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

{"title":"PAPAYA Study (Paediatric Appendicitis Pathway and Audit Yield Assessment)","authors":"Mr Georgios Karagiannidis , Evie Banham , Jie Ying Tee","doi":"10.1016/j.surge.2025.04.024","DOIUrl":"10.1016/j.surge.2025.04.024","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":"145050552","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":"Alcohol & Drug Related Admissions Into Trauma & Orthopaedics","authors":"Dr Vincent Dundas-Smith","doi":"10.1016/j.surge.2025.04.018","DOIUrl":"10.1016/j.surge.2025.04.018","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Pages 328-329"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145044244","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":"Impact of Adjuvant Chemotherapy on 5-Year Overall Survival in Non-Metastatic Colon Cancer: A Population-Based Study in Bulgaria","authors":"Miss Ashpia Rahman","doi":"10.1016/j.surge.2025.04.021","DOIUrl":"10.1016/j.surge.2025.04.021","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":"145044247","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":"Pitfalls of crude pooling in assessing diagnostic accuracy: A cautionary note","authors":"Javier Arredondo Montero MD, PhD","doi":"10.1016/j.surge.2025.05.005","DOIUrl":"10.1016/j.surge.2025.05.005","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Pages 322-323"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318480","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":"Environmental impact of single-use items and their contamination levels in elective orthopaedic surgery","authors":"Jessica Rotaru ,&nbsp;Peggy Miller ,&nbsp;Luke McGarry ,&nbsp;John M. O'Byrne","doi":"10.1016/j.surge.2025.07.007","DOIUrl":"10.1016/j.surge.2025.07.007","url":null,"abstract":"<div><h3>Background</h3><div>Single-use items have dominated operating theatres since the 1980s, initially perceived to carry a lower risk of surgical site infection and occupational blood exposure while maintaining hospital expenditure. The topic of reusable surgical gowns and drapes has naturally emerged due to discussions regarding climate change. Considering reusable alternatives is the next step in reducing the carbon footprint of operating theatres.</div></div><div><h3>Methods</h3><div>Clinical waste attributable to single-use items was collected from 93 cases in an elective orthopaedic hospital over four weeks, comprising knee arthroplasty and arthroscopy, hip arthroplasty, foot and ankle and upper limb. Tourniquet use, operation time and blood loss were other parameters collected in each operation. Disposable gowns were visually examined and graded by contamination level. Clinical waste was weighed using a handheld electronic scale.</div></div><div><h3>Results</h3><div>The mean waste from knee, hip and minor (upper limb, foot and ankle) operating theatres was 3533g, 3966g and 2349g respectively. The average number of gowns used per case was four, as was the number of drapes. Minor operating theatres had the lowest levels of contamination, with 84.34 % of gowns not contaminated at all. Tourniquet use was associated with less waste, carbon emissions, and gown contamination.</div></div><div><h3>Conclusion</h3><div>A large proportion of operating theatre waste is attributable to disposable items such as gowns and drapes. In the elective orthopaedic setting, these are not heavily contaminated, especially in procedures where tourniquets are utilised. Given the environmental impact of clinical waste, we advocate for the use of reusable alternatives in these procedures.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Pages 296-300"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849471","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":"Enhancing medical student learning in the operating theatre: the need for integrated preparation","authors":"Lachlan Dick,&nbsp;Sannah Ali,&nbsp;Katie Hughes","doi":"10.1016/j.surge.2025.06.003","DOIUrl":"10.1016/j.surge.2025.06.003","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Pages 324-325"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545819","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":"‘Does the use of methylprednisolone improve the post-operative outcome of neonatal and paediatric cardiac surgery?’","authors":"Ms Martina Schatz","doi":"10.1016/j.surge.2025.04.016","DOIUrl":"10.1016/j.surge.2025.04.016","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":"145044242","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":"SHIELD Project (Study of Hernia Interventions and Evaluation of Length of Stay and Complications)","authors":"Mr. Georgios Karagiannidis ,&nbsp;Mohamed Abdallah ,&nbsp;Dardan Uka ,&nbsp;Yousef Salem ,&nbsp;Tejashree Mane ,&nbsp;Martin Sinclair","doi":"10.1016/j.surge.2025.04.025","DOIUrl":"10.1016/j.surge.2025.04.025","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Pages 330-331"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145044133","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":"Smarter Trauma Surgery: Exploring the Role of Partial REBOA in Reducing Ischemic Risks","authors":"Jerome Abishek ,&nbsp;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}