PAACS SURGERY UPDATES MAY 2023

Quality of life in children operated for spina bifida; low- and middle-income country perspective. https://link.springer.com/article/10.1007/s00381-023-05993-2

A narrative review of ergonomic problems, principles, and potential solutions in surgical operations. https://www.surgjournal.com/article/S0039-6060%2823%29001770/fulltext?dgcid=raven_jbs_aip_email

Patterns of orthopedic and trauma admissions to a tertiary teaching and referral health facility in Kenya: Chart review. https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0001425

Effectiveness of warm-up interventions on work-related musculoskeletal disorders, physical and psychosocial functions among workers: a systematic review.https://bmjopen.bmj.com/content/13/5/e056560

Does reducing out-of-pocket costs for children’s surgical care protect families from poverty in Somaliland? A cross-sectional, national, economic evaluation modelling study. https://bmjopen.bmj.com/content/13/5/e069572

Action competence in obstetric emergencies—can this be achieved via e-learning? Interprofessional blended learning module on diagnostics and emergency treatment of shoulder dystocia. https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-023-04335-9

EDITORIAL PERSPECTIVE World Journal of Surgery: We Asked the Experts-Performance Enhancement for Surgeons: Is Coaching the Answer?https://tinyurl.com/2f6urm8f

Magnitude and predictors of unfavorable management outcome in surgically treated patients with intestinal obstruction in Ethiopia: a systematic review and meta-analysis.https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-023-02017-3

Surgical management outcome and its associated factors among intestinal obstruction patients admitted to adult surgical ward of Wollega University Referral Hospital, Ethiopia. https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-023-02043-1

Safety of early pelvic drain removal in colorectal surgery based on drainage quantity. https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-023-02041-3

Enhanced recovery after surgery (ERAS®) society guidelines for gynecologic oncology: Addressing implementation challenges – 2023 update. https://www.gynecologiconcology-online.net/article/S0090-8258(23)00180-4/fulltext

Dexmedetomidine–Oxycodone combination for conscious sedation during colonoscopy in obese patients: A randomized controlled trial. https://www.cell.com/heliyon/fulltext/S2405-8440(23)03577-6

Inequitable medical equipment licensing hinders anesthesia development in low and middle-income countries. https://link.springer.com/article/10.1007/s12630-023-02468-5

The Challenges of Parenthood for Female Surgeons: The Current Landscape and Future Directions. https://www.journalofsurgicalresearch.com/article/S0022-4804(23)00098-7/fulltext

Early surgery for perforated appendicitis: Are we moving the needle on postoperative abscess? https://www.americanjournalofsurgery.com/article/S0002-9610(23)00188-5/fulltext

Surgical Stress: The Muscle and Cognitive Demands of Robotic and Laparoscopic Surgery.https://journals.lww.com/aosopen/Fulltext/2023/06000/Surgical_Stress__The_Muscle_and_Cognitive_Demands.9.aspx?context=LatestArticles

Postoperative Infection and Revision Surgery Rates in Foot and Ankle Surgery Without Routine Prescription of Prophylactic Antibiotics.https://journals.lww.com/jaaosglobal/Fulltext/2023/03000/Postoperative_Infection_and_Revision_Surgery_Rates.5.aspx?utm_source=email_marketing&utm_medium=email&utm_campaign=health_hlrp_2023-MEDPR-370-Newsletters-May.26-SEND-3-Q028GS-Surgery&rid=V_0000000032333305&mkt_tok=NjgxLUZIRS00MjkAAAGLvoeaIZefuCnpjEDI0_EXlTY0GHZuXa7PhbDbdWRwUWYL9gfp4AVwsUZQclEUcdS6ys_Jj4FMvkarMya65R0b8UFHDBHS2Aix01gv-DNzwd1HTUHUa173

Effect of Immediate Referral vs a Brief Problem-solving Intervention for Screen-Detected Peripartum Depression. A Randomized Clinical Trial.https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2804854

Comparison of Maternal Labor-Related Complications and Neonatal Outcomes Following Elective Induction of Labor at 39 Weeks of Gestation vs Expectant Management. A Systematic Review and Meta-analysis. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2804853

Ferric carboxymaltose versus standard-of-care oral iron to treat second-trimester anaemia in Malawian pregnant women: a randomised controlled trial.https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00278-7/fulltext

Cumulative burden of late, major surgical intervention in survivors of childhood cancer: a report from the Childhood Cancer Survivor Study (CCSS) cohort.https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(23)00154-7/fulltext

Anaemia in pregnancy: a major global health problem.https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00396-3/fulltext

A novel step-by-step training program for transanal endoscopic surgery.https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-023-04296-z

Effects of Specialist Palliative Care for Patients Undergoing Major Abdominal Surgery for Cancer. A Randomized Clinical Trial.https://jamanetwork.com/journals/jamasurgery/fullarticle/2804881

Surgery: a crucial ally for universal palliative care access.https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(23)00066-9/fulltext

UN warns of preterm birth rates flatlining in every region.https://www.bmj.com/content/381/bmj.p1054

Surgical research—comic opera no more.https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00856-5/fulltext?rss=yes

Manual of Resource-Limited Surgery@ManualofSurgery. Central neck dissection, an important part of #thyroidcancer care, can be done in a low-resource setting. https://www.vumc.org/global-surgical-atlas/sites/default/files/public_files/PDF/Central%20Neck%20Dissection.pdf

Experiences of public-private contracting for caesarean delivery in rural district public hospitals: A qualitative interview study.(South Africa).https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0001335

Profile and triage validity of trauma patients triaged green: a prospective cohort study from a secondary care hospital in India. https://bmjopen.bmj.com/content/13/5/e065036

Serum folate deficiency and associated factors among pregnant women in Haramaya District, Eastern Ethiopia: a community-based study.https://bmjopen.bmj.com/content/13/5/e068076

Incidence and predictors of perioperative mortality in a low-resource country, Ethiopia: a prospective follow-up study. https://bmjopen.bmj.com/content/13/5/e069768

With equity in mind: Evaluating an interactive hybrid global surgery course for cross-site interdisciplinary learners. https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0001778

A Financing Strategy to Expand Surgical Health Care.https://www.ghspjournal.org/content/early/2023/05/02/GHSP-D-21-00295?utm_campaign=GHSP%20Latest%20Articles&utm_content=247362659&utm_medium=social&utm_source=twitter&hss_channel=tw-714936456

Implementing Enhanced Perioperative Care in Emergency General Surgery: A Prospective Multicenter Observational Study.https://link.springer.com/article/10.1007/s00268-023-06984-9?utm_source=toc&utm_medium=email&utm_campaign=toc_268_47_6&utm_content=etoc_springer_20230504

Gender Diversity in Orthopedics—New Insights and Ongoing Concerns.https://link.springer.com/article/10.1007/s00268-023-06963-0?utm_source=toc&utm_medium=email&utm_campaign=toc_268_47_6&utm_content=etoc_springer_20230504

Indications, Challenges, and Characteristics of Successful Implementation of Perioperative Registries in Low Resource Settings: A Systematic Review.https://link.springer.com/article/10.1007/s00268-023-06909-6?utm_source=toc&utm_medium=email&utm_campaign=toc_268_47_6&utm_content=etoc_springer_20230504

High-Quality Data Collection in Low-Resource Settings: An Imperative to Improving Global Surgical Care. https://link.springer.com/article/10.1007/s00268-023-06986-7?utm_source=toc&utm_medium=email&utm_campaign=toc_268_47_6&utm_content=etoc_springer_20230504

Clinical Practices Following Train-The-Trainer Trauma Course Completion in Uganda: A Parallel-Convergent Mixed-Methods Study.https://link.springer.com/article/10.1007/s00268-023-06935-4?utm_source=toc&utm_medium=email&utm_campaign=toc_268_47_6&utm_content=etoc_springer_20230504

Robust Evaluations of Trauma Care Training Courses Can Generate Evidence to Support Their Global Promulgation. https://link.springer.com/article/10.1007/s00268-023-06978-7?utm_source=toc&utm_medium=email&utm_campaign=toc_268_47_6&utm_content=etoc_springer_20230504

Fall-Related Injuries in Malawi: Outcomes and Trends Over Time.https://link.springer.com/article/10.1007/s00268-023-06946-1?utm_source=toc&utm_medium=email&utm_campaign=toc_268_47_6&utm_content=etoc_springer_20230504

In-Hospital Obstetric Delays in Rural Uganda: A Cross-Sectional Analysis of a Hospital Cohort. https://link.springer.com/article/10.1007/s00268-023-06964-z?utm_source=toc&utm_medium=email&utm_campaign=toc_268_47_6&utm_content=etoc_springer_20230504

The Efficacy of VAMMFT Compared to “Bogota Bag” in Achieving Sheath Closure Following Temporary Abdominal Closure at Index Laparotomy for Trauma.https://link.springer.com/article/10.1007/s00268-023-06898-6?utm_source=toc&utm_medium=email&utm_campaign=toc_268_47_6&utm_content=etoc_springer_20230504

General Anesthesia Versus Regional Anesthesia in the Elderly Patients Undergoing Hip Fracture Surgeries: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. https://link.springer.com/article/10.1007/s00268-023-06949-y?utm_source=toc&utm_medium=email&utm_campaign=toc_268_47_6&utm_content=etoc_springer_20230504

Reducing preoperative anxiety in parents of surgical patients.https://www.cell.com/heliyon/fulltext/S2405-8440(23)03127-4

A new way of repairing special wounds. https://www.cell.com/heliyon/fulltext/S2405-8440(23)02962-6#%20

Time to Recovery as Measured on Clinical Assessments after Sport-Related Concussion. https://www.nejm.org/doi/full/10.1056/NEJMc2301706?query=featured_home

Cesarean deliveries are rising in Rwanda. AI could reduce the risks. Smartphone app helps health workers detect postsurgery infections.https://www.science.org/content/article/cesarean-deliveries-are-rising-rwanda-ai-could-reduce-risks

Surgeons Use Simulation Training for Cleft Care. https://www.facs.org/for-medical-professionals/news-publications/news-and-articles/acs-brief/april-25-2023-issue/surgeons-use-simulation-training-for-cleft-care/?utm_campaign=publications-brief&utm_medium=social&utm_source=twitter

Association of intraoperative hypotension and severe postoperative complications during non-cardiac surgery in adult patients: A systematic review and meta-analysis.https://www.cell.com/heliyon/fulltext/S2405-8440(23)03204-8

Prevalence and associated factors of postoperative orthostatic intolerance at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2022: cross sectional study. https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-023-02015-5

Total Thyroidectomy for Substernal Goiter. https://www.vumc.org/global-surgical-atlas/sites/default/files/public_files/PDF/Total%20Thyroidectomy%20for%20Substernal%20Goiter%20.pdf

Knitting: A simple and effective intervention for surgeon wellbeing.https://www.americanjournalofsurgery.com/article/S0002-9610(23)00181-2/fulltext

Operating during pregnancy: A needs assessment among surgical residents in Austria. https://www.cell.com/heliyon/fulltext/S2405-8440(23)03070-0

International Collaboration Trends in Facial Plastic and Reconstructive Surgery. A Systematic Bibliometric Scoping Review.https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2804296

Association between BUN/creatinine ratio and the risk of in-hospital mortality in patients with trauma-related acute respiratory distress syndrome: a single-centre retrospective cohort from the MIMIC database.https://bmjopen.bmj.com/content/13/4/e069345

An independently validated nomogram for individualised estimation of short-term mortality risk among patients with severe traumatic brain injury: a modelling analysis of the CENTER-TBI China Registry Study.https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(23)00152-9/fulltext

Any sportsperson with suspected concussion should stop playing, says new UK guidance. https://www.bmj.com/content/381/bmj.p915

Evaluation of Birth by Cesarean Delivery and Development of Early-Onset Colorectal Cancer.   In this study, females born by cesarean delivery had greater odds of early-onset CRC, suggesting that early-life gut dysbiosis may contribute to early-onset CRC in females. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2804228

Recognition and initial management of ovarian torsion.https://www.bmj.com/content/381/bmj-2022-074514

Summary for Patients: Long-Term Health Consequences After Ovarian Removal at Benign Hysterectomy. https://www.acpjournals.org/doi/10.7326/P23-0001

Laparoscopic Common Bile Duct Exploration.https://jamanetwork.com/journals/jamasurgery/fullarticle/2804108

Improving prehospital traumatic shock care: implementation and clinical effectiveness of a pragmatic, quasi-experimental trial in a resource-constrained South African setting. https://bmjopen.bmj.com/content/13/4/e060338

24 h mortality and its predictors among road traffic accident victims in a resource limited setting; a multicenter cohort study (Uganda). Being motorcycle rider and severity of injury according to Kampala trauma score II predicted mortality.  https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-023-02011-9

Maternity care: Remifentanil is recommended as alternative to epidural in draft guidance. https://www.bmj.com/content/381/bmj.p946

The effect of antibiotic prophylaxis on the incidence of surgical site infection after laparoscopic appendectomy for chronic appendicitis.https://www.cell.com/heliyon/fulltext/S2405-8440(23)02785-8

Assessment of the level of social support and associated factors among cancer patients in the comprehensive cancer center at Ethiopia: Ordinal logistic regression analysis level of social support and associated factors among cancer patients.https://www.cell.com/heliyon/fulltext/S2405-8440(23)02895-5

A vein bypass first versus a best endovascular treatment first revascularisation strategy for patients with chronic limb threatening ischaemia who required an infra-popliteal, with or without an additional more proximal infra-inguinal revascularisation procedure to restore limb perfusion (BASIL-2): an open-label, randomised, multicentre, phase 3 trial. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00462-2/fulltext

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries.https://academic.oup.com/bjs/advance-article/doi/10.1093/bjs/znad092/7133802?login=false

Management of complex acute biliary disease for the general surgeon: A narrative review. https://www.americanjournalofsurgery.com/article/S0002-9610(23)00116-2/fulltext

The anesthesia management of totally thoracoscopic cardiac surgery: A single-center retrospective study. https://www.cell.com/heliyon/fulltext/S2405-8440(23)02944-4

Efficacy and Safety of Esketamine for Supplemental Analgesia During Elective Cesarean Delivery. A Randomized Clinical Trial.https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2804098

Routine Prophylactic Esketamine for the Prevention of Maternal Pain During Cesarean Delivery. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2804104

Early surgical stabilization of rib fractures for flail chest is associated with improved patient outcomes: An ACS-TQIP review.https://journals.lww.com/jtrauma/Abstract/2023/04000/Early_surgical_stabilization_of_rib_fractures_for.5.aspx

Quality-of-Life and Recurrence Outcomes Following Laparoscopic Elective Sigmoid Resection vs Conservative Treatment Following Diverticulitis. Prespecified 2-Year Analysis of the LASER Randomized Clinical Trial.https://jamanetwork.com/journals/jamasurgery/fullarticle/2803634

Mixed-methods feasibility study to inform a randomised controlled trial of proton pump inhibitors to reduce strictures following neonatal surgery for oesophageal atresia. https://bmjopen.bmj.com/content/13/4/e066070

Assessing the inclusion of children’s surgical care in National Surgical, Obstetric and Anaesthesia Plans: a policy content analysis. Objective https://bmjopen.bmj.com/content/13/4/e051248

Improving access to global cancer services.https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00505-6/fulltext?dgcid=raven_jbs_etoc_email

Ferric carboxymaltose versus standard-of-care oral iron to treat second-trimester anaemia in Malawian pregnant women: a randomised controlled trial.https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00278-7/fulltext

The prenatal diagnostic indicators of placenta accreta spectrum disorders.https://www.cell.com/heliyon/fulltext/S2405-8440(23)03448-5

Improving maternal and newborn health and survival and reducing stillbirth – Progress report 2023. https://www.who.int/publications/i/item/9789240073678

Trends in the utilisation of skilled birth attendance among pregnant women in Benin, from 2001 to 2017-2018, and projections to 2030.https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-023-15460-x

Randomized Trial of Early Detection and Treatment of Postpartum Hemorrhage.https://www.nejm.org/doi/full/10.1056/NEJMoa2303966?query=featured_home

Presence of Fibroids on Transvaginal Ultrasonography in a Community-Based, Diverse Cohort of 996 Reproductive-Age Female Participants.https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2804674

Maternal RSV vaccine: Further analysis is urged on preterm births. https://www.bmj.com/content/381/bmj.p1021

Self-care interventions for preconception, antenatal, intrapartum and postpartum care: a scoping review. https://bmjopen.bmj.com/content/13/5/e068713

Randomized Trial of Early Detection and Treatment of Postpartum Hemorrhage.   https://www.nejm.org/doi/full/10.1056/NEJMoa2303966?query=featured_home

Simple intervention for severe blood loss after childbirth is found to save lives.https://www.bmj.com/content/381/bmj.p1055