Journal of Visceral Surgery最新文献

{"title":"Accessibility and satisfaction's analysis of simulation-based training in surgery for residents and surgical fellows in France","authors":"Gabriel Saiydoun ,&nbsp;Maxime Vallée ,&nbsp;Saadé Saade ,&nbsp;Clément Colombier ,&nbsp;Krystel Nyango Timoh ,&nbsp;Philine de Vries ,&nbsp;Cyril Perrenot ,&nbsp;Nicolas Berte ,&nbsp;Arnaud Delafontaine","doi":"10.1016/j.jviscsurg.2024.07.001","DOIUrl":"10.1016/j.jviscsurg.2024.07.001","url":null,"abstract":"<div><h3>Background</h3><div>In surgery, simulated-based training improves the knowledge and interpersonal skills needed for surgeons to improve their performance and meet the “never the first time on a patient” imperative. The objective is to evaluate the effects of a 2017 reform on surgeon's accessibility to simulation-based training, five years after the implementation of the program, and to gauge surgeon satisfaction.</div></div><div><h3>Methods</h3><div>A 27-item national online survey was sent to all surgical residents and fellows in the 13 surgical specialties.</div></div><div><h3>Results</h3><div>Among 523 responses, 405 (77.4%) were residents and 118 (22.6%) were surgical fellows. Two hundred forty-seven (47.2%) of surgical residents and fellows stated they did not have a simulation structure or simulation program in the town of their university hospital center. Two hundred thirty-five (44.9%) reported having simulation training programs and 41 (7.8%) reported having easy and free access to their simulation structure. Regarding simulation-based training, 44.6% of surgical residents and fellows had never received training in technical skills on simulators, 82.2% had never received training in teamwork or interprofessional skills and 76.1% had never received training in behavioral or relational skills. There was a significant difference between the degree of satisfaction of residents at the beginning and at the end of the study (<em>P</em> <!-->=<!--> <!-->0.02).</div></div><div><h3>Conclusion</h3><div>Simulation is a well-established educational tool, but there are still strong inequalities between universities. Despite the national deployment of simulation-based teaching programs and institutional efforts, surgical simulation is insufficiently developed in France, and learner satisfaction is poor.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 5","pages":"Pages 300-309"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical management of penetrating neck injuries: An update. Part 1 – pre-hospital management","authors":"Willem Paillusson ,&nbsp;Rajvansh Sesmun ,&nbsp;Catherine Arvieux ,&nbsp;Paul Balandraud ,&nbsp;Emmanuel Martinod ,&nbsp;Paulina Kuczma ,&nbsp;Christophe Tresallet","doi":"10.1016/j.jviscsurg.2024.07.012","DOIUrl":"10.1016/j.jviscsurg.2024.07.012","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 5","pages":"Pages 310-316"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sigmoid adenocarcinoma hosted in a giant inguinoscrotal hernia","authors":"","doi":"10.1016/j.jviscsurg.2024.05.002","DOIUrl":"10.1016/j.jviscsurg.2024.05.002","url":null,"abstract":"<div><div>Colorectal cancer is the most frequently diagnosed neoplasm in the population worldwide, regardless of sex. Its presentation is variable, from asymptomatic cases that are diagnosed in the population screening programme, to perforation or intestinal obstruction<span><span> that appear urgently. The location of the neoplasia inside an inguinal hernia, although it is described in the literature, is uncommon and may increase the risk of incarceration or strangulation with the need for urgent surgery. We report a patient who presents adenocarcinoma of the </span>sigmoid colon lodged in a giant inguino-scrotal hernia.</span></div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 5","pages":"Pages 324-326"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obturator hernia as a cause of intestinal obstruction in an elderly female patient – A clinical image","authors":"","doi":"10.1016/j.jviscsurg.2024.04.005","DOIUrl":"10.1016/j.jviscsurg.2024.04.005","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 5","pages":"Pages 322-323"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140755594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Press review","authors":"","doi":"10.1016/j.jviscsurg.2024.09.001","DOIUrl":"10.1016/j.jviscsurg.2024.09.001","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 5","pages":"Pages 335-343"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic-assisted parastomal hernia repair using a modified Pauli technique (with video)","authors":"Yohann Renard ,&nbsp;Benoît Romain","doi":"10.1016/j.jviscsurg.2024.07.005","DOIUrl":"10.1016/j.jviscsurg.2024.07.005","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 5","pages":"Pages 327-329"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stoma prolapse management: Stapler repair","authors":"","doi":"10.1016/j.jviscsurg.2024.06.003","DOIUrl":"10.1016/j.jviscsurg.2024.06.003","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 5","pages":"Pages 317-319"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the surgical management strategy for acute cholecystitis in patients over 75 years old","authors":"Xavier Giraud ,&nbsp;Laetitia Geronimi-Robelin ,&nbsp;Martin M. Bertrand ,&nbsp;Ariane Bell","doi":"10.1016/j.jviscsurg.2024.06.009","DOIUrl":"10.1016/j.jviscsurg.2024.06.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Acute cholecystitis occurs frequently in the elderly. According to the current recommendations specific to the characteristics of each case, these patients are most often treated by delayed cholecystectomy after medical treatment. Our study aimed to compare the success rate of this strategy in patients over and under 75<!--> <!-->years of age.</div></div><div><h3>Patients and methods</h3><div><span>This was a retrospective single-center analytic observational study that included patients who were hospitalized for acute cholecystitis in a geriatric postoperative unit (</span><em>unité postopératoire gériatrique</em> [UPOG]) and gastrointestinal surgery unit between 2021 and 2022. The main endpoint was the failure rate of deferred cholecystectomy. Secondary endpoints included: respect for the recommended operative delay, loss of the patient's functional independence during hospitalization, and the reason for surgical abstention.</div></div><div><h3>Results</h3><div>In total, 290 patients were included. The strategy of delayed elective cholecystectomy was not achieved in 31 (44%) patients 75<!--> <!-->years old or older vs. eight (18%) patients younger than 75<!--> <!-->years old (<em>P</em> <!-->=<!--> <!-->0.005). The main reason was the decision not to operate after medical treatment. In both groups, the recommended operative interval was equitably respected and the loss of autonomy during hospitalization was minor. More than one-third of the elderly patients scheduled for elective surgery finally refused to undergo surgery.</div></div><div><h3>Conclusion</h3><div>The strategy of routine elective cholecystectomy should not be strict in the elderly with acute cholecystitis; the indication for this procedure should take into account the wishes as well as the physiological status of the patient.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 5","pages":"Pages 293-299"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic lateral resection of inferior vena cava extended to liver segment 7 for adrenocortical carcinoma recurrence (with video)","authors":"Jacques-Emmanuel Saadoun ,&nbsp;Farès Benmiloud ,&nbsp;Antoine Camerlo","doi":"10.1016/j.jviscsurg.2024.07.007","DOIUrl":"10.1016/j.jviscsurg.2024.07.007","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 5","pages":"Pages 333-334"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professional practice guidelines: Optimization of energy efficiency in controlled environment zones in operating theaters and interventional sectors","authors":"El-Mahdi Hafiani ,&nbsp;Stéphane Ortu ,&nbsp;Denis Lopez ,&nbsp;Florence Lallemant ,&nbsp;Valérie Dumaine ,&nbsp;Pierre Cassier ,&nbsp;Karem Slim ,&nbsp;Patrick Pessaux ,&nbsp;with the Collectif d’écoresponsabilité en santé (CERES),&nbsp;the Association française de chirurgie (AFC),&nbsp;the Association pour la prévention et l’étude de la contamination (ASPEC),&nbsp;the Société française d’hygiène hospitalière (SF2H),&nbsp;the Société française d’anesthésie et de réanimation (SFAR),&nbsp;the Société française de chirurgie orthopédique et traumatologique (SOFCOT)","doi":"10.1016/j.jviscsurg.2024.08.001","DOIUrl":"10.1016/j.jviscsurg.2024.08.001","url":null,"abstract":"<div><h3>Objective</h3><div>To issue recommendations for reduced energy consumption in controlled environment zones (CEZ) in operating theaters and interventional sectors.</div></div><div><h3>Design</h3><div>A committee bringing together seven experts from the SFAR, AFC, SF2H, ASPEC and SOFCOT was convened by CERES. A conflict-of-interest statement was developed at the beginning of the process and enforced throughout the elaboration of the reference document. The experts received no financing from any company commercializing a healthcare product (medicine or medical device). The committee was called upon to follow and respect the GRADE® (grading of recommendations assessment, development and evaluation) method to evaluate quality of the factual data on which the recommendations were based.</div></div><div><h3>Methods</h3><div>We analyzed the relevant literature and formulated the recommendations in accordance with the GRADE® methodology by identifying three different fields. Each question was formulated in accordance with the PICO (patients, intervention, comparison, outcome) format.</div></div><div><h3>Results</h3><div>The experts’ attempts at synthesis and application of the GRADE® method led to 16 recommendations. In cases where GRADE® method could not be applied, the recommendations were formulated as expert advice.</div></div><div><h3>Conclusion</h3><div>Once strong agreement among the experts had been reached, we formulated 15 recommendations for decreased energy consumption and reduced environmental impact in the controlled environment zones of operating theaters and interventional sectors.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 5","pages":"Pages 344-352"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}