General Surgery News, is a monthly newspaper designed to keep general surgeons abreast of the latest developments in the field. The publication features extensive meeting coverage, analysis of journal articles, educational reviews, and information on new drugs and products.
A role for first-line #surgical treatment of lower #GIBleeding. #Gastrointestinal Montefiore Medical Center http://bit.ly/2Jijq2d
New York—Even though the vast majority of incidents of lower gastrointestinal bleeding (LGIB) resolve on their own, it is a frequent cause of hospitalization.
#Surgical society shines spotlight on #hernia #mesh safety issues. Michael Rosen Shirin Towfigh, M.D. Todd Heniford
http://bit.ly/2WGxMMM
Las Vegas—In a first for the 22-year-old organization, the Americas Hernia Society brought together surgeons, scientists, mesh manufacturers and lawyers in a packed room at its annual meeting to address a question that, having never been answered in clinical trials, is now being debated on soc...
#Opioid overdose kills more than car crashes. National Safety Council
http://bit.ly/2vMva4p
Americans are now more likely to die from an accidental opioid overdose than from a motor vehicle accident, according to the annual Odds of Dying report by the National Safety Council (NSC), released in January.
Cloud-based #endoscopy platform aims To improve procedure quality. http://bit.ly/2VrvDrV
Endoscopy recordings have several uses, from the pedagogic to the clinical, but none of that matters if the provider fails to hit the record button on the instrument. Unfortunately, that button stays unpressed most of the time.
Essential preparation and #DisasterResponse to #HurricaneFlorence. Southeastern Surgical Congress William Hope
http://bit.ly/2ZNMio5
“This hurricane came in at a much lower level than was planned, but was still a massive devastation to us. We have to think about the idea that if a major hurricane came through that we might have to evacuate our entire hospital.”
More than 37,000 people were killed in #CarCrashes in the U.S. in 2017, and 3,166 were attributed to #DistractedDriving. Eastern Association for the Surgery of Trauma NHTSA
http://bit.ly/2XA0O0S
Austin, Texas—In 2017, more than 37,000 people in the United States were killed in motor vehicle crashes. About 8.5% of those fatalities—3,166 deaths—were attributed to distracted driving, according to data compiled by the National Highway Traffic Safety Administration.
Courtesy: Professional, Patient, Personal. Just a Word in the Dictionary? New editorial by Dr. Henry Buchwald. http://bit.ly/2UIGvRY
It was about eight in the evening when there was a knock on the door of our fifth-floor walk-up apartment, two blocks from the College of Physicians and Surgeons of Columbia University.
The roots of #PhysicianBurnout. #Burnout http://bit.ly/2Iow92X
The data to date show that 40% to 60% of practicing physicians experience burnout, and rates of depression and suicide are about two times higher among physicians compared with the general population.
On the Spot: The #SurgicalRobot: What Have You Done for Us Lately? #RoboticSurgery
http://bit.ly/2uZWNqj
No matter how you slice it, two things are for certain: The robot is here to stay in some capacity and its use continues to be a controversial topic across the board. By the time I developed statements for this issue, I had enough for two parts.
Discussing solutions for decreasing #GunViolence. #FirearmViolence #PreventtheBleed http://bit.ly/2CHRCiU
Dr. Maa shares what some surgeons are doing to help reduce the problem, including starting the conversation, counseling about the potential hazards and raising awareness about safe, locked storage.
Will there be a place for a human #surgeon in the #OR?
http://bit.ly/2FDPPMw
When asked about the source of inspiration for his science fiction, Ray Bradbury responded that his stories were his fantasies about our future. His genius was in how he used the written word to bring those fantasies to paper. Is what follows a fantasy? Time will tell.
How to re-enter the practice of #surgery. #AgingSurgeon #PhysicianReentry Cedars-Sinai
http://bit.ly/2HGd5wA
Dr. Gordon shares some insights about managing the bumpy road that is physician re-entry.
Deadly #StaphInfections remain a threat in hospitals. #MRSA #MSSA CDC
http://bit.ly/2HweTbs
MRSA bloodstream infections in health care settings decreased about 17% each year between 2005 and 2012, but the decline has stalled for the fifth straight year in a row, while MSSA infections have increased in the community about 4% each year from 2012 to 2017.
#ORHandovers, particularly during long #surgeries, increase post-op adverse outcomes. http://bit.ly/2JpcyAT
San Francisco—Intraoperative handovers between anesthesia providers are associated with adverse postoperative outcomes, and these effects are worsened when handovers occur among less experienced practitioners or during longer surgeries.
Studies expose high rates of #SexualHarassment in #surgery. Association for Academic Surgery (AAS) Association of Women Surgeons
http://bit.ly/2TIvOOw
An “alarming” number of surgeons and surgical trainees—as many as two-thirds of women and one-fourth of men in one study—experienced sexual harassment at work in the past 12 months, researchers reported at the 2019 annual meeting of the Academic Surgical Congress, held in Hou...
Are #SurgicalCaps on the Verge Of a Comeback? AORN American College of Surgeons The Joint Commission #ORAttire #SurgicalAttire
http://bit.ly/2EFsLfO
A resolution to the debate over OR attire—most notably, surgical caps versus bouffants—may be on the horizon.
New tool (#AHQ) measures patient-reported #hernia outcomes.
http://bit.ly/2Tg74NC
A team of researchers and surgeons, working with patients, has developed a tool for measuring patient-reported outcomes specific to ventral hernia repair.
Gina Adrales - president of the Americas Hernia Society -speaks about initiatives to reduce disparities in surgical care in our latest video interview.
http://bit.ly/2zzwrxY
Gina Adrales, MD, the president of the Americas Hernia Society speaks about initiatives to reduce disparities in surgical care.
Structured ICU handoff increased the quantity of information transferred and improved the efficiency of the process itself.
http://bit.ly/2PbENkW
Boston—Although a primary source of medical errors, handoffs between the ICU and the operating room can be improved through a structured process that does not negatively affect practitioner satisfaction.
#AI calculator predicts death and complications for #EmergencySurgery. #Surgery Harvard Medical School Massachusetts Institute of Technology (MIT)
http://bit.ly/2Nk58Rf
West Lake Village, Calif.—Surgeons from Massachusetts General Hospital and Harvard Medical School, together with mathematicians from the Massachusetts Institute of Technology, have created a risk assessment calculator for use in patients undergoing emergency general surgery procedures.
Ambulatory #surgery centers are now seeing older and sicker patients. UT Southwestern Medical Center
http://bit.ly/2x2uvwv
Boston—The demographic characteristics of patients presenting for ambulatory surgery are changing—they are older and sicker, a databa se review has confirmed.
Dr. Henry Buchwald asks the question “What’s in It for Me?” in his latest editorial Doing the Right Thing. http://bit.ly/2Q4ZqjP
A wise friend once commented that depending on the outcome, there are three basic responses when one is presented with the opportunity to do “the right thing” for others.
#ArtificialIntelligence Collaboration Aims to Enhance Colonoscopy Efficiency. #AI University of California, Irvine
http://bit.ly/2BSg2Iv
The health care technology company Docbot has developed a set of artificial intelligence applications designed to assist colonoscopy procedures.
The future of #surgery and the global integration of #robotics. #RoboticSurgery
http://bit.ly/2Mvp0PR
Abdel Nasir Kibeida, MD, a general surgeon in Saudi Arabia, talks about his first impressions of the robot at the International Symposium on Abdominal Wall Robotic Surgery in Ghent, Belgium.
Do Conflicts of Interest Create Biases That Influence #Surgical Decision Making? Edward Felix Andrew Wright Conrad Ballecer #TheGreatDebates #Surgery #HerniaRepair
http://bit.ly/2vMDLEp
To all you General Surgery News addicts, it’s that time again. What time is it? It’s time to have two surgeons battle it out in the debate arena.
Presentations show sex, race, ethnicity and insurance status still affect #SurgicalCare outcomes. Gina Adrales
http://bit.ly/2nCWxtF
Miami—In 1977, the first known paper to explore health care disparities in the United States reported that black Americans undergoing inguinal hernia repair were significantly more likely than whites to be operated on by a resident physician without supervision by an attending.
Experts mull new American Cancer Society guidelines for early-onset #colorectal #cancer. #CancerScreening #ColorectalCancer Digestive Disease Week® (DDW®)
http://bit.ly/2vresHZ
On the eve of this year’s Digestive Disease Week, the American Cancer Society published new guidelines recommending that the age of first screening for colorectal cancer be lowered from 50 years, the age established by the U.S. Preventive Services Task Force and the U.S. Multi-Society Task For...
Resection may be underused for stage I #liver #cancer. #LiverCancer
American Cancer Society Perelman School of Medicine at the University of Pennsylvania
http://bit.ly/2KiFANN
In patients with stage I hepatocellular carcinoma of 5 cm or less, overall survival was superior with resection compared with radiofrequency ablation, according to a matched-cohort study presented at the 2018 Society of Surgical Oncology Annual Cancer Symposium (abstract 46).
How to have success in failure.
http://bit.ly/2LVODsQ
We are in the business of brokenness. Disease and trauma are the most common introductions to the people for whom we care.
#Preoperative optimization clinics enhance #SurgicalOutcomes. Duke Health
http://bit.ly/2LFCpEJ
European meeting teaches #surgical integration of #robotics. Ajita Prabhu talks importance of watching videos and seeking proctorship. Filip Muysoms
http://bit.ly/2LsHml5
Dr. Ajita Prabhu discusses some of the highlights of the International Symposium on Abdominal Wall Robotic Surgery in Ghent, Belgium. She notes the importance of watching videos and seeking proctorship.
#Surgical skills improve with age, though no difference between male and female #surgeons. David Geffern School of Medicine at UCLA
http://bit.ly/2NLd61g
Because surgery has a long learning curve, patients do slightly better when the surgeon is more experienced than operations done by younger colleagues, according to a new study.
Why modern era data should inform decisions on #breast-conserving #surgery. #BreastCancer University of Wisconsin School of Medicine and Public Health Stanford Medicine
http://bit.ly/2LLwcnt
Historically, although survival has been the same whether patients undergo breast-conserving surgery or mastectomy, local recurrence rates were higher in those who chose BCS. But modern-era, multimodality treatment significantly reduces the risk for recurrence in patients who undergo BCS, accordi...
Radiation-associated angiosarcoma occurred in one of 1,000 patients, but it did not occur in any without #RadiationTherapy. #BreastCancer Radboudumc
http://bit.ly/2uZQtyv
An analysis of data from the Netherlands Cancer Registry is casting a much-needed spotlight on radiation-associated angiosarcoma (RAAS) after primary breast cancer, a rare complication of radiation therapy.
Dr. James “Butch” Rosser talks about his work with SAGES -- The Society of American Gastrointestinal and Endoscopic Surgeons Leaning Center, and using and drones and video games in education. #Surgery
http://bit.ly/2LAuHbG
Dr. James “Butch” Rosser talks about his work with the SAGES Leaning Center, including his Top Gun Laparoscopic Skills & Suturing Program, as well as the Drone STEM program, which uses drones to help children who are not performing well in science to do better on their standardized t...
Compensation plan shrinks sex-related #PayGap for #Surgeons.
UAB - The University of Alabama at Birmingham
http://bit.ly/2LqlnXM
Phoenix—With a pay gap between men and women in surgery that is acknowledged but inadequately addressed, the surgical department at the University of Alabama at Birmingham set out to restructure its compensation model and found that adoption of a structured compensation plan markedly narrowed&...
What’s in that #HerniaSurgery #mesh? SAGES -- The Society of American Gastrointestinal and Endoscopic Surgeons
http://bit.ly/2NaAQvJ
Dr. David Earle sits down with Jeff Blatnik, MD, to discuss mesh labeling. Dr. Blatnik recommends that all hernia mesh types carry a standardized boxed label on the packaging, and that it provides a quick overview of the key properties of the mesh.
New editorial on #insurance: Taking a Byte Out of My Practice. #Surgery
http://bit.ly/2sLNRoD
The reports of my disappearance from insurance company databases have been greatly exaggerated, to misquote Mark Twain. In fact, I was alive for my official viewing on Labor Day weekend of 2014 in Greenwood, Miss., when I went there to meet my wife’s family and friends. Now it appears that I&r...
The majority of postoperative conversations between surgeons and primary caregivers take place via a quick phone call or in the hospital lobby. UAB General Surgery Residency
http://bit.ly/2sKLhji
Seven percent of #anesthesiology residents who become addicted wind up having mortality associated with their substance abuse.
http://bit.ly/2qQmA0k
Companies collaborate to reduce #PostSurgical #Opioid dependence. #OpioidEpidemic
http://bit.ly/2romH46
A new initiative identifies patients who may be predisposed to developing dependence on opioid analgesics in order to mitigate risk.
A #MultidisciplinaryProtocol helps improve the management of patients admitted to the hospital for acute #GI bleeding.
University of Florida
Eastern Association for the Surgery of Trauma
http://bit.ly/2rhIpWj
Recurrent #Hiatal #Hernia: Thought I Did a Good Job the First Time. #Surgery
Massachusetts General Hospital David Rattner
SAGES -- The Society of American Gastrointestinal and Endoscopic Surgeons
http://bit.ly/2phcgBB
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