Robotic Gastric Cancer Surgery: What Happened Last Year?
AbstractPurpose of reviewThis following review aims to evaluate the role of robotic surgery in gastric cancer, comparison with open and laparoscopic alternatives, based on the articles published last year.Recent FindingsRobotic gastric surgery is a promising and developing platform in the surgical era and its perioperative or oncological results after gastric cancer surgery are still under evaluation. Besides this, the approaches of eastern and western societies in robotic gastric surgery are also different as in open surgery, in some ways.SummaryRobotic gastric surgery seems to be more advantageous to use in early-stage g...
Source: Current Surgery Reports - May 14, 2019 Category: Surgery Source Type: research
Non-operative Management of Penetrating Abdominal Injuries: An Update on Patient Selection
AbstractPurposeTo review the current literature, discuss the different mechanisms of penetrating trauma, and to understand the value of diagnostic modalities when deciding which patients may be safely observed non-operatively.Recent FindingsRecent findings have shown the success of selective non-operative management in all forms of penetrating trauma, with emphasis on understanding the mechanism, the importance of the abdominal exam, and a well-organized infrastructure conducive to accurate monitoring and serial abdominal exams.SummaryNon-operative management for penetrating abdominal wounds has established itself as a via...
Source: Current Surgery Reports - April 18, 2019 Category: Surgery Source Type: research
Selective Operative Management of Penetrating Chest Injuries
AbstractPurpose of ReviewThe aim of this review was to review the recent literature with respect to penetrating chest injuries so as to provide an update on the current/changing management of these injuries.Recent FindingsThe management of a stable patient following penetrating chest trauma with a hemopericardium on ultrasound has changed from routine sternotomy to a pericardial window and drainage, with a sternotomy reserved for those patients who have active bleeding at the time of the pericardial window. It is imperative to diagnose and repair an occult left-sided diaphragm injury and this can be achieved laparoscopical...
Source: Current Surgery Reports - April 18, 2019 Category: Surgery Source Type: research
Trauma Ecosystems: The Impact of Too Many Trauma Centers
This report is intended to review the principals of US trauma system design and to examine the theorized and observed effects of trauma center over designation in a regional trauma system.Recent FindingsQuality trauma care is predicated on concentrating resources and experience in major trauma centers. Nearly all major US urban areas have at least one major trauma center. New techniques are available to measure a region's geospatial demand that better predict the optimal placement of system resources and the impact of new major trauma center designations in areas already served. Although concerns that over designation may ...
Source: Current Surgery Reports - April 7, 2019 Category: Surgery Source Type: research
Adolescent Bariatric Surgery: Current Concepts and Future Directions
AbstractPurpose of ReviewThis review intends to discuss the current status of childhood and adolescent bariatric surgery, including short- and mid-term outcomes, complications, and controversies. Additionally we will highlight potential future directions of pediatric weight loss procedures specifically in regard to procedures.Recent FindingsTo date, adolescent bariatric surgery appears to be the most effective way to treat adolescent and pediatric obesity in the short term. Not only does surgery offer the benefit of significant weight loss that is sustainable based on adult literature and the short-term data that we have i...
Source: Current Surgery Reports - April 7, 2019 Category: Surgery Source Type: research
The State of the Hybrid Operating Room: Technological Acceleration at the Pinnacle of Collaboration
AbstractPurpose of ReviewAs imaging technologies expand to include image-guided anatomical navigation and surgical techniques evolve to accommodate increasingly complex interventions with minimally invasive approaches, interventionalists and surgeons have convened in a novel area of hospitals around the world, the hybrid operating room. Although these assets have long been used for cardiovascular procedures, the integration of these tools in a designated surgery suite has given rise to a variety of novel interventions and multi-specialty collaborations.Recent FindingsIn this review, we highlight current international hybri...
Source: Current Surgery Reports - March 17, 2019 Category: Surgery Source Type: research
Is the Flipped Classroom a Panacea for Medical Education?
AbstractPurpose of ReviewThe purpose of this review is to describe the flipped classroom, its advantages and disadvantages, its use specifically in medical education, and directions for future research. The flipped classroom is an instructional model in which the traditional lecture is delivered in a video format before class. The in-class time is spent on active, inquiry-based learning facilitated by an instructor.Recent FindingsThe flipped classroom is rapidly gaining in interest and popularity, and being increasingly implemented in medical education at all levels. Despite its many theoretical advantages, there are a var...
Source: Current Surgery Reports - March 17, 2019 Category: Surgery Source Type: research
Pelvic Fractures and Indications for Pelvic Packing: An Update
AbstractPurpose of reviewPatients with hemodynamically unstable pelvic fractures have a high mortality from pelvic hemorrhage. The purpose of this paper is to review preperitoneal pelvic packing (PPP) as an approach for these patients, including recent outcomes, and evaluation of treatment algorithms including angioembolization and resuscitative endovascular balloon occlusion of the aorta (REBOA).Recent findingsThere are no randomized clinical trials comparing PPP to other methods for controlling pelvic hemorrhage. The largest retrospective series, reporting on 128 patients, had a mortality rate of 21% and showed a reducti...
Source: Current Surgery Reports - March 17, 2019 Category: Surgery Source Type: research
The Mangled Extremity: An Update
AbstractPurpose of ReviewThe purpose of this article is to explore the changes over the last 10 years related to limb salvage for even the most complex cases of limb trauma and describe a thoughtful approach to the mangled extremity.Recent FindingsCT angiography has replaced formal angiography around the country with promising results for evaluating the vascular network of a limb. While concepts in skeletal fixation and vascular reconstruction have remained generally unchanged, advances in nerve grafting and conduit use will guide future directions for limb salvage and improve functional outcomes for patients.SummaryThe ...
Source: Current Surgery Reports - March 11, 2019 Category: Surgery Source Type: research
Clinical Perspectives in Upper Limb Prostheses: An Update
AbstractPurpose of ReviewThis paper aims to summarise the development trends in upper limb bionics over the past 5 years.Recent FindingsIncreasingly pattern recognition and regression control algorithms are being used to decode EMG signals for prosthetic control and are moving towards clinically available devices. Additionally, bionic reconstruction has built on the principles of targeted muscle reinnervation to add another rung to the reconstructive ladder for upper limb deficits. Finally, novel methods to provide sensation to prostheses are trialled not just in the laboratory but in home testing systems as well.Summary...
Source: Current Surgery Reports - February 27, 2019 Category: Surgery Source Type: research
Evolution and Current Practice of Interprofessional Education (IPE): A Review
AbstractPurpose of ReviewReview the current literature involving the evolution and practice of interprofessional education (IPE).Recent FindingsResearch has shown that while there are many positive student experiences from interprofessional education, there is a paucity of data on patient outcomes in healthcare systems utilizing this approach. Implementation of new competencies developed through the Interprofessional Education Collaborative promises enhanced curricular alignment across medical disciplines and improved metrics to assess educational and patient outcomes.SummaryIPE has evolved greatly and has become widely ac...
Source: Current Surgery Reports - February 20, 2019 Category: Surgery Source Type: research
Social Media and Free Open Access Medical (FOAM) Education
AbstractPurposeNarrative review of free open access medical education (FOAM) and its effects on the medical community including, but not limited to, medical societies, residency curricula, patient care guidelines, and medical journals. This review will inform the reader of the positive effects and potential controversies of FOAM.Recent FindingsOnline medical education has revolutionized the way medical personnel access information through several platforms including blogs, podcasts, social networking, and media sharing sites. These have received mixed reviews in terms of efficiency, reliability, professionalism, ethics, an...
Source: Current Surgery Reports - February 20, 2019 Category: Surgery Source Type: research
Adopting Robotics Training into a General Surgery Residency Curriculum: Where Are We Now?
AbstractPurpose of ReviewSurgical educators are challenged with introducing new technologies into general surgery training. We aim to review the current state of the art for robotics education in general surgery training and to discuss future considerations.Recent FindingsWell-established platforms for robotic surgery have allowed curriculum development to help standardize education in this domain. However, new robotic platforms and time constraints for resident education have created challenges to educators in this area of surgical training.SummaryIncorporating current robotics training into a surgery curriculum is feasib...
Source: Current Surgery Reports - February 16, 2019 Category: Surgery Source Type: research
Aggressive Cutaneous Malignancies: A New and Dangerous Phenomenon in Transplant Patients
AbstractPurpose of ReviewIn the general population, the incidence of cutaneous malignancies has been rising. However, a particular high-risk population —transplant recipients—suffer at an alarming rate from the incidence of aggressive cutaneous malignancies. The purpose of this review is to examine the latest literature on the epidemiology, risk factors, pathogenesis, prognosis, prevention, and management of highly aggressive cutaneous cancers in the transplant population.Recent FindingsWith innovations in immunosuppression, surgical technique, and perioperative care, organ transplant recipients are now living longer b...
Source: Current Surgery Reports - February 14, 2019 Category: Surgery Source Type: research
Imaging Modalities for Detecting Deep Venous Thrombosis After Bariatric Surgery
AbstractPurpose of ReviewDeep venous thrombosis (DVT) remains a leading cause of morbidity and mortality in the bariatric patient. We review the current non-invasive modalities —Doppler ultrasound (DUS), computed tomographic venography (CTV) and magnetic resonance venography (MRV)—for the detection of DVT in the post-bariatric surgical patient.Recent FindingsCTV and MRV are highly sensitive non-invasive imaging modalities with improved capability over DUS of detecting proximal, especially pelvic, DVT. MRV has recently been shown to be capable of detecting asymptomatic pelvic DVT in post-bariatric surgical patients. The...
Source: Current Surgery Reports - October 27, 2018 Category: Surgery Source Type: research
