JAMA surgery最新文献

{"title":"Coagulopathy Treatment in Cardiac Surgery-Pharmacy or Blood Bank?","authors":"Faisal G Bakaeen, Mariya A Geube","doi":"10.1001/jamasurg.2025.1669","DOIUrl":"10.1001/jamasurg.2025.1669","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":" ","pages":"833-834"},"PeriodicalIF":14.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Errors in the Results and Figure.","authors":"","doi":"10.1001/jamasurg.2025.3124","DOIUrl":"10.1001/jamasurg.2025.3124","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":"160 8","pages":"930"},"PeriodicalIF":14.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144835050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in Helicopter Ambulance Use by Race and Ethnicity.","authors":"Matthew L Harrison","doi":"10.1001/jamasurg.2025.1518","DOIUrl":"10.1001/jamasurg.2025.1518","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":" ","pages":"927-928"},"PeriodicalIF":14.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potential Limitations in Evaluating Operative vs Nonoperative Management of Humeral Shaft Fractures-Reply.","authors":"William M Oliver,Nicholas D Clement,Andrew D Duckworth","doi":"10.1001/jamasurg.2025.2490","DOIUrl":"https://doi.org/10.1001/jamasurg.2025.2490","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":"31 1","pages":""},"PeriodicalIF":16.9,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144747965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"US Capacity for Critical Care in a Mass Casualty Incident.","authors":"Allen Green,Austen Le,Dong Gi Hur,Jeff Choi,Kristan Staudenmayer,Andrew M Ibrahim,Clifford C Sheckter","doi":"10.1001/jamasurg.2025.2476","DOIUrl":"https://doi.org/10.1001/jamasurg.2025.2476","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":"10 1","pages":""},"PeriodicalIF":16.9,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144747961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reoperation for Chronic Postoperative Inguinal Pain","authors":"Tess C. Huy, Yang Lu, Zachary Weitzner, Stephanie W. Lau, Melissa S. DeJesus, Theodore Hu, Ian T. MacQueen, David C. Chen","doi":"10.1001/jamasurg.2025.2502","DOIUrl":"https://doi.org/10.1001/jamasurg.2025.2502","url":null,"abstract":"ImportanceWith a decrease in recurrence since modern hernia repair, chronic postoperative inguinal pain is the most important patient-centered outcome. Surgical intervention is often necessary in cases refractory to conservative measures but remains understudied.ObjectiveTo evaluate causes of refractory chronic postoperative inguinal pain and review the operative approaches used to treat patients who experience it.Design, Setting, and ParticipantsThis case series used electronic medical record data from a single-institution hernia center during the period August 1, 2009, to September 17, 2024. Participants were adult patients who underwent surgery for chronic postoperative inguinal pain; those who underwent surgeries during which the inguinal canal was not entered or involved were excluded. Patients were followed up from their remedial surgery date to their most recent surgeon follow-up visit date.ExposuresRemedial surgical approach (laparoscopic, robotic, open, combined), use of mesh, nerve management, and mesh excision.Main Outcomes and MeasuresThe primary outcome was subjective pain improvement after remedial surgery; other outcomes were postoperative complications and need for additional operations.ResultsA total of 818 adult patients underwent surgery for chronic postoperative inguinal pain (median [IQR] age, 53 [42-64] years; 193 [23.6%] were female and 625 [76.4%] male). Among them, 779 patients (95.2%) underwent previous inguinal repair with nearly half (49.3%) undergoing 2 or more surgeries. Of remedial surgeries, 221 (27.0%) were open alone, 113 (13.8%) were laparoscopic alone, 57 (7.0%) were robotic alone, 349 (42.7%) were hybrid open and laparoscopic, and 78 (9.5%) were hybrid open and robotic. Seven hundred thirty patients (89.2%) underwent a neurectomy, with triple neurectomies in 401 surgeries (54.9%). Mesh was removed in 559 patients (68.3%). Among patients with at least 5 days of postoperative follow-up, inguinal pain improved in 798 patients (98.5%), with 560 patients (70.2%) reporting more than a 50% reduction in inguinal pain and 226 (28.3%) reporting a 50% or smaller improvement. Twelve patients (1.5%) had no significant improvement in subjective pain. Forty-two patients (5.1%) experienced complications.Conclusions and RelevanceChronic postoperative inguinal pain is a common, debilitating complication of inguinal hernia repair. Remedial surgery is complex, but tailored surgical approaches that consider neurectomy, mesh excision, and recurrent inguinal hernia repair can be safe and effective in experienced centers.","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":"15 1","pages":""},"PeriodicalIF":16.9,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144737632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Liquid Biopsy in Gastric Cancer-Can miRNA Decode a Heterogenous Disease?","authors":"Max R Coffey,Vivian E Strong","doi":"10.1001/jamasurg.2025.2471","DOIUrl":"https://doi.org/10.1001/jamasurg.2025.2471","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":"17 1","pages":""},"PeriodicalIF":16.9,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144747962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Charting a Path Forward to Treat Inguinodynia.","authors":"Nicole L Petcka,S Scott Davis","doi":"10.1001/jamasurg.2025.2472","DOIUrl":"https://doi.org/10.1001/jamasurg.2025.2472","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":"14 1","pages":""},"PeriodicalIF":16.9,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144747956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"It Takes a Village-Association of Women Surgeons' Comprehensive Initiative for Healthy Surgical Families for Practicing Surgeons.","authors":"Akiko Chiba,Mecker G Möller,Lisa Cannada,Jenny M Shao,Asanthi Ratnasekera,Chantal R Reyna,Sanda A Tan,Yewande R Alimi,Helen M Johnson,Caitlin McMullen,Maria S Altieri","doi":"10.1001/jamasurg.2025.2473","DOIUrl":"https://doi.org/10.1001/jamasurg.2025.2473","url":null,"abstract":"ImportanceThe Association of Women Surgeons is committed to supporting surgical families for practicing surgeons and developing equitable family-friendly guidelines, including support for adequate paid family leave, access to childcare, breastfeeding support, and insurance coverage of fertility preservation and assisted reproductive technology.ObservationsPracticing female surgeons often face additional challenges in work-life integration related to family planning, pregnancy, and lactation.Conclusions and RelevanceThe specific recommendations outlined in this document form the basis of a comprehensive initiative for supporting surgical families for practicing female surgeons.","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":"13 1","pages":""},"PeriodicalIF":16.9,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144737356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mortality Among Surgeons in the United States","authors":"Vishal R. Patel, Stephen A. Stearns, Michael Liu, Thomas C. Tsai, Anupam B. Jena","doi":"10.1001/jamasurg.2025.2482","DOIUrl":"https://doi.org/10.1001/jamasurg.2025.2482","url":null,"abstract":"This cross-sectional study examines mortality rates and leading causes of death among US surgeons compared with nonsurgeon physicians and other occupation groups.","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":"144 1","pages":""},"PeriodicalIF":16.9,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144737745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}