Surgery

Latest Issue of OR Manager
February 2025

First ACS cancer report highlights neoadjuvant therapy expansion, improvements

Editor's Note A significant increase in the use of neoadjuvant systemic cancer therapies is among the most notable findings from the first annual cancer report from The American College of Surgeons (ACS) National Cancer Database (NCDB). The report also emphasizes the value of early detection, innovative therapies, and robust datasets…

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By: Matt Danford
January 2, 2025
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Why active implants demand proactive management

What happens when a surgeon uses the monopolar instrument set on 30-W coagulation mode to create an upper midline incision in a patient with a pacemaker? Pacemaker function is interrupted, causing a heart block that results in hemodynamic instability—or at least, this is what could happen without taking the necessary…

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By: Mary A. Marvin, APRN-BC and Jill Teubel, MSN, RN
January 1, 2025
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Study: Geriatric surgery program improves outcomes, independence

Editor's Note Older cancer patients undergoing major abdominal procedures at Roger Williams Medical Center in Providence, Rhode Island, significantly benefitted from the American College of Surgeons (ACS) Geriatric Surgery Verification (GSV) program, Medical Xpress reported December 10. Citing a study published in the Journal of the American College of Surgeons,…

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By: Matt Danford
December 18, 2024
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Study: Active monitoring without surgery safe for certain low-risk DCIS patients

Editor's Note Active monitoring for certain breast cancer patients offers similar outcomes to surgery with fewer side effects, according to research detailed in a December 16 article from Oncology News Central. Presented at the 2024 San Antonio Breast Cancer Symposium and published in JAMA, The COMET trial supports the safety…

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By: Matt Danford
December 16, 2024
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Data support option to skip sentinel lymph node biopsy in early breast cancer

Editor's Note Skipping sentinel lymph node biopsy (SLNB) in patients with clinically node-negative early breast cancer provides noninferior outcomes compared to undergoing the procedure, MedPage Today reported December 13. Presented at the San Antonio Breast Cancer Symposium and published in the New England Journal of Medicine, the INSEMA trial found…

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By: Matt Danford
December 16, 2024
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Q&A: Perioperative immunotherapy advances for early-stage NSCLC

Editor's Note Perioperative immunotherapy is reshaping treatment strategies for early-stage non-small cell lung cancer (NSCLC) without actionable mutations, according to Dr. Roy S. Herbst of Yale Cancer Center. In a recent interview with OncLive, the oncology expert highlighted the promise of neoadjuvant and adjuvant therapies to improve outcomes for these…

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By: Matt Danford
December 13, 2024
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Study: COVID-19's impact on oncological surgery offers lessons for future crises

Editor's Note A scoping review of 15 studies reveals that the COVID-19 pandemic significantly disrupted oncological abdominal surgery (OAS), leading to postponed or canceled procedures, adoption of alternative treatment plans, and increased psychological stress among surgical teams. Published November 5 in the American Journal of Surgery, the findings emphasize the…

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By: Matt Danford
November 22, 2024
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Study: Early surgery outperforms endoscopy for long-term pancreatitis

Editor's Note Early surgical intervention should be prioritized over endoscopy-first treatment in managing chronic pancreatitis with dilated pancreatic ducts, according to the results of a follow-up study of the ESCAPE randomized clinical trial. Published November 20 in JAMA Surgery, the findings specifically highlight pain relief, patient satisfaction, and need for…

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By: Matt Danford
November 21, 2024
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Study finds high rates of preventable, adverse events in perioperative care

Editor's Note Adverse events (AEs) remain widespread in perioperative care, affecting nearly one in three patients and resulting in substantial and often preventable patient harm, according to a retrospective cohort study published November 13 in The BMJ. The study analyzed 1,009 weighted admissions from a sample of 64,121 surgical patients…

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By: Matt Danford
November 19, 2024
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Study: Digital tool detects preoperative pediatric anxiety, depression

Editor's Note A recent study presented at the American Society of Anesthesiologists’ 2024 meeting reveals that a computerized mental health assessment, KCAT, may effectively identify anxiety and depression in pediatric surgical patients. According to an October 20 report in Anesthesiology News, the single-center pilot study involved 65 children aged 7…

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By: Matt Danford
November 18, 2024
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