Editor's Note Older age alone should not exclude patients from ambulatory general surgery. A retrospective study published in Cureus on August 27 found that patients over 75 undergoing short-stay general surgical procedures experienced complication and reintervention rates comparable to younger peers, despite higher comorbidity and anesthetic risk scores. The analysis…

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Editor's Note Artificial disc replacement (ADR) no longer requires a hospital stay. In one of the largest analyses to date, a California surgical team reviewed 1,043 outpatient ADR cases over 6 years and found zero immediate hospital transfers, zero transfusions, and every patient discharged home in under 24 hours, LA…

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Editor's Note Pulmonary embolism (PE) and deep vein thrombosis (DVT) are rare after same-day surgeries, but when they occur, they carry high risks of death and readmission. According to Anesthesiology News May 12, a University of Texas Southwestern Medical Center analysis of more than 1.1 million outpatient procedures found an…

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Editor's Note Hospitalized surgical patients in 2024 were nearly 20% more likely to survive than expected compared to 2019, according to an August 5 analysis from the American Hospital Association (AHA) and Vizient. The report credits safety improvements such as reductions in infections, falls, and major complications, even as surgical…

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Editor's Note Minimally invasive surgery (MIS) with the Artemis Neuro Evacuation Device reduced hematoma volume efficiently and lowered serious adverse events but did not improve long-term disability or mortality compared with medical management in spontaneous supratentorial intracerebral hemorrhage (ICH), JAMA Neurology September 2 reports. The “MIND randomized clinical trial” enrolled…

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Editor's Note The One Big Beautiful Bill Act (OBBBA) is set to reshape rural healthcare in ways that could destabilize already fragile systems. According to a September 3 JAMA Network article, the law is set to reduce federal Medicaid spending by more than $900 billion over 10 years, cuts that…

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Editor's Note Perioperative leaders are reshaping how surgical care is delivered, making pragmatic adjustments in the face of supply shortages, staffing constraints, and shifting surgical volume toward ambulatory surgery centers (ASCs). Together, the latest three OR Manager pulse polls reveal a profession managing high stakes with a mix of caution,…

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Editor's Note A simple adjustment to walking style can relieve osteoarthritis pain as well as medication and may delay the need for knee surgery, according to a year-long clinical trial published in The Lancet Rheumatology and covered by The Independent on August 18. As detailed in the article, University of…

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The migration of surgical cases from inpatient settings to ambulatory surgery centers (ASCs) continues to reshape perioperative leadership in 2025. Nationally, the trend is driven by payer incentives, patient preference, and cost pressures, with ASCs now performing more orthopedic, spine, and complex outpatient procedures than ever before. In fact, the…

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Editor's Note Laser cataract surgery is entering a new era where robotic systems and artificial intelligence (AI) work alongside surgeons to improve accuracy, efficiency, and patient outcomes. According to the July/August 2025 edition of Ophthalmology Times, recent advances in robotic integration, astigmatism management, and AI-driven imaging are minimizing variability, reducing…

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