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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
- Drug Strategies to Prevent Delirium in Older Surgical PatientsDexmedetomidine is a standout option for preventing postoperative delirium in older adults. Overall delirium risk post-surgery is 14.5%. Dexmedetomidine shows a significant reduction (odds ratio 0.46) in delirium risk. Corticosteroids also reduce delirium severity but do not affect other outcomes like length of stay or mortality. Be cautious with dexmedetomidine due to potential hypotension and bradycardia. Aim for a balanced approach in drug selection for your surgical patients over 60. Other options like melatonin receptor agonists and intranasal insulin show… Read more: Drug Strategies to Prevent Delirium in Older Surgical Patients
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