JAMA Surgery

Biliary DyskinesiaóControversies, Diagnosis, and Management – A Review

Importance  Biliary dyskinesia is a disorder characterized by biliary pain, a sonographically normal gallbladder, and a reduced gallbladder ejection fraction on cholecystokinin-cholescintigraphy (CCK-HIDA) scan. Laparoscopic cholecystectomy remains a common treatment for biliary dyskinesia despite a lack of high-quality evidence supporting the…

Enhanced Recovery After Surgery (ERAS) Society Recommendations for Neonatal Perioperative Care

Importance  Neonates requiring surgery are often cared for in neonatal intensive care units (NICUs). Despite a breadth of surgical pathology, neonates share many perioperative priorities that allow for the development of unit-wide evidence-based Enhanced Recovery After Surgery (ERAS) recommendations. Observations  The guideline…

Providing a Safe Pregnancy Experience for Surgeons – A Review

Importance  Childbearing has been a particular barrier to successful recruitment and retention of women in surgery. Pregnant surgeons are more likely to have major pregnancy complications, such as preterm delivery, intrauterine growth restriction, infertility, and miscarriage, compared with nonsurgeons. The average…

Necrotizing Soft Tissue Infections – A Review

Importance  Necrotizing soft tissue infections (NSTIs) are severe life- and limb-threatening infections with high rates of morbidity and mortality. Unfortunately, there has been minimal improvement in outcomes over time. Observations  NSTIs are characterized by their heterogeneity in microbiology, risk factors, and anatomical…