Surgery

Latest Issue of OR Manager
April 2024

Thyroid hormone replacement boosts risk of abdominal surgery complications

Editor's Note:  Preoperative thyroid hormone replacement independently predicts operative morbidity and length of stay following major abdominal surgery, according to a January 23 report in the American Journal of Surgery. To determine the association between preoperative thyroid hormone replacement and complications following major abdominal surgery, researchers performed a retrospective case…

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By: Matt Danford
January 30, 2024
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AI screening identifies patients’ risky preoperative alcohol use

Editor's Note: A recent study suggests artificial intelligence (AI) can be valuable for identifying patients who consumed risky amounts of of alcohol prior to surgery. Findings appeared in the journal Alcohol, Clinical and Experimental Research on January 8. For the study, researchers extracted 3 years of text-based clinical records from…

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By: Brita Belli
January 25, 2024
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Coordinating surgical care means precise staff handoffs

In every OR, the complicated dance of surgical care coordination—the series of handoffs between stakeholders throughout the surgery lifecycle—is performed mainly in the background. Those stakeholders include physician offices, schedulers, preadmission testing, insurance verification, vendors, sterile processing, supply chain, anesthesia, and surgical staff. But what does it look like when…

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By: Carisa Brewster and Jonathan Reimer
January 23, 2024
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“Hub,” “spoke” hospital care inefficiencies differ depending on surgical complexity

Editor's Note: Complex surgeries at high-volume (“hub”) hospitals are less likely to result in death or serious morbidity (DSM) than other hospitals within a system (“spokes”), the American Journal of Surgery reported December 25. However, patients undergoing common surgical care procedures at hubs are more likely to experience prolonged length…

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By: Matt Danford
January 17, 2024
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Anti-inflammatory drug reduces opioid requests after surgery

Editor's Note: An FDA-approved anti-inflammatory drug used to treat poisoning and liver damage could help reduce patient requests for opioids after surgery, according to findings published October 25 in the Future Medicine journal Pain Management. The study involved 50 patients who were given either a set dose of the anti-inflammatory…

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By: Brita Belli
January 16, 2024
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Esophagectomy complications more likely for Asian Americans

Editor's Note: Already shown to have a heightened risk of esophageal cancer, Asian Americans are also more likely to experience complications from esophagectomy, according to a study published January 4 in the American Journal of Surgery. The retrospective analysis, performed using ACS-NSQIP esophagectomy targeted database 2016–2021, compared 30-day postoperative outcomes…

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By: Matt Danford
January 12, 2024
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Pediatric cholecystectomy case volume increased during COVID-19 pandemic

Editor's Note:  Cholecystectomy case volume significantly increased during the COVID-19 pandemic, according to study results published in ScienceDirect December 30. While cholecystectomy is infrequently performed in children, the pandemic drove lifestyle changes, delays in healthcare access, and increases in childhood obesity. Further studies are needed to determine whether these braoder…

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By: Matt Danford
January 12, 2024
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Phone-based follow-up safe, effective for general surgery patients

Editor's Note Postoperative telehealth for general surgery patients is both safe and effective, according to a study published on December 22 in The American Journal of Surgery. The study consisted of a retrospective review of 1,075 veterans undergoing qualifying procedures at a medical center from June 2019 to September 2021.…

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By: Matt Danford
January 9, 2024
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More executives considering ASC joint ventures

Editor's Note A survey of health system executives published January 4 by VMG Health finds that an increasing number are planning to expand into joint ventures with ambulatory surgery centers as they look to move more services from inpatient to outpatient facilities. The survey included 141 health system executives, including…

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By: Brita Belli
January 8, 2024
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How time perception impacts healing

Editor's Note When it comes to healing, perception matters. A recent study by Harvard researchers found that participants wounds healed more quickly when they believed that time had passed more quickly, regardless of how much time had actually elapsed. Results were published in nature Scientific Reports on December 17. Researchers…

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By: Brita Belli
January 3, 2024
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