This article discusses the use of intraoperative autonomic neural blockade as a technique to manage postoperative visceral pain and symptoms of postoperative nausea and vomiting in minimally invasive surgery.
Importance Active surveillance (AS) has become an increasingly important option for managing low-risk and select intermediate-risk prostate cancer. Although imaging, particularly multiparametric magnetic resonance imaging (mpMRI), has emerged in the prebiopsy pathway for the diagnosis of prostate cancer, the role of…
This article discusses the use of histotripsy as a noninvasive method for tumor ablation that involves mechanical destruction of tissues without the generation of heat, resulting in accurate and precise treatment without surrounding tissue damage.
This article offers tools for implementing the All of Us Research Program in surgical medicine.
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…
This Surgical Innovation outlines the advantages of performing a partial transplant to deliver growing heart valve implants in newborn babies.
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…
This article discusses the ACGME requirement that sponsoring institutions of postgraduate medical training provide trainees with at least 6 weeks of paid parental leave throughout their training period.
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…
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…
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