Editor's Note Nearly three-quarters of orthopedic surgery residents experience significant or intense imposter syndrome, with female trainees facing markedly higher risk, according to a study published April 7 in the Journal of Bone and Joint Surgery Open Access. As detailed in the study, researchers surveyed 100 residents across seven US…

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For decades, ambulatory surgery centers (ASCs) have shown their ability to deliver high-quality surgical care at substantially lower cost than hospital outpatient departments (HOPDs). ASCs achieve these savings through leaner operations, streamlined staffing models, and specialty-focused efficiencies, not by compromising safety or outcomes. Studies consistently highlight procedures performed in ASCs…

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Ambulatory surgery centers (ASCs) are taking on more high-acuity, same-day procedures than ever before. This growth is driven by evolving clinical protocols, cost-conscious reimbursement strategies, and expanded capabilities in outpatient care. Specialties like orthopedics, spine, ophthalmology, and cardiovascular care are moving more complex cases—and the implants that come with them—out…

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Editor's Note Each month of delay between breast cancer diagnosis and surgery raises the likelihood of tumor upstaging, nodal spread, and in vivo tumor growth, according to a national database analysis published in Annals of Surgical Oncology on July 23. The researchers reviewed records from more than 1 million patients…

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Editor's Note The World Health Organization (WHO) and the Society of Robotic Surgery (SRS) have launched a joint initiative to expand equitable access to virtual care and telesurgery, according to a WHO departmental update published August 8. The partnership, formalized in July at the SRS Annual Meeting in Strasbourg, France,…

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Editor's Note At least 160 million people worldwide are unable to receive essential surgical care each year, with low- and middle-income countries (LMICs) most affected, News Medical Life Sciences July 15 reports. The study, published in The Lancet and led by the University of Birmingham’s NIHR Global Health Research Unit…

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Editor's Note Older surgical patients with preoperative cognitive impairment face significantly higher odds of developing postoperative delirium (POD), and POD itself is tied to markedly worse surgical outcomes, according to two major studies published July 2025. Together, the findings point to delirium as both a high-impact and potentially modifiable target…

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Editor's Note Patients from socioeconomically deprived areas are more likely to have reduced cardiorespiratory fitness before surgery, potentially contributing to poorer surgical outcomes, MedicalXpress August 12 reports from a study published by PLOS One. The research, led by PhD student Donna Shrestha of Lancaster University Medical School, analyzed preoperative fitness…

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Once limited to hospital inpatient settings, total joint surgery is increasingly common at ambulatory surgery centers (ASCs) across the US. What is not so common is performing these complex procedures without the benefit of an onsite sterile processing department (SPD). And yet, that is exactly what we have accomplished at…

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Editor's Note Robotic-assisted surgery is proving to be a strong option for emergency colorectal procedures, offering lower complication rates, shorter hospital stays, and fewer conversions to open surgery than conventional approaches. According to a July 23 article from the Journal of the American College of Surgeons, this approach—long established in…

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