In patients with an elevated risk of postoperative pancreatic fistula after pancreatoduodenectomy, a 10-day course of extended antibiotics significantly reduced the occurrence of clinically relevant fistulas, as well as associated complications like infections and drain placements. Patients on extended antibiotics had a shorter hospital stay compared to those on standard perioperative antibiotics. These findings support […]
Category: General Surgery
Robot-Assisted and Transanal Techniques Reduce Permanent Stoma Rates in Rectal Cancer Surgery
In rectal cancer surgery, laparoscopic, robot-assisted, and transanal approaches were compared for permanent stoma rates. Among 1198 patients, laparoscopic surgery had a 40.1% stoma rate, while robot-assisted and transanal surgeries showed lower rates of 21.3% and 25.6%, respectively. For low anterior resection, robot-assisted and transanal techniques significantly reduced permanent stoma rates. However, complications affected 45.4% […]
Enhancing Robotic Surgical Training: OCHRA Validates Novice Surgeons’ Skill Progression
Novice robotic surgeons, undergoing a 5-day course on da Vinci® X and Xi systems, demonstrated improved basic robotic skills. Using Objective Clinical Human Reliability Analysis (OCHRA) alongside established tools, the study found OCHRA highly reliable and concurrently valid. Performance enhancement, evidenced by reduced errors, was consistent across all assessment tools. OCHRA’s detailed error analysis suggests […]
Treatment Disparities in Stage I Colorectal Cancers: Screening vs. Non-Screening Detection
When it comes to treating stage I colorectal cancers (CRCs), those detected through screening tend to receive less invasive treatment compared to non-screen-detected cases. The study, based in the Netherlands, analyzed data from 2008 to 2020. Screen-detected stage I CRCs were more frequently at T1 than T2, emphasizing a notable difference in treatment approaches based […]
Recalibrating Drain Fluid Amylase Cutoffs for Safer Early Removal and Fewer Complications after Pancreatoduodenectomy
Researchers recalibrated drain fluid amylase (DFA) cutoffs for early removal post-pancreatoduodenectomy (PD) in a study of 267 patients. For low-risk patients, maintaining 100% sensitivity, DFA1
Cutting Costs and Boosting Recovery: Perioperative APPs Slash Readmissions in Hepatopancreatobiliary Surgery
Dedicated perioperative Advanced Practice Providers (APPs) substantially decrease readmissions by almost 50%, saving $900 per case. Financially self-sustaining with 113 to 139 annual cases, these APPs prove pivotal in optimizing outcomes, minimizing resource utilization, and cost savings for high-volume hepatopancreatobiliary centers. Journal Article by Smith SR, Blair CM (…) Sarmiento JM et 3 al. in […]
The Art of Branding in Surgery Departments
The Ohio State University Wexner Medical Center’s Department of Surgery shares insights on building a robust national brand. In a digital age flooded with health choices, establishing a standout brand is crucial. Focusing on mission, visual elements, voice, and consistent messaging, the department strategically promotes its renowned residency program, clinical excellence, and research prowess. This […]
Ambulance Bays as Innovative Learning Spaces for EMS Practitioners
OhioHealth’s simulation team revolutionizes EMS education with drive-thru sessions in hospital ambulance bays. Over three days, 171 learners achieved objectives, and 90% agreed the environment fostered learning. This approach, utilizing existing infrastructure, effectively overcomes barriers like cost and equipment access, offering a feasible solution to enhance simulation-based education for emergency medical services practitioners. Journal Article […]
Decoding HCC Recurrence: LI-RADS Morphologic Type II Gets Risk Score Upgrade
Unraveling the mystery of early recurrence in hepatocellular carcinoma (HCC), researchers crafted a risk scoring system based on tumor morphology. Analyzing 124 patients, they pinpointed age, histological grade, AFP, and intratumoral hemorrhage as key factors. The scoring system accurately stratified patients into low and high-risk categories, offering clinicians a powerful tool. The high-risk group exhibited […]
Racial and Gender Disparities in Emergency General Surgery Transfers
In a groundbreaking study on emergency general surgery (EGS) transfers, researchers unveil stark racial and gender disparities. Analyzing over 28,000 interhospital transfers, they found higher odds of complications for EGS patients transferred between hospitals. Black patients faced increased minor complications, while Native Hawaiian, Pacific Islander, and female patients encountered unique challenges. These findings emphasize the […]