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Mixing Feedback and Compliments Boosts Suturing and Knot-Tying Skills

A study explored the impact of feedback and compliments on students’ suturing and knot-tying skills. Participants were divided into three groups: feedback, compliments, or a combination of both. The group receiving both feedback and compliments showed significant improvement in their skills, similar to the feedback-only group, while the compliments-only group didn’t improve significantly. Those who received both feedback and compliments also reported greater enjoyment of the task. This suggests that a blend of feedback and compliments can enhance skill acquisition and motivation in medical students.

Journal Article by Tieken KR, Kelly G (…) Fingeret AL et 3 al. in J Surg Res

Copyright © 2023 Elsevier Inc. All rights reserved.

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Gunshot Wounds Pack a Bigger Punch Than Other Penetrating Trauma

This study delves into the impact of gunshot wounds (GSW) compared to other penetrating traumas. Researchers found that GSWs are far deadlier and complex, with higher odds of mortality compared to stab wounds. They lead to longer hospital stays, increased risk of complications like kidney injury and sepsis, and more ventilator days. Traditional injury scoring systems don’t adequately capture the severity of GSWs, highlighting the need for better risk assessment and trauma center reporting to improve patient care and public understanding of the gravity of GSWs.

Journal Article by Ramsey WA, O’Neil CF (…) Namias N et 9 al. in J Surg Res

Copyright © 2023 Elsevier Inc. All rights reserved.

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Nomogram Predicts Surgery-Specific Complications in Liver Cancer Patients

Researchers in southwestern China developed a predictive tool called a nomogram to help identify patients with hepatocellular carcinoma (HCC) who are at risk of experiencing moderate-to-severe complications after hepatectomy surgery. The nomogram uses six variables, including diabetes and the extent of liver resection, to estimate the risk of postoperative complications in HCC patients. This tool assists surgeons in making informed treatment decisions and improving patient outcomes, particularly in those with HBV-related HCC.

Journal Article by Qi W, Dai J (…) Li C et 6 al. in Eur J Surg Oncol

© 2023 Published by Elsevier Ltd.

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Metabolic Surgery Boosts Natural Conception Rates in Obese Women with Polycystic Ovary Syndrome

A retrospective study conducted in Shanghai, China, investigated the impact of metabolic surgery on natural conception rates in women with infertility, obesity, and polycystic ovary syndrome (PCOS). After metabolic surgery, 64.8% of patients achieved natural pregnancies, while 35.2% remained unable to conceive naturally. Notably, women with a preoperative body mass index (BMI) under 27.0 kg/m² had a higher likelihood of experiencing natural conception, highlighting the potential benefits of metabolic surgery for fertility in women with PCOS and obesity.

Journal Article by Shan Y, Han X (…) Tu Y et 6 al. in Surg Obes Relat Dis

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

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New Calculator Predicts Success of Bariatric Surgery in Comorbidity Remission

The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) developed a public tool, the Bariatric Surgical Risk/Benefit Calculator, to evaluate short-term surgery risks and long-term benefits for prospective adult bariatric surgery patients. This study assessed the calculator’s performance in predicting 1-year remission of comorbidities. The results indicate that the calculator effectively predicts comorbidity remission, offering a valuable resource for enhancing patient-clinician discussions and informed consent in clinical practice.

Journal Article by Grieco A, Huffman KM (…) Ko CY et 3 al. in Surg Obes Relat Dis

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

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Tracking Antibody Levels Key for Post-Surgery Follow-up in Hepatic Alveolar Echinococcosis

Researchers conducted a retrospective study with 88 patients who underwent liver resection for hepatic alveolar echinococcosis. They found that monitoring anti-recEm18 antibody levels was a valuable tool for post-surgical surveillance. Specifically, patients with elevated preoperative anti-recEm18 values can rely on this marker to confirm the success of curative surgery at the 12-month follow-up, enabling effective long-term monitoring and reducing the clinical challenges associated with disease recurrence.

Journal Article by Gloor S, Jiang W (…) Beldi G et 8 al. in HPB (Oxford)

Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved.

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Conventional Hot-Snare Resection Preferred Over Hybrid Technique for Papillary Lesions

Researchers investigated a hybrid hot-snare plus cold-snare resection (HR) technique compared to conventional hot-snare resection (CR) for managing laterally spreading papillary adenomas (LSL-P) in the papilla. HR showed higher rates of recurrent or residual adenoma (RRA) compared to CR (58.8% vs. 29.8%), with an odds ratio of 3.6 times higher for recurrence. While both methods had similar bleeding risks, HR required more procedures to treat RRA. The study concluded that CR remains the preferred option for LSL-P management due to its lower recurrence rates and similar safety profile.

Journal Article by Gupta S, Craciun A (…) Bourke MJ et 9 al. in Gastrointest Endosc

Copyright © 2023 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

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Metal Stents Outshine Plastic Stents in Biliary Drainage for Perihilar Cholangiocarcinoma

A retrospective international study compared the effectiveness of self-expanding metal stents (SEMs) to plastic stents for preoperative biliary drainage in resectable perihilar cholangiocarcinoma (PCCA). Among 474 patients who received stents, SEMs showed significantly lower rates of stent failure and cholangitis. Both stenting methods led to comparable surgical outcomes, but SEMs excelled in preventing stent dysfunction. The findings suggest that SEMs are a more effective choice for preoperative biliary drainage in resectable PCCA patients, demonstrating their potential in improving clinical outcomes.

Journal Article by de Jong DM, Gilbert TM (…) van Driel LMJW et 11 al. in Gastrointest Endosc

Copyright © 2023 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

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KRAS Mutation in Colon Cancer Linked to Poorer 2-Year Survival

In a study on non-metastatic colon cancer patients, researchers explored conditional overall survival (COS) considering laterality, microsatellite instability (MSI), and KRAS mutation status. Among 4,838 patients, those with mutated KRAS experienced worse COS, implying a more aggressive disease course, with a higher risk of death 2 years post-diagnosis. While laterality and MSI status didn’t significantly affect COS, evaluating KRAS status could aid in prognosis and identifying individuals who may benefit from modified follow-up protocols.

Journal Article by Tran CG, Goffredo P (…) Hassan I et 5 al. in Ann Surg Oncol

© 2023. Society of Surgical Oncology.

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Social Determinants of Health Impact Acute Care Surgery Outcomes

This study investigated the influence of social determinants of health on the outcomes of patients needing emergency general surgery or trauma care. The research used patient data from 2017 to 2020 in California and looked at the impact of social determinants of health codes related to socioeconomic and psychosocial factors. The findings showed that patients with documented social determinants of health codes had a lower risk of postoperative death and complications, although they experienced longer hospital stays and had a higher likelihood of being discharged to skilled nursing facilities.

Journal Article by Diaz A, Azap L (…) Pawlik TM et 2 al. in BMC Surg

Copyright © 2023 Elsevier Inc. All rights reserved.

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