Editor's Note Uterus transplants are feasible, but the procedure is associated with considerable risks for both patient and organ donor, according to a study published August 15 in JAMA. Conducted at a large US tertiary care center, the study involved 20 women with absolute uterine-factor infertility—a condition that prevents…
Editor's Note Optimizing patient positioning can help reduce the risk of surgical site infections due to airborne contaminants in positive-pressure ORs, according to a study published August 12 in Nature: Scientific Reports. Maintaining higher pressure than adjacent spaces prevents entry of contaminants from environments external to the OR. For this…
Editor's Note Intraoperative infusion of dexmedetomidine (DEX) could help improve glycemic control and reduce insulin requirements in diabetic patients undergoing cardiac surgery, according to a July 25 article in Medical Dialogues. The article focuses on a prospective observational study published in the journal Annals of Cardiac Anesthesia. The study included…
Editor's Note The American Medical Association (AMA) annual, nationwide prior authorization survey reveals that over 90% of physicians believe prior authorization negatively impacts patient clinical outcomes. “More telling,” AMA reported July 17, is the fact that 78% of physicians report that this process “sometimes or often” leads to patients abandoning…
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…
Editor's Note Two new studies show robotic surgery outperforming laparoscopic approaches to metabolic and bariatric procedures in terms of operating times, length of hospital stay, and complication rates, according to a June 11 report in Medical Xpress. Both studies were presented at the American Society for Metabolic and Bariatric Surgery…
Editor's Note A study published May 7 in JAMA Open found no significant risk of periprosthetic joint infection (PJI) when colonoscopy is performed within one year of total joint arthroplasty (TJA), whether the colonoscopy was done before or after the surgery. However, certain comorbidities such as kidney and pulmonary disease,…
Approximately one in 31 hospital patients has at least one infection on any given day, according to the Centers for Disease Control and Prevention (CDC). In surgical settings, the risk is even higher, with up to 7% of patients developing an infection during surgery. These infections can lead to a…
Editor's Note A letter to the editor published April 10 in Anesthesiology, the official publication of the American Society of Anesthesiologists (ASA), calls attention to an official statement outlining best practices for ensuring all moms-to-be receive adequate pain management during planned or unexpected C-sections. The best practices are outlined in…
Editor's Note Although intraoperative wound irrigation is a common practice worldwide for preventing surgical site infections, a recent study suggests irrigation with polyhexanide solution should not be recommended as standard clinical practice in open clean-contaminated surgical procedures. Published February 21 in Jama Surgery, the study cautions that additional trials are…