General Surgery & Trauma

Prophylactic biological mesh reinforcement versus standard closure of stoma site (ROCSS): a multicentre, randomised controlled trial – The Lancet (free)


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Conservative versus Interventional Treatment for Spontaneous Pneumothorax – New England Journal of Medicine (link to abstract – $ for full-text)

Commentaries: ‘Hands Off approach’ best to treat a collapsed lung – study – Voxy (free) AND Don’t Just Do Something, Stand There (Watching Spontaneous Pneumothoraces) – NEJM Journal Watch (free)


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Effect of Hydroxyethyl Starch vs Saline for Volume Replacement Therapy on Death or Postoperative Complications Among High-Risk Patients Undergoing Major Abdominal Surgery: The FLASH Randomized Clinical Trial – JAMA (free for a limited period)

Editorial: Hydroxyethyl Starch for Fluid Replacement Therapy in High-Risk Surgical Patients: Context and Caution (free for a limited period)

Related Cochrane Review: Colloids vs Crystalloids for Fluid Resuscitation in Critically Ill People (free)


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Adhesion-related readmissions after open and laparoscopic surgery: a retrospective cohort study (SCAR update) – The Lancet (link to abstract – $ for full-text)


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Morbidity and mortality from road injuries: results from the Global Burden of Disease Study 2017 – Injury Prevention (free)

News Release: Probability of dying from road injury has dropped worldwide in all but 5 nations – Institute for Health Metrics and Evaluation (free)


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Homepage: Special Issue: Advances in Perioperative Care – BJS / Anaesthesia (free articles)

– Perioperative care and collaboration between surgeons and anaesthetists – it’s about time

– Role of the anaesthetist in postoperative care

– Framework for prehabilitation services

– Role of critical care in improving outcomes for high‐risk surgical patients

– Scoping review of mode of anaesthesia in emergency surgery

– Strategies to minimize intraoperative blood loss during major surgery

– Perioperative care of the obese patient

– Rational performance metrics for operating theatres, principles of efficiency, and how to achieve it

– Acute postoperative pain management

– Meta‐analysis of preoperative high‐sensitivity cardiac troponin measurement in non‐cardiac surgical patients at risk of cardiovascular complications

– Network meta‐analysis of urinary retention and mortality after Lichtenstein repair of inguinal hernia under local, regional or general anaesthesia

– Meta‐analysis of α‐blockade versus no blockade before adrenalectomy for phaeochromocytoma

– Network meta‐analysis of local and regional analgesia following colorectal resection

– Randomized clinical trial of intraoperative dexmedetomidine to prevent delirium in the elderly undergoing major non‐cardiac surgery

– Randomized clinical trial of continuous transversus abdominis plane block, epidural or patient‐controlled analgesia for patients undergoing laparoscopic colorectal cancer surgery

– Qualitative study of clinician and patient perspectives on the mode of anaesthesia for emergency surgery

– Variation in global uptake of the Surgical Safety Checklist

– Safety and efficacy of non‐steroidal anti‐inflammatory drugs to reduce ileus after colorectal surgery

– International multicentre review of perioperative management and outcome for catecholamine‐producing tumours


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Guidelines for safe transfer of the brain‐injured patient: trauma and stroke, 2019 – Anaesthesia (free)


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Hartmann’s procedure versus sigmoidectomy with primary anastomosis for perforated diverticulitis with purulent or faecal peritonitis (LADIES): a multicentre, parallel-group, randomised, open-label, superiority trial – The Lancet Gastroenterology & Hepatology (link to abstract – $ for full-text)

Commentary: Farewell to Hartmann’s Procedure? – MedPage Today (free registration required)


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A Multicenter Trial of Vena Cava Filters in Severely Injured Patients – New England Journal of Medicine (link to abstract – $ for full-text)

Commentary: Liberal IVC Filter Use Not Warranted in Severe Trauma Patients – TCTMD (free)


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Negative Pressure Wound Therapy for Surgical-site Infections: A Randomized Trial – Annals of Surgery (link to abstract – $ for full-text)

Related Cochrane Review: Negative pressure wound therapy for surgical wounds healing by primary closure (free)

Source: EvidenceAlerts

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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