Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland最新文献

{"title":"Women in Irish orthopaedics - A review of female representation at the Irish Orthopaedic Association annual meeting over a 16-year period.","authors":"Carl O'Flanagan, Conor J Kilkenny, Adam Abdelmoneim, Niall McGoldrick, John F Quinlan","doi":"10.1016/j.surge.2025.02.009","DOIUrl":"https://doi.org/10.1016/j.surge.2025.02.009","url":null,"abstract":"<p><strong>Introduction: </strong>There is underrepresentation of women in orthopaedics worldwide. As of 2017, 10 % of Irish orthopaedic consultants and 12.24 % of higher specialist trainees were female. Workplace diversity can promote innovation, creativity, and encourage staff retention. To realise these benefits, it is quoted that there must be 30 % minority representation. We examine the representation of women in academic orthopaedics in Ireland by looking at gender breakdown at the Irish Orthopaedic Association (IOA) annual conference.</p><p><strong>Methods: </strong>IOA programmes from 2008 to 2023 were examined assessing for representation of women. Non-consultant hospital doctors (NCHD's), session chairs and guest speakers were examined. Linear regression analysis for male and female speakers was performed to evaluate for statistical significance.</p><p><strong>Results: </strong>Fourteen annual conferences were evaluated equating to 740 NCHD-delivered oral presentations. Women delivered 126 presentations (17.03 %). While there was a general trend of increasing female representation over the years examined, linear regression analysis did not show this to be statistically significant (Coefficient: 0.3746, P-value: 0.077, R²: 0.237). There was a statistically significant decline in male speakers (Coefficient: 1.9775, P-value: 0.007, R²: 0.473). 41 guest lectures were delivered, 14.63 % by women. Session chairs were disclosed for 7 meetings equating to 54 sessions presided over by 79 chairs. Six chairs were female (7.59 %).</p><p><strong>Conclusion: </strong>Orthopaedics is likely to be better served by more diverse workforces that are representative of their populations. Our study highlights that while gender disparity persists in Irish academic orthopaedics, there appears to be a shift towards diversity. This is particularly evident at trainee level over the past 7 years; however, efforts should be made to support these into leadership roles where women are currently underrepresented. Their visibility can then serve as inspiration for future female trainees.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587779","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":"List of editors","authors":"","doi":"10.1016/S1479-666X(25)00036-8","DOIUrl":"10.1016/S1479-666X(25)00036-8","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 2","pages":"Page i"},"PeriodicalIF":2.3,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143552344","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":"Needlestick injury incidence and reporting in Irish surgical trainees.","authors":"Fergus J McCabe, Niamh Dunne, Shane K Farrington, Robert P Piggott, Catherine Bossut, Tom McCarthy, Joseph M Queally","doi":"10.1016/j.surge.2025.02.011","DOIUrl":"https://doi.org/10.1016/j.surge.2025.02.011","url":null,"abstract":"<p><strong>Introduction: </strong>Needlestick injuries (NSI) in healthcare workers are common and rising in Ireland. Surgical trainees are particularly at-risk of NSIs. The aim of this study was to assess the estimated NSIs suffered by Irish surgical trainees, the reporting behaviours of NSI and the perceived barriers to reporting.</p><p><strong>Methods: </strong>This was an anonymous, online survey of surgical trainees on the Irish surgical training programmes. Trainees were asked the estimated NSIs ever received, perceived NSI contributing factors, NSIs reported to occupational health, and perceived barriers to reporting of NSIs. Independent predictors of needlestick injury were assessed by ordinal logistic regression. Data analysis was performed with R, version 4.1.1.</p><p><strong>Results: </strong>There were 73 participants, with 66 % male and a median age group of 30-34 years. The median year of surgical training was 4. All but one trainee reported an NSI prior, with the median 6 (range of 0 to over 20). On ordinal logistic regression, year of training was the only independent factor associated with greater reported NSIs (OR 1.32). Most NSIs were from a suture needle in the non-dominant hand. Time pressure (79%) and mental fatigue (78%) were the most frequently perceived contributory factors. Only 14% of participants report all NSIs. The time requirements (82%) and reporting pathway complexity (81%) were the primary listed reasons for non-reporting of NSIs.</p><p><strong>Conclusion: </strong>Despite being at high risk of needlesticks and the associated risks, few surgical trainees report all needlestick injuries. Reporting pathways of needlestick injuries should be streamlined to encourage greater reporting.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587766","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":"Weight changes following total hip and total knee arthroplasty - A systematic review.","authors":"James Toale, Ciarán Stanley, John F Quinlan","doi":"10.1016/j.surge.2025.02.013","DOIUrl":"https://doi.org/10.1016/j.surge.2025.02.013","url":null,"abstract":"<p><strong>The background and purpose of the study: </strong>Symptomatic osteoarthritis can result in reduced mobility and exercise tolerance, leading to weight gain. Patients often feel that arthroplasty will result in improved mobility, reduced pain, and subsequent weight loss. The purpose of this systematic review was to assess weight changes following lower limb arthroplasty from available published literature.</p><p><strong>Methods: </strong>A systematic review of PubMed, EMBASE and Cochrane Library databases were performed in accordance to PRISMA guidelines. Studies reporting significant weight changes of 5 % of pre-operative weight, 5 % of BMI and total weight change in kilograms following hip and knee arthroplasty were included. Outcomes assessed were weight changes according to groupings 'weight gain', 'maintained weight' and 'weight loss'. Secondarily we assessed weight changes in kilograms. Methodological quality of evidence was assessed using MINORS criteria.</p><p><strong>Results: </strong>In total, 21 studies were included with a total of 55,245 patients. In the '5 % of total weight' group 12.5 % gained weight, 74.2 % maintained weight and 13.3 % lost weight (weighted means). In the '5 % of BMI' group 22.1 % gained weight, 66.3 % maintained weight and 13.9 % lost weight (weighted means). Overall, 13 studies reported a weighted mean weight change of +0.7 kg. The majority of studies were of moderate/poor quality using MINORS criteria.</p><p><strong>Conclusions: </strong>This systematic review found that the majority of patients maintain their preoperative weight following hip and knee arthroplasty. This study suggests that arthroplasty does not lead to weight loss from improved pain and mobility in the majority of patients. This study presents data that is important for surgeons and patients alike when considering potential weight changes following arthroplasty.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574402","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":"Reduction of carbon footprint is a benefit of the virtual interview.","authors":"Tarek Elliott-Diab, Monica Coughlan","doi":"10.1016/j.surge.2025.02.008","DOIUrl":"https://doi.org/10.1016/j.surge.2025.02.008","url":null,"abstract":"<p><strong>Introduction: </strong>Climate change is a global crisis. One strategy to reduce climate change is to reduce carbon footprint. In medicine, this can be done using various methods, including virtual interviews in addition or instead of in-person.</p><p><strong>Materials and methods: </strong>We used data from the U.S. National Residency Matching Program (NRMP) and terrapass™, an online calculator, to measure the carbon footprints of residency interviews for Orthopædic Surgery.</p><p><strong>Results: </strong>DISCUSSION AND CONCLUSION: Carbon footprint provides support for the addition of a virtual format to the medical training process. The virtual interview may serve as a substitute or a compliment to the traditional in-person format, which has a significantly greater carbon footprint. This approach will reduce significantly the environmental impact of the residency interviews, a recognition and thought process that will align medical postgraduate education with a growing wave of organizations and industries worldwide.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574400","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":"A study of population trends and future projections for the hip and knee arthroplasty service in the Republic of Ireland.","authors":"Katie St John, Andrew Hughes, Joseph Queally","doi":"10.1016/j.surge.2025.02.005","DOIUrl":"https://doi.org/10.1016/j.surge.2025.02.005","url":null,"abstract":"<p><p>The incidence of elective total joint replacement of the hip and knee (THR and TKR respectively) is increasing with improved access to surgical care and an ageing population. We aimed to carry out a population level study of the incidence of elective primary total hip and knee arthroplasty between 2010 and 2019 and to estimate projected arthroplasty workload for the coming decades for the public orthopaedic service in the Republic of Ireland. In this retrospective population based observational study, data from the HIPE database was secured for all elective total hip and knee arthroplasties carried out in the republic of Ireland between 2010 and 2019. Population data for the same period was then collected from the Central statistics office dataset. Aggressive and conservative population estimates provided for the coming decades were used to calculate projected incidence/caseload of hip and knee arthroplasty surgery. Over 90 % of those undergoing arthroplasty in the studied period were aged >50. The average age of THR patients over the decade was 70 and that of TKR patients was 67. The incidence of patients aged under 50 undergoing these procedures has also increased over the decade. By 2036 numbers of total hip and knee arthroplasty are set to increase by up to 65 % and 49 % respectively. Waiting times for arthroplasty surgery in the public system are already among the longest in Europe. Significant investment in the arthroplasty service will be required to maintain the current level of service in the face of an increasing caseload.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568672","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":"For better music in the operating room.","authors":"Wenhan Wu","doi":"10.1016/j.surge.2025.02.012","DOIUrl":"https://doi.org/10.1016/j.surge.2025.02.012","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537505","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":"Ventriculo-pleural shunt --- A second line option in the management of complex hydrocephalus.","authors":"Hanqiao Li, John Caird","doi":"10.1016/j.surge.2025.02.006","DOIUrl":"https://doi.org/10.1016/j.surge.2025.02.006","url":null,"abstract":"<p><strong>Background: </strong>Ventriculo-pleural(V-Pl) shunt is considered as an alternative management of hydrocephalus when previous management options of hydrocephalus, including ventriculoperitoneal (VP) shunt, ventriculo-atrial (VA) shunt and endoscopic third ventriculostomy (ETV), may be contraindicated or have failed.</p><p><strong>Aim: </strong>The aim is to identify the indications of V-Pl shunt after the failure of first-line managements of hydrocephalus, to evaluate the efficacy of V-Pl shunt with regarding to other shunt options and to discuss the potential complications.</p><p><strong>Methods: </strong>15 patients who underwent V-Pl shunt (or V-Pl shunt related surgeries) from 2021 to 2024, are recorded retrospectively. The data was collected via patients' medical charts and national image archiving system (Republic of Ireland). Related literature and case reports were searched via keyword selections on research databases, including Pubmed and Google Scholar.</p><p><strong>Results: </strong>The indications for shunt treatment were spina bifida, tumour related hydrocephalus, congenital hydrocephalus, arachnoid cysts and idiopathic intracranial hypertension. Indications for favouring V-Pl shunt over VP/VA shunt or ETV are multiple shunt failures, persistent shunt-related symptoms, severe kyphoscoliosis, abdominal ascites/pseudocyst, jugular vein thrombosis. Complications of V-Pl shunt include shunt failure, over-drainage, pleuritic chest pain, pneumothorax and rarely slit-ventricle syndrome.</p><p><strong>Conclusion: </strong>V-Pl shunt can be considered as a second line management for hydrocephalus when VP/VA shunt and ETV options have been exhausted.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505674","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":"Beyond the operating theatre: The psychological burden of surgical complications on surgeons.","authors":"Michael El Boghdady","doi":"10.1016/j.surge.2025.02.007","DOIUrl":"https://doi.org/10.1016/j.surge.2025.02.007","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517032","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":"Rise and fall of marginal gains revisited.","authors":"Ronan A Cahill","doi":"10.1016/j.surge.2025.01.008","DOIUrl":"https://doi.org/10.1016/j.surge.2025.01.008","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476912","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}