Surgeons must prioritize mental health after adverse events to improve practice and patient care.

• Up to 96% of surgical staff feel emotional distress post-error, with guilt (53-89%) and anxiety (45-88%) prevalent.
• Disclosure rates for surgical errors range from 17% to 62%, hindered by fear of litigation and unclear protocols.

Enhancing organizational strategies for disclosure and psychological support is critical for clinician well-being.

• Training interventions can improve communication, but significant gaps in support and training persist.

Rectus sheath catheters provide effective pain management after open surgery while reducing complications and costs compared to thoracic epidural analgesia.

• No significant difference in postoperative pain or opioid use between rectus sheath catheters and epidurals.
• Rectus sheath catheters cut hypotension risk by 60% (risk ratio 0.40) and can save $500 to $6,632 per case.

These findings support rectus sheath catheters as a viable option for efficient pain management, especially in fast-track surgery settings.

• Subgroup analysis shows benefits in urinary retention and mobilization time with rectus sheath catheters in non-visceral surgeries.

Surgeons report high levels of professional flourishing, impacting well-being and burnout strategies.

• 30% of surveyed surgeons scored an average of 7.98 on a 10-point flourishing scale.
• Financial stability (8.57) and sense of purpose (8.50) were top-rated; social connections lagged (7.41).

Surgeons working fewer hours and viewing their role as a calling showed significant flourishing increases.

• 88% of surgeons see surgery as a calling, suggesting that nurturing purpose and community could enhance surgical well-being.