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

{"title":"Smarter Trauma Surgery: Exploring the Role of Partial REBOA in Reducing Ischemic Risks","authors":"Jerome Abishek , M. Abilash","doi":"10.1016/j.surge.2025.04.019","DOIUrl":"10.1016/j.surge.2025.04.019","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Page 329"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145044245","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":"Evaluating the use of absorbable sutures versus sTaples versus tIssue glue in laparoscopic port skin closure (STILS) trial: A prospective, multi-centre randomised clinical trial (RCT)","authors":"Sinead E. Ramjit ,&nbsp;Matthew G. Davey ,&nbsp;Stephen Keelan ,&nbsp;Emer Herlihy ,&nbsp;Marie Dromey ,&nbsp;Chris Garvey ,&nbsp;Timothy S. Nugent ,&nbsp;Aisling Fawaz ,&nbsp;Lauren O'Connell ,&nbsp;Melanie Cunningham ,&nbsp;Matthew Fahy ,&nbsp;Eanna J. Ryan ,&nbsp;Brendan Moran ,&nbsp;Lylas Aljohmani ,&nbsp;Jeyanthi Narayanasamy ,&nbsp;Michael E. Kelly ,&nbsp;Clara Healy ,&nbsp;Claire Donohoe ,&nbsp;Narayansamy Ravi ,&nbsp;Paul Neary ,&nbsp;Noel E. Donlon","doi":"10.1016/j.surge.2025.02.015","DOIUrl":"10.1016/j.surge.2025.02.015","url":null,"abstract":"<div><h3>Methods</h3><div><span>This prospective, multi-centre RCT<span> was conducted in accordance with the CONSORT guidelines for prospective, parallel group randomised studies. Adult patients undergoing elective laparoscopic surgery at two teaching hospitals in Dublin, Ireland were recruited and assigned to one of three closure methods (sutures (SU), staples (ST) or </span></span>tissue glue<span> (TG)) with primary outcome being cosmesis<span> and secondary outcomes being closure speed, wound complications, cost effectiveness and sustainability outcomes being assessed by a blinded outcomes assessor.</span></span></div></div><div><h3>Results</h3><div><span>A total of 147 patients were recruited and randomised with a total of 138 being examined in the final analysis (SU = 48, ST = 63, TG = 27). Patient demographics were similar across all groups for gender, mean age, body mass index<span> and American Society of Anaesthesiologists grade (all p &gt; 0.050). For cosmesis, SU had the lowest overall mean observer (p &lt; 0.001) and patient (p = 0.005) scar scores. Furthermore, when evaluating the breakdown for Observer Scar Score (OSS), SU had the lowest vascularity (p = 0.001), </span></span>pigmentation (p = 0.006), thickness (p &lt; 0.001), relief (p = 0.003) and pliability (p &lt; 0.001). For patient scar score (PSS), SU had the lowest irregularity (p = 0.035). SU was the most cost-effective (p &lt; 0.001) and had the lowest total produced non-recyclable waste (p &lt; 0.001). ST had the shortest closure time (p &lt; 0.001). Overall, there was a no difference in wound complication rates (SU = 6.3 %, ST = 6.4 %, TG = 18.5 %; p = 0.130).</div></div><div><h3>Conclusion</h3><div>In conclusion, SU was the most effective method for laparoscopic port site closure with regards to cosmesis, cost-efficiency and surgical sustainability. ST was the marginally quicker method of closure and demonstrated equipoise in terms of complication rate. We advocate for SU as the current ‘gold standard’ with reduced non-recyclable waste generated and a valuable training opportunity for junior trainees.</div></div><div><h3>Trial registration</h3><div>ClinicalTrials.gov Identifier: NCT03843866.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Pages 306-312"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659543","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":"Corrigendum to “The positive effects of preoperative chlorhexidine rinse to reduce postoperative pneumonia after kidney transplantation surgery” [Surgeon. (2025) 23(1) 18–22]","authors":"Murat Ferhat Ferhatoglu ,&nbsp;Osman Z. Sahin ,&nbsp;Taner Kivilcim ,&nbsp;Alp Gurkan","doi":"10.1016/j.surge.2025.04.001","DOIUrl":"10.1016/j.surge.2025.04.001","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Page 321"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054737","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":"Early Screening for Confusion and Vitamin D Deficiency in Elderly Hip Fracture Patients: A Quality Improvement Initiative to Mitigate the Risk of Postoperative Delirium","authors":"Mr. Zubair Younis ,&nbsp;Dr. Gurukiran Gurukiran ,&nbsp;Mr. Faliq Abdullah ,&nbsp;Mr. Mohammad bin Abdul Hamid ,&nbsp;Dr. Kubra Farooq Wani","doi":"10.1016/j.surge.2025.04.023","DOIUrl":"10.1016/j.surge.2025.04.023","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Page 330"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050510","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 Patient-Initiated Follow-Up (PIFU) Service in a Fracture Clinic: A Comprehensive Service Evaluation and Patient Satisfaction Audit","authors":"Mr Zubair Younis ,&nbsp;Mr. Mohammad bin Abdul Hamid ,&nbsp;Mr. Muhammad Murtaza Khan ,&nbsp;Mr. Rahul Sapra ,&nbsp;Dr. Gurukiran Gurukiran ,&nbsp;Rohit Singh (Professor)","doi":"10.1016/j.surge.2025.04.022","DOIUrl":"10.1016/j.surge.2025.04.022","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Pages 329-330"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050509","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":"Unsolicited emails from presumed predatory journals: An early-career surgical trainee's perspective","authors":"Andrew Keane","doi":"10.1016/j.surge.2025.07.002","DOIUrl":"10.1016/j.surge.2025.07.002","url":null,"abstract":"<div><h3>Background</h3><div>The proliferation of open access (OA) publishing has been accompanied by a rise in unsolicited academic correspondence, often originating from so-called “predatory” publishers. Early-career surgeons may be particularly vulnerable to predatory journals due to pressure to publish in order to enter and advance through training. This observational study aims to characterize the nature and volume of unsolicited emails received by a surgical trainee following the publication of a single paper.</div></div><div><h3>Methods</h3><div>All unsolicited emails received by the author between September 10th 2024 and December 31st 2024, were collated and analysed. Emails were assessed for their origin, journal/publisher, structure, requested contribution, relevance and associated Article Processing Charges (APCs). Where emails lacked this information, it was sought from journal and publisher websites. Publication legitimacy was assessed by the journal or publisher's presence on Beall's list of potential predatory journals, inclusion in the Directory of Open Access Journals (DOAJ) and the Committee on Publication Ethics (COPE).</div></div><div><h3>Results</h3><div>A total of 264 emails were received, 227 of which were soliciting journal articles. These represented 109 individual journals, comprising 44 publishers and 10 standalone journals. High levels of flattery (92.95 %) and poor grammar (91.19 %) were noted in the emails. In terms of legitimacy, 87.15 % (n = 95) were on Beall's list whereas 8 (7.3 %) were members of COPE and 2 (1.8 %) listed in DOAJ. APCs were mentioned in 36.56 % of emails and clearly stated in 11.45 %. The mean APC was 2006.18 USD, median APC was 1988.5 USD. Withdrawal fees were charged by 58.7 % (n = 64) of journals with a mean cost of 1039.68 USD and median cost of 680.25 USD. The remaining emails included conference invites (n = 28), editorial board invites (n = 6) and book chapter requests (n = 3).</div></div><div><h3>Conclusion</h3><div>This study highlights the high volume and typical characteristics of predatory journal solicitations following a single publication. With increasing pressure on surgical trainees to publish, awareness of predatory practices is essential. Transparent vetting tools and guidance from training bodies are needed to safeguard academic standards in surgical training.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Pages 316-320"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627551","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":"The effect of self-confidence, life satisfaction and death anxiety on organ donation in student nurses: Moderator effect","authors":"Dilek Soylu ,&nbsp;Adem Doğaner","doi":"10.1016/j.surge.2025.07.001","DOIUrl":"10.1016/j.surge.2025.07.001","url":null,"abstract":"<div><h3>Purpose</h3><div>Organ donation is influenced by culture, religion, death rituals, and the perceived needs of the body after death. This study examined the moderating role of death anxiety in the effect of self-confidence and life satisfaction on attitudes to organ donation.</div></div><div><h3>Methods</h3><div>This study was descriptive, cross-sectional, and relationship-seeking. The study was conducted with a total of 247 nursing students between January and February 2024. Moderator effect was used, using the Death Anxiety Scale. In the data collection, a Personal Information Form, the Organ Donation Attitude Scale, Life Satisfaction Scale, Self-Confidence Scale were used.</div></div><div><h3>Results</h3><div>Death Anxiety Scale was determined to have a significant moderating effect on the Organ Donation Attitude Scale (β = 0.0452, p &lt; 0.001) and there was seen to be a moderating role of Death Anxiety Scale on the effect of Life Satisfaction Scale on Organ Donation Attitude Scale (β = 0.1586, p = 0.033).</div></div><div><h3>Conclusions</h3><div>There was determined to be a moderating role of Death Anxiety Scale in the effect of Self-Confidence Scale and Life Satisfaction Scale on Organ Donation Attitude Scale.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Pages 288-295"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602079","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)00133-7","DOIUrl":"10.1016/S1479-666X(25)00133-7","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Page i"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050263","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":"The effect of timing of emergency cholecystectomy for acute cholecystitis on peri-operative outcomes: A national registry-based study","authors":"John David Kehoe,&nbsp;Robert O'Connell,&nbsp;Eimear Linehan,&nbsp;Niall Hardy,&nbsp;Ben Creavin,&nbsp;Tamara Gall,&nbsp;Gerry McEntee,&nbsp;John Conneely","doi":"10.1016/j.surge.2025.06.004","DOIUrl":"10.1016/j.surge.2025.06.004","url":null,"abstract":"<div><h3>Introduction</h3><div>A selection of international guidelines suggest that emergency cholecystectomy<span> within 72 h of admission is the treatment of choice for acute cholecystitis<span>. The aim of this study was to analyse the interval from presentation to operative intervention for acute cholecystitis in Ireland and its impact on peri-operative outcomes.</span></span></div></div><div><h3>Methods</h3><div>This was a national retrospective observational study of all patients that underwent an emergency cholecystectomy for acute cholecystitis in Ireland between January 2017 and July 2023. Data collected included: demographics, co-morbidities, length of stay, operative approach, post-operative interventions, in-patient mortality, and readmissions. Subjects were stratified based on time from presentation to theatre and outcomes were compared between groups.</div></div><div><h3>Results</h3><div>3585 patients underwent an emergency cholecystectomy for acute cholecystitis–2005(55.9 %) within 72 h of admission, 1072(29.9 %) within 72 hours-7 days, 416(11.6 %) within 8–14 days and 92(2.6 %) beyond 14 days. Earlier progression to theatre was predicted by female sex (X²(3) = 10.402,p = 0.015), less co-morbidities (X²(12) = 95.723,p=&lt;0.001), and younger age (H(3) = 92.591,p=&lt;0.001).</div><div><span>On logistic regression, age &gt;65(OR 1.565,p &lt; 0.001), male sex(OR 1.348,p = 0.002), increasing co-morbidities(OR 1.586,p = 0.009) and increased “time to theatre”(72hrs-7days(OR 1.616,p &lt; 0.001), 8–14days(OR 3.84,p &lt; 0.001), &gt;14days(OR 5.929,p &lt; 0.001)) were risk factors for a composite of </span>adverse outcomes<span> (mortality, 30-day readmission, post-operative ERCP/IR drain, conversion to open, CBD injury). Subgroup analysis of the &lt;72 h group displayed no difference in outcome.</span></div></div><div><h3>Conclusion</h3><div>Despite international guidance, just over half of emergency cholecystectomies for acute cholecystitis are performed within 72 h in Ireland. Prolonging “time to theatre” is associated with a stepwise deterioration in outcomes across a wide variety of measures.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Pages 301-305"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602080","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":"Digital twins assisted surgery: A conceptual framework for transforming surgical training and navigation.","authors":"Justicia Kyeremeh, Lisa Asciak, James P Blackmur, Xichun Luo, Frederic Picard, Wenmiao Shu, Grant D Stewart","doi":"10.1016/j.surge.2025.09.007","DOIUrl":"https://doi.org/10.1016/j.surge.2025.09.007","url":null,"abstract":"<p><strong>Background: </strong>Given the complexity and evolution of modern surgical procedures, there is a need for training methods to develop and keep pace. Digital Twins Assisted Surgery (DTAS) offers a novel opportunity to enhance both surgical education and intraoperative decision-making.</p><p><strong>Patients and methods: </strong>We propose a conceptual framework for integrating DTAS into surgical education. Hypothetical case examples are presented to illustrate how DTAS could be utilized for preoperative planning, intraoperative guidance, and individualized skill development in surgical trainees.</p><p><strong>Results: </strong>DTAS demonstrates potential for improving surgical precision, skill acquisition, and patient safety. By integrating real-time data, 3D modelling, and predictive analytics, DTAS holds promise for improving surgical outcomes and facilitating skill acquisition in complex procedures.</p><p><strong>Conclusions: </strong>DTAS could transform surgical training and navigation. Pilot studies and validation trials are needed to assess its integration into curricula and its impact on clinical outcomes.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139232","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}