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

{"title":"Low-cost and bendable patient-specific three-dimensional pulmonary vessel models for lung segmentectomy.","authors":"Toshihiro Ojima, Tomoshi Tsuchiya, Naru Kitade, Ryo Yokoyama, Naoya Kitamura, Koichiro Shimoyama","doi":"10.1016/j.surge.2025.11.005","DOIUrl":"https://doi.org/10.1016/j.surge.2025.11.005","url":null,"abstract":"<p><strong>Background: </strong>Lung segmentectomy offers the advantages of preserving pulmonary function and improving patient survival, leading to its increased adoption. However, this procedure is technically demanding, especially when compared with lobectomy, owing to anatomical shifts from intraoperative lung collapse and manipulation. To support thoracic surgeons and enhance their surgical training, we developed a low-cost, patient-specific, and bendable three-dimensional (3D) pulmonary vessel model. This study describes the development, clinical application, and evaluation of this model.</p><p><strong>Methods: </strong>A flexible 3D pulmonary vessel model was created using thermoplastic polyurethane (TPU) filaments. Preoperative thin-slice computed tomography images were processed using SYNAPSE VINCENT® (FUJIFILM, Japan) to annotate the pulmonary arteries, veins, bronchi, and tumors. Data were converted into stereolithography format using OsiriXMD (Pixmeo SARL, Switzerland) and printed using Adventure 5M Pro (FLASHFORGE JAPAN, Japan). These models were used for surgical planning, intraoperative navigation, and resident education.</p><p><strong>Results: </strong>Between September 2024 and January 2025, 31 lung segmentectomies were performed with reference to TPU-based models. Cost of the TPU filament was approximately $1 per vessel, totaling approximately $2 per patient, and printing time was approximately 3 h per model. Compared with polylactic acid models, TPU models demonstrated superior flexibility in simulating vascular deformation caused by lung traction. Their use has improved anatomical understanding, facilitated intraoperative vessel recognition, and proved valuable in surgical training.</p><p><strong>Conclusion: </strong>Bendable TPU-based 3D pulmonary vessel models are cost-effective and anatomically accurate tools with broad potential for use in thoracic surgery, particularly in planning, navigation, and education.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145530413","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":"Sustainable surgery in Ireland: A national perspective on practices, perceptions, and challenges.","authors":"Muhammad Umair, Andrew Keane, Maria Mahmood, Camilla M Carroll","doi":"10.1016/j.surge.2025.10.011","DOIUrl":"https://doi.org/10.1016/j.surge.2025.10.011","url":null,"abstract":"<p><strong>Background: </strong>Operating theatres significantly impact healthcare's carbon footprint. Surgeons, as key decision-makers, are essential in driving sustainable practices. This study evaluates the attitudes and practices of Irish surgeons towards environmental sustainability, identifies barriers to implementation, and explores opportunities for improvement.</p><p><strong>Methodology: </strong>A cross-sectional survey was distributed to members and fellows of the Royal College of Surgeons in Ireland (RCSI). The structured questionnaire comprised demographic items, Likert-scale statements, and open-ended questions, addressing awareness of sustainability, waste management behaviours, and individual commitment to sustainable practices.</p><p><strong>Results: </strong>A total of 177 responses (response rate of 85.9 %) were received; 74 % (n = 131) of respondents were male and 55.4 % (n = 98) were consultant surgeons. While most respondents acknowledged the importance of sustainability in surgery, many reported limited familiarity with the concept. The volume of non-clinical waste generated in surgical settings was frequently underestimated. Reported barriers to implementing sustainable practices included insufficient education and awareness, financial constraints, and dependence on single-use instruments. Concerns regarding sterility and infection prevention also emerged as deterrents to adopting reusable alternatives. In addition to the quantitative findings, open-ended responses were analysed using thematic analysis, which revealed nuanced insights into surgeons' perceptions of sustainability, including underlying concerns, motivations, and system-level barriers.</p><p><strong>Conclusions: </strong>There is a clear disconnect between the perceived importance of sustainability and its practical application in surgical settings. Barriers exist at multiple levels - individual, institutional, and systemic. These findings underscore the urgent need for targeted educational and policy-driven interventions to embed sustainability into surgical practice.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483409","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 survival of patients with invasive ductal and invasive lobular breast cancer and its epidemiological and biological differences","authors":"Dr Ansu Joseph ,&nbsp;Dr Kapilraj Ravendran","doi":"10.1016/j.surge.2025.04.017","DOIUrl":"10.1016/j.surge.2025.04.017","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Page 328"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145044243","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":"Small bowel obstruction secondary to peritoneal tuberculosis: A case report","authors":"Marcus James Renshaw,&nbsp;Pete John Webster","doi":"10.1016/j.surge.2025.04.027","DOIUrl":"10.1016/j.surge.2025.04.027","url":null,"abstract":"<div><div>Extrapulmonary Tuberculosis<span><span> (EPTB) can affect many organ systems, including the gastrointestinal (GI) tract. Here, it may manifest as intestinal, peritoneal, hepato-pancreato-biliary TB, or as TB lymphadenitis<span>. We report a case of small bowel obstruction secondary to </span></span>peritoneal TB<span> deposits in a patient who had previous received BCG<span> vaccination<span>. The patient was managed with emergency laparotomy<span> and received TB treatment<span><span> post-operatively. This article highlights the innocuous presentation of peritoneal TB and difficulties obtaining a diagnosis. Furthermore, we review the efficacy of the </span>BCG vaccine<span> and remind the reader of the importance of a travel history in the acute abdomen setting.</span></span></span></span></span></span></span></div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Pages 313-315"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144230","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":"Comparative Study of Metal vs. Ceramic Implants in Joint Arthroplasty: Longevity and Complication Rates","authors":"Mr. Taufiq Qurrohman ,&nbsp;Dr. Chairul Wahjudi","doi":"10.1016/j.surge.2025.04.026","DOIUrl":"10.1016/j.surge.2025.04.026","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Page 331"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145044134","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":"VTE Prophylaxis in Trauma Unit","authors":"Dr Vincent Dundas-Smith","doi":"10.1016/j.surge.2025.04.020","DOIUrl":"10.1016/j.surge.2025.04.020","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":"145044246","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":"Intern involvement in emergency general surgical handover and implications for patient care","authors":"Niall Murnaghan ,&nbsp;Jessica M. Ryan ,&nbsp;William P. Duggan ,&nbsp;Deborah A. McNamara","doi":"10.1016/j.surge.2025.05.004","DOIUrl":"10.1016/j.surge.2025.05.004","url":null,"abstract":"<div><h3>Background</h3><div>Surgical handover is a key risk area in patient care, yet the impact of junior team member involvement in the process is not well understood. This study aims to assess the level of intern involvement in emergency general surgery (EGS) handover and its impact on daily tasks.</div></div><div><h3>Methods</h3><div>Overt, structured, non-participant observations of morning EGS handover meetings were carried out to assess intern involvement. The same interns were then observed over the course of the day-shift immediately following the handover. During these observation periods, details of all patient care queries addressed to the interns were recorded.</div></div><div><h3>Results</h3><div>Five general surgery interns (42%) were observed across six EGS handover meetings. A total of 100 clinical queries were recorded during 25 h of observation. Only 2/6 handover meetings had full intern involvement. While all appeared to be actively listening during handover, questions were asked, and readbacks were provided by interns during 4/6 and 3/6 handovers, respectively. Clinical queries directed at interns who were fully involved in the morning handover were more likely to be answered immediately (96.6 %,n = 29 vs. 78.6 %,n = 55; <em>p</em> = 0.024) and using memory of the verbal handover (50 %,n = 15 vs 24.3 %,n = 17; <em>p</em> = 0.012). One incidence of negligible harm occurred, due to omission of a patient's allergy information from the handover.</div></div><div><h3>Conclusion</h3><div>Interns who are fully involved in handover show evidence of learning and are more likely to respond to queries faster and from memory. Reduced involvement in the post-call handover process has the potential to delay, and therefore negatively impact, patient care.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Pages 277-280"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163456","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":"Optimising topical wound care outcomes for fungating breast wounds – A systematic review of current institutional practice","authors":"Ryan Seng Hong Wong ,&nbsp;Trishan Manav Sri Ram ,&nbsp;Zhi Min Lin ,&nbsp;Clement Luck Khng Chia","doi":"10.1016/j.surge.2024.12.003","DOIUrl":"10.1016/j.surge.2024.12.003","url":null,"abstract":"<div><h3>Background</h3><div>Fungating breast wounds<span> cause significant complications and morbidity to patients. Wound care is of paramount importance in optimising care and alleviating suffering for patients with malignant breast wounds. Currently, routinely implemented objective assessment tools for fungating breast wound treatment outcomes are non-existent, and institutional practice varies.</span></div></div><div><h3>Aims</h3><div>This review aims to evaluate current evidence regarding various wound care methodologies for fungating breast tumours on their effectiveness at targeting established fungating wound-specific complications: malodour, pain, exudates, bleeding, wound characteristics, emotional and quality-of-life outcomes.</div></div><div><h3>Data sources</h3><div>We conducted a systematic review<span><span> of four databases (PubMed, Embase, </span>Scopus, The Cochrane Library) and hand-search of bibliographies of relevant reviews, in accordance to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA-P) guidelines.</span></div></div><div><h3>Results</h3><div>The search strategy yielded 1319 articles, of which, 8 studies involving 188 patients were included in the review. Studies examined the effects of wound care products such as but not limited to calcium alginate<span>, hydrocellular dressing and metronidazole<span> and looked at outcomes such as bleeding (6), malodour (5), exudates (3), pain (4), wound size/length (2), emotion (3) and quality-of-life (1).</span></span></div></div><div><h3>Conclusion</h3><div>There is a wide variety of options for wound care which is able to target the various complications of fungating breast wounds. Certain wound care methods are effective in alleviating patient morbidity. However, key barriers toward establishing evidenced-based management of patients with fungating breast wounds were identified in the paucity of studies, lack of standardisation of interventions and objective outcome measures.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Pages 281-287"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883529","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":"Exploring TikTok's influence on surgical patient education","authors":"Sai Sandeep Singh Rowdhwal ,&nbsp;Michael El Boghdady","doi":"10.1016/j.surge.2025.03.001","DOIUrl":"10.1016/j.surge.2025.03.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Social media platforms, especially rapidly growing ones like TikTok, are increasingly used to disseminate health information. Its interactive features promote user participation, allowing for the sharing of experiences and raising awareness about specific medical conditions, while also simplifying complex procedures. This study aimed to explore the possible influence of TikTok short-video application on the education of surgical patients.</div></div><div><h3>Methods</h3><div>A systematic search was performed in compliance with the PRISMA checklist. The research protocol was registered with the PROSPERO register (CRD42024551646). A search was performed in the PubMed and ScienceDirect databases from inception to 2024. The search terms used were “TikTok AND Surgery,” “TikTok AND Surgical Education,” and “TikTok AND surgery AND patient.\"</div></div><div><h3>Results</h3><div>The present systematic search resulted in 697 citations, of which 50 relevant citations were included. The search revealed that TikTok has widely used among patients from different surgical specialties and has an influence on their education. The platform facilitates public health awareness, allowing surgeons to share educational content, including surgical techniques and patient-oriented information.</div></div><div><h3>Conclusion</h3><div>As one of the rapidly growing social media platforms, TikTok is increasingly utilised to disseminate health information. It has been adopted across various surgical specialties. While the platform presents a great opportunity to improve the education of surgical patients, it presents challenges related to the accuracy of information, potential misinformation, and lack of regulation. Surgeons and healthcare professionals should actively participate in creating accurate, evidence-based content that enhances patient education and promotes public health awareness.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Pages 265-276"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024492","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":"Moral injury and second victim syndrome in healthcare providers: A continuum","authors":"Aisling O'Donnell ,&nbsp;Michael Devine","doi":"10.1016/j.surge.2025.08.001","DOIUrl":"10.1016/j.surge.2025.08.001","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Pages 326-327"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849472","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}