Blog

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 by Simmons L, Kube E (…) Gable B et 2 al. in BMC Surg

Copyright © 2023 Elsevier Inc. All rights reserved.

read the whole article in BMC Surg

open it in PubMed

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 significantly lower recurrence-free survival, underlining the system’s efficacy in predicting early HCC recurrence.

Journal Article by Sun Y, Yu C (…) Zhou Y et 3 al. in J Gastrointest Surg

© 2023. The Society for Surgery of the Alimentary Tract.

read the whole article in J Gastrointest Surg

open it in PubMed

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 urgency of targeted interventions to rectify disparities and enhance the safety of emergency procedures.

Journal Article by Abella M, Hayashi J (…) Elkbuli A et 4 al. in J Surg Res

Copyright © 2023 Elsevier Inc. All rights reserved.

read the whole article in J Surg Res

open it in PubMed

Tumor Markers Speak: Dynamic CEA and CA19-9 Monitoring Predicts Fate in Stage II Colon Cancer

A game-changing study dives into stage II colon cancer, revealing the power of dynamic carcinoembryonic antigen (CEA) and carbohydrate antigen 19-9 (CA19-9) monitoring. With 1,517 patients in play, researchers uncovered that postoperative elevation in CEA/CA19-9 spells trouble, signaling a poor prognosis. Strikingly, normal pre- and post-operative CEA levels correlate with superior survival. Notably, adjuvant chemotherapy proved a game-changer, substantially improving outcomes. This study charts a promising course for tailored therapies based on tumor marker dynamics.

Journal Article by Wang R, Xu B (…) Lu H et 5 al. in Eur J Surg Oncol

© 2023 Published by Elsevier Ltd.

read the whole article in Eur J Surg Oncol

open it in PubMed

Asian American Surgeons: Narrating Immigrant Journeys through American History

Unraveling the immigrant tapestry, this study delves into the backstories of Asian American surgeons. From Chinese laborers shaping the landscape to post-1965 policy shifts, the narrative weaves struggles and triumphs. Discrimination and restrictive acts clashed with contributions, yet resilience prevailed. The study spotlights pivotal moments like World War II and the 1965 immigration policy, emphasizing the evolving landscape of Asian immigrant experiences, culminating in the diverse tapestry of Asian American surgeons in the United States.

Journal Article by Nakayama DK in Am Surg

read the whole article in Am Surg

open it in PubMed

Robotic Gastrectomy Takes the Crown: Boosting Textbook Oncologic Outcomes in Gastric Cancer Surgery

In the realm of gastric cancer surgery, a study flexes the stats on surgical approaches. Analyzing 21,015 patients, the research spotlights robotic gastrectomy (RG) as the champ, significantly elevating the likelihood of achieving Textbook Oncologic Outcome (TOO). Minimally invasive gastrectomy (MIG) emerges as a key player, linked to better lymph node evaluation, shorter hospital stays, and a sweet bonus—improved overall survival. In this surgical showdown, RG steals the spotlight, promising superior outcomes in the fight against gastric cancer.

Journal Article by Avila A, Cibulas MA (…) Llaguna OH et 2 al. in Am Surg

read the whole article in Am Surg

open it in PubMed

Mindful Eating and Sleep Crucial in Preventing Weight Recurrence after Bariatric Surgery

A survey of 169 post-bariatric surgery individuals reveals a 23.1% significant weight recurrence rate. Sleeve gastrectomy increases risk (OR = 12.99). Anxiety, depression, and maladaptive eating patterns correlate with recurrence. Mindful eating and adequate sleep emerge as key protective factors, significantly reducing recurrence risk (OR = 4.84 and 7.30, respectively). The study underscores the pivotal role of lifestyle behaviors—specifically, mindful eating and quality sleep—in preventing weight regain post-bariatric surgery, urging clinicians to prioritize screening and monitoring these factors.

Journal Article by Miller-Matero LR, Haley EN (…) Carlin AM et 4 al. in Surg Obes Relat Dis

Copyright © 2023 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

read the whole article in Surg Obes Relat Dis

open it in PubMed

Digital Frailty Index Flags Surgical Risks: A Tech Boost for Patient Safety

In a study involving 33,449 patients, the Electronic Frailty Index (EFI) — a tech-driven health record tool — categorized individuals as fit, prefrail, or frail based on preoperative data. Prefrail and frail statuses significantly increased the likelihood of postoperative adverse events compared to fit individuals. Even after adjusting for various factors, each 0.03-unit increase in EFI raised the odds of adverse events by 1.06. Utilizing EFI in electronic health records could enhance risk screening and management, especially for high-risk surgeries.

Journal Article by Khanna AK, Motamedi V (…) Segal S et 4 al. in JAMA Netw Open

read the whole article in JAMA Netw Open

open it in PubMed

Navigating the Robot: RAMIG Practices and Outcomes Unveiled Globally

Researchers explored the global landscape of robot-assisted minimally invasive gastrectomy (RAMIG) for gastric cancer in a 2020-2023 registry spanning 25 centers. In 759 cases, RAMIG showcased varying techniques and excellent outcomes. Anastomotic leakage rates after total and distal gastrectomy reflected high surgical quality. The study sets a RAMIG quality standard, offering an international reference for surgical practices and perioperative benchmarks. Notably, shorter hospital stays sans perianastomotic drains signify potential improvements in postoperative care.

Journal Article by de Jongh C, Cianchi F (…) Ruurda J et 30 al. in Ann Surg

Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.

read the whole article in Ann Surg

open it in PubMed

New Subtypes in Intrahepatic Cholangiocarcinoma

Researchers classified intrahepatic cholangiocarcinoma (ICC) into perihilar and peripheral subtypes, revealing distinctive features and survival outcomes. Among 1264 patients, 84.3% were ICC-peripheral, while 15.7% were ICC-perihilar. The perihilar subtype exhibited aggressive characteristics and poorer survival than the peripheral subtype. Interestingly, ICC-perihilar behaved akin to bile duct carcinoma, while ICC-peripheral resembled primary liver malignancies. This novel classification provides crucial insights for tailored treatment strategies and a nuanced understanding of ICC subtypes.

Journal Article by Wei T, Lu J (…) Pawlik TM et 16 al. in Ann Surg Oncol

© 2023. Society of Surgical Oncology.

read the whole article in Ann Surg Oncol

open it in PubMed