New 2025 review highlights why early CTA, fast revascularization, and timely OR decisions matter. The gut doesn’t wait. Neither should we. #AcuteCareSurgery #MesentericIschemia #VascularSurgery #TraumaSurgery #SurgicalCriticalCare #CTAngio

Johns Hopkins' AI surgical robot removed 8 pig gallbladders all on its own. No surgeon at the console. Amazing progress—but human gallbladders aren’t always this clean. Real tissue bleeds, inflames, and surprises. We still need backup. #MedSky #SurgSky #surgery #AIinMedicine #robots #cholecystectomy

Surgeons face a growing financial crunch! New study shows a 24% inflation-adjusted drop in Medicare reimbursement for a common surgery, while malpractice costs vary wildly – requiring up to 163 procedures just to cover insurance in some states. The squeeze is real. #Healthcare #Surgery

Time to take out the trash! #iran

CT scans may account for 5% of future U.S. cancers. A call to balance diagnostic benefit with long-term risk. #CTScan #RadiationRisk #AcuteCareSurgery #CancerPrevention #JAMAInternal #ImagingStewardship

For obese patients with contaminated hernias, RTL and Da-Silva flap offer strong mesh-free options when standard repairs fail. Emerging data supports broader use in acute care. #EmergencySurgery #HerniaCare #RTLTechnique #SurgicalInnovation #Surgery #AcuteCareSurgery #Hernia #Obesity

Friday surgeries carry a higher risk of complications and mortality due to reduced weekend staffing. Patients should consider scheduling elective surgeries earlier in the week. #SurgeryTiming #SurgeryRisks #WeekendEffect #Surgery @jama.com

🚨RECOMMENDED READ🚨 All you need to know about primary ventral and incisional hernias, including detailed open and mini invasive surgical approaches and great illustrations!! ➡️ doi.org/10.1093/bjso...

Routine application of incisional negative pressure wound therapy to the closed surgical wound after emergency laparotomy did not prevent surgical site infection more than other dressings. ja.ma/3POjXcn #MedSky

New EAES guidelines recommend primary anastomosis over Hartmann’s or lavage for complicated diverticulitis without sepsis, emphasizing shared decision-making. #Surgery #Diverticulitis #ColorectalSurgery #MedicalGuidelines #SurgSky link.springer.com/article/10.1...

The COLOR IV trial demonstrates that intracorporeal anastomosis offers equivalent safety to extracorporeal techniques while improving recovery in laparoscopic right colectomy. #ColorectalSurgery #Laparoscopy #SurgicalInnovation #PatientOutcomes #Surgery #SurgSky

High-energy SPN reduces infectious complications and shortens hospital stays for gastric cancer patients. Evidence supports early nutritional intervention for improved outcomes without increasing costs. #NutritionTherapy #GastricCancer #PostoperativeCare #SurgicalInnovation #Surgery #SurgSky

Gallstone recurrence is linked to size, comorbidities like cirrhosis, and stone type. Understanding these factors can help identify high-risk patients and improve prevention. #Gallstones #Surgery #HealthcareResearch #Prevention #Gallbladder #SurgSky

Older adults with serious illness face more pain, depression, and caregiving needs post-surgery. Palliative care integration is key to improving outcomes. #Geriatrics #PalliativeCare #SurgeryOutcomes #Healthcare #Surgery #SurgSky

You can use this form letter to send a letter to your senators asking them to not confirm RFK Jr. actionnetwork.org/letters/tell...

The GERIATRIC risk tool redefines surgical risk stratification for patients over 90. With superior accuracy compared to traditional methods, it guides decision-making & improves care outcomes in high-risk populations. #GERIATRICCare #PatientSafety #RiskStratification #Surgery #GeriatricMedicine

Machine learning models outperform traditional tools in diagnosing appendicitis, achieving up to 92% accuracy. These models reduce dependency on labs and imaging, offering real-time clinical support for ED physicians. #MachineLearning #AI #Surgery #Appendicitis #AcuteCareSurgery #SurgSky

Laparoscopic retro-muscular mesh repairs outperform open techniques for ventral and incisional hernias, reducing hospital stays and complications. New insights help refine surgical strategies for better patient outcomes. #HerniaRepair #LaparoscopicSurgery #SurgSky #PatientCare #Surgery #Hernia

Goal-directed hemodynamic therapy reduces surgical site infections by 29%, improving outcomes in diverse surgical populations. A systematic review highlights its potential for transforming perioperative care. #SurgicalInnovation #SSI #HemodynamicTherapy #PatientCare #Surgery #SurgSky #MedSky

A study using time-stratified ancestry reveals migrations and genetic shifts in early medieval Europe, highlighting Scandinavian influences and dynamic admixture. #Genomics #Anthropology #Migration #GeneticHistory #MedievalEurope #humanancestry #anthropology #PopulationGenetics

A novel smoke evacuation device for laparoscopic surgery removes 85% of smoke within seconds, enhancing visibility & safety. This innovation minimizes surgical delays & protects both patients and staff. #LaparoscopicSurgery #SmokeEvacuation #PatientSafety #Surgery #MinimallyInvasiveSurgery #SurgSky

A novel nomogram predicts SSI risk in colorectal cancer patients using systemic inflammation and tumor markers. This tool could revolutionize surgical care by enabling personalized, preventive interventions. #ColorectalCancer #MachineLearning #SSI #Surgery #SurgicalSiteInfection #SurgSky

Frailty & low albumin together are a powerful predictor of poor surgical outcomes! Study shows combined assessment is key for better perioperative planning. #Surgery #Frailty #Albumin #RiskAssessment #PerioperativeCare #SurgicalOutcomes #Surgery #GeneralSurgery #AcuteCareSurgery

Balanced fluids (BMES) better than normal saline (NS) for severe acute pancreatitis! Study shows BMES lowers chloride, reduces inflammation, & improves outcomes. #Pancreatitis #Fluids #BMES #NormalSaline #CriticalCare #ICU #AcuteCareSurgery #Surgery #SurgSky

New tool predicts severe abdominal adhesions before surgery for anastomotic fistula after small intestine resection! This nomogram helps assess risk & improve surgical planning. #Surgery #Adhesions #Fistula #IntestinalSurgery #Nomogram #SurgicalPlanning #SurgSky #GeneralSurgery #AcuteCareSurgery

Minimally invasive surgery reduces death & complications in frail patients undergoing emergency colon surgery! Study shows significant benefits compared to open surgery. #MIS #Surgery #Frailty #ColorectalSurgery #Emergencysurgery #SurgSky #AcuteCareSurgery

South Korea’s ACS model has revolutionized emergency surgery, reducing delays and complications while enhancing patient care. By prioritizing emergencies, this innovative system offers a roadmap for improving outcomes globally. #AcuteCareSurgery #SurgicalInnovation #Surgery #SurgSky #GlobalHealth

New anastomotic devices in colorectal surgery, such as magnetic systems and intelligent tools, show promise in reducing leaks and enhancing recovery. These technologies could redefine surgical standards. #ColorectalSurgery #Surgery #SurgSky #MedSky @schwartzbergmd.bsky.social @swexner.bsky.social

Over 118,000 groin hernia repairs were performed in Japan in 2022! 🇯🇵 New data shows MIS repair is popular (53%), but day surgery is still low (5%). More data needed to align with global standards. #hernia #surgery #Japan #SurgSky #MedSky #healthdata #medicalresearch #generalsurgery

New study shows V-ERAT (endoscopic appendicitis treatment) may be a game-changer for uncomplicated appendicitis! It significantly reduces recurrence & LOS compared to Abx. Could this be the future of appendicitis treatment? 🤔 Many questions remain... #appendicitis #VERAT #surgery #SurgSky #MedSky

Surgeons show greater dexterity in a buzz wire game than other hospital staff, but also swear more! 🫀⚡️ New study in @bmj.com #surgery #dexterity #healthcare #medlife #funny #research #surgsky #medsky

Rouvière's sulcus, present in 83.8% of cases, is a key landmark to reduce bile duct injuries during laparoscopic cholecystectomy. Enhancing safety in gallbladder surgery. #Surgery #AcuteCare #LaparoscopicSurgery #IBDI #BileDuctInjury #Cholecystitis #GallBladder #SurgSky #LapChole

An innovative, low-cost silicone model for laparoscopic appendectomy brings high-fidelity simulation to surgical training, balancing affordability and realism. #SurgicalEducation #LaparoscopicTraining #Surgery #LapAppy #Laparoscopicappendectomy #Appendicitis #SurgSky

Optimizing hemostatic clip use in laparoscopic cholecystectomy can reduce costs without compromising safety, as most cases require four clips. A model balances precision with resource efficiency. #AcuteCare #LaparoscopicCholecystectomy #ValueBasedCare #Surgery #SurgSky #GallBladder

A Uniquely American Public Health Crisis ▪️ 2 dead, 6 injured. ▪️ Shooter: 15 years old. ▪️ 911 call made by a second grader. Gun violence is the leading cause of death for children & adolescents in U.S. This is not normal. It is not acceptable. We owe our children more than thoughts and prayers.

Prehospital blood saves lives, but access is limited. Surgeons must push for change to bring whole blood to EMS systems and close this lifesaving gap. #TraumaCare #PrehospitalBlood #EMS #SavingLives #SurgicalInnovation #Trauma #Surgery #WholeBlood #Blood #SurgSky #MedSky

APPAC IV explores outpatient appendicitis care with placebo vs. antibiotics. Findings could redefine management and reduce unnecessary antibiotic use. #AppendicitisCare #SurgeryInnovation #AntibioticResistance #APPACIV #EvidenceBasedMedicine #Surgery #SurgSky #MedSky #Appendicitis #AcuteCareSurgery

NECROSIS score: A 3-variable diagnostic tool for NSTIs offering 92% sensitivity. Streamlines early recognition, outperforming LRINEC. #NecrotizingInfection #SurgeryTools #AcuteCare #SurgicalInnovation #NSTI #SurgSky #MedSky #Surgery

ICG fluorescence angiography reduces overall anastomotic leak risk, especially grade A leaks, in colorectal surgery. No significant effects on secondary outcomes. Promising, but more RCTs are needed. #ColorectalSurgery #ICG #SurgicalInnovation #SurgSky #MedSky

Hello #Bluesky - I am an acute care surgeon (trauma/emergency general surgery/surgical critical care) and R01 funded scientist committed to eliminating health disparities and achieving excellence in health equity for everyone. Looking forward to connecting!

Risk factors for bail-out procedures (BOP) in acute cholecystitis include prolonged symptoms, tachycardia, and elevated bilirubin. Laparoscopic BOP offers shorter hospital stays vs. open BOP. #AcuteCare #Cholecystitis #Surgery #GeneralSurgery #SurgSky #MedSky #Gallbladder

Homeless trauma patients face longer hospital stays, higher rates of violent injuries, and unique discharge challenges compared to housed patients. Targeted interventions are needed. #TraumaCare #PublicHealth #Homelessness #HealthcareDisparities #COVID

In elderly patients with acute cholecystitis, percutaneous cholecystostomy improves pre-op conditions and enables safer elective surgery with better outcomes. A key strategy for high-risk cases. #AcuteCare #ElderlyCare #Cholecystitis #Surgery #Geriatrics #Gallbladder

Rib fracture pain is often underestimated, especially during movement. A study highlights the need to reassess pain management and support SSRF for better outcomes. #TraumaSurgery #AcuteCare #RibFractures #SSRF

Plastic wound protectors reduce SSI rates by 46.81% in open GI surgeries, offering safer, cleaner outcomes in high-risk cases. A must-consider for infection prevention strategies. #SurgeryInnovation #SSIReduction #Surgery #PatientSafety

Open abdomen management reduces hernia risks. Use NPWT, dynamic closure techniques, and biologic mesh per guidelines. Collaboration ensures optimal outcomes for these complex cases. #Surgery #HerniaCare #AcuteCareSurgery #Surgeons