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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
- Reducing Non-Therapeutic Laparotomies in Pancreatic Cancer SurgeryStaging laparoscopy significantly lowers the rate of unnecessary laparotomies in pancreatic cancer patients post-neoadjuvant treatment. Non-therapeutic laparotomy rates dropped to 4.5% with staging laparoscopy, compared to 17.1% without (p=0.002; NNT 8). Occult metastases were found in 12.1% of patients, mainly leading to aborted surgeries. Tailoring staging laparoscopy for patients with tumor size ≥3 cm or CA19-9 >500 U/ml could enhance surgical outcomes. In patients with risk factors, the incidence of occult metastatic disease increased to 14.8% and 28.9%, indicating a… Read more: Reducing Non-Therapeutic Laparotomies in Pancreatic Cancer Surgery
LATEST STITCHES
- Reducing Non-Therapeutic Laparotomies in Pancreatic Cancer Surgery
- Quality Metrics Improve Pouch Outcomes in Ulcerative Colitis
- Age is a critical predictor of mortality after GI cancer surgery.
- Laparoscopic choledocholithotripsy lower recurrence, costs than ERCP
- Age and Sodium Levels Impact Colectomy Mortality
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