Addressing the aggressive nature of pancreatic adenocarcinoma, this study outlines ASO practice guidelines for surgical and multimodal management. Focusing on resectable, borderline resectable, and locally advanced cases, the guidelines aim to equip surgical oncologists with current recommendations. By delving into the supporting data, the study provides a comprehensive framework for effectively managing pancreatic adenocarcinoma, emphasizing […]
Category: General Surgery
Grant Rejection: Strategies for Success and Funding
In addressing the common challenge of rejected grants, researchers explore the crucial decision between revising and resubmitting. With only about 15% of initial submissions securing funding, the study emphasizes a success rate exceeding 30% with proper revision strategies. Recommendations include collaborative consultation, hypothesis modification, and crafting a concise introduction. The article guides investigators through post-rejection […]
Neoadjuvant Therapy Impact on Pancreatic Cancer: Fibrotic Response Variation and Survival Associations
Examining pancreatic ductal adenocarcinoma (PDAC) cases (1991-2020) with neoadjuvant treatment (NAT), this study categorizes fibrotic responses and explores their links to different NAT strategies (chemotherapy, chemoradiation, or total neoadjuvant therapy, TNT). Major fibrosis, most prevalent in TNT cases, correlates with superior outcomes, including higher rates of downstaging, complete responses, favorable margins, and improved overall and […]
Enhancing Surgical Ergonomics: Literature Review and Practical Illustrations for Open, Laparoscopic, and Robotic-Assisted Surgery
Addressing the high prevalence of work-related musculoskeletal disorders in surgery, this study reviews existing literature on surgical ergonomics. Collaborating with surgeons, the researchers create practical pictorial reminders for open, laparoscopic, and robotic-assisted surgical settings. These illustrations, derived from evidence-based ergonomic recommendations, are evaluated for practicality by residents and surgeons. The resulting visual guidelines aim to […]
Surgeon Leadership Impact on Teamwork: Utilizing Surgical Safety Checklist for Enhanced Communication
Investigating the surgeon’s role in teamwork, this study explores the effectiveness of the Surgical Safety Checklist (SSC) in practice. Through interviews with operating room staff, engaged use of the SSC by attending surgeons emerged as a crucial factor. Surgeons actively employing the checklist to foster group discussion improved intraoperative teamwork, preventing later tensions. The study […]
Refining Training Guidelines for Laparoscopic Cholecystectomy Safety Assessment: Expert Perspectives on “Unsafe” Practices
A multinational study involving 11 expert laparoscopic cholecystectomy surgeons aimed to enhance the Laparoscopic Cholecystectomy Critical View of Safety (LC-CVS OPSA). By analyzing ratings of “unsafe” practices, the study identified three major categories: failure to achieve critical view, suboptimal technique despite safe completion, and safe completion with potential future risks. Findings informed modifications to enhance […]
Abdominal Surgery Outcomes: Nationwide Variations in Failure to Rescue
Analyzing 598,736 patients across 52 Norwegian hospitals from 2011 to 2021, this study investigates failure to rescue (FTR30) after abdominal surgery. Despite a 30% decrease in FTR30 rates over a decade, substantial variations persist among similar hospitals. General surgical complications, with circulatory collapse and cardiac arrhythmia prevalent, were linked to FTR30. Surprisingly, hospital factors and […]
Enhancing Recovery: Postoperative Stellate Ganglion Block for Colorectal Cancer Surgery
Investigating the potential cardiovascular benefits of postoperative stellate ganglion block (SGB) after laparoscopic colorectal cancer surgery, this randomized trial aims to enroll 950 patients with at least one risk factor for myocardial injury after non-cardiac surgery. Assessing outcomes such as myocardial injury incidence, pain levels, delirium, and recovery quality, the study explores whether SGB, traditionally […]
Advancing Surgical Oncology in Portuguese-Speaking Africa: Fellowship Outcomes
Addressing rising cancer rates in Portuguese-speaking African countries, a surgical oncology fellowship, led by the Portuguese Institute of Oncology and the Calouste Gulbenkian Foundation, trained residents and surgeons in Portugal. Following a standardized program, participants underwent hands-on training and assessments, with post-fellowship evaluations indicating enhanced knowledge, skills, and organizational abilities. Certified by a Portuguese university, […]
Decline in Pelvic Floor Integrity Linked to Escalating Grades of Rectal Intussusception: A Comprehensive Analysis of Contributing Factors.
Study Finds Decline in Pelvic Floor Integrity Associated with Increased Rectal Intussusception Grades, Independently of Obstetric and Surgical History. The analysis of 238 women revealed that factors like age, vaginal delivery, and pelvic surgery correlated with higher Oxford grades of rectal intussusception. Abnormal levator ani laxity and concurrent pelvic floor issues were independently linked to […]