More familiar surgeon-anesthesiologist dyads can yield better outcomes for complex GI surgery: each surgery done together is associated with 5% lower odds of morbidity for the next patient.
@HalletJulie
@DrTonyEskander
@propelresearch
Findings of this study suggest that patients treated by female surgeons have a lower risk-adjusted likelihood of adverse postoperative outcomes at 90 days and 1 year following surgery.
@WallisCJD
@propelresearch
@DrRajSat
Findings of this study suggest that patients treated by female surgeons have a lower risk-adjusted likelihood of adverse postoperative outcomes at 90 days and 1 year following surgery.
@WallisCJD
@propelresearch
@DrRajSat
In this study, robotic-assisted cholecystectomy was associated with higher rates of bile duct injury compared to traditional laparoscopic surgery. Real-world data is critical for the safe adoption of new technology in surgical practice.
Double-blinded MOBILE2-trial found that mechanical bowel preparation and oral antibiotics reduced the rate of overall morbidity, surgical site infections and anastomotic leaks compared to mechanical bowel preparation only prior anterior rectal resection.
In this study, robotic-assisted cholecystectomy was associated with higher rates of bile duct injury compared to traditional laparoscopic surgery. Real-world data is critical for the safe adoption of new technology in surgical practice.
What is the cost of 1 minute of operating room time, and what contributes to this cost? Find out in this original investigation by
@dgsomucla
's Christopher P. Childers, MD, Melinda and Maggard-Gibbons, MD, MSHS
#VisualAbstract
Does the use of sterile gloves vs nonsterile clean gloves for the repair of wounds and lacerations make a difference in SSIs? This systematic review and meta-analysis found no difference.
@LoaiAlbarqouni
Study led by
@drdevirgilio
found 21 characteristics associated with outstanding surgical resident graduate performance. Overall performance was able to be accurately predicted by 3 traits: surgical judgment, leadership, and medical knowledge.
Most viewed in the last 7 days from
@JAMASurgery
:
Care of patients with diverticulitis is undergoing a paradigm shift. This narrative review summarizes the current evidence for left-sided uncomplicated and complicated diverticulitis.
Most viewed in the last 7 days from
@JAMASurgery
:
Care of patients with diverticulitis is undergoing a paradigm shift. This narrative review summarizes the current evidence for left-sided uncomplicated and complicated diverticulitis.
This cohort study’s findings suggest that early cholecystectomy should be considered carefully in patients with moderately severe and severe acute biliary pancreatitis, as it was associated with increased postoperative mortality and morbidity.
More familiar surgeon-anesthesiologist dyads can yield better outcomes for complex GI surgery: each surgery done together is associated with 5% lower odds of morbidity for the next patient.
@HalletJulie
@DrTonyEskander
@propelresearch
How does surgeon compensation impact clinical practice? Surgeons reported their compensation model (clinical productivity-based incentives vs salary alone) impacts clinical decision-making, relationships with colleagues, and engagement and well-being.
This cohort study’s findings suggest that early cholecystectomy should be considered carefully in patients with moderately severe and severe acute biliary pancreatitis, as it was associated with increased postoperative mortality and morbidity.
Challenges of pregnancy as a surgeon: Compared to male surgeons & their partners, female surgeons
•More likely to delay children & need assisted reproduction
•Have 1.7X ↑ risk pregnancy complications;long OR hrs ↑risk by 1.6x
•↑ risk postpart
Females and URiM (underrepresented in medicine) surgical leaders are disproportionately clustered in roles that may not translate into future promotion, finds study of faculty at surgical departments in US & PR.
@DrLolaFayanju
@Yoshiko_Iwai
@pennsurgery
Study illustrates the significant negative effect of the
#COVID19
pandemic on general surgery resident operative experience, highlighting the importance of identifying future mitigation strategies
For hemodynamically stable patients with traumatic hemothorax, combining percutaneous tube thoracostomy and thoracic lavage may represent optimal management, improving patient comfort and decreasing retained hemothorax.
In this RCT of 200 surgical clinic patients, surgeons wearing a clear mask were rated significantly higher for providing understandable explanations, demonstrating empathy, and eliciting trust
@IanKratzkeMD
@muneerakapadia
@UNCSurgery
Findings from this long-term follow-up of a randomized clinical trial suggest that tension-free crural repair with nonabsorbable mesh does not reduce the incidence of hiatal hernia recurrence 13 years postoperatively.
Success goes beyond citations to views, press coverage, podcast usage and video views, email, circulation, social media reach, and more. JAMA Surgery owes its success to our authors, reviewers, readers, and you, our followers. THANK YOU!
The use of resuscitative endovascular balloon occlusion of the aorta in severely injured
#trauma
patients may increase the risk of complications and mortality
Patients should be presented with all viable treatment options, including
#antibiotics
alone, while future research on antibiotic treatment for
#appendicitis
should focus on improving failure rates.
#VisualAbstract
This is the first large-scale, controlled study to demonstrate that a history of gender-affirming surgery is associated with lower odds of past-year suicidal ideation and past-month psychological distress among transgender and gender-diverse people
Open surgery is a challenging frontier for AI. A computer vision model trained on diverse YouTube surgical content and deployed on prospectively recorded surgical videos showed promise in differentiating btwn operators of variable training and experience.
Most viewed in the last 7 days from
@JAMASurgery
:
Does mechanical and oral antibiotic bowel preparation reduce morbidity in patients undergoing elective rectal resection?
Analysis of over 1 million emergency general surgery patients found an increase in minimally invasive surgery. Robotic surgery associated with decreased conversion to open surgery and decreased post-op length of stay vs. laparoscopy.
In a general population of emergency department patients with abdominal pain, using unenhanced CT to avoid risks of intravenous contrast medium administration is associated with a large diagnostic penalty.
Patient survey results suggest scrub color impacts ability to be perceived as a surgeon as well as how trustworthy, caring, skilled, and knowledgeable a provider is.
@CarolynQuinsey
Anatomic hepatectomy based on portal vein region (PT) and edge priority (MPT-AR) maximizes the removal of PT liver tissue while providing sufficient surgical margin to enable rapid treatment and perioperative recovery of hepatocellular carcinoma.
Challenges of pregnancy as a surgeon: Compared to male surgeons & their partners, female surgeons
•More likely to delay children & need assisted reproduction
•Have 1.7X ↑ risk pregnancy complications;long OR hrs ↑risk by 1.6x
•↑ risk postpart
Most viewed in the last 7 days from
@JAMASurgery
:
Surgical Innovation article describes the use of anatomic resection of the liver based on portal territory with margin priority for the treatment of hepatocellular carcinoma.
This systematic review examines how surgical complications in their patients affect the health of surgeons, in particular emotional outcomes, coping strategies, and support mechanisms.
Does the use of sterile gloves vs nonsterile clean gloves for the repair of wounds & lacerations make a difference in SSIs? This systematic review & meta-analysis found no difference.
@LoaiAlbarqouni
In this randomized clinical trial, closure of mesenteric defects during LRYGB surgery effectively reduced the long-term risk for small bowel obstruction.
@ErikStenberg_MD
Medical treatment of moderate hidradenitis is:
1. Tetracycline 500 mg bid OR doxycycline + minocycline 50-100 mg bid for 12 weeks
2. Clindamycin + rifampicin 300 mg bid each for 10 weeks
3. Adalimumab OR Infliximab OR dapsone OR acitretin
Surg trainees' perspectives on parental leave: policies are unclear, and 1/3 of residents don't feel supported. There is work to be done!
@altierim1
#VisualAbstract
For patients with end-stage liver disease with MELD-Na scores of 11 or greater, living donor liver transplant can decrease mortality by 35% and provide up to 17 life years gained compared to remaining on the waiting list.
Most viewed in the last 7 days from
@JAMASurgery
:
Can preoperative computed tomography scans provide patient frailty assessments that are associated with outcomes of abdominal surgery?
Females and URiM (underrepresented in medicine) surgical leaders are disproportionately clustered in roles that may not translate into future promotion, finds study of faculty at surgical departments in US & PR.
@DrLolaFayanju
@Yoshiko_Iwai
@pennsurgery
In this RCT of 325 adults with a ventral hernia defect width of 20 cm or less with fascial closure, not fixating the mesh in open retromuscular ventral hernia repair was found to be noninferior to fixation.
@CCFSurgery
@EllisMD2020
@aprabhumd1
Prophylactic intra-operative wound irrigation with polyhexanide does not reduce surgical site infections in open gastrointestinal surgery compared to saline or no irrigation.
For experienced pancreatic surgeons, performing laparoscopic pancreaticoduodenectomy in resectable pancreatic cancer was technically safe and did not increase the risk of intraoperative and postoperative complications.
This article describes advances that are leading to a resurgence in surgeon interest and adoption of laparoscopic common bile duct exploration, making an innovation out of an old technique.
The lasting effects of firearm injury reach far beyond mortality and economic burden; early identification and initiation of long-term longitudinal care is paramount
@UPennTrauma
@MarkSeamonMD
10-year follow-up of the SLEEVEPASS RCT: both sleeve and gastric bypass resulted in good
#weightloss
. Reflux was more prevalent after sleeve. The incidence of
#Barrettesophagus
was much lower than in previous trials, and similar after both procedures.
In this randomized clinical trial, implementation of 5 best practices in pancreatic cancer care did not improve 1-year survival and quality of life. Findings highlight the need for more personalized treatment options.
@MarcBesselink
Findings from this long-term follow-up of a randomized clinical trial suggest that tension-free crural repair with nonabsorbable mesh does not reduce the incidence of hiatal hernia recurrence 13 years postoperatively.
Time interval between neoadjuvant therapy completion and surgery plays a key role in pathological and survival outcomes in rectal cancer. Delaying surgery over 12 weeks may improve tumor regression and decrease distant metastasis risk.
Women receiving breast-conserving surgery for
#breastcancer
fare better than those who take away the whole breast says a new study taking into account comorbidities and socioeconomic background. Superior survival rates support less extensive surgery