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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
- High hospital volume lowers mortality in esophageal and gastric surgeryHigher hospital surgical volume leads to significantly better outcomes for esophagectomy and gastrectomy patients. 30-day mortality drops to 51% lower (odds ratio 0.51) at high-volume hospitals performing 4-239 resections/year. 90-day mortality reduced by 35% (odds ratio 0.65) and fewer complications observed (odds ratio 0.83). Surgical teams should consider hospital volume when planning procedures. Optimal volume thresholds identified: 43 cases/year for esophagectomy and 15 for gastrectomy, beyond which outcomes plateau. Journal Article by Kooij CD, Zuin IS (…) Goense L et… Read more: High hospital volume lowers mortality in esophageal and gastric surgery
LATEST STITCHES
- High hospital volume lowers mortality in esophageal and gastric surgery
- Omitting antibiotics in mild cholecystitis reduces unnecessary use.
- Risk Factors for Reoperation After Ileostomy in Colorectal Cancer
- Predicting Malignancy in Pancreatic Mucinous Cystic Neoplasms
- Minimally Invasive Surgery Improves Outcomes in Esophageal Cancer
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