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Endoscopic Resection for Duodenal Tumors: What to Watch For

A study on 141 patients with duodenal submucosal tumors (SMTs) explored the outcomes of endoscopic resection (ER). Results showed that 78.7% achieved complete resection, but 6.4% faced complications. High-risk factors for complications included SMTs near the duodenal papilla and those with a diameter exceeding 15mm. Additionally, submucosal fibrosis, SMTs near the duodenal papilla, and irregular morphology were found to be risk factors for incomplete resection. Despite challenges, ER can be an effective and minimally invasive treatment for duodenal SMTs, but careful consideration of these factors is essential.

Journal Article by Geng ZH, Zhu Y (…) Li QL et 4 al. in Surg Endosc

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Pregnant Surgeons’ Musculoskeletal Pain

The study delves into work-related musculoskeletal disorders (WRMD) among pregnant surgeons, an understudied area. Surveying 53 pregnant surgeons, it revealed that almost all of them (94.7%) experienced an exacerbation of WRMD symptoms due to workplace activities. Over 13% had to take unplanned time off work. Strikingly, beyond 24 weeks of pregnancy, a majority continued surgeries, extended shifts, and heavy lifting, and no institutional pregnancy-specific surgical ergonomics policies were in place. These findings emphasize the need for attention to surgical ergonomics during pregnancy and institutional policy development.

Journal Article by Wang CN, Shah M (…) Badalato GM et 5 al. in Am J Surg

Copyright © 2023 Elsevier Inc. All rights reserved.

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Comparing Open and Laparoscopic Surgery for Hernia Repair

In the INCH-trial, researchers conducted a multicenter randomized controlled trial comparing open and laparoscopic surgery for incisional hernia repair. They initially believed laparoscopic surgery would offer advantages, but after studying 88 patients, found no significant differences in hospital stay, quality of life, or recurrence rates. Dissatisfaction was higher in the open surgery group. These results suggest that individualized surgical management and patient expectation management are crucial in hernia repair, despite the global popularity of laparoscopic techniques.

Journal Article by van Veenendaal N, Poelman M (…) Bonjer J et 5 al. in Surg Endosc

© 2023. The Author(s).

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Patient Perspectives on Surgical Prehabilitation: Unveiling Adherence Challenges and Motivational Factors

Understanding why patients might not fully engage in pre-surgery prehabilitation programs is vital. In a study connected to the “Perioperative Optimization with Enhanced Recovery” (POWER) trial, barriers and motivators to prehabilitation adherence were examined. While common barriers included health issues and lack of motivation, these didn’t significantly affect exercise adherence. However, higher barriers to healthy eating were linked to lower Mediterranean diet scores. Interviews highlighted that prehabilitation motivated healthier choices through goal setting and efficient workouts, illuminating areas for improved prehabilitation programs.

Journal Article by Kimura C, Liu Y (…) Kin C et 6 al. in J Gastrointest Surg

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

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Mapping Review Reveals Strategies for Reducing Pain in Chronic Wound Dressing Changes

This mapping review addresses a pressing issue: pain during chronic wound dressing changes. Existing UK guidelines prioritize wound healing over pain management during these procedures. The review aims to gather, assess, and describe current research on strategies for assessing and reducing pain during chronic wound dressing changes. By sifting through the available evidence, it seeks to pave the way for updated guidance that addresses pain as a primary concern for patients, caregivers, and healthcare professionals.

Journal Article by Kirkcaldy AJ, Wilson M (…) Campbell F et 2 al. in BMJ Open

© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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Comparing Laser Hemorrhoidoplasty and Milligan-Morgan Hemorrhoidectomy

When it comes to treating troublesome hemorrhoids (grade 2-3), this study pits two methods against each other: laser hemorrhoidoplasty (LH) and the classic Milligan-Morgan hemorrhoidectomy (MM). Researchers conducted a clinical trial involving 85 patients. Surprisingly, LH didn’t shine; it didn’t offer a significant advantage over MM. LH is often touted as less painful, but this study suggests that simple pain relief medications make MM just as comfortable post-surgery. So, the traditional method seems just as good, both for patient comfort and cost-effectiveness.

Journal Article by Cemil A, Ugur K (…) Emine BS et 3 al. in Am Surg

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Hemithyroidectomy Found Effective for Noninvasive Medullary Thyroid Tumors

In patients with nonmetastatic medullary thyroid cancer, researchers examined the use of hemithyroidectomy, a less extensive surgery, instead of total thyroidectomy. They identified two types of tumors, desmoplasia-negative and desmoplasia-positive, based on markers in the tumor tissue. The results showed that patients with desmoplasia-negative tumors who had hemithyroidectomy achieved a biochemical cure without compromising their health. This suggests that hemithyroidectomy, along with diagnostic neck dissection, is a promising strategy for select thyroid cancer cases, potentially reducing the extent of surgery.

Journal Article by Dralle H, Brandenburg T (…) Machens A et 5 al. in BMC Surg

Copyright © 2023 Elsevier Inc. All rights reserved.

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Surgical Leadership and Financial Stability through Strategic Growth

This study highlights the importance of financial stability for surgical leaders. It outlines key strategies employed over six years to increase revenue and manage expenses. By expanding faculty, advocating for more resources, and seeking external funding, the department raised revenue by 66%. While expenses also grew by 74%, leaders can potentially offset these by optimizing billing and increasing clinic capacity. The research emphasizes the complexity of financial stability, involving various stakeholders and interests, and the need for surgical leaders to master revenue and expense management.

Journal Article by Loftus TJ, McDowell LD and Upchurch GR in BMC Surg

Copyright © 2023 Elsevier Inc. All rights reserved.

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3D Printed Models Revolutionize Training for Complex Gastric Bypass Surgery

A cutting-edge training model for laparoscopic Roux-en-Y gastric bypass surgery (LRYGB) has emerged, revolutionizing training for this intricate and high-risk procedure. Leveraging 3D printing technology, the models are designed to mimic the core surgical steps of LRYGB. The innovative use of fluorescent marking techniques allows for repeated practice, minimizing wear and tear. Unlike traditional methods that involve cadavers or expensive virtual reality simulations, these models offer a cost-effective, ethical, and highly realistic training platform for aspiring surgeons.

Editorial by Xia J, Mao J (…) Wang Z et 5 al. in Am J Surg

Copyright © 2023 Elsevier Inc. All rights reserved.

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Remote Surgical Robotic Training Boosts Skills for Medical Students

In a study involving 40 medical students new to surgical robotics, researchers compared two training methods: remote training via a multi-channel video system and traditional one-on-one guidance. The remote training group scored higher in specific exercises on a robotic simulator, suggesting its effectiveness for skill acquisition. Notably, the remote trainers reported less fatigue than their in-person counterparts. This study indicates that remote training systems have the potential to facilitate large-scale training in robotic surgery, providing an alternative approach for skill development.

Journal Article by Jiang L, Chen G (…) Wang X et 3 al. in Surg Endosc

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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