Surg Endosc30 Dec 2023
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…
JAMA Surg29 Dec 2023
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…
Ann Surg28 Dec 2023
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…
J Surg Oncol28 Dec 2023
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…
Perspectives, Opinions and Curiosities28 Dec 2023
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)…
Br J Surg24 Dec 2023
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,…
JAMA Surg24 Dec 2023
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…
Surg Endosc24 Dec 2023
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…
Ann Surg23 Dec 2023
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…
JAMA Surg23 Dec 2023
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…