#SoMe4Surgery #MedTwitter #SurgEd #Surgery #MedicalTechniques @bjsacademy.bsky.social @martyn-evans.bsky.social @drjuliomayol.bsky.social @bjsopen.bsky.social @gio-marchegiani.bsky.social @malinasund.bsky.social
Drug-coated balloons were not cost-effective compared with plain balloons
Drug-eluting stents show potential cost-effectiveness but need further research to explore the economic case
➡️https://doi.org/10.1093/bjs/znaf274
🏥 Surgical site infection
➡️ buff.ly/DEQNr4R
🗨️Preoperative optimization, implementation of intraoperative preventive strategies, early diagnosis, prompt source control, tailored antibiotic therapy. - Johanne Gormsen
@bjsurgery.bsky.social #surgsky #medsky
#SoMe4Surgery #MedTwitter #SurgEd #Surgery #MedicalTechniques @bjsacademy.bsky.social @martyn-evans.bsky.social @drjuliomayol.bsky.social @bjsopen.bsky.social @gio-marchegiani.bsky.social @malinasund.bsky.social
Work by Lachlan Dick, MBChB , Connor Boyle, MBChB , Victoria Ruth Tallentire, MD , Joe Norton, MBBS , Emma Howie, MBChB , Douglas S Smink, MD, MPH , Richard J E Skipworth, MD , Steven Yule, PhD on behalf of , the Surgical Video Grading and Assessment (SVGA) Group
📊 Results: Mean cognitive NOTSS 5.6/8, with strong correlation between domains (r = 0.8; P < 0.001). Video-derived metrics explained 39.6% of variance in expert ratings.
🚀 Take-home: Cognitive NTS may be inferred from surgical video alone, enabling scalable automated assessment tools.
🎥 Methods: 40 laparoscopic appendicectomy videos analysed (10,385 events; 87,374 data points). Twelve experts rated decision-making and situation awareness using NOTSS.
Identifying novel indicators of non-technical skills derived from operative video annotation
➡️https://doi.org/10.1093/bjs/znag015
#SoMe4Surgery #MedTwitter #SurgEd #Surgery #MedicalTechniques @bjsacademy.bsky.social @martyn-evans.bsky.social @drjuliomayol.bsky.social @bjsopen.bsky.social @gio-marchegiani.bsky.social @malinasund.bsky.social
... Sjors Verlaan, PhD , Laurien M Buffart, PhD , Prof Cornelis J H M van Laarhoven, PhD , Baukje van den Heuvel, PhD on behalf of , the F4S PREHAB Collaborative Group
Work by Luuk D Drager, MD , Femke Atsma, PhD , Dieuwke Strijker, PhD , Linda A G van Heusden-Scholtalbers, MSc , Monique J M D van Asseldonk, MSc , Jonas Rosenstok, MA , Joost P H Seeger, PhD , ...
Exploratory analyses suggested a trend towards fewer complications in patients undergoing gastrointestinal oncological surgery, supporting further evaluation of targeted prehabilitation in high-risk populations
Although no statistically significant effects were observed, the confidence intervals included potentially clinically meaningful differences, meaning a relevant effect cannot be excluded
In this hospital-wide stepped implementation study, multimodal prehabilitation showed partial adherence and did not reduce postoperative Clavien–Dindo grade ≥2 complications or length of hospital stay in a heterogeneous surgical population
Effects of Multimodal Prehabilitation on High-impact Surgery Outcomes: a prospective stepped-wedge, hospital-wide implementation study
➡️ doi.org/10.1093/bjs/...
🏥 Bridging the gap: exposing the hidden challenges towards adoption of artificial intelligence in surgery
➡️https://buff.ly/GFMypNd
🗨️ Importance of data sharing and well-defined standards, better collaboration between data scientists and clinicians. - J Gormsen
@bjsurgery.bsky.social #surgsky
#SoMe4Surgery #MedTwitter #SurgEd #Surgery #MedicalTechniques @bjsacademy.bsky.social @martyn-evans.bsky.social @drjuliomayol.bsky.social @bjsopen.bsky.social @gio-marchegiani.bsky.social @malinasund.bsky.social
Work by Joachim S Skovbo , Lasse M Obel , Lytfi Krasniqi , Mads Liisberg , Jes S Lindholt
🔄 SET reduced initial procedures by 60%, but 35% crossed over, leading to >2× subsequent revascularizations (OR 2.30; P<0.001).
🩸 No difference in amputation, MI, or stroke.
🎯 Early revascularization may improve long-term survival—but evidence certainty is low and risk of bias is high.
📊 Meta-analysis of 7 RCTs (9 cohorts, n=1,113) with >12 months follow-up.
⚠️ Pooled HR analysis showed higher mortality with SET vs early revascularization (HR 1.83; 95% CI 1.10–3.04; P=0.02). Sensitivity analysis assuming worst-case follow-up loss also favoured revascularization (IRR 1.29; P=0.02)
Long-term mortality rate after supervised exercise therapy versus early revascularization for intermittent claudication: a systematic review and meta-analysis
➡️https://doi.org/10.1093/bjs/znaf294
#SoMe4Surgery #MedTwitter #SurgEd #Surgery #MedicalTechniques @bjsacademy.bsky.social @martyn-evans.bsky.social @drjuliomayol.bsky.social @bjsopen.bsky.social @gio-marchegiani.bsky.social @malinasund.bsky.social
🚀 A call to action urges shared standards, open challenges, interdisciplinary collaboration, and transparency to unlock AI’s full potential in surgical practice
Work by Ana Manzano Rodriguez , Cees G M Snoek , Marlies P Schijven
📊 Most current studies focus on isolated, task-specific solutions, missing the potential of versatile models that could support entire surgical workflows
📉 Unlike other AI fields, surgical AI lacks standardized benchmarks, shared datasets, and uniform evaluation metrics, making reproducibility and progress difficult
🤖 Artificial intelligence in surgery has advanced rapidly with foundation models, yet real-world adoption in the operating room remains limited
🔗 A key barrier is fragmentation between AI researchers and surgeons, leading to poor collaboration, siloed data, and misaligned clinical needs
Bridging the gap: exposing the hidden challenges towards adoption of artificial intelligence in surgery
➡️ doi.org/10.1093/bjs/...
#SoMe4Surgery #MedTwitter #SurgEd #Surgery #MedicalTechniques @bjsacademy.bsky.social @martyn-evans.bsky.social @drjuliomayol.bsky.social @bjsopen.bsky.social @gio-marchegiani.bsky.social @malinasund.bsky.social
POI is not inevitable—structured ERAS care and opioid minimisation remain the most effective tools while new therapies are under investigation.
Work by Miriam Khalil , David G Jayne , @SJ_Chapman
🛠️ Best strategies?
📦 ERAS pathways + minimally invasive surgery
💊 Opioid-sparing multimodal analgesia (selective NSAIDs)
🍽️ Early feeding
🧪 Alvimopan effective (where available); other adjuncts show mixed evidence
