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STITCHES Insights
- Strategies to Prevent Adhesions: What Every Surgeon Needs to KnowAdhesions 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 RecoveryPractical, 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 PancreatoduodenectomyWhy 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 CaseWhy 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
- Effective Techniques for Difficult Biliary Cannulation in ERCPAdvanced techniques yield 100% final success in difficult biliary cannulation, crucial for ensuring effective ERCP outcomes. Initial cannulation success: 72% (double-guidewire), 68% (trans-pancreatic sphincterotomy), 68% (precut fistulotomy). Precut technique used less contrast dye (p<0.005). Consider individualizing the technique based on patient anatomy and operator skill for optimal outcomes. Post-ERCP pancreatitis rates were 10% (dgt), 22% (tps), and 24% (precut) with no significant differences in other adverse events. Journal Article by Elhoseeny MM, Alhaddad O (…) Othman AAA et 5 al.… Read more: Effective Techniques for Difficult Biliary Cannulation in ERCP
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