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Researchers sought to identify the factors contributing to in-hospital mortality (IHM) after complex cancer surgery. They analyzed data from 52,838 patients across 294 hospitals and found that patient characteristics (PCS) had the largest influence on IHM, accounting for 32% of the variance. Case volume (CV)…
The economic burden associated with unmet surgical needs in Liberia was investigated through a nationwide enumeration of surgical procedures and providers. Researchers estimated that surgical activities prevented an economic loss ranging from $35 to $141 million in 2018, averting a total of 55,890 disability-adjusted life…
Researchers conducted a systematic review on the feasibility of using circulating tumor DNA (ctDNA) as a biomarker in the immediate postoperative period. Eight cohort studies across six different cancer types showed that patients with detectable ctDNA after surgery had an increased risk of cancer recurrence.…
Researchers conducted a study to determine if faculty perception aligned with resident self-perception of intraoperative behaviors in order to enhance intraoperative learning. They found that faculty were not able to accurately perceive residents' motivational style, as evidenced by the lack of correlation between resident self-perception…
Patients who developed an anastomotic leak (AL) after gastrointestinal surgeries had significantly higher neutrophil to lymphocyte ratio (NLR) levels compared to those who did not. This association was observed in retrospective studies and among white patients, but not consistently in prospective studies and among East…
Over a 10-year period, researchers assessed the utilization of acute laparoscopic surgery for common general surgical conditions in New Zealand. The study found that laparoscopic appendicectomy, cholecystectomy, adhesiolysis, and inguinal hernia repair significantly increased, with the highest rise observed in appendicectomy and adhesiolysis. Laparoscopic surgery…
Researchers analyzed 936 open-text responses from bereaved families to explore their experiences with end-of-life care after surgery. The results revealed a belief in unnecessary pain and distrust in treatment decisions among respondents. Limited communication about disease severity and surgical risks led to conflicting narratives about…
A pilot study examined the effectiveness of video-based self-assessment in enhancing surgical skills of general surgery trainees performing laparoscopic cholecystectomy. Trainees in the intervention group, who had access to video recordings of their surgeries for self-assessment, showed improved operative performance compared to the control group…
Offering small financial incentives to smokers on surgery wait-lists was not found to significantly increase smoking cessation before surgery, according to a randomised feasibility trial at an Australian public hospital. Of the 620 participants, 21.9% registered to quit when offered a $a70 supermarket voucher, increasing…
The analysis of general surgery trainee cases over a decade revealed that there was a preservation of operative volume, although with changes in case distribution based on trainee level. There was an increase in cases with more than one trainee and a rise in minimally…
