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Seminars in Colon and Rectal Surgery最新文献

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Ergonomics and body wellness during surgery: A review and practical guide 手术期间的人体工程学和身体健康：回顾与实用指南
IF 0.4
Seminars in Colon and Rectal Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.scrs.2025.101085
Basil Karam MD, Ian Soriano MD
{"title":"Ergonomics and body wellness during surgery: A review and practical guide","authors":"Basil Karam MD,&nbsp;Ian Soriano MD","doi":"10.1016/j.scrs.2025.101085","DOIUrl":"10.1016/j.scrs.2025.101085","url":null,"abstract":"<div><div>Work-related musculoskeletal disorders (WRMSDs) are highly prevalent among surgeons, contributing to chronic pain, reduced operative efficiency, and premature career attrition. The increasing adoption of minimally invasive and robotic-assisted surgical techniques has introduced distinct ergonomic challenges that necessitate targeted interventions. This review examines the impact of surgical ergonomics on surgeon well-being, outlining key risk factors, prevalence data, and preventive strategies. A structured approach to optimizing posture, instrument handling, operating room configuration, and intraoperative microbreaks is presented.. The integration of ergonomic principles into surgical practice is essential for enhancing surgeon longevity, optimizing performance, and ensuring sustainable career progression.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"36 1","pages":"Article 101085"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Returning to the operating room 返回手术室
IF 0.4
Seminars in Colon and Rectal Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.scrs.2025.101084
Alexis D. Desir MD, Emina H. Huang MD
{"title":"Returning to the operating room","authors":"Alexis D. Desir MD,&nbsp;Emina H. Huang MD","doi":"10.1016/j.scrs.2025.101084","DOIUrl":"10.1016/j.scrs.2025.101084","url":null,"abstract":"<div><div>Returning to the operating room after birth-related leave presents significant challenges for female surgeons, who are often navigating the demands of parenthood alongside rigorous work schedules. This manuscript explores the multifaceted hurdles faced by these surgeons, including physical, mental, financial, and professional impacts. The physically demanding nature of surgery, coupled with hormonal changes, breastfeeding challenges, and sleep deprivation, exacerbates the difficulties of postpartum recovery. Additionally, female surgeons are at higher risk for postpartum depression and anxiety, which can hinder their performance in the operating room. Professionally, trainees may face changes in relationships with co-residents, potential delays in graduation, and evolving career priorities as they balance surgical training with family responsibilities. The manuscript emphasizes the need for flexible, supportive environments in surgical programs to better accommodate new mothers. By recognizing these challenges and adopting policies that prioritize wellness, the surgical community can help ensure that female surgeons successfully reintegrate into their careers without compromising their health or professional development.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"36 1","pages":"Article 101084"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A wellness resource guide for residents and fellows 住院医师和研究员健康资源指南
IF 0.4
Seminars in Colon and Rectal Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.scrs.2025.101083
Vanessa A. Hortian DO, MS, LAc
{"title":"A wellness resource guide for residents and fellows","authors":"Vanessa A. Hortian DO, MS, LAc","doi":"10.1016/j.scrs.2025.101083","DOIUrl":"10.1016/j.scrs.2025.101083","url":null,"abstract":"<div><div>Surgical training requires resilience and grit, as well as sacrifice. Each stage of training presents a set of unique challenges. Studies have shown that training is associated with burnout, attrition, and even cases of suicide. This article describes training-associated challenges that can lead to burnout and attrition and provides a resource guide to aid in maintaining well-being and humanity while navigating the journey of surgical training.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"36 1","pages":"Article 101083"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The joys of a surgical career and beyond 外科手术生涯的乐趣以及其他
IF 0.4
Seminars in Colon and Rectal Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.scrs.2025.101087
Patricia Roberts MD, FACS, FASCRS
{"title":"The joys of a surgical career and beyond","authors":"Patricia Roberts MD, FACS, FASCRS","doi":"10.1016/j.scrs.2025.101087","DOIUrl":"10.1016/j.scrs.2025.101087","url":null,"abstract":"<div><div>In 2017, my Presidential address to the American Society of Colon and Rectal Surgeons was titled “the joys of a surgical career.” The address examined the continuum of a long surgical career, and particularly the four stages including the initial education and training to become a colon and rectal surgeon, early career, mid career and late career. This paper builds on that address and specifically looks at ways to continue to thrive and to find joy in the clinical practice of surgery and beyond.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"36 1","pages":"Article 101087"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coaching as a resource for the modern surgeon 教练是现代外科医生的资源
IF 0.4
Seminars in Colon and Rectal Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.scrs.2025.101086
Sharon L. Stein MD
{"title":"Coaching as a resource for the modern surgeon","authors":"Sharon L. Stein MD","doi":"10.1016/j.scrs.2025.101086","DOIUrl":"10.1016/j.scrs.2025.101086","url":null,"abstract":"<div><div>Surgical coaching is becoming more prevalent over the last ten years. The practice of surgical coaching is widely variant, from technical coaching to developmental and remedial coaching. However, the premise behind coaching remains the same, to continue to foster the growth and development of news skills for the surgeon. This chapter reviews some of the data on coaching, as well as information on types of coaching. It also reviews some of the cultural biases that limit the acceptance of coaching by surgeons.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"36 1","pages":"Article 101086"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What it takes to be a surgeon today 今天的外科医生
IF 0.4
Seminars in Colon and Rectal Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.scrs.2025.101080
Celine Soriano MD., Terrah Paul Olson MD
{"title":"What it takes to be a surgeon today","authors":"Celine Soriano MD.,&nbsp;Terrah Paul Olson MD","doi":"10.1016/j.scrs.2025.101080","DOIUrl":"10.1016/j.scrs.2025.101080","url":null,"abstract":"<div><div>A long career in surgery requires prioritizing surgeon well-being. Burnout is prevalent in surgery, and is tied to job dissatisfaction, mental illness, and adverse patient outcomes. Individual and institutional factors, such as protection of identity, boundary setting, supportive workplace culture and communities, and creative re-structuring of work models can alleviate burnout and optimize surgeon wellness. This can allow surgeons today to thrive in the profession and enjoy life outside of it.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"36 1","pages":"Article 101080"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Identifying and optimizing psychosocial frailty in surgical practice 在外科实践中识别和优化社会心理脆弱性
IF 0.4
Seminars in Colon and Rectal Surgery Pub Date : 2024-11-06 DOI: 10.1016/j.scrs.2024.101061
Kurt S. Schultz MD, Caroline E. Richburg MD, Emily Y. Park MD, Ira L. Leeds MD MBA ScM
{"title":"Identifying and optimizing psychosocial frailty in surgical practice","authors":"Kurt S. Schultz MD,&nbsp;Caroline E. Richburg MD,&nbsp;Emily Y. Park MD,&nbsp;Ira L. Leeds MD MBA ScM","doi":"10.1016/j.scrs.2024.101061","DOIUrl":"10.1016/j.scrs.2024.101061","url":null,"abstract":"<div><div>Psychosocial frailty is under-screened for and under-treated in patients undergoing surgery, even though patients with psychosocial frailty are at increased risk for postoperative complications. Numerous approaches exist to identifying psychosocial frailty in the preoperative period, ranging from neighborhood-level indices to patient-level, patient-reported data. Presurgical optimization of psychosocial frailty has returned mixed results, focusing primarily on psychological well-being with limited attention paid to addressing a patient's social risk profile. Mediators and moderators of psychosocial frailty in surgical outcomes must be further elucidated before investigators can appropriately trial psychosocial optimization programs that benefit patients. In recent years, new policies and system-level changes have incentivized screening for psychosocial frailty, and additional reimbursement strategies should be formulated to address frailty in the preoperative period in a feasible, sustainable, and cost-effective manner.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 4","pages":"Article 101061"},"PeriodicalIF":0.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improving surgical outcomes for older adults with adoption of technological advances in comprehensive geriatric assessment 采用先进技术进行老年综合评估，改善老年人的手术效果
IF 0.4
Seminars in Colon and Rectal Surgery Pub Date : 2024-11-06 DOI: 10.1016/j.scrs.2024.101060
Sydney F Tan MD, Benjamin Cher MD, Julia R Berian MD, MS
{"title":"Improving surgical outcomes for older adults with adoption of technological advances in comprehensive geriatric assessment","authors":"Sydney F Tan MD,&nbsp;Benjamin Cher MD,&nbsp;Julia R Berian MD, MS","doi":"10.1016/j.scrs.2024.101060","DOIUrl":"10.1016/j.scrs.2024.101060","url":null,"abstract":"<div><div>Frailty is a well-recognized predictor of poor surgical outcomes for older adults, yet effective measurements and interventions remain limited. Technological advances offer an opportunity to address this gap and improve surgical care for older adults. This paper reviews the background of frailty and comprehensive geriatric assessments in surgery, and how technological innovations can advance frailty measurement and intervention in surgical settings. We review two broad areas of technological advancement as applied to frailty in surgery: (1) Innovation in the use of electronic health records (EHR) using Artificial Intelligence (AI) and Machine Learning (ML), and (2) Novel uses for wearable sensors and mobile health (mHealth) applications. We explore the integration of AI and ML with EHR systems, which can surpass traditional comorbidity indices by providing comprehensive health assessments and enhancing prediction models. Innovations like the electronic Frailty Index (eFI) show promise in expanding the reach of frailty assessments and facilitating real-time screening. Additionally, wearable devices and mobile health (mHealth) applications offer new ways to monitor and improve physical activity, nutrition, and psychological well-being, supporting perioperative rehabilitation. While these technologies present challenges, such as the need for infrastructure, training, and data interoperability, they offer promising strategies to facilitate the assessment and management of frailty among surgical patients. Continued research and tailored implementation strategies will be essential to fully realize the potential of these advancements in improving surgical outcomes for frail older adults.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 4","pages":"Article 101060"},"PeriodicalIF":0.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pearls for counseling older adults on the indications for stopping colon cancer screening 向老年人提供有关停止结肠癌筛查指征的指导原则
IF 0.4
Seminars in Colon and Rectal Surgery Pub Date : 2024-11-06 DOI: 10.1016/j.scrs.2024.101065
Josh Sommovilla MD
{"title":"Pearls for counseling older adults on the indications for stopping colon cancer screening","authors":"Josh Sommovilla MD","doi":"10.1016/j.scrs.2024.101065","DOIUrl":"10.1016/j.scrs.2024.101065","url":null,"abstract":"<div><div>Colorectal cancer remains a leading cause of mortality, making effective screening procedures like colonoscopy essential in reducing associated risks. The cessation of colorectal cancer screening in older adults presents complex challenges, particularly as guidelines recommend screening initiation at age 45 and emphasize individualized decision-making for older populations. Key considerations include balancing procedural risks, cancer risk, overall health prognosis, and patient preferences. The risks associated with colonoscopy are especially pertinent for older patients with comorbidities, necessitating the use of prognostic tools like ePrognosis and the Charlson Comorbidity Index to inform screening decisions. High-risk individuals may experience increased anxiety about cancer, complicating the decision-making process, as many have historically relied on regular surveillance. Perspectives from both physicians and patients reveal significant uncertainty regarding screening cessation, highlighting the importance of patient involvement in these discussions. Effective communication strategies are crucial, advocating for recommendations that align with patients' broader health goals rather than focusing solely on age-related actuarial data. Ultimately, navigating the intricacies of colorectal cancer screening cessation in older adults requires a patient-centered approach that minimizes risks while respecting individual values and health goals.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 4","pages":"Article 101065"},"PeriodicalIF":0.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Utilizing a defined multiphase, multispecialty perioperative pathway to achieve functional recovery after surgery 利用确定的多阶段、多专科围手术期路径实现术后功能恢复
IF 0.4
Seminars in Colon and Rectal Surgery Pub Date : 2024-11-06 DOI: 10.1016/j.scrs.2024.101064
Federica Greco MD , Isacco Montroni MD, PhD
{"title":"Utilizing a defined multiphase, multispecialty perioperative pathway to achieve functional recovery after surgery","authors":"Federica Greco MD ,&nbsp;Isacco Montroni MD, PhD","doi":"10.1016/j.scrs.2024.101064","DOIUrl":"10.1016/j.scrs.2024.101064","url":null,"abstract":"<div><div>This article emphasizes the need for a personalized approach in managing older cancer patients, highlighting the importance of a multidisciplinary team that tailors treatment to the patient's specific health conditions and goals. The objective is to balance positive oncological outcomes with the restoration of independence, reduction of disabilities and enhancement of quality of life. Functional recovery is central to treatment decisions as disability can impact cancer patients more than the prognosis itself. The paper stresses the value of frailty screening tools, nutritional assessment and physical evaluation which help predict postoperative outcomes and guide clinical management. It advocates for comprehensive preoperative evaluations, including geriatric assessments, to prevent both undertreatment and overtreatment. Multimodal prehabilitation can improve postoperative outcomes, reduce healthcare costs, and help older patients remain engaged in society. The article concludes by recommending a patient-centered, individualized approach to optimize functional recovery and alleviate the economic burden on healthcare systems.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 4","pages":"Article 101064"},"PeriodicalIF":0.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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