General Surgery & Trauma

Evaluation of the Collaborative Use of an Evidence-Based Care Bundle in Emergency Laparotomy – JAMA Surgery (free)


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When Is the Surgeon Too Old to Operate? – The New York Times (free)

Related: Perspective: Assessing the Performance of Aging Surgeons (free for a limited period) AND Observational Study: Age and Sex of Surgeons and Mortality of Older Surgical Patients (free study and commentary) AND The Elderly and Driving: When Is It Time to Hit the Brakes? – The New York Times (10 articles per month are free)


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BJS Special Issue on Global Surgery

19 Jan, 2019 | 18:13h | UTC

BJS Special Issue on Global Surgery (supplement with free articles)



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Selected articles from the supplement:

– Global surgery in an ecosystem for worldwide health

– Ethical considerations in global surgery

– Implementation science and innovation in global surgery

– A realized vision of access to safe, affordable surgical and anaesthesia care

– Training and accrediting international surgeons

– Disseminating technology in global surgery

– Global surgery and the sustainable development goals

– Systematic review of the use of big data to improve surgery in low‐ and middle‐income countries

– Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy


Updated German Polytrauma Guideline

11 Oct, 2018 | 21:38h | UTC

Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): multicentre randomised clinical trial – The BMJ (free)

“Laparoscopic cholecystectomy compared with percutaneous catheter drainage reduced the rate of major complications in high risk patients with acute cholecystitis.”


Management of Chronic Wounds—2018 – JAMA (free for a limited period)


NICE Guideline: Pancreatitis

14 Sep, 2018 | 01:30h | UTC

Infographic: Trauma Call Timeline

22 Jun, 2018 | 02:05h | UTC

New Glasgow Coma Scale–Pupils Score

23 Apr, 2018 | 21:10h | UTC

Pancreatitis: Pearls & Pitfalls

23 Apr, 2018 | 20:59h | UTC

Review: Pediatric Minor Head Injury

20 Apr, 2018 | 01:52h | UTC

Review: Pediatric Traumatic Brain Injury

22 Feb, 2018 | 21:48h | UTC

Infographic: ATLS Trauma Update 2018

16 Feb, 2018 | 01:29h | UTC

Infographic: ATLS Trauma Update 2018 (free) (via @CritCareReviews)


Weekend Surgical Care and Postoperative Mortality: A Systematic Review and Meta-Analysis of Cohort Studies (free)

Commentary: Evidence Supports ‘Weekend Effect’ for Mortality after Surgery – Wolters Kluwer, via NewsWise (free)

“The odds of postoperative mortality were 27 percent higher for patients admitted to the hospital on Saturday or Sunday, compared to those hospitalized on a weekday” (from NewsWise).


Chemical venous thromboembolism prophylaxis in neurosurgical patients: an updated systematic review and meta-analysis – Journal of Neurosurgery (link to abstract – $ for full-text)

Chemical venous thromboembolism prophylaxis seems to be effective and safe in neurosurgical patients.

Source: EvidenceAlerts


Review : ARDS in Traumatic Brain Injury

13 Jan, 2018 | 19:26h | UTC

Guideline: Variceal Bleeding

31 Dec, 2017 | 15:35h | UTC

Review: Le Fort Fractures

3 Dec, 2017 | 19:57h | UTC

Review: Laparoscopic splenectomy

30 Nov, 2017 | 17:56h | UTC

Managing Head Trauma in Children

3 Oct, 2017 | 21:55h | UTC

Review: Surgical Meshes

16 Sep, 2017 | 18:17h | UTC

Review: Coma After Acute Head Injury

26 Aug, 2017 | 15:33h | UTC

The Risk of Adverse Pregnancy Outcomes Following Nonobstetric Surgery During Pregnancy: Estimates From a Retrospective Cohort Study of 6.5 Million Pregnancies – Annals of Surgery (free)

Source: Journal Watch ($)

“we found that the risk associated with nonobstetric surgery was relatively low, confirming that surgical procedures during pregnancy are generally safe”


Acute mesenteric ischemia: guidelines

9 Aug, 2017 | 16:57h | UTC

A meta-analysis of resuscitative endovascular balloon occlusion of the aorta (REBOA) or open aortic cross-clamping by resuscitative thoracotomy in non-compressible torso hemorrhage patients – World Journal of Emergency Surgery (free)

This meta-analysis, mainly from observational studies and including 1276 patients, suggests a positive effect of REBOA on mortality among non-compressible torso hemorrhage patients.


2017 ACS Quality and Safety Conference: “Strong for Surgery” Shows Promise in Reducing Smoking Rates for Patients Facing Surgery – American College of Surgeons, via NewsWise (free)

“Study suggests big drop in smoking rates when surgeons help patients quit before their operations”.


American College of Surgeons (ACS) 2017 Quality and Patient Safety Conference: Enhanced recovery pathway for colorectal surgical patients improves outcomes, reduces cost – ACS, via EurekAlert (free)

Related guideline: Clinical Practice Guidelines for Enhanced Recovery After Colon and Rectal Surgery From the American Society of Colon and Rectal Surgeons and Society of American Gastrointestinal and Endoscopic Surgeons (free)

See other Enhanced Recovery After Surgery (ERAS) Guidelines and Reviews in our collection and in the ERAS Society Website.

“Successful protocol shortens hospital stays, reduces patients’ risk of complications, and cuts costs up to $11,000 per procedure”


Viewpoint: The Evolving Story of Overlapping Surgery – JAMA (free) (RT @pash22 see Tweet)

Commentary: 3 steps to restore patient trust in overlapping surgeries – FierceHealthcare (free)

This interesting viewpoint discusses the practice of scheduling overlapping surgeries, in which a qualified practitioner finishes noncritical parts of the first operation while the primary surgeon moves to the next surgery.


Long-term health status and trajectories of seriously injured patients: A population-based longitudinal study – PLOS Medicine (free) (RT @karimbrohi see Tweet – “Trauma is a chronic disease”)

“The prevalence of reporting problems at 36-months postinjury was 37% for mobility, 21% for self-care, 47% for usual activities, 50% for pain/discomfort, and 41% for anxiety/depression… the prevalence of ongoing problems at 3-years postinjury is high, confirming that serious injury is frequently a chronic disorder”


A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery – Annals of Surgery (link to abstract – $ for full-text)

Source: EvidenceAlerts (free resource to find articles of interest)

“Antiplatelet therapy at the time of noncardiac surgery confers minimal bleeding risk with no difference in thrombotic complications. In many cases, it is safe to continue antiplatelet therapy in patients with important indications for their use”


Surgeon Variation in Complications With Minimally Invasive and Open Colectomy: Results From the Michigan Surgical Quality Collaborative – JAMA Surgery (free) (RT @MaryDixonWoods see Tweet)

Surgeon-level variation in complications among surgeons was nearly twice as great for Minimally Invasive Colectomy than for Open Colectomy, implying a need for improved training in adoption of minimally invasive techniques.


How to fall to your death and live to tell the tale – Mosaic Science (free)

“Falls—such as slipping in the shower or tripping down stairs—kill over 420,000 people worldwide each year” (RT @ghn_news see Tweet)