This study aims to characterize the extent of geographic variation in elective sigmoid resection for diverticulitis and to identify factors associated with observed variation.National guidelines for treatment of recurrent diverticulitis […]» Read more
The Effect of Arterial Disease Level on Outcomes of Supervised Exercise Therapy for Intermittent Claudication: A Prospective Cohort Study.
To assess whether level of arterial obstruction determines the effectiveness of SET in patients with IC.Guidelines advocate SET before invasive treatment for IC, but early revascularization remains widespread, especially in […]» Read more
To examine the relationship between aspects of surgical intensity and postoperative opioid prescribing.Despite the emergence of postoperative prescribing guidelines, recommendations are lacking for many procedures. Identifying a framework based on […]» Read more
Perioperative Broad-spectrum Antibiotics are Associated With Decreased Surgical Site Infections Compared to 1st-3rd Generation Cephalosporins After Open Pancreaticoduodenectomy in Patients With Jaundice or a Biliary Stent.
Compare the effectiveness of 1st-3rd generation cephalosporins (1st-3rdCE) to broad-spectrum antibiotics in decreasing surgical site infections (SSI) after pancreatectomy.SSI is one of the most common complications after pancreatic surgery. Various […]» Read more
A systematic review of viral transmission risk to healthcare staff comparing laparoscopic and open surgery.
Throughout the United Kingdom, there have been sweeping changes to the practice of medicine due to the COVID-19 pandemic. For the surgical speciality, there have been changes to both elective […]» Read more
No formal guidelines exist for surveillance pouchoscopy following ileal pouch-anal anastomosis (IPAA) for ulcerative colitis.All adults who had previously had IPAA for ulcerative colitis, and underwent a pouchoscopy between 1 […]» Read more
Early Enteral Nutrition Following Gastrointestinal Surgery in Children: A Systematic Review of the Literature.
To investigate the safety and effectiveness of early enteral feeding versus traditional enteral feeding after gastrointestinal (GI) anastomosis in children in the pediatric literature.Prolonged postoperative fasting has been the traditional […]» Read more
Cancer Surgery Scheduling During and After the COVID-19 First Wave: The MD Anderson Cancer Center Experience.
To summarize the multi-specialty strategy and initial guidelines of a Case Review Committee in triaging oncologic surgery procedures in a large Comprehensive Cancer Center and to outline current steps moving […]» Read more
We aim to identify prognostic groups within a de novo metastatic cohort, incorporating both anatomic and biologic factors.Staging for breast cancer now includes anatomic and biologic factors, although the guidelines […]» Read more
Diagnosing Pathologic Complete Response in the Breast After Neoadjuvant Systemic Treatment of Breast Cancer Patients by Minimal Invasive Biopsy: Oral Presentation at the San Antonio Breast Cancer Symposium on Friday, December 13, 2019, Program Number GS5-03.
We evaluated the ability of minimally invasive, image-guided vacuum-assisted biopsy (VAB) to reliably diagnose a pathologic complete response in the breast (pCR-B).Neoadjuvant systemic treatment (NST) elicits a pathologic complete response […]» Read more
Global Overview of Response Rates in Patient and Health Care Professional Surveys in Surgery: A Systematic Review.
Identify key demographic factors and modes of follow-up in surgical survey response.Surveys are widely used in surgery to assess patient and procedural outcomes, but response rates vary widely which compromises […]» Read more
Scottish guidelines suggest that following a referral with a suspicion of cancer, patients should have a diagnosis within 31 days and commence treatment within 62 days. Thyroid cancer is not […]» Read more
The IDEAL Reporting Guidelines: A Delphi Consensus Statement Stage specific recommendations for reporting the evaluation of surgical innovation.
The aim of this study was to define reporting standards for IDEAL format studies.The IDEAL Framework and Recommendations establish an integrated pathway for evaluation of new surgical techniques and complex […]» Read more
A Novel Standard for Systematic Reporting of Neuroblastoma Surgery: The International Neuroblastoma Surgical Report Form (INSRF): A Joint Initiative by the Pediatric Oncological Cooperative Groups SIOPEN*, COG**, and GPOH**.
To create the first structured surgical report form for NBL with international consensus, to permit standardized documentation of all NBL-related surgical procedures and their outcomes.NBL, the most common extracranial solid […]» Read more
Noninvasive Discrimination of Low and High-risk Pancreatic Intraductal Papillary Mucinous Neoplasms.
To propose a noninvasive diagnostic approach, which allows reliable distinction between low- and high-risk pancreatic intraductal papillary mucinous neoplasms (IPMNs).IPMNs are identifiable precursor lesions of pancreatic cancer, of which surgical […]» Read more
The consent process is central to surgical practice. Subsequent to landmark cases such as Montgomery and Thefaut there is increasing consensus that consent should be a staged process. The aim […]» Read more
A protocol for wide awake local anaesthetic no tourniquet (WALANT) hand surgery in the context of the coronavirus disease 2019 (COVID-19) pandemic.
There are new and unique challenges to emergency surgery service provision posed by the Coronavirus disease 2019 global pandemic. It is in the best interests of patients for care providers […]» Read more
Role of Prophylactic Cholecystectomy After Endoscopic Sphincterotomy for Biliary Stone Disease: A Systematic Review and Meta-Analysis.
The aim of this study was to perform a structured systematic review and meta-analysis to evaluate the effectiveness and complication rate of cholecystectomy deferral versus prophylactic cholecystectomy among patients post-endoscopic […]» Read more
Comparing Clinician Consensus Recommendations to Patient-reported Opioid Use Across Multiple Hospital Systems.
We compare consensus recommendations for 5 surgical procedures to prospectively collected patient consumption data. To address local variation, we combined data from multiple hospitals across the country.One approach to address […]» Read more
Review of American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Hemorrhoids.
Click here to read the full article @ JAMA surgery» Read more
The aim of this study was to analyze the incidence of and risk factors for adrenocortical carcinoma (ACC) in adrenal incidentaloma (AI).AI guidelines are based on data obtained with old-generation […]» Read more
Evaluation of Recurrence Risk After Curative Resection for Patients With Stage I to III Colorectal Cancer Using the Hazard Function: Retrospective Analysis of a Single-institution Large Cohort.
This study aimed to investigate transitions of recurrence hazard and peak recurrence time in patients with nonmetastatic CRC using the hazard function.A postoperative surveillance period of 5 years is consistent […]» Read more
The National Bowel Cancer Screening Programme guidelines advocate the use of endoscopic tattooing for suspected malignant lesions to assist identification and to facilitate laparoscopic resections. However, endoscopic tattooing practices are […]» Read more
Operating theatres are typically the most resource-intensive area of a hospital, 3-6 times more energy-intensive than the rest of the hospital and a major contributor of waste. The primary objective […]» Read more
To analyse the long-term outcome of open aortic procedures in patients with critical limb threatening ischemia.Retrospective analysis of all patients with aortoiliac TransAtlantic Inter-Society Consensus II (TASC II), type D […]» Read more
The Effect of Beta-lactam Allergy Status on the Rate of Surgical Site Infections: A Retrospective Cohort Study.
To determine if patients with reported BL allergies have increased odds of developing SSI compared to reported NBL allergic patients.SSI represent a significant risk of morbidity and mortality for patients. […]» Read more
Deimplementation of the Choosing Wisely Recommendations for Low-Value Breast Cancer Surgery: A Systematic Review.
Overtreatment of early-stage breast cancer results in increased morbidity and cost without improving survival. Major surgical organizations participating in the Choosing Wisely campaign identified 4 breast cancer operations as low […]» Read more
This review assimilates and critically evaluates available literature regarding the use of metabolomic profiling in surgical decision-making.Metabolomic profiling is performed by nuclear magnetic resonance spectroscopy or mass spectrometry of biofluids […]» Read more
Management Considerations for the Surgical Treatment of Colorectal Cancer During the Global Covid-19 Pandemic.
The COVID-19 pandemic requires to conscientiously weigh “timely surgical intervention” for colorectal cancer against efforts to conserve hospital resources and protect patients and health care providers.Professional societies provided ad-hoc guidance […]» Read more
Does ‘fast – track’ axillary node clearance following positive core biopsy lead to overtreatment of axilla?
Sentinel lymph node biopsy (SLNB) is the preferred axillary staging procedure, although axillary node clearance (ANC) is still indicated in subgroups of patients. This study aims to review our practice […]» Read more