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STITCHES Insights
- Strategies to Prevent Adhesions: What Every Surgeon Needs to Know
Adhesions are one of those surgical complications we’d all prefer to never think about—but we don’t get that luxury. They’re common, costly, and often underestimated. Whether it’s a patient returning with chronic abdominal pain, secondary infertility, or adhesive small bowel… Read more: Strategies to Prevent Adhesions: What Every Surgeon Needs to Know - 6 Gut-Checks for Faster Recovery
Practical, evidence-based strategies to shorten ileus and length of stay Every surgeon has lived this story. The operation is clean. The dissection elegant. The anastomosis airtight. Your patient looks stable, lines are out, and pain is well controlled. You’re ready… Read more: 6 Gut-Checks for Faster Recovery - The End of the Automatic Drain in Pancreatoduodenectomy
Why knowing when not to place a drain may matter more than how to manage one. The Bottom Line: Routine prophylactic abdominal drainage after pancreatoduodenectomy (PD) is no longer universally necessary and may even increase certain risks in low-risk patients.… Read more: The End of the Automatic Drain in Pancreatoduodenectomy - The Leadership Style That Works In Crisis Will Fail In Every Routine Case
Why The Best OR Leaders Learn To Shift Gears The Bottom Line: True surgical leadership isn’t about being the loudest voice in the room. It’s about knowing when to command, when to collaborate, and when to get out of the… Read more: The Leadership Style That Works In Crisis Will Fail In Every Routine Case
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TOP STITCHES
- POD2 CRP identifies low leak risk after colon resectionAfter elective colon cancer resection, POD2 CRP below 100 mg/L identified patients with about a 1% risk of major anastomotic leak—potentially supporting earlier discharge. In two cohorts, this threshold had a 98.8% and 99.0% negative predictive value; 46–60% of patients were below it. With CRP at or above 100 mg/L, leak rates were about 8%; a falling POD3/POD2 CRP ratio further identified a lower-risk group. The two-step approach classified nearly 90% of patients for discharge by POD2 or 3 with… Read more: POD2 CRP identifies low leak risk after colon resection
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