends in the demographics, additional degrees pursued, and scientific publication characteristics of past presidents of three major surgery organizations. They found that the proportion of female presidents significantly increased from the 1990s to the 2010s, as did the percentage of non-white presidents and presidents with additional degrees. The most common area of […]
Impact of COVID-19 on Surgical Resident Autonomy within VA Teaching Hospitals
During the COVID-19 pandemic, surgical trainees at VA teaching hospitals experienced a significant decrease in operative volume due to the suspension of elective cases nationwide. A retrospective analysis of surgical cases revealed that operative cases dropped by half during the peak of the pandemic and remained 20% below pre-pandemic levels the following year. Interestingly, there […]
