General Surgery News

General Surgery News 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.
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William Thomas Morton was an American #dentist who first publicly demonstrated the use of inhaled ether as a #surgical a...
05/27/2021
The Scientific Greats: A Series of Drawings

William Thomas Morton was an American #dentist who first publicly demonstrated the use of inhaled ether as a #surgical anesthetic in 1846.

William Thomas Morton was an American dentist who first publicly demonstrated the use of inhaled ether as a surgical anesthetic in 1846.

Look out for this month's print issue of General Surgery News, featuring how deaths from complications after complex GI ...
05/27/2021

Look out for this month's print issue of General Surgery News, featuring how deaths from complications after complex GI cancer surgery is lower at ‘top hospitals.’
https://www.generalsurgerynews.com/Section/Digital-Editions/512?utm_source=Social&utm_medium=facebook&utm_campaign=0517grap

Look out for this month's print issue of General Surgery News, featuring how deaths from complications after complex GI cancer surgery is lower at ‘top hospitals.’
https://www.generalsurgerynews.com/Section/Digital-Editions/512?utm_source=Social&utm_medium=facebook&utm_campaign=0517grap

Adjuvant nivolumab shows promise for patients with resected esophageal and gastroesophageal junction cancer.
05/27/2021
Nivolumab Shows Promise for Resected Esophageal, GE Junction Cancers

Adjuvant nivolumab shows promise for patients with resected esophageal and gastroesophageal junction cancer.

Adjuvant nivolumab is the first therapy to provide a statistically significant and clinically meaningful improvement in disease-free survival in patients with resected esophageal and gastroesophageal junction cancer.

Surgeons who wear clear face masks during patient encounters receive significantly higher marks for communication and tr...
05/26/2021
Clear Surgical Masks Lead to Higher Patient Satisfaction

Surgeons who wear clear face masks during patient encounters receive significantly higher marks for communication and trustworthiness.

Surgeons who wear clear face masks during patient encounters receive significantly higher marks for communication and trustworthiness, compared with colleagues who wear traditional surgical masks, according to a new study.

Same-day #surgery in morbidly obese individuals appears to be as safe as inpatient surgery.
05/26/2021
Outcomes of Same-Day Surgery Not Worse in Obese Patients

Same-day #surgery in morbidly obese individuals appears to be as safe as inpatient surgery.

An observational study surprisingly found that 30-day readmission rates and post-op complications are no greater when morbidly obese patients undergo surgery in a same-day setting than the inpatient setting.

"I agree with Dr. Greene that our profession needs to undertake a vigorous campaign to educate the populous as to the im...
05/25/2021
Public Perceptions on Resident Participation

"I agree with Dr. Greene that our profession needs to undertake a vigorous campaign to educate the populous as to the importance, safety and benefits of resident surgical participation in academic surgical training.” James K. Elsey, MD, FACS.

I very much enjoyed this most important and insightful editorial by Dr. Frederick Greene on the perceptions of the American public concerning resident participation in surgical care.

Jana Macleod, MD, reviewed the literature related to trauma-induced coagulopathy and shared recent advances in hemostati...
05/24/2021
Recent Advances in Hemostatic Resuscitation Reviewed

Jana Macleod, MD, reviewed the literature related to trauma-induced coagulopathy and shared recent advances in hemostatic resuscitation.

For the past four decades, hemorrhage has consistently been a major cause of mortality, accounting for approximately 30% to 40% of all trauma deaths.

Look out for this month's print issue of General Surgery News, featuring a new antireflux technique that combines laparo...
05/21/2021

Look out for this month's print issue of General Surgery News, featuring a new antireflux technique that combines laparoscopic, transoral approaches. https://www.generalsurgerynews.com/Digital-Editions/Article/05-21/General-Surgery-News-Digital-Edition/63354?utm_source=Social&utm_medium=facebook&utm_campaign=0519may

Look out for this month's print issue of General Surgery News, featuring a new antireflux technique that combines laparoscopic, transoral approaches. https://www.generalsurgerynews.com/Digital-Editions/Article/05-21/General-Surgery-News-Digital-Edition/63354?utm_source=Social&utm_medium=facebook&utm_campaign=0519may

“In our analysis of explanted mesh, Sheila and I learned that we were both wrong, at least for some patients.” Bruce Ram...
05/21/2021
When Both Sides Are Wrong

“In our analysis of explanted mesh, Sheila and I learned that we were both wrong, at least for some patients.” Bruce Ramshaw, MD, FACS.

Lower brain, reductionist principles lead to fragmentation and divisiveness, causing us to believe we must prove we’re right. We need to evolve to a higher brain mindset where we are comfortable with uncertainty.

We are pleased to welcome our new board member, Melissa Red Hoffman, MD.
05/21/2021
GSN Welcomes New Board Member, Melissa Red Hoffman, MD

We are pleased to welcome our new board member, Melissa Red Hoffman, MD.

Dr. Hoffman initially trained and worked as a naturopathic physician and yoga teacher. Her clinical interests are in surgical palliative care, the care of surgical patients with substance use disorder and medical education. 

Medicaid expansion caused a decrease in uninsured patients and led to earlier diagnosis of #gastriccancer with an associ...
05/20/2021
Medicaid Expansion Associated With Earlier Diagnosis of Gastric Cancer

Medicaid expansion caused a decrease in uninsured patients and led to earlier diagnosis of #gastriccancer with an associated increase in one-year survival.

Medicaid expansion caused a decrease in uninsured patients and led to an earlier diagnosis of gastric cancer with an associated increase in one-year survival, according to new research.

The May 2021 issue of General Surgery News is now available to read online.
05/19/2021
General Surgery News: May 2021

The May 2021 issue of General Surgery News is now available to read online.

The May 2021 issue of General Surgery News is now available to read online.

To do REBOA or not to do REBOA? With conflicting study results, guidelines and recommendations are difficult to make.
05/19/2021
To Do REBOA or Not to Do REBOA?

To do REBOA or not to do REBOA? With conflicting study results, guidelines and recommendations are difficult to make.

After a traumatic injury, a patient with severe internal hemorrhaging faces a ticking clock. Without controlling the bleeding quickly—sometimes within minutes of the injury—the patient may die.

Look out for this month's print issue of General Surgery News, featuring neverisms, alwaysisms and the dangers of absolu...
05/18/2021

Look out for this month's print issue of General Surgery News, featuring neverisms, alwaysisms and the dangers of absolutisms in surgery.
https://www.generalsurgerynews.com/Section/Digital-Editions/512?utm_source=Social&utm_medium=facebook&utm_campaign=0517grap

Look out for this month's print issue of General Surgery News, featuring neverisms, alwaysisms and the dangers of absolutisms in surgery.
https://www.generalsurgerynews.com/Section/Digital-Editions/512?utm_source=Social&utm_medium=facebook&utm_campaign=0517grap

A woman contracted #COVID19 and died 61 days after receiving a double #lungtransplant from a donor who harbored the SARS...
05/18/2021
Woman Contracts COVID-19 From Lung Transplant

A woman contracted #COVID19 and died 61 days after receiving a double #lungtransplant from a donor who harbored the SARS-CoV-2 virus.

A woman contracted COVID-19 and died 61 days after receiving a double lung transplant from a donor who harbored the SARS-CoV-2 virus, according to a case report published in the American Journal of Transplantation. 

Look out for this month's print issue of General Surgery News, featuring how deaths from complications after complex GI ...
05/17/2021

Look out for this month's print issue of General Surgery News, featuring how deaths from complications after complex GI cancer surgery is lower at ‘top hospitals.’
https://www.generalsurgerynews.com/Section/Digital-Editions/512?utm_source=Social&utm_medium=facebook&utm_campaign=0517grap

Look out for this month's print issue of General Surgery News, featuring how deaths from complications after complex GI cancer surgery is lower at ‘top hospitals.’
https://www.generalsurgerynews.com/Section/Digital-Editions/512?utm_source=Social&utm_medium=facebook&utm_campaign=0517grap

#Surgeons who wear clear face masks during patient encounters receive significantly higher marks for communication and t...
05/17/2021
Clear Surgical Masks Lead to Higher Patient Satisfaction

#Surgeons who wear clear face masks during patient encounters receive significantly higher marks for communication and trustworthiness.

Surgeons who wear clear face masks during patient encounters receive significantly higher marks for communication and trustworthiness, compared with colleagues who wear traditional surgical masks, according to a new study.

What can be done with a wireless cutaneous patch that measures #gastrointestinal activity? Apparently, quite a bit.
05/14/2021
Update on GutCheck, a Skin Patch That Measures GI Activity

What can be done with a wireless cutaneous patch that measures #gastrointestinal activity? Apparently, quite a bit.

What can be done with a wireless cutaneous patch that measures gastrointestinal activity? Apparently, quite a bit.

“As we reflect on this month, let us also remember the most important and meaningful events and people in our lives.” Fr...
05/14/2021
Celebrating May

“As we reflect on this month, let us also remember the most important and meaningful events and people in our lives.” Frederick L. Greene, MD.

We have a tradition in our country of dedicating specific days, weeks or months during which we celebrate events, concepts, organizations, groups of professionals or any other entity that warrants highlighting and reverence.

Best-Read April Stories: Julie Freischlag, MD, FACS, offered the following advice to women in surgery:
05/13/2021
Taking the Lead: Advice for Female Surgeons

Best-Read April Stories: Julie Freischlag, MD, FACS, offered the following advice to women in surgery:

As one of few female surgery fellows, Julie Freischlag, MD, FACS, said she frequently received questions from patients asking whether she was the surgeon, or whether she was allowed to operate.

Alfonso Torquati, MD, MSCI, discusses how his use of the Tri-Staple™ 2.0 reinforced reload has enhanced procedural effic...
05/13/2021
Tri-Staple™ 2.0 Reinforced Reloads: Preloaded Buttressing for Bariatric Procedures

Alfonso Torquati, MD, MSCI, discusses how his use of the Tri-Staple™ 2.0 reinforced reload has enhanced procedural efficiencies and reduced patient complications.

Staple line buttressing is increasingly recognized as a standard of care for an array of thoracic, abdominal, and gastrointestinal resections. In this article, Alfonso Torquati, MD, MSCI, discusses how his use of the Tri-Staple™ 2.0 reinforced reload has enhanced procedural efficiencies and re...

Best-Read April Stories: Preventing bile duct injuries (Part 2): Should cholangiography be required?
05/12/2021
Preventing Bile Duct Injuries (Part 2): Should Cholangiography Be Required?

Best-Read April Stories: Preventing bile duct injuries (Part 2): Should cholangiography be required?

Our debaters not only differ in their solutions to the problem of common bile duct injury, but how, and whether, any solution should be enforced. Because I believe the latter raises important ethical and political questions that we all need to face, we are continuing the debate on prevention of thes...

The Origin of the Species: The hunt for SARS-CoV-2.
05/12/2021
The Origin of the Species: The Hunt for SARS-CoV-2

The Origin of the Species: The hunt for SARS-CoV-2.

The recently released WHO report about the origins of COVID-19 may did not offer any clear answers, but the investigators said that the investigation was ongoing.

Best-Read April Stories: Court ruling alters informed consent process; physicians and researchers react to Pennsylvania ...
05/11/2021
Court Ruling Alters Informed Consent Process

Best-Read April Stories: Court ruling alters informed consent process; physicians and researchers react to Pennsylvania ruling, hoping to avoid litigation.

A four-year-old ruling by the Pennsylvania Supreme Court is making doctors and researchers across the country change the way they obtain patients’ informed consent, according to a panel of experts who spoke at the 2020 virtual Clinical Congress of the American College of Surgeons.

Do you have a Google My Business page for your practice? For your surgery center? Brian Dooreck, MD, shares his tips on ...
05/11/2021
Google My Business

Do you have a Google My Business page for your practice? For your surgery center? Brian Dooreck, MD, shares his tips on how to optimize the page for your digital presence:

The way I see it, you have three options in today’s practice environment, the first two of which are suboptimal: Do nothing or pay someone a lot of money to do something for you. Or you can become engaged in your digital “reputation.”

A #surgeon and #gastroenterologist team from the University of California, Irvine, has developed a new approach for the ...
05/11/2021
New Antireflux Technique Combines Laparoscopic, Transoral Approaches

A #surgeon and #gastroenterologist team from the University of California, Irvine, has developed a new approach for the treatment of antireflux disease.

A surgeon and gastroenterologist team from the University of California, Irvine, has developed a new approach for the treatment of antireflux disease.

Best-Read April Stories: COVID-19 registry reveals factors leading to increased mortality; age, need for organ support, ...
05/10/2021
COVID-19 Registry Reveals Factors Leading to Increased Mortality

Best-Read April Stories: COVID-19 registry reveals factors leading to increased mortality; age, need for organ support, hospital of admission play large roles.

Hospitals around the world report wide variations in mortality rates for patients admitted with COVID-19, with a consistent pattern: Risk for mortality increases with age and need for organ support, according to results from a global registry.

The post-bariatric patient with complications; tips on diagnosis and management for the nonbariatric surgeon.
05/07/2021
The Post-Bariatric Patient With Complications

The post-bariatric patient with complications; tips on diagnosis and management for the nonbariatric surgeon.

Many general surgeons have only six weeks or so of training in bariatric surgery during residency, but they are likely to encounter post-bariatric surgery patients who will need their help.

Video peer review offers objective rating of surgical technique; wide variation seen for sleeve gastrectomy.
05/07/2021
Video Peer Review Offers Objective Rating Of Surgical Technique

Video peer review offers objective rating of surgical technique; wide variation seen for sleeve gastrectomy.

The technique a surgeon uses while operating can vary greatly, even among trained practitioners, leading to extensive differences in patient outcomes, according to a new study.

In December 2020, after years of heated debate and mounting anxiety from patients, Congress passed legislation to ban su...
05/05/2021
No Surprises Act Passes, Targeting Unexpected Bills

In December 2020, after years of heated debate and mounting anxiety from patients, Congress passed legislation to ban surprise medical bills.

In December 2020, after years of heated debate and mounting anxiety from patients, Congress passed legislation to ban surprise medical bills.

DCIS biological risk signature predicts recurrence, radiation benefit.
05/04/2021
DCIS Biological Risk Signature Predicts Recurrence, Radiation Benefit

DCIS biological risk signature predicts recurrence, radiation benefit.

Women with ductal carcinoma in situ and elevated commercial DCISion scores (DS) had a significantly higher risk for ipsilateral breast events and a greater relative benefit from radiation therapy than women with lower scores.

In the 19th century, Ignaz Philipp Semmelweis was ridiculed for his claim that handwashing reduced the spread of infecti...
05/04/2021
The Scientific Greats: A Series of Drawings

In the 19th century, Ignaz Philipp Semmelweis was ridiculed for his claim that handwashing reduced the spread of infections.

Countries around the world are struggling to control the COVID-19 pandemic, with more than 107 million confirmed cases and more than 2.4 million confirmed deaths as of early March.

“If I had been her physician and not her physician brother, I wonder if I would have made the same decision. The decisio...
04/29/2021
When She Is Your Own

“If I had been her physician and not her physician brother, I wonder if I would have made the same decision. The decision-making process becomes unclear when the patient is one of your own.” - Amitabha Ghosh Roy, MD.

If I had been her physician and not her physician brother, I wonder if I would have made the same decision. The decision-making process becomes unclear when the patient is one of your own

Public Perceptions: The role of residents in operations.
04/29/2021
Public Perceptions: The Role of Residents in Operations

Public Perceptions: The role of residents in operations.

The issue brought to light by the article in the Journal of the American College of Surgeons (2021;232[1]:8-15.e1), cited in Dr. Frederick Greene’s editorial, “Public Perceptions” [March 2021], is critically important to surgical education today.

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Every thing about general surgery especially on surgical operations
August 2018. volume 45.Number8 Hernia Society Spotlights Ongoing Disparities In Surgical Care! By Christina Frangou. Miami 1977. THE 80'S, 90'S WHEN MEDICAL MALPRACTICE LAWSUITS WAS LIKE RAIN POURING CONTINUOUSLY! I HAVE SEEN OBGYN QUITE THE PRACTICE, COULD NOT AFFORD THE PREMIUM, SAME AS SURGEONS. NEVER TAKE IN CONSIDERATIONS ABUSIVE PATIENTS, POOR COMPLIANCE OR NO COMPLIANCE AT ALL. THE MOST DEMANDING & DIFFICULT TO HANDLE PATIENTS ARE THE ONE WITHOUT INSURANCE, NOT WILLING TO PAY ALTHOUGH THEY ARE EMPLOYED. THE SENIORS ARE THE HONEST & GOOD PATIENTS! EX. LATELY, A PATIENT WITHOUT INSURANCE, UNEMPLOYED HAD AN APPENDECTOMY ( DIFFICULT ONE WORSE THAN RETROCECAL) AFTER 4 DAYS CALLED THE OFFICE FOR PAIN MEDICATION, HE WAS GIVEN OXYCODONE DURING HIS DISCHARGE." THAT PAIN MEDICATION IS NO GOOD", BUT THAT IS ONE OF THE STRONGEST PAIN MEDICATION. OUR DOCTOR IS NOT IN YOU NEED TO GO TO THE ER. 'I'll HAVE MY LAWYER CALL YOU". THIS IS COMMON OCCURRENCE AMONG NON- PAYING PATIENTS(EA). THERE IS NO GUIDELINE OUT THERE HOW TO HANDLE THESE TYPE OF PATIENTS WITH OFFENSIVE THREATENING BEHAVIOR OTHER THAN TO REFUSE TAKING CARE OF THEM! THANK GOD THERE ARE ER & MANY DOCTORS!
#Limited Slots available for #Euro #Surgery #Conference at #Prague , #CzechRepublic https://surgery.euroscicon.com/registration
Innovative!!
http://www.generalsurgerynews.com/In-the-News/Article/08-17/Enhanced-Recovery-and-Minimally-Invasive-Surgery-Synergy-or-Redundancy-/42139#toggleCmts As a provider (non-surgeon) and patient (esophagectomy for Achalasia), I must ask, why isn't every surgery ERAS or fast track? For that matter, why isn't all medicine "precision" medicine? Shouldn't we be precise with all our patients and shouldn't all our procedures be performed with enhanced recovery in mind? As one who has made an incredible recovery from a horrible operation (clips were left by the surgeon who performed a Heller myotomy 4 years prior), I can tell you that choosing the right surgeon for his surgical skills was paramount. Yet, neither preparation nor recovery from surgery were in his wheel house. The surgical preparation and recovery processes were performed with personal knowledge (and many consults with experts in the field) using all available tools including proper exercise both to prepare and recover ("therapy"), meditation, diet, acupuncture, IV Vitamins, and nutritional blood work to determine deficiencies. When I recommend to my patients that they discuss surgical preparation and recovery with their surgeon, they are met with disapproval and scorn. Given that my area is sports medicine, I can tell you from working with Olympic and professional athletes, this is very important to them. I would love to hear from surgeons regarding this issue. There is a whole world out there that can help your patients.