PAACS SURGERY UPDATE–AUGUST 2023

Pediatric procedural sedation in African clinical settings: A mixed methods study of African providers’ sedation practices.https://www.sciencedirect.com/science/article/pii/S2211419X23000332

Systemic emergency department performance in a low resource tertiary health facility in central Kenya: Micro level emergency care system evaluation.https://www.sciencedirect.com/science/article/pii/S2211419X23000277

Analgesia use in trauma patients at a university teaching hospital in Kigali, Rwanda.https://www.sciencedirect.com/science/article/pii/S2211419X23000204

A qualitative assessment of stakeholder perspectives on barriers and facilitators to emergency care delays in Northern Tanzania through the Three Delays.https://www.sciencedirect.com/science/article/pii/S2211419X23000356

The Centers for Disease Control and Prevention’s Hospital Sepsis Program Core Elements. https://jamanetwork.com/journals/jama/fullarticle/2808901

Clinical Outcomes Associated With Overestimation of Oxygen Saturation by Pulse Oximetry in Patients Hospitalized With COVID-19.https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2808735

Assessment of Artificial Intelligence Chatbot Responses to Top Searched Queries About Cancer. https://jamanetwork.com/journals/jamaoncology/fullarticle/2808733

Use of Artificial Intelligence Chatbots for Cancer Treatment Information.https://jamanetwork.com/journals/jamaoncology/fullarticle/2808731

Updating Good Medical Practice guidelines: a first step towards tackling sexism and sexual misconduct in healthcare. https://www.bmj.com/content/382/bmj.p1952

Timing of Cholecystectomy After Moderate and Severe Acute Biliary Pancreatitis.https://tinyurl.com/2p836875

Scientists who don’t speak fluent English get little help from journals, study finds. An analysis of hundreds of journals finds limited efforts to accommodate scientists who are not native English speakers. https://www.nature.com/articles/d41586-023-02529-1

Innovations in Surgical Communication 4—Present the Downsides of Surgery, Not Just Risks. https://tinyurl.com/4wexfy7u

Functional outcomes of the knee and associated factors after intramedullary nailing of tibial diaphysial fractures at Addis Ababa Emergency, burn, and Trauma Hospital (AaEBT) hospital, Ethiopia.https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-023-02155-8

A systematic review and meta-analysis of hernia sac management in laparoscopic groin hernia mesh repair: reduction or transection?https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-023-02147-8

Is single incision laparoscopic surgery (SILS) for gastric gastrointestinal stromal tumor (GIST) dependent on the location of the tumor?https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-023-02141-0

Omitting Radiotherapy after Breast-Conserving Surgery in Luminal A Breast Cancer.https://www.nejm.org/doi/full/10.1056/NEJMoa2302344?query=featured_home

Appendicectomy remains treatment of choice for patients with acute appendicitis.https://www.bmj.com/content/382/bmj-2022-074652

Breast Cancer After Reduction Mammoplasty: A Population-Based Analysis of Incidence, Treatment and Screening Patterns.https://journals.lww.com/aosopen/fulltext/2023/09000/breast_cancer_after_reduction_mammoplasty__a.24.aspx?context=latestarticles

Factors affecting compliance to preoperative patient care guidelines among nurses working in surgical wards of a tertiary referral hospital in Nairobi, Kenya.https://www.ajol.info/index.php/ajhs/article/view/249322

QUALITY NEUROSURGICAL CARE IS AN URGENT NEED. https://kbnf.org/wp-content/uploads/2022/06/KBNF_2021_Annual-Report_digital.pdf

The manifold costs of being a non-native English speaker in science.https://journals.plos.org/plosbiology/article?id=10.1371/journal.pbio.3002184

Understanding postpartum haemorrhage.https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)01732-4/fulltext?dgcid=twitter_organic_WR_lancet&utm_campaign=WR&utm_content=261181248&utm_medium=social&utm_source=twitter&hss_channel=tw-27013292

Cost-effectiveness of neurocritical care in settings with limited resources.https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(23)00326-1/fulltext?dgcid=raven_jbs_etoc_email

6 Billion People Have No Access to Safe, Timely, and Affordable Cardiac Surgical Care. https://www.sciencedirect.com/science/article/pii/S2772963X22000655

Improving the Management of Postdural Puncture Headache—An International Clinical Guideline and Call for Better Evidence.https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2808364?utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamanetworkopen&utm_content=wklyforyou&utm_term=081623?adv=000001542754

Innovations in Surgical Communication 3—Promote Deliberation, Not Technical Education. https://jamanetwork.com/journals/jamasurgery/fullarticle/2808477?guestAccessKey=7d37f550-8d61-4826-b132-b23d900a605b&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamasurgery&utm_content=olf&utm_term=081623&adv=000001542754

Mucins and mucinous ovarian carcinoma: Development, differential diagnosis, and treatment. https://www.cell.com/heliyon/fulltext/S2405-8440(23)06429-0

Health-seeking experiences of women with obstetric fistula: a qualitative study at two fistula centres in Ghana. https://bmjopen.bmj.com/content/13/8/e064830

Towards a bidirectional decoloniality in academic global health: insights from settler colonialism and racial capitalism.https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(23)00307-8/fulltext#%20

What research evidence can support the decolonisation of global health? Making space for deeper scholarship in global health journals.https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(23)00299-1/fulltext

Invited Commentary: The Devil Is in the Details: Implementation Failures Result from Misunderstandings and Miscommunication.https://journals.lww.com/journalacs/citation/2023/09000/invited_commentary__the_devil_is_in_the_details_.2.aspx

Determining the Minimum Clinically Important Difference for the European Hernia Society Quality of Life Instrument in Inguinal Hernia Repair Patients.https://journals.lww.com/journalacs/abstract/2023/09000/determining_the_minimum_clinically_important.18.aspx

Impact of Prehabilitation on Postoperative Mortality and the Need for Non-Home Discharge in High-Risk Surgical Patients.https://journals.lww.com/journalacs/abstract/2023/09000/impact_of_prehabilitation_on_postoperative.22.aspx

Cognition, Capacity, and Consent for Elective Surgery in Older Adult Populations.https://journals.lww.com/journalacs/citation/2023/09000/cognition,_capacity,_and_consent_for_elective.24.aspx

Perioperative Vaginal Estrogen as Adjunct to Native Tissue Vaginal Apical Prolapse Repair. A Randomized Clinical Trial. https://jamanetwork.com/journals/jama/fullarticle/2808329

Updating Evidence for Treatment of Pelvic Organ Prolapse.https://jamanetwork.com/journals/jama/fullarticle/2808351

Trends in Anesthesia/Sedation for Computed Tomography and Magnetic Resonance Imaging Encounters in Pediatric Emergency Departments, 2012-2022.https://jamanetwork.com/journals/jamapediatrics/fullarticle/2808370

Mesorectal reconstruction with pedicled greater omental transplantation to relieve low anterior resection syndrome following total intersphincteric resection in patients with ultra-low rectal cancer. https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-023-02140-1

Complications of preventive loop ileostomy versus colostomy: a meta-analysis, trial sequential analysis, and systematic review.https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-023-02129-w

Breast conservation therapy decreased heart-specific mortality in breast cancer patients compared with mastectomy.https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-023-02132-1

Effect of knee arthroscopic debridement combined with peripatellar denervation on restoration of knee function in patients with knee osteoarthritis.https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-023-02113-4

Local excision versus thrombectomy in thrombosed external hemorrhoids: a multicenter, prospective, observational study.https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-023-02105-4

Rates of Induction of Labor at 39 Weeks and Cesarean Delivery Following Publication of the ARRIVE Trial. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2808145

Are we training our students to be white saviours in global health?https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)01629-X/fulltext?dgcid=raven_jbs_etoc_email

Different Gabapentin and Pregabalin Dosages for Perioperative Pain Control in Patients Undergoing Spine Surgery. A Systematic Review and Network Meta-Analysis.https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2808121

Manual of Resource-Limited Surgery. New Chapter: Initial Management of Acute Burns in a resource limited setting. https://www.vumc.org/global-surgical-atlas/sites/default/files/public_files/PDF/Approach%20to%20Burns.pdf

Medical device regulation and oversight in African countries: a scoping review of literature and development of a conceptual framework.https://gh.bmj.com/content/8/8/e012308

The Cost of Being a Woman in Academic Cardiothoracic Surgery: Joint Collaboration of The STS Workforces on Diversity, Equity and Inclusion and Cardiothoracic Surgery Practice Models. https://www.sciencedirect.com/science/article/abs/pii/S0003497523008226

Innovations in Surgical Communication 2—Focus on the Goals of Surgery.https://jamanetwork.com/journals/jamasurgery/fullarticle/2808127?guestAccessKey=c891b995-2ebd-486d-9ac0-9f39fbe08e02&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamasurgery&utm_content=olf&utm_term=080923&utm_adv=000001542754

Long-Term Outcome of Nonoperative Treatment of Appendicitis.https://jamanetwork.com/journals/jamasurgery/fullarticle/2808133?guestAccessKey=fafee0e4-c4ac-4e4f-883f-b342bdec2b8f&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamasurgery&utm_content=olf&utm_term=080923&utm_adv=000001542754

A descriptive study based on the comparison of ChatGPT and evidence-based neurosurgeons. https://www.cell.com/iscience/fulltext/S2589-0042(23)01667-X

Pain assessment in intensive care units of a low-middle income country: impact of the basic educational course.https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-023-04523-7

Comparative effectiveness of decompressive craniectomy versus craniotomy for traumatic acute subdural hematoma (CENTER-TBI): an observational cohort study.https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(23)00338-3/fulltext

A comparative study between high ligation of the inter-sphincteric fistula tract via lateral Approach Versus Fistulotomy and primary sphincteroplasty in High Trans-Sphincteric Fistula-in-Ano: a randomized clinical trial.https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-023-02117-0

Management of Primary Immune Thrombocytopenia in Pregnancy.https://www.nejm.org/doi/full/10.1056/NEJMra2214617?query=featured_home

Awareness of prostate cancer and its associated factors among male patients attending care in the urology unit at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. https://bmjopen.bmj.com/content/13/8/e073602

Global Mentorship in Neurosurgery for Medical Students Study (the GloMNMS Study): a multinational multi-institutional cross-sectional audit.https://bmjopen.bmj.com/content/13/8/e071696

Systematic review of the relationship between burn-out and spiritual health in doctors.https://bmjopen.bmj.com/content/13/8/e068402

National Surgical Healthcare Policy Development and Implementation: Where do We Stand in Africa? https://link.springer.com/article/10.1007/s00268-023-07131-0

Gender Disparities in Complications, Costs, and Mortality After Emergency Gastrointestinal Surgery in Kenya.https://www.sciencedirect.com/science/article/abs/pii/S0022480423003025

The narrative must change: Ethical research tenets do not change when you cross borders. https://onlinelibrary.wiley.com/doi/10.1111/pan.14706

Impact of mobile phone use on accidental falls risk in young adult pedestrians.https://www.cell.com/heliyon/fulltext/S2405-8440(23)05574-3

Effects of Cuff Size on the Accuracy of Blood Pressure Readings

The Cuff(SZ) Randomized Crossover Trial.https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2807853

There Is No 1-Size-Fits-All to Blood Pressure Measurement—Cuff Size Matters.https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2807857

Management of perimenopausal and menopausal symptoms.https://www.bmj.com/content/382/bmj-2022-072612

Breast cancer screening: Overdiagnosis increases significantly with age, researchers say. https://www.bmj.com/content/382/bmj.p1823

Attitudes towards death and dying among intensive care professionals: A cross-sectional design evaluating culture-related differential item functioning of the frommelt attitudes toward care of the dying instrument.https://www.cell.com/heliyon/fulltext/S2405-8440(23)06072-3

Multilevel modelling of neonatal mortality in Ghana: Does household and community levels matter? https://www.cell.com/heliyon/fulltext/S2405-8440(23)06169-8

Evaluation of the accuracy of new modalities in the assessment and classification of lumbar lordosis: A comparison to Cobb’s angle measurement.https://www.cell.com/heliyon/fulltext/S2405-8440(23)06160-1

Helicobacter pylori and epithelial mesenchymal transition in human gastric cancers: An update of the literature. https://www.cell.com/heliyon/fulltext/S2405-8440(23)06153-4

Your Son Is a Very Sick Boy: What One Says Matters.https://jamanetwork.com/journals/jama/fullarticle/2808222

An in-depth analysis of head-on crash severity and fatalities in Ghana.https://www.cell.com/heliyon/fulltext/S2405-8440(23)06145-5

Effect of Carbetocin on Uterine Tone during Cesarean Section: A Comparison between Subarachnoid Block and General Anesthesia.https://www.annalsafrmed.org/article.asp?issn=1596-3519;year=2023;volume=22;issue=3;spage=321;epage=326;aulast=Fyneface-Ogan

Effect-site concentrations of remifentanil for smooth emergence from combined epidural–general anesthesia or general anesthesia in patients using video double-lumen tube: A randomized trial. https://www.cell.com/heliyon/fulltext/S2405-8440(23)06105-4

Benefits of a laparoscopic approach for second colorectal resection after colectomy or proctectomy –a retrospective study-.https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-023-02111-6

Genius is Largely a Matter of Making a Continuous Effort: A Reappraisal of the Contributions of H. William Scott, Jr., MD, A Surgeon Nonpareil.https://journals.lww.com/aosopen/Fulltext/2023/09000/Genius_is_Largely_a_Matter_of_Making_a_Continuous.15.aspx?context=LatestArticles

‘Through and Through’ History: The Management of Gunshot Wounds From the 14th Century to the Present.https://journals.lww.com/aosopen/Fulltext/2023/09000/_Through_and_Through__History__The_Management_of.12.aspx?context=LatestArticles

A “New” Nonmesh Technique for Inguinal Hernia Repair: Revisiting E. Wyllys Andrews and His Imbricating Operation.https://journals.lww.com/aosopen/Fulltext/2023/09000/A__New__Nonmesh_Technique_for_Inguinal_Hernia.9.aspx?context=LatestArticles

Help a mother out: The impact of acute care surgeon response in postpartum hemorrhage. https://www.americanjournalofsurgery.com/article/S0002-9610(23)00363-X/fulltext

ChatGPT-like AIs are coming to major science search engines. Scopus, Dimensions and Web of Science are introducing conversational AI search.https://www.nature.com/articles/d41586-023-02470-3

Analysis of risk factors for complications after laparoscopic cholecystectomy.https://www.cell.com/heliyon/fulltext/S2405-8440(23)06091-7

AI and Medical Education — A 21st-Century Pandora’s Box.https://www.nejm.org/doi/full/10.1056/NEJMp2304993?query=featured_home

Time-Dependent Changes in Risk of Progression During Use of Bevacizumab for Ovarian Cancer.https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2807928

Innovations in Surgical Communication—Provide Your Opinion, Don’t Hide It.https://jamanetwork.com/journals/jamasurgery/fullarticle/2808063

Mastectomy margins for ductal carcinoma-in-situ (DCIS): 18 Years of follow-up.https://www.americanjournalofsurgery.com/article/S0002-9610(23)00326-4/fulltext

Surgical versus non-surgical management for patients with malignant bowel obstruction (S1316): a pragmatic comparative effectiveness trial.https://www.thelancet.com/journals/langas/article/PIIS2468-1253(23)00191-7/fulltext

A posterior tibial slope angle over 12 degrees is critical to epiphyseal fracture of the proximal tibia: Three-dimensional finite element analysis.https://www.cell.com/heliyon/fulltext/S2405-8440(23)06062-0

The effectiveness of problem-based learning compared with lecture-based learning in surgical education: a systematic review and meta-analysis. Nine studies were included totally.  This study showed that the PBL teaching model is more effective than the LBL teaching model in surgical education on the aspects of enhancing clinical competence and student satisfaction.   https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-023-04531-7

Effect of Dural-Puncture Epidural vs Standard Epidural for Epidural Extension on Onset Time of Surgical Anesthesia in Elective Cesarean Delivery. A Randomized Clinical Trial. These results suggest that DPE epidural extension anesthesia is superior to standard epidural, but these findings need to be confirmed in women requiring intrapartum cesarean delivery.https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2807803

Practice, confidence and continuity of breast self-examination among women in Thailand during COVID-19 pandemic: a cross-sectional study.https://bmjopen.bmj.com/content/13/8/e071306

Effect of dexmedetomidine on postoperative nausea and vomiting in patients under general anaesthesia: an updated meta-analysis of randomised controlled trials.https://bmjopen.bmj.com/content/13/8/e067102

Scarlett McNally: Let’s focus on tertiary prevention and perioperative care.https://www.bmj.com/content/382/bmj.p1739

Ask the expert: Diagnosis and management of complications in pregnancy in primary care. https://www.bmj.com/content/382/bmj.p1345

Common Sense Oncology: outcomes that matter.https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(23)00319-4/fulltext

Levels and determinants of overprescribing of antibiotics in the public and private primary care sectors in South Africa. https://gh.bmj.com/content/8/7/e012374

Acceptability of surgical care in Uganda: a qualitative study on users and providers.https://bmjopen.bmj.com/content/13/7/e070479

Prioritization of surgical, obstetric, trauma, and anesthesia care in India over seven decades: A systematic analysis of policy documents.https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0002084

Rural surgery as global surgery before global surgery.https://gh.bmj.com/content/7/3/e008222

Early delivery for pre-eclampsia might save lives in low-income and middle-income settings. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00824-3/fulltext?dgcid=raven_jbs_etoc_email

Simulation-Based Breast Biopsy Training Using a Low-Cost Gelatin-Based Breast Model in Rwanda. https://link.springer.com/article/10.1007/s00268-023-07038-w?utm_source=toc&utm_medium=email&utm_campaign=toc_268_47_9&utm_content=etoc_springer_20230731

Evaluation of Dual Dye Technique for Sentinel Lymph Node Biopsy in Breast Cancer: Two-Arm Open-Label Parallel Design Non-Inferiority Randomized Controlled Trial.https://link.springer.com/article/10.1007/s00268-023-07036-y?utm_source=toc&utm_medium=email&utm_campaign=toc_268_47_9&utm_content=etoc_springer_20230731

General Surgery Faculty Knowledge and Perceptions of Breast Pumping Amongst Postpartum Surgical Residents. https://link.springer.com/article/10.1007/s00268-023-07005-5?utm_source=toc&utm_medium=email&utm_campaign=toc_268_47_9&utm_content=etoc_springer_20230731

Time to Increase Awareness of Breast Milk Pumping Among Postpartum Trainees and In-Practice Surgeons. https://link.springer.com/article/10.1007/s00268-023-07046-w?utm_source=toc&utm_medium=email&utm_campaign=toc_268_47_9&utm_content=etoc_springer_20230731

A Scoping Review of Kidney Transplantation in Africa: How Far have We Come?https://link.springer.com/article/10.1007/s00268-023-07042-0?utm_source=toc&utm_medium=email&utm_campaign=toc_268_47_9&utm_content=etoc_springer_20230731

Invited Commentary: A Scoping Review of Kidney Transplantation in Africa—How Far Have We Come? https://link.springer.com/article/10.1007/s00268-023-07099-x?utm_source=toc&utm_medium=email&utm_campaign=toc_268_47_9&utm_content=etoc_springer_20230731

Evaluating the Social Impact of a Proposed Orthopedic Center of Excellence in Northern Tanzania: A Novel Use of the Impact Multiple of Money Methodology.https://link.springer.com/article/10.1007/s00268-023-07049-7?utm_source=toc&utm_medium=email&utm_campaign=toc_268_47_9&utm_content=etoc_springer_20230731

Prophylactic Risk-Reducing Mastectomy (PRRM): A Set Practice or Catch-22 Situation in LMIC. A Single-Centre Prospective Cohort Study.https://link.springer.com/article/10.1007/s00268-023-07033-1?utm_source=toc&utm_medium=email&utm_campaign=toc_268_47_9&utm_content=etoc_springer_20230731

Distracted Driving Is More Dangerous Than People Realize, New Research Shows. Multitasking can occupy attention longer than people anticipate.  Using a cell phone is the primary source of distraction, but entering navigational information, trying to eat and performing other such activities can be just as risky. https://www.scientificamerican.com/article/distracted-driving-is-more-dangerous-than-people-realize-new-research-shows/

Standardization and learning curve in laparoscopic hernia repair: experience of a high-volume center. https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-023-02119-y

Peripartum Hysterectomy. every surgeon should be ready to do this lifesaving operation.OPEN MANUAL OF SURGERY IN RESOURCE-LIMITED SETTINGS.https://www.vumc.org/global-surgical-atlas/sites/default/files/public_files/PDF/Peripartum%20Hysterectomy.pdf

Prevalence and factors associated with ever had road traffic accidents among drivers in Hargeisa city, Somaliland, 2022. https://www.cell.com/heliyon/fulltext/S2405-8440(23)05839-5

Guidance for Authors, Peer Reviewers, and Editors on Use of AI, Language Models, and Chatbots. https://jamanetwork.com/journals/jama/fullarticle/2807956

Childbearing, Infertility, and Career Trajectories Among Women in Medicine.https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2807657

Characteristics and Treatment of Breast Cancer in Men: A 12-year Single-Institution Review. https://www.annalsofafricansurgery.com/characteristics-and-reatment-of-breast-cancer-in-men

Our Experience of the De la Torre-Mondragon Technique in the Surgical Management of Hirschsprung’s Disease. A Report on 52 Cases.https://journals.lww.com/ajps/Abstract/9000/Our_Experience_of_the_De_la_Torre_Mondragon.99921.aspx

Vacuum sealing drainage to treat Fournier’s gangrene.https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-023-02109-0

The CBS test: Development, evaluation & cross-validation of a community-based injury severity scoring system in Cameroon.https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0002110