Editor's Note Elective surgical procedures such as cholecystectomy and hernia repair can be performed safely in carefully selected patients with cirrhosis, but high-risk individuals still need alternatives, according to an updated American College of Gastroenterology guideline, Medscape October 3 reports. The guideline emphasizes individualized risk stratification that integrates liver disease…

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Editor's Note Fewer than one in ten older adults undergoing major elective surgery complete advance care planning (ACP), but a new multisite randomized trial aims to change that. According to a September 23 article published by BMJ Open, the study design for the I CAN DO Surgical ACP trial has…

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Editor's Note The Perioperative Nutrition Screen (PONS) identifies patients at greater risk of complications following pancreatic cancer surgery, according to a retrospective analysis published August 27 by Research Square. The study found that patients flagged for nutrition risk by PONS experienced longer hospital stays, higher complication rates, and were more…

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Editor's Note Many widely used supplements and herbal remedies can increase bleeding risk during surgery and should be stopped in advance, according to researchers at Wrocław Medical University. The findings highlight a gap in perioperative safety practices, The Am-Pol Eagle September 18 reports. The study, led by the university’s Department…

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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 A malpractice case involving a 69-year-old man undergoing an endoscopy at an ambulatory surgery center (ASC) spotlights the risks of managing high-comorbidity patients outside a hospital setting. According to a May 13 report in Anesthesiology News, the patient experienced a hypoxic event that led to permanent brain injury…

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By 2022, orthopedic procedures performed in ambulatory surgery centers (ASCs) were already outpacing expectations. For years, total hip and knee replacements were considered too complex for same-day surgery. Yet, total joints replacement volumes jumped nearly 200% between 2020 and 2022—outpatient total knee arthroplasty surged nearly 194%, while total hip arthroplasty…

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Editor's Note Meeting with a health behavior psychologist before orthopedic surgery can help patients identify and overcome barriers to recovery, leading to better surgical outcomes, according to a University of Missouri School of Medicine July 31 news article covering a study published in the Journal of Knee Surgery. The study…

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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 Medication management in the perioperative period is often made without robust evidence, requiring clinicians to balance surgical safety with the risks of interrupting treatment, according to expert guidance presented at the annual Perioperative Medicine Summit. Paul Grant, MD, of the University of Michigan Medical School, noted most medications…

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