Update on Robotic Pancreatic Surgery
AbstractPurpose of ReviewThis review serves as an update on the status of robotic pancreatic surgery. It will focus on major changes in the adoption, safety, patient selection, and procedural refinements in robotic pancreatic surgery over the past 5 years.Recent FindingsWhile the findings of this review support the notion that adoption of robotic pancreatic surgery is growing, it is still challenged by the long learning curve. A curriculum has been constructed and disseminated to address this issue. Furthermore, multiple international meetings have been organized to set helpful recommendations and guidelines.SummaryRobot...
Source: Current Surgery Reports - July 16, 2020 Category: Surgery Source Type: research
SADI (Single-Anastomosis Duodeno-Ileal Bypass): Current Evidence
AbstractPurpose of ReviewSingle-anastomosis duodeno-ileal bypass was first described in 2007 as a simplified version of the biliopancreatic diversion with duodenal switch. The aim of the following study is to describe the characteristics of this bariatric technique including its results and complications, based on an extensive review of the literature.Recent FindingsSADI has achieved satisfactory short- and long-term results for the treatment of both morbid obesity and its metabolic comorbidities. Despite being reported as postoperative long-term complications and nutritional deficiencies, these are tolerable and comparabl...
Source: Current Surgery Reports - July 12, 2020 Category: Surgery Source Type: research
The Current Status and Importance of Diversity in Cardiothoracic Surgery
AbstractPurpose of ReviewThe cardiothoracic surgery workforce has historically comprised a relatively homogeneous community, in terms of gender diversity, as well as representation of racial and ethnic minorities and other underrepresented populations. However, significant efforts have been undertaken to promote an increasingly diverse and inclusive workforce in the field.Recent FindingsDiversity of surgical providers remains a pertinent issue for the advancement of medical and surgical care, particularly within underrepresented communities. A diverse workplace begets novel thinking and stimulates collaboration in unique w...
Source: Current Surgery Reports - June 24, 2020 Category: Surgery Source Type: research
Does Emergency General Surgery (EGS) Hospital Volume Contribute to Improved Outcomes?
AbstractPurpose of ReviewThis review outlines the current state of the literature regarding the effect of hospital emergency general surgery (EGS) volume on patient- and hospital-based outcomes.Recent FindingsRecent evidence suggests that higher volume centers offer superior performance with respect to in-hospital mortality, a phenomenon that becomes more pronounced with increasingly complex or high-risk operations.SummaryHigh-quality studies have demonstrated that hospital EGS volume is correlated with lower in-patient mortality. This finding has been demonstrated across individual EGS operations with increasing case comp...
Source: Current Surgery Reports - June 24, 2020 Category: Surgery Source Type: research
Geriatric Trauma Service: What is so Special?
AbstractPurpose of ReviewThis is a review for the establishment and management of a geriatric trauma service. As our population ages, the geriatric trauma population increases. Our review shows these patients are unique and challenging in their medical management. We explain changes seen in trauma patients as we age. Undertriage of these patients should be specifically avoided.Recent FindingsEvidence supports the development of a specialized team and unit for managing the older trauma patients for improved outcomes. However, the evidence is lacking a true comparison on the most effective way to best stratify these patients...
Source: Current Surgery Reports - June 24, 2020 Category: Surgery Source Type: research
New Uses for a New Oil: Clinical Applications of Fish Oil Lipid Emulsion
AbstractPurpose of ReviewParenteral nutrition (PN) has been utilized as an essential therapeutic tool in healthcare for more than 5 decades. In United States, the prevalence of home parenteral nutrition (HPN) is estimated to be more than 25,000 patients. Intravenous lipids emulsions (ILEs) are a critically important component of PN as a source of calories and essential fatty acids. In order to provide a deeper understanding of the benefits and risks associated with use of fish oil (FO) containing ILE, this manuscript reviews the history of ILE development, unique benefits of FO, and the clinical data available for FO conta...
Source: Current Surgery Reports - June 22, 2020 Category: Surgery Source Type: research
What Surgeons Should Know About Breast Reconstruction for Oncology Patients
AbstractPurpose of ReviewThe purpose of this review is to highlight the major tenets of breast reconstruction and to summarize the existing state of the literature related to these.Recent FindingsTrends in breast reconstruction rates have recently reversed. Existing data cannot yet account for this. Current literature may not fully address the actual reality of breast reconstruction today. Outcome measures to define a successful breast reconstruction continue to be refined. Reconstruction choices related to type of reconstruction and timing, as well as oncologic treatment trends and device technology, are in constant evolu...
Source: Current Surgery Reports - June 4, 2020 Category: Surgery Source Type: research
Current Management of Penetrating Traumatic Cervical Vascular Injuries
This article reviews penetrating cervical vascular injuries, including initial assessment, immediate, and definitive management techniques.Recent FindingsAssessment and management of penetrating injuries to the neck have traditionally been approached according to the location of the injury in relation to anatomic zones of the neck. More recently, due to advancements in imaging techniques and endovascular therapies, there is a trend towards non-operative management. This has resulted in a decrease in the rate of non-therapeutic surgeries.SummaryPenetrating traumatic cervical vascular injuries are potentially life-threatenin...
Source: Current Surgery Reports - June 4, 2020 Category: Surgery Source Type: research
Simulation in Surgical Trauma Training
AbstractPurpose of ReviewSimulation is an important part of surgical trauma training with continued advancement in techniques and incorporation of these techniques into established education methods. This review details ways in which simulation is used in current surgical trauma training.Recent FindingsThere have been new developments in specific simulation techniques used in existing training programs. Additionally, there is ongoing development of more advanced simulation utilizing virtual reality training.SummarySimulation is incorporated in surgical trauma training in a variety of ways. It is used for specific surgical ...
Source: Current Surgery Reports - June 2, 2020 Category: Surgery Source Type: research
Current Status of Rib Plating: Hardware Failure When and How?
AbstractPurpose of ReviewSurgical stabilization of rib fractures (SSRF) has been shown to decrease morbidity and mortality in patients with multiple rib fractures. This has led to a concomitant increase in the procedure, but the complications are just now being described in the literature. The purpose of this review is to focus on the current understanding of hardware failure after rib fixation.Recent FindingsA recent study from the Chest Wall Injury Society (CWIS) found that hardware failure is relatively rare and often asymptomatic thus not requiring routine postoperative imaging or reoperation. When hardware failures oc...
Source: Current Surgery Reports - May 25, 2020 Category: Surgery Source Type: research
Breast Reconstruction Following Breast Conserving Surgery: A Review
AbstractPurpose of ReviewApproximately one-third of women who have breast conserving surgery (BCS) will develop a cosmetic deformity following adjuvant radiation. Here we review current surgical techniques for breast reconstruction following BCS and review the evidence for their safety and efficacy.Recent FindingsBreast reconstruction can be performed in three settings following BCS: at the time of the partial mastectomy, following partial mastectomy prior to radiation, and delayed following completion of adjuvant radiation. Current options for reconstruction include fat grafting, tissue rearrangement and reduction techniq...
Source: Current Surgery Reports - May 21, 2020 Category: Surgery Source Type: research
Nutritional Management and Strategies for the Enterocutaneous Fistula
AbstractPurpose of ReviewEnterocutaneous Fistula (ECF) management remains a complex medical problem. Under best circumstances morbidity and mortality remains high. Best practice for nutrition management has remained stagnant since the development of parenteral nutrition by the late Stanley Dudrick in the 1960 –1970s. This manuscript proposes that the old paradigm of exclusive parenteral nutrition for high output fistulas (> 500 cc/day) is antiquated and should be aborted based on contemporary evidence.Recent FindingsThrough the development of modern management protocols for nutritional optimization, pre-habilitati...
Source: Current Surgery Reports - May 1, 2020 Category: Surgery Source Type: research
The Recent Advances in Robotic Transoral Thyroidectomy
AbstractPurpose of ReviewTransoral robotic thyroidectomy (TORT) is one of the latest approaches in remote-access thyroid surgery. This review presents the current indications for TORT, an in-depth description of the surgical procedure, and discusses the advantages, disadvantages, potential complications, and latest advances for this procedure.Recent FindingsTORT has the advantages of excellent cosmesis, short distance from oral vestibule to the neck, and midline approach which allows easy access to bilateral thyroid glands and central compartment. In addition, the use of robotic arms ensures wristed instruments, tremor eli...
Source: Current Surgery Reports - April 29, 2020 Category: Surgery Source Type: research
Robotic Liver Resection: Recent Developments
AbstractPurpose of ReviewThe popularity of robotic liver surgery has vastly increased in the last decade with the aim to overcome the disadvantages of laparoscopic liver surgery using inherent advantages of robotic technology including improved dexterity, enhanced range of motion and better vision. The purpose of this review is to assess the current literature on robotic liver resection and present its perioperative outcomes, oncologic outcomes, learning curve, cost effectiveness and limitations.Recent FindingsSeveral articles have been published on different aspects of robotic liver resection in the recent years. High cos...
Source: Current Surgery Reports - April 29, 2020 Category: Surgery Source Type: research
Educating the Public on Hemorrhage Control: Methods and Challenges of a Public Health Initiative
AbstractPurpose of ReviewWe aim to determine the various models of training and identify educational strategies that would be efficacious in teaching bleeding control to the public.Recent FindingsRecent studies have examined various educational strategies of bleeding control education including lectures, web-based classes, and hands-on training. The effectiveness of these trainings can not only be measured in increases in knowledge, but also in feelings of confidence, preparedness, and willingness to assist in a bleeding emergency. When looking at retention or skills and knowledge, we found that multiple studies showed dec...
Source: Current Surgery Reports - April 8, 2020 Category: Surgery Source Type: research
