Using risk-adjusted cumulative sum to evaluate surgeon, divisional, and institutional outcomes —a feasibility study
The objective of this study was to demonstrate the feasibility of using risk-adjusted cumulative sum to monitor outcomes after colorectal operations and identify clinically relevant performance variations. (Source: Surgery)
Source: Surgery - March 23, 2024 Category: Surgery Authors: Kyle W. Blackburn, Laura E. Cooper, Andrea C. Bafford, Yinin Hu, Rebecca F. Brown Source Type: research

Integration of smartphone-based mobile health technology into perioperative care —the patient’s perspective
Although numerous use cases demonstrate the value of mobile health technology, there is limited knowledge regarding patient perceptions of such technology, which may explain the lack of broader implementation of mobile health technology. Achieving meaningful, sustained, and equitable use of mobile health technology in surgery necessitates a human-centered design approach with consideration given to end users. This review article draws on evidence from prior qualitative studies of both surgeons and patients to make recommendations that may assist health care systems in realizing the full potential of mobile health technolog...
Source: Surgery - March 21, 2024 Category: Surgery Authors: Robert D. Sinyard, Nikhil Panda Source Type: research

Understanding the length of hospital stay after general surgery using a prospectively maintained local database
We read with interest the study by Jensen et  al that demonstrated the feasibility of remote surgical triage at freestanding emergency departments (EDs).1 To complement this, we analyzed a prospectively maintained local database to understand the length of hospital stay (LOS) in general surgery patients who require inpatient admissions. (Source: Surgery)
Source: Surgery - March 21, 2024 Category: Surgery Authors: Joshua G. Kovoor, Nasim Nematzadeh, Sara Ataie, Bev Thomas, Rachel Short, Amy Davey, Angie Goodrich, Tapaswi Shrestha, Aashray K. Gupta, Brandon Stretton, Stephen Bacchi, Matthew Marshall-Webb, Reto Kaeppeli, Maziar Navidi, Chrisanthi Liyanage, Guy J. Mad Source Type: research

Critical appraisal of surgical margins according to KRAS status in liver resection for colorectal liver metastases: Should surgical strategy be influenced by tumor biology?
KRAS mutation is a negative prognostic factor for colorectal liver metastases. Several studies have investigated the resection margins according to KRAS status, with conflicting results. The aim of the study was to assess the oncologic outcomes of R0 and R1 resections for colorectal liver metastases according to KRAS status. (Source: Surgery)
Source: Surgery - March 21, 2024 Category: Surgery Authors: Rami Rhaiem, Adrien Duram é, Florian Primavesi, Dimitri Dorcaratto, Nicholas Syn, Ángela de la Hoz Rodríguez, Aurélien Dupré, Tullio Piardi, Gerardo Blanco Fernández, Arancha Prada Villaverde, Juan C. Rodríguez Sanjuán, Roberto Fernández Santiago Source Type: research

Clinician overconfidence in visual estimation of the posthepatectomy liver remnant volume: A proximal source of liver failure after major hepatic resection?
Post-hepatectomy liver failure is a source of morbidity and mortality after major hepatectomy and is related to the volume of the future liver remnant. The accuracy of a clinician ’s ability to visually estimate the future liver remnant without formal computed tomography liver volumetry is unknown. (Source: Surgery)
Source: Surgery - March 21, 2024 Category: Surgery Authors: Camelia Forton, Victor Sandoval, Issac R. Schwantes, Ranish K. Patel, Kenneth J. Kolbeck, Elizabeth N. Dewey, Elena K. Korngold, Skye C. Mayo Source Type: research

Exacerbated ischemia-reperfusion injury in fatty livers is mediated by lipid peroxidation stress and ferroptosis
Ischemia-reperfusion injury is a common problem in liver surgery and transplantation. Although ischemia-reperfusion injury is known to be more pronounced in fatty livers, the underlying mechanisms for this difference remain poorly understood. We hypothesized that ferroptosis plays a significant role in fatty liver ischemia-reperfusion injury due to increased lipid peroxidation in the presence of stored iron in the fatty liver. To test this hypothesis, the ferroptosis pathway was evaluated in a murine fatty liver ischemia-reperfusion injury model. (Source: Surgery)
Source: Surgery - March 20, 2024 Category: Surgery Authors: Zachary P. Rokop, Wenjun Zhang, Nandini Ghosh, Nirupam Biswas, Amitava Das, Jingmei Lin, Chandan K. Sen, Chandrashekhar Kubal Source Type: research

Feasibility of tele-visits after elective ventral hernia surgery: Experience from an Indian tertiary care center
The COVID-19 pandemic has disrupted traditional postoperative follow-up for elective surgeries, prompting a rapid shift to telehealthcare, as evidenced in high-income countries with robust electronic medical record linkage and ancillary support teams.1,2 However, adoption in low- and middle-income countries (LMICs) is scarce, particularly with challenges faced by a considerable rural patient population. In our early experience at an Indian tertiary care center, we closely followed up with patients who underwent elective ventral hernia repair (VHR), employing both in-person and telephonic approaches. (Source: Surgery)
Source: Surgery - March 18, 2024 Category: Surgery Authors: Varun V. Bansal, Yash Kamath, Sahil Waghmare, Monty U. Khajanchi, Nobhojit Roy Source Type: research

Trends in gastric surgery operative experience among general surgery residents in the United States: A nationwide retrospective analysis
Gastric surgery is a crucial component of general surgery training. However, there is a paucity of high-quality data on operative volume and the diversity of surgical procedures that general surgery residents are exposed to. (Source: Surgery)
Source: Surgery - March 18, 2024 Category: Surgery Authors: Amir Humza Sohail, Samuel L. Flesner, Kevin A. Martinez, Hoang Nguyen, Christian Martinez, Ivan B. Ye, Bshara H. Jreisat, Amal Rohail, Mohammed A. Quazi, Tulio Brasileiro Silva Pacheco, Caroline Elizabeth Williams, Umar F. Bhatti, Abu Baker Sheikh, Aman G Source Type: research

Corrigendum to: Open retromuscular keyhole compared with Sugarbaker mesh for parastomal hernia repair: Early results of a randomized clinical trial ‘175(3):813-821.’
The authors regret to inform that there is change in the value presented in the results section: “Within the first 90 days postoperatively, there were 19 (12.7%) patients who experienced a surgical site infection, 15 (10%) patients who experienced a surgical site occurrence, and 24 patients (16%) who required a procedural intervention for wound morbidity, with no difference between KH and SB arms (P>.05). ” (Source: Surgery)
Source: Surgery - March 18, 2024 Category: Surgery Authors: Sara M. Maskal, Jonah D. Thomas, Benjamin T. Miller, Aldo Fafaj, Samuel J. Zolin, Katie Montelione, Ryan C. Ellis, Ajita S. Prabhu, David M. Krpata, Lucas R.A. Beffa, Adele Costanzo, Xinyan Zheng, Steven Rosenblatt, Michael J. Rosen, Clayton C. Petro Source Type: research

Mortality risk prediction for primary appendiceal cancer
Accurately predicting survival in patients with cancer is crucial for both clinical decision-making and patient counseling. The primary aim of this study was to generate the first machine-learning algorithm to predict the risk of mortality following the diagnosis of an appendiceal neoplasm. (Source: Surgery)
Source: Surgery - March 16, 2024 Category: Surgery Authors: Nolan M. Winicki, Shannon N. Radomski, Yusuf Ciftci, Ahmed H. Sabit, Fabian M. Johnston, Jonathan B. Greer Source Type: research

Editors ’ Note for April 2024
We pride ourselves in maintaining the leading edge in Surgery by attracting the most timely and innovative studies for publication. The April issue is clear attestation to the importance of the authors ’ content that has been critically and expertly evaluated by our reviewers and editorial board members. Specifically, as you peruse the table of contents you will notice new categories such as artificial intelligence in which Beaulieu and coworkers elegantly describe the evaluation of the capabili ties of large language models, specifically the performance of GTP4 on surgical knowledge assessments. (Source: Surgery)
Source: Surgery - March 14, 2024 Category: Surgery Authors: Steven D. Wexner, Kevin E. Behrns Tags: Editors ’ Note Source Type: research

Cover 1(with editorial board)
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Source: Surgery - March 14, 2024 Category: Surgery Source Type: research

Information for readers
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Source: Surgery - March 14, 2024 Category: Surgery Source Type: research

Contents
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Source: Surgery - March 14, 2024 Category: Surgery Source Type: research

Information for authors
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Source: Surgery - March 14, 2024 Category: Surgery Source Type: research