🛑STOP ACE-inhibitors and ARBs pre-operatively to avoid:

⚠️intra-operative hypotension

⚠️postoperative acute kidney injury

🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Why don't things get better on #patientsafety ? One reason is that the NHS & government do sweet FA to act on inquiry recommendations.

The Thirlwall Inquiry has published a comprehensive assessment of the last 30 years of inquiries.

It is not a good read: thirlwall.public-inquiry.uk/2024/05/17/rev…

Multicenter study of 958 children from 16 hospitals found no benefit with use of postoperative antibiotics in children with nonperforated appendicitis with gangrenous, suppurative, or exudative findings. Shawn Rangel ja.ma/4agomN0

The ASGBI Trauma Committee Position Statement on “The National Audit of Trauma Laparotomy in the UK – an Unmet Need” is now published in the BJA:

sciencedirect.com/science/articl…

David shared his reflections on his time in Gaza in ⁦The Economist⁩
The collapse of the health system has led to unimaginable human suffering and countless preventable deaths.
International action desperately needed to restore services + supplies. economist.com/by-invitation/…

Double-blinded MOBILE2-trial found that mechanical bowel preparation and oral antibiotics reduced the rate of overall morbidity, surgical site infections and anastomotic leaks compared to mechanical bowel preparation only prior anterior rectal resection. ja.ma/3VouoaE

Does the use of sterile gloves vs nonsterile clean gloves for the repair of wounds & lacerations make a difference in SSIs? This systematic review & meta-analysis found no difference. ja.ma/48h0IPp Loai Albarqouni

We congratulate the Winner of the ASiT 2024 Silver Scalpel awards Mr Dilworth!
Tonight is the night we celebrate excellence of all nominees and trainers and thank them for their dedication and contribution to training the surgeons of tomorrow! #ASiT2024 #TheTimeIsNow !

This

This #internationalwomensday we honour the female doctors working tirelessly in war zones.

Meet Mariam. Our smart, strong and resilient surgical trainer from #Palestine .

Mariam's story ❤️🔗: lght.ly/gf0aaek

🧵1/4 We are expecting the #NHSStaffSurvey results to be published later this week. For the first time, the survey asked respondents if they had been the target of unwanted behaviour of a sexual nature in the workplace.

In this study, patients treated by female surgeons had lower health care costs following surgery. ja.ma/3uqTmLE

One-year mortality rates after standardized management for emergency laparotomy: results from the Swedish SMASH 👏study
➡️doi.org/10.1093/bjsope…

The SMASH (Standardized perioperative Management of patients operated with acute Abdominal Surgery in a High-risk and emergency

Strategies to Strengthen elective surgery
academic.oup.com/bjs/article/11…

Published today in BJS. Amazing to work, discuss and get feedback from such a great and diverse group!

The pandemic was one of the biggest stressor for elective surgery. Learning what worked will be key!

Abdominal wall closure
➡️bjsacademy.com/abdominal-wall…

ℹ️Best advice – small bites, continuous suture, slowly resorbed material.😷

#LeadingSurgicalEducation #EducationForAll #SoMe4Surgery #GeneralSurgery
BJS BJS Open Young BJS

Such an interesting article to research and write looking at an operating list from 1985 at a Military Hospital in Nepal. 20 cases covering 11 different specialties all with one surgeon and anaesthetist! That is 'General' Surgery.

militaryhealth.bmj.com/content/early/…

Novel Textbook Outcomes following emergency laparotomy: Delphi exercise
➡️doi.org/10.1093/bjsope…

❓Textbook outcomes are composite outcome measures that reflect the ideal overall experience for patients. The aim of this modified Delphi exercise was to achieve international

BJS Academy #RCT of the month:
Role of preoperative in-hospital delay on appendiceal perforation while awaiting appendicectomy (PERFECT): a Nordic, pragmatic, open-label, non-inferiority, randomised controlled trial.
➡️bit.ly/PERFECTtrial

Very useful pragmatic trial that

💥 A Selection of Papers Focusing on Medical Care in Ukraine

▶️ Bacterial Disease Monitoring ↔️ bit.ly/3KJd9KT
▶️ War Related Facial Wounds ↔️ bit.ly/3tU4Uqw
▶️ Medical Morbidity on the Frontline ↔️ bit.ly/4bajP0s

👉The next CHEETAH RCT paper is out, on preventing wound infection after surgery

The Lancet Global Health cost-effectiveness analysis of changing gloves and instruments before closing abdominal wounds

thelancet.com/journals/langl…

In summary, cost similar and works clinically, so is classified as

An observational cohort study on the effects of extended postoperative antibiotic prophylaxis on surgical-site infections in low- and middle-income countries
➡️ doi.org/10.1093/bjs/zn…

This cohort study evaluated whether postoperative antibiotic prophylaxis decreased the risk