Claire Perez, Lucas Weiser, Hoover Wu, Andrew R Brownlee, Yufei Chen, Kulmeet Sandhu
{"title":"Advanced laparoscopic surgery curriculum: Elevating skills in general surgery residency.","authors":"Claire Perez, Lucas Weiser, Hoover Wu, Andrew R Brownlee, Yufei Chen, Kulmeet Sandhu","doi":"10.1016/j.amjsurg.2025.116547","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2025.116547","url":null,"abstract":"","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116547"},"PeriodicalIF":2.7,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144798005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Shining a light on the invisible experience of Black surgical trainees","authors":"Jamila K. Picart MD , Hope T. Jackson MD, FACS","doi":"10.1016/j.amjsurg.2025.116541","DOIUrl":"10.1016/j.amjsurg.2025.116541","url":null,"abstract":"","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"248 ","pages":"Article 116541"},"PeriodicalIF":2.7,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144798007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicole M Mott, Ariana Naaseh, Ahmad Hider, Jennifer E Geller, Paul E Wise, Nicole T Christian
{"title":"AJS virtual match mentor: A primer for approaching residency interview questions from surgery residents and program directors.","authors":"Nicole M Mott, Ariana Naaseh, Ahmad Hider, Jennifer E Geller, Paul E Wise, Nicole T Christian","doi":"10.1016/j.amjsurg.2025.116546","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2025.116546","url":null,"abstract":"","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116546"},"PeriodicalIF":2.7,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144798006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optimal port site skin closure method following minimally-invasive surgery: A systematic review and network meta-analysis of randomised clinical trials","authors":"E.P. Kerin , M.G. Davey , L. Bouz Mkabaah , N.E. Donlon","doi":"10.1016/j.amjsurg.2025.116542","DOIUrl":"10.1016/j.amjsurg.2025.116542","url":null,"abstract":"<div><h3>Background</h3><div>For minimally-invasive surgery (MIS), there are numerous acceptable port-site closure techniques with no consensus on the method used.</div></div><div><h3>Aim</h3><div>To identify optimal port site postoperative wound closure method following MIS with respect to complication rates and cosmetic outcome.</div></div><div><h3>Methods</h3><div>Network meta-analysis (NMA) was performed in accordance with PRISMA-NMA guidelines for RCTs comparing at least two methods of port-site closure.</div></div><div><h3>Results</h3><div>Nineteen RCTs were identified evaluating eight methods of wound closure in 1,932 patients; across three types of suture, three forms of tissue glue, staples and paper-tape. At NMA, there was no significant difference in wound complication, infection, dehiscence or pain rate irrespective of closure method, albeit a trend towards higher rate of dehiscence for adhesives. At NMA, wound cosmesis was superior for adhesives at both early and late postoperative follow-up.</div></div><div><h3>Conclusion</h3><div>This study validates the use of tissue adhesives with respect to primary closure of port sites following MIS while highlighting potential associated risks.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"248 ","pages":"Article 116542"},"PeriodicalIF":2.7,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shan L. Kalmeta, Gustavo Salgado-Garz, Rebecca Prymak, Kennedy Emerson, Kathleen Forgue, Ailie Balke, Maggie E. Bosley, Vahagn C. Nikolian
{"title":"Utilizing Telehealth to optimize long term surveillance following ventral hernia repair","authors":"Shan L. Kalmeta, Gustavo Salgado-Garz, Rebecca Prymak, Kennedy Emerson, Kathleen Forgue, Ailie Balke, Maggie E. Bosley, Vahagn C. Nikolian","doi":"10.1016/j.amjsurg.2025.116545","DOIUrl":"10.1016/j.amjsurg.2025.116545","url":null,"abstract":"<div><h3>Introduction</h3><div>Ventral hernias remain a challenging surgical condition with long-term complications and recurrences. This study evaluates whether standardized telemedicine-based follow-up improves long-term surveillance following ventral hernia repaiI</div></div><div><h3>Methods</h3><div>A retrospective cohort study compared telemedicine-based surveillance with traditional in-person follow-up for patients undergoing ventral hernia repair at a tertiary hernia center. Follow-up adherence at 6-, 12-, and 24-months were the primary outcomes of interest.</div></div><div><h3>Results</h3><div>Telemedicine-based surveillance significantly improved follow-up adherence; 79 % vs. 44 % at 6 months, 69 % vs 42 % at 12 months, and 44 % vs 14 % at 24 months. There was no significant difference in recurrence rates, but telemedicine helped identify patient concerns (24 %) early, leading to select additional interventions such as cross-sectional imaging or supplemental in-person evaluation (10 %</div></div><div><h3>Conclusions</h3><div>Telemedicine improves follow-up adherence and early detection of complications after ventral hernia repair. It offers an affordable solution for long-term patient care, though further research is needed to optimize protocols</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"249 ","pages":"Article 116545"},"PeriodicalIF":2.7,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144932364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Agathe Yvinou, Romain Alain, Andonirina Rantoanina, Dominique Le Nen
{"title":"Scalpels in shadow: The lost history of France's female surgeons.","authors":"Agathe Yvinou, Romain Alain, Andonirina Rantoanina, Dominique Le Nen","doi":"10.1016/j.amjsurg.2025.116544","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2025.116544","url":null,"abstract":"<p><p>This article examines the long-standing claim that French surgery was an exclusively male profession from the Middle Ages to the nineteenth century. It maps the social, economic, and legal mechanisms that gradually erased women practitioners between the twelfth and eighteenth centuries by analyzing four interlocking source sets: tax registers and guild rolls that record occupational identities; royal ordinances, apprenticeship contracts, and hospital regulations that define professional boundaries; iconographic and epigraphic material that visualizes or names women at work; and contemporary medical treatises that reveal shifting gendered vocabularies. Combining quantitative prosopography with close reading of normative texts, the study traces how craft professionalization, linguistic masculinization, and institutional reforms narrowed women's access to surgical labor. The resulting methodological framework equips historians to detect marginalized healers in archives compiled largely by and for men, and invites a broader, more inclusive rewriting of early-modern surgical history.</p>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116544"},"PeriodicalIF":2.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144793293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Grant Bochicchio , Helwig Wundsam , Blaž Trotovšek , Jack Spira , Eran Cohen , Sara Horn , Luca Maravigna , Massimo Iacobelli , Elisabetta Musazzi , Guido Fedele , Yuri Genyk , Christopher C. Lamb , Luigi Marano , Orgad Laub
{"title":"Comparison of sfilm-FS and TACHOSIL in patients undergoing liver surgical procedures requiring hemostasis – A phase 1/2, randomised, controlled study","authors":"Grant Bochicchio , Helwig Wundsam , Blaž Trotovšek , Jack Spira , Eran Cohen , Sara Horn , Luca Maravigna , Massimo Iacobelli , Elisabetta Musazzi , Guido Fedele , Yuri Genyk , Christopher C. Lamb , Luigi Marano , Orgad Laub","doi":"10.1016/j.amjsurg.2025.116543","DOIUrl":"10.1016/j.amjsurg.2025.116543","url":null,"abstract":"<div><div>This Phase I/II randomized, controlled, multicenter study aimed to evaluate the safety and efficacy of sFilm-FS compared to Tachosil® in patients undergoing elective liver surgery requiring hemostasis at the liver surface. sFilm-FS is a new fibrin sealant patch, coating on a biodegradable tri-block polymeric film.</div><div>The trial included 33 patients randomized 1:1 to receive sFilm-FS or Tachosil®. While most patients underwent liver resection, a subset underwent other hepatic surgical interventions.</div><div>Safety was the primary outcome, including treatment-emergent adverse events, coagulopathies, and intraoperative blood loss. Efficacy was assessed as secondary endpoints by the time to hemostasis and hemostasis at 2, 3, 5, 7, and 10 min from product application. Hemostasis was defined as the absence of bleeding at the target bleeding site within 10 min.</div><div>Both treatments were well tolerated, with no significant differences in adverse events. All patients achieved hemostasis within 10 min. The median time to hemostasis was 2 min for sFilm-FS and 3 min for Tachosil®.</div><div>sFilm-FS is a promising, well tolerated, fibrin sealant patch, offering the potential for a superior Fibrin Sealant patch that could improve surgical outcomes. Further studies are recommended to validate these findings in larger populations.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"249 ","pages":"Article 116543"},"PeriodicalIF":2.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Devika A Shenoy, Christina Lindsay, Allison N Martin, Ralph Snyderman
{"title":"Perspectives on navigating the use of artificial intelligence by patients for their surgical care management.","authors":"Devika A Shenoy, Christina Lindsay, Allison N Martin, Ralph Snyderman","doi":"10.1016/j.amjsurg.2025.116540","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2025.116540","url":null,"abstract":"","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116540"},"PeriodicalIF":2.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144774528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vika Guloyan , Richard W. Walsh , Angela Atkinson , Ally Wong , Daniel Dent , Jason W. Kempenich
{"title":"Nasogastric tube tune-up: Surgical residents and med-surg nursing achieve proficiency in a standardized protocol after targeted education","authors":"Vika Guloyan , Richard W. Walsh , Angela Atkinson , Ally Wong , Daniel Dent , Jason W. Kempenich","doi":"10.1016/j.amjsurg.2025.116531","DOIUrl":"10.1016/j.amjsurg.2025.116531","url":null,"abstract":"<div><div>Most small bowel obstructions (SBO) are managed via a nasogastric tube (NGT). In our facility we noted non-uniformity in NGT management between physicians and nurses. We compared skills in connection and troubleshooting of NGTs between surgical residents and nurses. A total of 37 surgical residents and 36 nurses completed the study with near equal scoring on connection of NGTs out of four (2.7 vs 2.78, p = .82), but residents scored higher on troubleshooting out of five (3.47 vs 1.8, p < .001). Nurses with ten or more years of experience (n = 7) did significantly better on pre-intervention simulation compared to less experienced nurses (n = 22) (6.29/9 vs 3.9/9, p = .014). Both nursing and residents had significant improvement in connection and troubleshooting after viewing an educational video. Targeted education leads to consistency in performance between the groups and may in turn lead to improved collaboration.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"250 ","pages":"Article 116531"},"PeriodicalIF":2.7,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}