Multimodal prehabilitation may enhance baseline immune function in patients before abdominal cancer surgery, but its effect on postoperative immune outcomes appears limited.

• In a study of 130 patients (102 prehabilitation, 28 control), prehabilitation reduced pro-inflammatory cytokines and increased IL-10 levels.
• No significant immune function differences were noted on postoperative day 1 between groups.

This suggests prehabilitation might optimize pre-surgical readiness, but benefits for postoperative immune response may not be substantial.

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.