Surgeons often face inadequate introductions to new practice settings. This study, implementing a tailored onboarding program in an academic-affiliated community hospital, showed outstanding process adherence, user satisfaction, and improved readiness to practice. Results affirm the feasibility and effectiveness of local teams implementing robust onboarding, ensuring smooth transitions for surgeons practicing across diverse settings in the […]
Category: General Surgery
Assessing Pouch Function After Ileal Pouch Anal Anastomosis: Beyond Manometry
In evaluating post-proctocolectomy patients with ileal pouch anal anastomosis (IPAA), anopouch manometry (APM) highlights defecatory symptoms. Less than 10% of symptomatic IPAA patients undergo APM. Dyssynergic defecation, prevalent in 47.0% to 100% of cases, associates with fecal incontinence. APM alone proves imperfect for pouch function assessment, prompting the need for confirmatory dynamic imaging. This study […]
Balancing Act: Bariatric Surgery and Anticoagulation’s Bleeding Dilemma
In a study spanning 2008–2022, researchers delved into the post-bariatric bleeding risks for patients on chronic anticoagulation (CAT). Examining 132 cases (82 Roux-en-Y gastric bypass, 50 sleeve gastrectomy), the incidence of long-term bleeding was significantly higher in the Roux-en-Y group (18.3%) than the sleeve gastrectomy group (4%). Notably, bleeding marginal ulcer (MU) prevailed in the […]
Novice Surgeons’ Success in Laparoscopic Sleeve Gastrectomy
In South Korea’s non-tertiary hospitals, where bariatric surgery lacks specialized training, researchers examined outcomes of laparoscopic sleeve gastrectomy (LSG). Analyzing data from a novice surgeon’s cases before and after the learning curve, they found comparable safety and efficacy. Post-learning curve, operation time significantly decreased (118.4 to 61.9 minutes), showcasing that LSG can be proficiently performed […]
Liquid Biopsy in Cancer Care: A Game Changer for Surgical Patients
This review delves into the evolving realm of liquid biopsy, a groundbreaking tool with the potential to transform cancer care. Researchers explored its clinical applications in the context of surgical patients. While circulating tumor cells (CTCs) and circulating tumor DNA (ctDNA) have been studied extensively, their practical use in surgical settings is not yet fully […]
Early Discharge Proves Safe After Uncomplicated Colectomy
This retrospective study explored the relationship between postoperative discharge timing and complications in patients who underwent uncomplicated elective colectomy. Findings from over 113,000 patients revealed that early discharge (≥3 days for laparoscopic/robotic, or ≥5 days for open surgery) after minimally invasive colectomy significantly lowered the odds of post-discharge complications. The same benefit wasn’t observed in […]
Enhancing Quality of Life in Opioid and Psychotropic Medication Users Post CRS-HIPEC
A study investigated the impact of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) on the quality of life (QoL) for patients taking opioids and psychotropic medications preoperatively. The research found that patients using these medications had worse baseline QoL but achieved similar scores to those who didn’t postoperatively, except in emotional functioning. The data suggests […]
Effective Treatment for Gastric Cancer with Peritoneal Metastasis
A study examined cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) using paclitaxel and cisplatin in 22 patients with gastric cancer and peritoneal metastasis. Results showed that this treatment was well-tolerated with favorable oncologic outcomes. Patients experienced high rates of complete cytoreduction and R0 resection, and the treatment led to promising survival rates. Major complications […]
Shifting Trends in End-of-Life Care: Where Colorectal Cancer Patients Die in the US
Researchers investigated the locations of death among colorectal cancer (CRC) patients in the United States, aiming to identify determinants and trends. From 2003 to 2019, they observed a shift from hospital and institutional settings toward home and hospice as preferred places for end-of-life care. However, disparities existed among racial and educational groups, with non-white and […]
New Surgical Guidelines for Paraesophageal Hernias Offer Key Recommendations
The European Association for Endoscopic Surgery conducted a comprehensive review to update guidelines for paraesophageal hernias. They gathered an interdisciplinary panel of experts, including surgeons, gastroenterologists, and patient advocates, and utilized the latest evidence and methodology. Their recommendations emphasize surgery for asymptomatic/minimally symptomatic cases but recommend conservative management for frail patients. They also provide guidance […]