This study presents the implementation of surgical activity regulation methodology in operating rooms to mitigate organizational dysfunction, enhance surgical staff’s quality of work life, and reduce overtime. Utilizing a scrub nurse as a real-time regulator akin to an air traffic controller, decisions are made collaboratively with surgeons and anesthesiologists, optimizing scheduling, including emergency surgeries. Live […]
Category: General Surgery
Endoscopic Ultrasound-Guided Ablation Outperforms Surgery for Pancreatic Cystic Tumors
Endoscopic ultrasound-guided pancreatic cyst ablation (EUS-PCA) demonstrated superior long-term safety and pancreatic function preservation compared to surgery in selected patients with pancreatic cystic tumors. EUS-PCA group had lower rates of morbidities, adverse events, readmission, and diabetes development, with shorter hospital stay. However, surgery group showed higher complete resolution rate and lower relapse rate. EUS-PCA is […]
Radioactive Iodine Administration and Disease-Specific Survival in Large Papillary Thyroid Carcinoma
Radioactive iodine administration did not significantly improve disease-specific survival in intrathyroidal classic papillary thyroid carcinoma >4 cm, suggesting limited benefit and questioning routine use in this patient population. Age ≥55 and larger tumor size were associated with increased risk of disease-specific death, emphasizing the need for personalized treatment approaches. Journal Article by Lee-Saxton YJ, Palacardo […]
Comparing Robotic Hernia Repair Techniques: Perioperative Differences but Comparable Costs
Robotic incisional hernia repairs using intraperitoneal onlay mesh (ipom) showed more perioperative complications, higher postoperative pain, and readmission rates than retromuscular (rm) repairs. However, rm repairs had higher defect closure rates and lower postoperative complications. Despite higher postoperative complication costs in ipom, total costs were comparable between the techniques. Recurrence rates and hospital costs did […]
External Stents Show Promise in Reducing Postoperative Pancreatic Fistulas
Stent placement following pancreaticojejunostomy did not significantly reduce clinically relevant postoperative pancreatic fistulas (CR-POPFs). However, external stents and placement in patients with ≤3mm main pancreatic duct diameter showed reduced CR-POPFs compared to no stent placement. These findings suggest a potential benefit of external stents in reducing CR-POPFs, especially in patients with undilated pancreatic ducts. Journal […]
High Recurrence Rates and Comorbidities Post-Transversus Abdominis Release
Abdominal surgeries following transversus abdominis release are linked to substantial comorbidities and heightened hernia recurrence rates. Efforts to minimize reoperations post-tar procedure are crucial. Results reveal a 36.1% hernia recurrence rate in 1137 patients, with 4.7% undergoing non-hernia abdominal surgeries, primarily due to small bowel obstructions. Urgent or emergent surgeries predominated, highlighting the need for […]
Emotional Challenges in Older Surgical Patients
Older surgical patients faced emotional challenges before and after surgery, impacting recovery. They relied on personal and social resources to navigate these challenges, while desiring more healthcare support. Findings emphasize the importance of addressing emotional well-being in perioperative care for older adults undergoing major elective surgery. Journal Article by Kata A, Dillon EC (…) Tang […]
Preservation of Caval Flow in Complex Hepatectomy Under Total Vascular Exclusion
Hypothermic liver perfusion during hepatectomy under total vascular exclusion preserving caval flow showed excellent hemodynamical tolerance, with no 90-day mortality and stable hemodynamics. The technique avoids splanchnic congestion and reduces ischemia time, making it a promising approach for patients requiring prolonged vascular control in hepatic surgery. Journal Article by Azoulay D, Salloum C (…) Lim […]
Development of a Nomogram for Preoperative Estimation of Splenic Hilar Lymph Node Metastasis
A high-performing preoperative nomogram for predicting splenic hilar lymph node metastasis in non-greater curvature advanced proximal gastric cancer was developed. Tumor location, size, Borrmann type, and lymphadenectasis were key predictors. The nomogram showed good performance in both training and validation cohorts, aiding surgeons in making informed clinical decisions and leading to improved patient outcomes. Journal […]
Inflammatory Bowel Disease Increases Colorectal Cancer Surgery Burden
Inflammatory bowel disease negatively impacts surgery outcomes for colorectal cancer patients, leading to lower rates of surgical resection, higher postoperative complications, extended hospital stays, increased readmissions, decreased home discharges, and higher expenditures. These patients have a lower probability of achieving ideal postoperative outcomes and experience worse long-term survival after colorectal cancer resection. Journal Article by […]