JAMA Surgery is a member of the JAMA Network, a consortium of peer-reviewed, general medical and specialty publications.
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Up to 82% of pregnant surgeons experience miscarriage, preterm delivery, and intrauterine growth restriction. Occupational hazards, including prolonged standing, physical exertion, overnight shifts, and teratogenic exposure, contribute to these risks.
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Only 2 types of doctors never have surgical complications: those who don’t operate and those who aren’t truthful. ja.ma/2uyycKU
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More familiar surgeon-anesthesiologist dyads can yield better outcomes for complex GI surgery: each surgery done together is associated with 5% lower odds of morbidity for the next patient. @HalletJulie @DrTonyEskander @propelresearch ja.ma/3SprsqY
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Most viewed in the last 7 days from @JAMASurgery:
This narrative review summarizes the current evidence on and recommendations for management of gallstone pancreatitis.
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Findings of this study suggest that patients treated by female surgeons have a lower risk-adjusted likelihood of adverse postoperative outcomes at 90 days and 1 year following surgery. ja.ma/3Z0buH4 @WallisCJD @propelresearch @DrRajSat
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Ultrasonographic-Guided Resuscitation of the Surgical Patient ja.ma/2jYPOeM
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From @JAMA_current: Povidone iodine in alcohol as preoperative skin antisepsis was noninferior to chlorhexidine gluconate in alcohol in preventing surgical site infections after cardiac or abdominal surgery. ja.ma/3Vq9GFP
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Autonomic neural blockade can reduce postoperative visceral pain, nausea, and vomiting following minimally invasive surgery. It may also provide an important adjunct to enhanced recovery protocols.
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📌 This @JAMA_current Review discusses the current evidence on the epidemiology, pathophysiology, diagnosis, and treatment of hemorrhoidal disease. ja.ma/41yA4Bp
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From @JAMA_current: Povidone iodine in alcohol as preoperative skin antisepsis was noninferior to chlorhexidine gluconate in alcohol in preventing surgical site infections after cardiac or abdominal surgery. ja.ma/3Tkc4Oj
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This narrative review summarizes the current evidence on and recommendations for management of gallstone pancreatitis. ja.ma/3LoAWA3
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Surgical jackets and bouffants are neither beneficial nor cost-effective in preventing SSIs ja.ma/2SC6q9S
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Findings of this study suggest that patients treated by female surgeons have a lower risk-adjusted likelihood of adverse postoperative outcomes at 90 days and 1 year following surgery. ja.ma/3QwR987
@WallisCJD @propelresearch @DrRajSat
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Most viewed in the last 7 days from @JAMASurgery:
This review summarizes the current evidence on management of perforated perforated peptic ulcer disease, including management of failed repairs.
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Disposable perioperative jackets do not decrease the incidence of SSIs ja.ma/2N5t8o7 #NorthwellHealth #PlainviewOrthopaedics #NorthwellOrthopaedicInstitute
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Most viewed in the last 7 days from @JAMASurgery:
This Viewpoint provides recommendations for surgeons to stay active amidst demanding professional and personal commitments to help manage stress, avoid burnout, and improve overall quality of life.
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Lessons to be learned: Retired surgeons wish they had achieved a healthier work-life balance during their career. ja.ma/37jH4nr
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In this study, robotic-assisted cholecystectomy was associated with higher rates of bile duct injury compared to traditional laparoscopic surgery. Real-world data is critical for the safe adoption of new technology in surgical practice. ja.ma/46h29gq
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Double-blinded MOBILE2-trial found that mechanical bowel preparation and oral antibiotics reduced the rate of overall morbidity, surgical site infections and anastomotic leaks compared to mechanical bowel preparation only prior anterior rectal resection. ja.ma/3VouoaE
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JAMA Surgery is pleased to partner with @SurgOutcomes to provide a checklist and series of guides designed to elevate the science of #surgicaloutcomes research. Learn more from @AdilHaiderMD, @kbilimoria, and @kibbemr ja.ma/2uNtaej #SurgData #VisualAbstract
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Ergonomic best practices are crucial for surgeon longevity. This primer outlines best ergonomic practices in surgery and how they can be implemented. ja.ma/3A265qS
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Augmented reality (AR) enhances surgical procedures by overlaying patient-specific anatomy onto the surgeon's view, improving visualization, decision-making, and potentially reducing operative times and complications. ja.ma/420gtdG
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In this study, robotic-assisted cholecystectomy was associated with higher rates of bile duct injury compared to traditional laparoscopic surgery. Real-world data is critical for the safe adoption of new technology in surgical practice. ja.ma/3t70mN7
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Most viewed in the last 7 days from @JAMASurgery:
This Review describes the risks that pregnant surgeons may experience and proposes a policy for perinatal care of surgeons and surgical trainees.
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Only 10% of recommendations in surgical clinical practice guidelines are supported by high quality evidence. ja.ma/4kaoWlx
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Most viewed in the last 7 days from @JAMASurgery:
This narrative review summarizes the current evidence on and recommendations for management of gallstone pancreatitis.
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What is the cost of 1 minute of operating room time, and what contributes to this cost? Find out in this original investigation by @dgsomucla's Christopher P. Childers, MD, Melinda and Maggard-Gibbons, MD, MSHS ja.ma/2oCg7Hp #VisualAbstract
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Narrative review summarizes left-sided diverticulitis pathophysiology, advances in diagnosis, prevention strategies, and surgical approaches and decision-making. ja.ma/3vY6Rmy
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From @JAMA_current: JAMA Clinical Guidelines Synopsis summarizes the accpchest 2022 guideline on perioperative management of patients taking oral anticoagulation or antiplatelet therapy who are undergoing an elective surgery or procedure. ja.ma/3Vw929W
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This analysis of national Medicare claims data shows that female surgeons had better long-term post-operative outcomes compared to male surgeons, particularly for female patients.
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Community note
Context: The study itself says - "patients treated by female surgeons had lower long-term morality rates for elective procedures, but not for nonelective procedures."
The authors suggest, this may be due to male surgeons receiving more complicated elective surgeries.
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Does the use of sterile gloves vs nonsterile clean gloves for the repair of wounds and lacerations make a difference in SSIs? This systematic review and meta-analysis found no difference. @LoaiAlbarqouni ja.ma/3TlQ2v6
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In this Viewpoint, @jimmymcd13, @drdevirgilio, and @DrSharonLum provide recommendations for surgeons to stay active amidst demanding professional and personal commitments to help manage stress, avoid burnout, and improve overall quality of life. ja.ma/3F3uzCh
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Most viewed in the last 7 days from @JAMASurgery:
Care of patients with diverticulitis is undergoing a paradigm shift. This narrative review summarizes the current evidence for left-sided uncomplicated and complicated diverticulitis.
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Study led by @drdevirgilio found 21 characteristics associated with outstanding surgical resident graduate performance. Overall performance was able to be accurately predicted by 3 traits: surgical judgment, leadership, and medical knowledge. ja.ma/3vTE1Aq
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Most viewed in the last 7 days from @JAMASurgery:
Care of patients with diverticulitis is undergoing a paradigm shift. This narrative review summarizes the current evidence for left-sided uncomplicated and complicated diverticulitis.
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Autonomic neural blockade may reduce postoperative visceral pain, nausea, and vomiting following minimally invasive surgery. ja.ma/3PeZVHZ
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In this Viewpoint, Annie MQ Wang explores how coming from a lower socioeconomic background has made her a better surgeon. ja.ma/4hDiy4g
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A structured prehabilitation program may be a safe and effective strategy to improve surgical outcomes in high-risk patients with sarcopenia who are undergoing major liver surgery. ja.ma/4lOo2Ll
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This cohort study’s findings suggest that early cholecystectomy should be considered carefully in patients with moderately severe and severe acute biliary pancreatitis, as it was associated with increased postoperative mortality and morbidity. ja.ma/3E6cm36
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Most viewed in the last 7 days from @JAMASurgery:
In this study, tranexamic acid significantly reduced the risk of perioperative bleeding without increasing cardiovascular risk in patients undergoing general surgery procedures.
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JAMA Surgery partnered with @Surg_Education to create this Guide to Statistics and Methods in Surgical Education Research. @AmaliaCochranMD, @dstefanidis1, and @kibbemr introduce the collection. ja.ma/3NQid1F
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In this study, patients treated by female surgeons had lower health care costs following surgery. ja.ma/3uqTmLE
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The results of this cohort study indicate that female surgeons have more favorable outcomes and operate more slowly than male surgeons in elective and acute care cholecystectomies. ja.ma/3sqnAgc @myblohm @Johannasterber4 @LarsEnochsson @GabrielSandblom
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More familiar surgeon-anesthesiologist dyads can yield better outcomes for complex GI surgery: each surgery done together is associated with 5% lower odds of morbidity for the next patient. ja.ma/3nOLlwG @HalletJulie @DrTonyEskander @propelresearch
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In this study, a plastic wound protector decreased surgical site infection rates by 46.8% across bowel surgeries compared with surgical gauze. ja.ma/4b7gePH
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How does surgeon compensation impact clinical practice? Surgeons reported their compensation model (clinical productivity-based incentives vs salary alone) impacts clinical decision-making, relationships with colleagues, and engagement and well-being. ja.ma/3vvGsfs
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Congratulations to JAMA Surgery editor in chief @kibbemr on her appointment as dean of @MedicineUVA and chief health affairs officer for @UVAHealth. ja.ma/3ivKaxc
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"As a surgical discipline, I hope that we can get past the belief that we do not have enough qualified women to serve." Read this editorial from JAMA Surgery Editor @kibbemr.
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In older, multimorbid patients hospitalized with acute cholecystitis operative treatment is associated with lower 30 and 90-day mortality. ja.ma/44qmX6P
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Do resident and attending perceptions of #burnout and #depression differ? Find out ja.ma/2rfLjNJ #VisualAbstract
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This cohort study’s findings suggest that early cholecystectomy should be considered carefully in patients with moderately severe and severe acute biliary pancreatitis, as it was associated with increased postoperative mortality and morbidity. ja.ma/48GqGgK
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Analysis of over 1 million emergency general surgery patients found an increase in minimally invasive surgery. Robotic surgery associated with decreased conversion to open surgery and decreased post-op length of stay vs. laparoscopy. ja.ma/4b8qBn0
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Challenges of pregnancy as a surgeon: Compared to male surgeons & their partners, female surgeons
•More likely to delay children & need assisted reproduction
•Have 1.7X ↑ risk pregnancy complications;long OR hrs ↑risk by 1.6x
•↑ risk postpart ja.ma/2VhWxTE
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Multicenter study of 958 children from 16 hospitals found no benefit with use of postoperative antibiotics in children with nonperforated appendicitis with gangrenous, suppurative, or exudative findings. @ShawnRangelMD ja.ma/4agomN0
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Increased surgeon stress as quantified by heart rate variability was associated with a significant reduction in major surgical complications. ja.ma/40hEA5D
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What is the perception and experience of #pregnant general surgery residents? Find out ja.ma/2G7Nwnf
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The results of this cohort study indicate that female surgeons have more favorable outcomes and operate more slowly than male surgeons in elective and acute care cholecystectomies. ja.ma/473MMbW @myblohm @Johannasterber4 @LarsEnochsson @GabrielSandblom
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Perforated peptic ulcer disease has a high rate of morbidity and mortality in spite of advances in medical and surgical techniques. This review summarizes the state of the evidence in management of perforated peptic ulcer disease. ja.ma/4gEwKsU
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Females and URiM (underrepresented in medicine) surgical leaders are disproportionately clustered in roles that may not translate into future promotion, finds study of faculty at surgical departments in US & PR. @DrLolaFayanju @Yoshiko_Iwai @pennsurgery ja.ma/3RjDQIF
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CDC Guideline for the Prevention of Surgical Site Infection, 2017 ja.ma/2fh9wNP
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Study illustrates the significant negative effect of the #COVID19 pandemic on general surgery resident operative experience, highlighting the importance of identifying future mitigation strategies ja.ma/3e5W2Dn
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Ergonomic best practices are crucial for surgeon longevity. This primer outlines best ergonomic practices in surgery and how they can be implemented. ja.ma/49tPWHP
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This Guide to Statistics and Methods describes the state-of-the-art and best practices for using and reporting these powerful methods while avoiding their pitfalls. ja.ma/3Z01Ghl
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Electronic surgical consent forms can be sent via patient portals, and if signed 1 day before surgery, can reduce first-start delays. ja.ma/4hPNcs5
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Although widely performed, high quality data supporting laparoscopic cholecystectomy for biliary dyskinesia is lacking. This narrative review discusses diagnostic strategies, management, and outcomes data for biliary dyskinesia in the pediatric population. ja.ma/3XYbicl
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In this cohort analysis including 31,045 faculty, female surgeons who are also underrepresented in medicine were the least likely to be promoted and the most likely to leave academia. ja.ma/3UN2FzY @JohnsonJoshMD @heatheryeoMD @JasosaMD @AndreaMMesitiMD
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The POISE-3 trial substudy including 3260 general surgery patients showed that prophylactic IV TXA can reduce the risk of perioperative bleeding without increasing thromboembolic risk in general surgery procedures. ja.ma/42yFmOD
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For hemodynamically stable patients with traumatic hemothorax, combining percutaneous tube thoracostomy and thoracic lavage may represent optimal management, improving patient comfort and decreasing retained hemothorax. ja.ma/4aei0xL
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A Call to Action from @kibbemr and @JFreischlag: Diversity in the Editorial and Peer Review Process ja.ma/2YQYVjd
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For hemodynamically stable patients with traumatic hemothorax, combining percutaneous tube thoracostomy and thoracic lavage may represent optimal management, improving patient comfort and decreasing retained hemothorax. ja.ma/3I93EDq
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In this Viewpoint, @jimmymcd13, @drdevirgilio, and @DrSharonLum provide recommendations for surgeons to stay active amidst demanding professional and personal commitments to help manage stress, avoid burnout, and improve overall quality of life. ja.ma/4fhZmbw
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Prehospital plasma improves 28-day mortality in trauma patients with hemorrhagic shock when transport times are longer than 20 minutes by 40% ja.ma/2YQX50K
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Findings from this long-term follow-up of a randomized clinical trial suggest that tension-free crural repair with nonabsorbable mesh does not reduce the incidence of hiatal hernia recurrence 13 years postoperatively. ja.ma/45vIqsm
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The POISE-3 trial substudy including 3260 general surgery patients showed that prophylactic IV TXA can reduce the risk of perioperative bleeding without increasing thromboembolic risk in general surgery procedures. ja.ma/3DERJyr
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In this RCT of 200 surgical clinic patients, surgeons wearing a clear mask were rated significantly higher for providing understandable explanations, demonstrating empathy, and eliciting trust ja.ma/3l7DJ2D @IanKratzkeMD @muneerakapadia @UNCSurgery
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Among US surgical residents, pregnancy/parenthood-based mistreatment, obstetric complications, and postpartum depression were associated with female gender, likely driving gendered attrition. ja.ma/3zM9iKG
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Success goes beyond citations to views, press coverage, podcast usage and video views, email, circulation, social media reach, and more. JAMA Surgery owes its success to our authors, reviewers, readers, and you, our followers. THANK YOU!
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Bariatric surgery was associated with a reduced risk of breast cancer in women with obesity. The risk reduction was strongest in women with high insulin levels at baseline. ja.ma/3UKvXxC
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Most viewed in the last 7 days from @JAMASurgery:
In this study, tranexamic acid significantly reduced the risk of perioperative bleeding without increasing cardiovascular risk in patients undergoing general surgery procedures.
ja.ma/3CwjvN7
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The use of resuscitative endovascular balloon occlusion of the aorta in severely injured #trauma patients may increase the risk of complications and mortality ja.ma/2ugVbbb
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Increased surgeon stress as quantified by heart rate variability was associated with a significant reduction in major surgical complications. ja.ma/3DzErDq
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Most viewed in the last 7 days from @JAMASurgery:
Article discusses the use of intraoperative autonomic neural blockade as a technique to manage postoperative visceral pain and symptoms of postoperative nausea and vomiting in minimally invasive surgery.
ja.ma/4dQN9cj
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Evaluation of screening tools to identify successful residents @APDSurgery @Surg_Education ja.ma/2CeAfau
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Just Out: Read the CDC Guideline for the Prevention of Surgical Site Infection, 2017 ja.ma/2pGnP2b
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Most viewed this week from @JAMASurgery:
This comparative effectiveness research study compares the effectiveness of operative and nonoperative treatment in older adults with multimorbidity who have acute cholecystitis.
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Commentary from @JFreischlag: Domestic Responsibilities of Physician Mothers: Chores, Catsup Sandwiches, and Snacks jamanetwork.com/journals/jam… #VisualAbstract
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Patients should be presented with all viable treatment options, including #antibiotics alone, while future research on antibiotic treatment for #appendicitis should focus on improving failure rates. ja.ma/2meDfJM #VisualAbstract
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Most viewed in the last 7 days from @JAMASurgery:
Viewpoint describes potential benefits and hurdles to implementing a more personalized approach to obesity treatment.
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Most viewed in the last 7 days from @JAMASurgery:
Does mechanical and oral antibiotic bowel preparation reduce morbidity in patients undergoing elective rectal resection?
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Bariatric surgery was associated with a reduced risk of breast cancer in women with obesity. The risk reduction was strongest in women with high insulin levels at baseline. ja.ma/4fOTLKs
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Most viewed in the last 7 days from @JAMASurgery:
This Viewpoint provides recommendations for surgeons to stay active amidst demanding professional and personal commitments to help manage stress, avoid burnout, and improve overall quality of life.
ja.ma/4eBISKa
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In this study, a plastic wound protector decreased surgical site infection rates by 46.8% across bowel surgeries compared with surgical gauze. ja.ma/4eYAkyE
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Open surgery is a challenging frontier for AI. A computer vision model trained on diverse YouTube surgical content and deployed on prospectively recorded surgical videos showed promise in differentiating btwn operators of variable training and experience. ja.ma/3upfnKR
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Is there #genderdisparity in awards to general surgery residents? @lindsaykuo and @NancyLCho investigate ja.ma/3cJd0at
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Preoperative mechanical bowel preparation and oral #antibiotics are proven to prevent surgical site infections in elective colorectal surgery ja.ma/2JSwhqw
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This is the first large-scale, controlled study to demonstrate that a history of gender-affirming surgery is associated with lower odds of past-year suicidal ideation and past-month psychological distress among transgender and gender-diverse people ja.ma/3nxnjBQ
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Chemoradiotherapy followed by local excision with transanal endoscopic microsurgery achieved noninferior results vs standard total mesorectal excision treatment. ja.ma/3Fylx0x
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Only 10% of recommendations in surgical clinical practice guidelines are supported by high quality evidence. ja.ma/4hVd99L
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