Surgery

Latest Issue of OR Manager
March 2025

Standardized handoff protocol improves OR communication

Editor's Note Findings published in the Journal of the American College of Surgeons show how a standardized handoff protocol can improve OR communication and reduce the risk of error, Medical Xpress reported on June 19. The study focused specifically on SHRIMPS, a standardized handoff protocol developed by the quality improvement…

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By: Matt Danford
June 28, 2024
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Study finds no link between anesthesia dose, postop delirium

Editor's Note Higher doses of anesthesia did not affect risk of postoperative delirium in a study of more than 1,000 heart surgery patients, according to a June 10 United Press International (UPI) article on study findings published in JAMA. The research included 1,140 heart surgery patients, half of whom had…

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By: Matt Danford
June 26, 2024
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Study highlights CMS hospital star rating limitations

Editor's Note CMS hospital star ratings may not be a reliable tool for assessing surgical quality, according to a study published June 18 in JAMA Surgery. Researchers acknowledge that higher ratings are generally associated with improved postoperative outcomes, including fewer complications and lower 30-day mortality rates. However, as reported by…

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By: Matt Danford
June 25, 2024
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State of the huddle: The barriers to and benefits of preop meetings

Complex problems do not always require complex solutions. Consider the surgical safety checklist. In 2020, more than a decade after the World Health Organization (WHO) started advocating that every hospital use the checklist, research from PSNET found that more than 90% of ORs in countries with a high human development…

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By: Maya Ber-Lerner
June 24, 2024
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Study: Immunotherapy offers significant benefits for dMMR colorectal cancer

Editor's Note A pair of immunotherapy drugs administered before surgery significantly diminished tumor size without serious safety concerns in patients with mismatch repair-deficient (dMMR) colorectal cancer, according to a study published in the New England Journal of Medicine. Healthline reported the news June 8. Constituting 10-15% of cases, dMMR cancer…

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By: Matt Danford
June 18, 2024
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Study: Female, minority surgeons experience greater distress after adverse events

Editor's Note Surgeons and surgical trainees who are female or from minority racial or ethnic backgrounds report higher levels of negative emotions and self-doubt after adverse events, according to a recent study in JAMA Network Open. According to a June 5 report in MedPage Today, the single-site, mixed-methods study found…

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By: Matt Danford
June 18, 2024
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Study: Liver surgery safe for outpatient settings

Editor's Note Robotic liver surgery can be performed safely as an outpatient procedure, according to findings from the City of Hope cancer research organization in Duarte, California. According to a June 10 press release, the study analyzed data of 307 patients who underwent outpatient robotic liver surgery (defined as requiring…

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By: Matt Danford
June 18, 2024
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Study: Ergonomic guidelines needed for trainees assisting in minimally invasive procedures

Editor's Note A prospective cohort study among general surgery residents in Singapore highlighted the need for ergonomic improvements and education for surgical trainees during minimally invasive abdominal surgery.  Published May 31 in Scientific Reports, the study was limited by a small sample size and variability in respondent characteristics and practices.…

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By: Matt Danford
June 13, 2024
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Study: Combined preoperative, postoperative chemotherapy improves esophageal cancer outcomes

US news and world report

Editor's Note In esophageal cancer, combining preoperative and postoperative chemotherapy lead to better outcomes, fewer deaths, and higher likelihood of complete tumor regression than preoperative chemotherapy alone, according to a randomized clinical trial. US News and World Report reported the news June 4. Led by Dr. Jens Hoeppner from the…

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By: Matt Danford
June 12, 2024
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Study: standard preoperative fasting guidelines safe for GLP-1 patients

Editor's Note Preoperative use of GLP-1 receptor agonists (RA) medications such as Ozempic and Wegovy is safe, according to a study published in the June issue of the American Journal of Gastroenterology. Controversy has swirled around these drugs due to the risk of slowed stomach emptying increasing a patient’s odds…

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By: Matt Danford
June 7, 2024
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