Effect of noise isolation during general anaesthesia on the incidence of moderate-to-severe pain after major abdominal surgery: multicentre randomized clinical study
➡️https://t.co/5BGujCxdtb
This multicentre randomized clinical study in 304 adults investigated the effect of noise isolation during surgery on the incidence of moderate-to-severe pain. In the 24-hour period after surgery, the incidence of moderate-to-severe pain was significantly lower in the noise isolation than control group (23 versus 49%). Intraoperative noise isolation was found to be an effective, safe, and non-invasive preventive intervention that significantly lowered the incidence of moderate-to-severe pain after major abdominal surgery.
👏👏👏Fang Xu , Dong Chen , Cong Wang , Yi Yang , Yingcai Wu , Shuai You , Guangyou Duan
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy@BJSurgery
Cancer vaccines: comprehensive review
➡️https://t.co/oKkU8vNEyg
There has been an increasing focus on the potential of cancer vaccines as a therapeutic oncological option, aiming to harness the immune system to recognize and eliminate malignant cells. This review provides a comprehensive overview of current vaccine strategies, their clinical applications, and implications for surgical oncology.
👏👏👏@CliffRach, Nichola Manu , Qian Yang , Zeeshan Arif , David Aggen , Michael E Bryan , Aditi Gupta , Heather Shaw , David Church , Philippa Corrie , Natalia Savelyeva , Christian Ottensmeier , Sarah Danson , Robert Jones
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy@BJSurgery #cancer #oncology #tumor
Incidence of autoimmune disease after hernia surgery with a mesh implant: national retrospective cohort study
➡️ https://t.co/jXxgWvhkoe
In a nationwide Dutch cohort, polypropylene mesh implantation was not associated with an increased medium-term risk of autoimmune disease
New autoimmune disease occurred at similar rates after mesh hernia repair and control surgery (1.1% vs 1.5%)
Work by Maurits J C A M Gielen , Ahmed M Chaoui , Samantha Schoenmakers , Bas Vreugdenhil , Tim Lubbers , Richard P G Ten Broek , Rudi M H Roumen , Nicole D Bouvy , Willem A R Zwaans
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos@SEIQuirurgica@iss_sic #MedicalTechniques @BJSAcademy@young_bjs@BJSOpen@evanscolorectal@robhinchliffe1@bplwijn@MalinASund@nfmkok@TejedorPat@paulo_sutt@PVaughanShaw@JJEarnshaw@juliomayol@ksoreide@eurohernias #hernia
Anastomotic leak after colorectal surgery: current landscape and future directions
➡️ https://t.co/JhVNo8RuJQ
🔗 Anastomotic leak remains one of the most feared complications after colorectal surgery, with major consequences including sepsis, reoperation, permanent stoma, and poorer oncological outcomes
📊 Leak rates remain substantial despite modern care: 3–6% after ileocolic anastomoses and up to 10–20% after low colorectal anastomoses
🧬 Anastomotic healing is multifactorial, involving surgical technique, perfusion, host immune response, and the gut microbiome
💡 ICG fluorescence angiography may improve perfusion assessment, particularly in rectal cancer surgery, but standardized quantitative thresholds are still needed
🦠 The microbiome is emerging as a key contributor, with collagenase-producing bacteria potentially weakening the anastomosis
🎯 Future prevention will likely require personalized risk stratification and targeted interventions rather than a one-size-fits-all approach
Work by Jack A Helliwell , Aaron Quyn , David G Jayne
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos@SEIQuirurgica@iss_sic #MedicalTechniques @BJSAcademy@young_bjs@BJSOpen@evanscolorectal@robhinchliffe1@bplwijn@MalinASund@nfmkok@TejedorPat@paulo_sutt@PVaughanShaw@JJEarnshaw@juliomayol@ksoreide #colorectalsurgery #StepUp4CRC @FightCRC@ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club@ACPGBI_EduTrain@AECP_FAECP@PelvExGroup@escp_tweets@YouESCP #TeachMeColoproctology
#Some4COLoprocto
Interhospital variations in practice and technical outcomes for endoscopic resection of early oesophagogastric adenocarcinoma: multicentre CONGRESS data set analysis
➡️https://t.co/V9JEb2C3gQ
Using the CONGRESS multicentre registry (2015–22), this study evaluated interhospital variation in outcomes following endoscopic resection (ER) for T1 N0 oesophagogastric adenocarcinoma. Among 1215 patients from 28 centres, high-volume centres demonstrated significantly lower rates of R1 resection, procedural complications, and progression to surgery compared with low-volume centres, even after adjustment for case mix. These findings indicate substantial practice variation and suggest a volume-outcome relationship in ER for early OG cancer.
👏👏👏Kirsty Cole , @gastro3570 ,@jamesgossage9 , Natalie Blencowe , @cswathikan , Tom Crosby , Neil M Davies , Richard P T Evans , @EwenGriffiths , @Sivesh93 , @MarkarSheraz , @NJEMCP , @TimTheSurgeon , @philip_pucher on behalf of , the CONGRESS Collaborative
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy@BJSurgery #some4UGI #uppergi #esophagealcancer #gastriccancer @ISDE_net@Augishealth@roux_group@T4UGIS #ESDE @young_esde
Development of a standard definition of ‘no-option’ and ‘poor-option’ for revascularization in chronic limb-threatening ischemia
➡️https://t.co/QWzz2BdHk3
🦵 How should we define “no-option” or “poor-option” CLTI?
🌍 This modified Delphi study brought together 164 vascular specialists from 30 countries to develop an expert-validated definition.
📊 Consensus supported a multidomain ABRFC framework: arterial anatomy, biology, risk, function, and context.
⚠️ “No-option” CLTI includes desert foot, prohibitive medical risk, non-functional limb, or patient refusal of revascularization.
🔍 “Poor-option” CLTI reflects combined factors such as severe infection, lack of autologous vein, or treatment non-compliance.
🎯 This framework can standardize clinical assessment, trial design, reporting, and future guideline development.
Work by Mario Alejandro Fabiani , Jos C van den Berg , Oscar A De la Torre , Alfredo Verastegui , Anahita Dua On Behalf of , the International Cooperative Vascular Consortium (ICVC)
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos@SEIQuirurgica@iss_sic #MedicalTechniques @BJSAcademy@young_bjs@BJSOpen@evanscolorectal@robhinchliffe1@bplwijn@MalinASund@nfmkok@TejedorPat@paulo_sutt@PVaughanShaw@JJEarnshaw@juliomayol@ksoreide #vascularsurgery #vascular #Ischemia @vascularsurgery
Quality improvement interventions in surgical oncology: systematic review of international studies
➡️https://t.co/JcJiwBFnlH
Substantial variation in surgical oncology care and outcomes have been identified and quality improvement interventions have the potential to address this. This systematic review highlights a lack of high-quality evaluations of QI interventions in the literature. Key gaps include interventions aimed at improving equitable access to surgical care.
👏👏👏Adil Rashid , Sugeeta Sukumar , Joanna Dodkins , Georgia Zachou , Nicola S Fearnhead , Kate Walker , @AggarwalOnc
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy@BJSurgery
Surgical innovation and technology
➡️ https://t.co/dwlZC4QeDK
The future of surgery will be more precise, personalized, and technology-enabled—but innovation must be judged by its impact on patient care, not by novelty alone
This BJS Commission highlights how surgeons, engineers, scientists, and industry can work together to ensure new tools improve outcomes, equity, and value
Work by @JBMatthews, Jelle P Ruurda , Peter G Vaughan-Shaw , Desmond C Winter , Andrew Beggs , Andrew Yiu , Brian Davidson , Barbara Seeliger , Chen Xin , Daniel Stoyanov , Daphne D Rietbergen , Fijs W B van Leeuwen , Gerlof M Kuiper , Guglielmo N Piozzi , Jianing Qiu , James M Kinross , João Ramalhinho , Jim S Khan , Kurinchi Gurusamy , Kyle Lam , Kai F Chan , Li Zhang , Matthew Boal , Matthew J Clarkson , Matthias N van Oosterom , Nader Francis , Neeraj Lal , Philip W Y Chiu , Tessa Buckle , Yafit Shasha , Israa F E Hussein
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos@SEIQuirurgica@iss_sic #MedicalTechniques @BJSAcademy@young_bjs@BJSOpen@evanscolorectal@robhinchliffe1@bplwijn@MalinASund@nfmkok@TejedorPat@paulo_sutt@PVaughanShaw@JJEarnshaw@juliomayol@ksoreide #some4hpb #some4tpl @DPCG_official@pancreatitis_nl@PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub@P_C_E_@dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #colorectalsurgery #StepUp4CRC @FightCRC@ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club@ACPGBI_EduTrain@AECP_FAECP@PelvExGroup@escp_tweets@YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net@Augishealth@roux_group@T4UGIS@SARONG_Trial@YoungIFSO #bariatricsurgery
Presurgical levels of circulating tumour DNA in patients with resectable chemotherapy-naïve colorectal liver metastases: association with multiorgan recurrence and survival in the MIRACLE cohort
➡️ https://t.co/njD0HKrEah
📊 In this cohort of 182 patients undergoing curative-intent treatment for CRLM, 19% were classified as ctDNA-high using the mFast-SeqS aneuploidy assay.
⚠️ ctDNA-high patients had markedly worse outcomes, with 1-year recurrence-free survival of 29% vs 52% and 3-year overall survival of 48% vs 78%.
🌍 Multiorgan recurrence within the first year was significantly more common in ctDNA-high patients.
🔍 The aneuploidy score independently predicted recurrence and survival on multivariable analysis.
🎯 mFast-SeqS may provide a low-cost, minimally invasive strategy to identify patients at high risk of rapid recurrence before treatment.
Work by Lissa Wullaert , Lotte van Leeuwen , Vanja de Weerd , Mai Van , Esther Oomen-de Hoop , Jaco Kraan , Maurice P H M Jansen , John W M Martens , Dirk J Grünhagen , Henk M W Verheul , Cornelis Verhoef , Saskia M Wilting
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos@SEIQuirurgica@iss_sic #MedicalTechniques @BJSAcademy@young_bjs@BJSOpen@evanscolorectal@robhinchliffe1@bplwijn@MalinASund@nfmkok@TejedorPat@paulo_sutt@PVaughanShaw@JJEarnshaw@juliomayol@ksoreide #some4hpb #some4tpl @DPCG_official@pancreatitis_nl@PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub@P_C_E_@dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery
Costs associated with anastomotic leak after left-sided colorectal surgery: retrospective real-world study in England
➡️https://t.co/gB1IiklFDf
This retrospective matched cohort study compared healthcare resource utilization and costs between patients with and without anastomotic leak (AL) after left-sided colorectal surgery to highlight the significant burden of AL and to address the evidence gap regarding its economic impact in England. AL was associated with a significantly higher mean all-cause inpatient cost of €11 723 and a significantly higher mean cumulative length of hospital stay of 15.93 days.
👏👏👏Julia Glover-Kirtland , Cindy Tong , Melek Pinar Bosut , Niels-Derrek Schmitz , Sara Joao Carvalho , Caoimhe T Rice , Dion G Morton , Elizabeth Li , Thomas D Pinkney
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy@BJSurgery #colorectalsurgery #colorectalcancer @FightCRC #StepUp4CRC
Negative-pressure wound therapy in thoracic and abdominal surgery: meta-analysis of randomized trials
➡️https://t.co/LUozY9H15P
This systematic review and meta-analysis of 45 randomized trials including over 12 000 patients found that closed-incision negative-pressure wound therapy (NPWT) significantly reduces surgical site infections (SSIs) and shortens hospital stay following open abdominal surgery, with consistent effects across device types. No benefit was observed for organ/space infection, fascial dehiscence or reoperation, and evidence of publication bias suggests that, although the magnitude of benefit may be overestimated, the reduction in SSI remains statistically significant when adjusted for this. These findings support selective use of NPWT in high-risk patients, while underscoring the need for cost-effectiveness analyses and long-term outcome data.
👏👏👏Adil S Lakha , Salma Neves , Younis Alemour , Hannah McGivern , Alex Gordon-Weeks
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy@BJSurgery
Transanal irrigation for low anterior resection syndrome treatment: international multicentre randomized clinical trial
➡️https://t.co/3BOsIk7ZlY
In this multicentre randomized feasibility trial, transanal irrigation (TAI) was evaluated in patients with major low anterior resection syndrome persisting at least 12 months after anterior resection. Compared with best supportive care, TAI significantly improved bowel function and quality of life at 12 months, with markedly lower LARS and Wexner incontinence scores and higher bowel function scores. Treatment adherence was high, with 75% of patients continuing daily irrigation, and patient satisfaction consistently favoured TAI. Only two mild procedure-related adverse events were reported, supporting TAI as a feasible, acceptable, and effective treatment option for severe LARS.
👏👏👏Ignas Civilka , Michail Klimovskij , Andrej Aleinikov , Peter Christensen , Narimantas E Samalavicius , Miglė Sakalauskaitė , Audrius Dulskas
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy@BJSurgery #colorectalsurgery #colorectalcancer @FightCRC #StepUp4CRC
Standards for reporting research methods, interventions, and Outcomes in Surgical Prehabilitation studies (SOS-Prehab)
➡️https://t.co/Bpn7eS1imj
🏋️ Prehabilitation trials need clearer and more consistent reporting to improve reproducibility and clinical implementation.
🌍 SOS-Prehab was developed through a two-round Delphi process with 53 international experts across exercise, nutrition, psychology, and perioperative care.
📋 The final checklist includes 40 items: 16 essential and 24 important reporting elements.
🔍 Key domains include intervention components, delivery methods, adherence, participant characteristics, and outcome measures.
📊 Used alongside CONSORT, SOS-Prehab may improve transparency, comparability, and evidence synthesis in prehabilitation research.
🎯 Better reporting can help accelerate translation of prehabilitation into clinical practice and policy.
Work by Chelsia Gillis , Daniel I McIsaac , Daniel Santa Mina , Stéphanie Chevalier , Gabriele Baldini , Francesco Carli , Celena Scheede-Bergdahl , Linda Edgar , Vanessa Smrk , Leah Avery , Amal Bessissow , Miquel Coca Martinez , Robert Copeland , Susanne Oksbjerg Dalton , Gerad Danjoux , Linda Denehy , Dominique Engel , Chloe Grimmett , Michael P Grocott , Heather L Gill , Sandy Jack , Bente Thoft Jensen , Denny Levett , Graciela Martinez-Palli , Zoe Merchant , John Moore , Nicolò Pecorelli , Ian Randall , Bernhard Riedel , Geoff Schierbeck , Gerrit Slooter , Malcolm West , Julio F Fiore, Jr. , Collaborators
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos@SEIQuirurgica@iss_sic #MedicalTechniques @BJSAcademy@young_bjs@BJSOpen@evanscolorectal@robhinchliffe1@bplwijn@MalinASund@nfmkok@TejedorPat@paulo_sutt@PVaughanShaw@JJEarnshaw@juliomayol@ksoreide #some4hpb #some4tpl @DPCG_official@pancreatitis_nl@PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub@P_C_E_@dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #colorectalsurgery #StepUp4CRC @FightCRC@ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club@ACPGBI_EduTrain@AECP_FAECP@PelvExGroup@escp_tweets@YouESCP #TeachMeColoproctology
#Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net@Augishealth@roux_group@T4UGIS@SARONG_Trial@YoungIFSO #bariatricsurgery @asgbi@ASiTofficial@eurohernias@SEIQuirurgica@ESCP_tweets@YouESCP
Impact of breast cancer characteristics on the development and time to liver metastases: population-based study
➡️https://t.co/8JyPDoHlJV
The intrinsic breast cancer subtype is correlated with the risk of and time to the development of liver metastasis. Breast cancer liver metastases are common in advanced breast cancer, but isolated oligometastases are rare.
👏👏👏Marcus Sundén , Elin Lindqvist , Ellen Wahlqvist , Ellen Hansson , Charlotta Wadsten , Anne Andersson , Malin Sund , Oskar Hemmingsson
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy@BJSurgery #breastcancer #mastectomy #endocrine
Development of a standard definition of ‘no-option’ and ‘poor-option’ for revascularization in chronic limb-threatening ischemia
➡️ https://t.co/QWzz2BdHk3
This consensus study established a structured, expert-validated definition of no option or poor option for revascularisation of patients with CLTI
The multidomain ABRFC framework provides a foundation for standardized clinical assessment, trial design, and future guideline development
Work by Mario Alejandro Fabiani , Jos C van den Berg , Oscar A De la Torre , Alfredo Verastegui , Anahita Dua On Behalf of , the International Cooperative Vascular Consortium (ICVC)
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos@SEIQuirurgica@iss_sic #MedicalTechniques @BJSAcademy@young_bjs@BJSOpen@evanscolorectal@robhinchliffe1@bplwijn@MalinASund@nfmkok@TejedorPat@paulo_sutt@PVaughanShaw@JJEarnshaw@juliomayol@ksoreide #vascularsurgery #vascular #Ischemia @vascularsurgery
Effect of timing on patient-reported outcomes in contralateral symmetrization surgery in autologous breast reconstruction
➡️https://t.co/JfpXMEj2fq
This cohort study compared patient-reported outcomes between simultaneous and secondary contralateral breast symmetrization in women undergoing unilateral autologous breast reconstruction. Short-term satisfaction was better with simultaneous symmetrization; however, once all patients had undergone symmetrization, the difference in satisfaction was no longer significant.
👏👏👏Rojda Gümüscü , Olivia Sjökvist , Ellen Kragsterman , Johan Svensson , Susanna Kauhanen , Maria Mani , Rebecca Wiberg
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy@BJSurgery #breastcancer #mastectomy #endocrine
Video-based assessment tool for workflow analysis in minimally invasive colorectal surgery: expert consensus-based development and multicentre validation of ColoWorkflow
➡️https://t.co/a3XmBd53gL
ColoWorkflow, the first video-based assessment tool for workflow analysis across minimally invasive colorectal procedures, was based on a modified Delphi process involving over 40 experts from 11 countries. Validation on a multicentre data set demonstrated moderate-to-strong inter-rater reliability and broad applicability across five major colorectal procedures. ColoWorkflow provides a standardized framework for benchmarking surgical workflows, improving training, and developing artificial intelligence-driven workflow recognition in colorectal surgery.
👏👏👏Pooja P Jain , Pietro Mascagni , Giuseppe Massimiani , Nabani Banik , Marta Goglia , Lorenzo Arboit , Britty Baby , Andrea Balla , Ludovica Baldari , Gianfranco Silecchia , Claudio Fiorillo , The CompSurg Colorectal Experts Group , Sergio Alfieri , @smoralesconde , Deborah S Keller , Luigi Boni , Nicolas Padoy
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy@BJSurgery #colorectalsurgery #colorectalcancer @FightCRC #StepUp4CRC @dice_europe