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Plastic Surgery

RCT | Multiple doses of prophylactic intravenous antibiotics are no better than a single dose in implant-based breast reconstruction.

19 Sep, 2022 | 12:48h | UTC

Effectiveness of Single vs Multiple Doses of Prophylactic Intravenous Antibiotics in Implant-Based Breast Reconstruction: A Randomized Clinical Trial – JAMA Network Open

 

Commentary on Twitter

 

RCT | In patients with severe burns, supplemental glutamine did not improve outcomes.

11 Sep, 2022 | 22:59h | UTC

A Randomized Trial of Enteral Glutamine for Treatment of Burn Injuries – New England Journal of Medicine (link to abstract – $ for full-text)

 

Commentary on Twitter

 

Review | Autoimmune/autoinflammatory syndrome induced by adjuvants: a focus on silicone.

18 Aug, 2022 | 12:34h | UTC

Autoimmune/autoinflammatory syndrome induced by adjuvants: a focus on silicone – Clinical Rheumatology

 

Commentary on Twitter

 

RCT | Antiseptic skin agents to prevent surgical site infection after incisional surgery.

8 Aug, 2022 | 11:54h | UTC

Antiseptic Skin Agents to Prevent Surgical Site Infection After Incisional Surgery: A Randomized, Three-armed Combined Non-inferiority and Superiority Clinical Trial (NEWSkin Prep Study) – Annals of Surgery (link to abstract – $ for full-text)

Related:

Alcoholic chlorhexidine skin preparation or triclosan-coated sutures to reduce surgical site infection: a systematic review and meta-analysis of high-quality randomised controlled trials – The Lancet Infectious Diseases

Reducing surgical site infections in low-income and middle-income countries (FALCON): a pragmatic, multicentre, stratified, randomised controlled trial – The Lancet

 

M-A | Perioperative care bundles for the prevention of surgical-site infections.

2 Aug, 2022 | 12:30h | UTC

Perioperative care bundles for the prevention of surgical-site infections: meta-analysis – British Journal of Surgery

 

Burden of pressure injuries: findings from the Global Burden of Disease study.

1 Aug, 2022 | 12:06h | UTC

Burden of Pressure Injuries: Findings From the Global Burden of Disease Study – Eplasty

 

Cohort Study | Association between excision margins and local recurrence in 1407 patients with primary in situ melanomas.

1 Aug, 2022 | 12:03h | UTC

Association between excision margins and local recurrence in 1407 patients with primary in situ melanomas – Journal of the American Academy of Dermatology International

Commentary: Margin Size Associated With Risk of Local Recurrence From Melanoma In Situ – AJMC

 

Guideline | Eyelid surgery for upper visual field improvement.

28 Jul, 2022 | 13:19h | UTC

American Society of Plastic Surgeons Evidence-Based Clinical Practice Guideline: Eyelid Surgery for Upper Visual Field Improvement – Plastic and Reconstructive Surgery (free for a limited period)

 

M-A | Breast cancer recurrence after immediate and delayed postmastectomy breast reconstruction.

28 Jul, 2022 | 13:05h | UTC

Breast cancer recurrence after immediate and delayed postmastectomy breast reconstruction—A systematic review and meta-analysis – Cancer

 

Pressure ulcers (pressure injuries) | Cochrane Library evidence and resources.

14 Jul, 2022 | 13:03h | UTC

Pressure ulcers (pressure injuries): evidence and resources – Evidently Cochrane

 

Guideline: Early mobilization and rehabilitation of critically ill burn patients.

1 Jun, 2022 | 11:40h | UTC

Clinical Practice Guideline: Early Mobilization and Rehabilitation of Critically Ill Burn Patients – Journal of Burn Care & Research

 

Alcoholic chlorhexidine skin preparation or triclosan-coated sutures to reduce surgical site infection: a systematic review and meta-analysis of high-quality randomized controlled trials.

31 May, 2022 | 11:50h | UTC

Alcoholic chlorhexidine skin preparation or triclosan-coated sutures to reduce surgical site infection: a systematic review and meta-analysis of high-quality randomised controlled trials – The Lancet Infectious Diseases

Related Study: Reducing surgical site infections in low-income and middle-income countries (FALCON): a pragmatic, multicentre, stratified, randomised controlled trial – The Lancet AND Commentary: Expensive antiseptics and sutures do not reduce the risk of surgical infections – National Institute for Health and Care Research

 

Commentary from one of the authors on Twitter (thread – click for more)

 

Report sets out blueprint to tackle global ethical issues around face transplants.

31 May, 2022 | 10:57h | UTC

Report sets out blueprint to tackle global ethical issues around face transplants – University of York

Report: AboutFace: A blueprint for sustainable face transplant policy & practice

 

Guidelines for clothing in the operating theatre.

30 May, 2022 | 11:52h | UTC

Guidelines for clothing in the operating theatre, 2021 – Anaesthesia Critical Care & Pain Medicine

 

M-A: The clinical effect and safety of new preoperative fasting time guidelines for elective surgery.

12 Apr, 2022 | 09:51h | UTC

The clinical effect and safety of new preoperative fasting time guidelines for elective surgery: a systematic review and meta-analysis – Gland Surgery

Related:

An international multidisciplinary consensus statement on fasting before procedural sedation in adults and children – Anaesthesia

Does my hospitalized patient need an NPO-after-midnight order preoperatively?

ESPEN practical guideline: Clinical nutrition in surgery – “Preoperative fasting from midnight is unnecessary in most patients. Patients undergoing surgery, who are considered to have no specific risk of aspiration, shall drink clear fluids until 2 h before anesthesia. Solids shall be allowed until 6 h before anesthesia.”

Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.

Editorial: The rationale for the recommendations of the European Pediatric Fasting Guideline – “the authors of the 2021 ESAIC pediatric guideline have found reasons to recommend reductions to the minimum fasting times for infant formula to 4 h, for breast milk to 3 h and for clear fluids to 1 h”.

Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration

Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology

Clear fluids fasting for elective paediatric anaesthesia: The European Society of Anaesthesiology consensus statement – European Journal of Anaesthesiology

Canadian Pediatric Anesthesia Society statement on clear fluid fasting for elective pediatric anesthesia – Canadian Journal of Anesthesia (free)

 

Oncoplastic breast consortium recommendations for mastectomy and whole breast reconstruction in the setting of post-mastectomy radiation therapy.

8 Apr, 2022 | 09:43h | UTC

Oncoplastic breast consortium recommendations for mastectomy and whole breast reconstruction in the setting of post-mastectomy radiation therapy – The Breast

 

Major burns: part 2. Anesthesia, intensive care and pain management.

7 Apr, 2022 | 07:59h | UTC

Major burns: part 2. Anaesthesia, intensive care and pain management – BJA Education

See also: Major burns: Part 1. Epidemiology, pathophysiology and initial management.

 

RCT: Hydrosurgical vs. conventional debridement of burns.

28 Mar, 2022 | 08:34h | UTC

Hydrosurgical and conventional debridement of burns: randomized clinical trial – British Journal of Surgery

 

Commentary on Twitter

 

Review: When to operate after SARS-CoV-2 infection?

22 Mar, 2022 | 09:44h | UTC

When to operate after SARS-CoV-2 infection? A review on the recent consensus recommendation of the DGC/BDC and the DGAI/BDA – Langenbeck’s Archives of Surgery

Related:

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

 

WSES/GAIS/WSIS/SIS-E/AAST global clinical pathways for patients with skin and soft tissue infections.

7 Mar, 2022 | 00:09h | UTC

WSES/GAIS/WSIS/SIS-E/AAST global clinical pathways for patients with skin and soft tissue infections – World Journal of Emergency Surgery

 

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

1 Mar, 2022 | 08:58h | UTC

Timing of elective surgery and risk assessment after SARS-CoV-2 infection: an update – Anaesthesia

Related:

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

 

Major burns: Part 1. Epidemiology, pathophysiology and initial management.

25 Feb, 2022 | 11:04h | UTC

Major burns: Part 1. Epidemiology, pathophysiology and initial management – BJA Education

 

Surgery students ‘losing dexterity to stitch patients’.

21 Feb, 2022 | 09:24h | UTC

Surgery students ‘losing dexterity to stitch patients’ – BBC

 

Guideline for the management Herpes Simplex 1 and cosmetic interventions.

13 Feb, 2022 | 21:41h | UTC

Guideline for the Management Herpes Simplex 1 and Cosmetic Interventions – The Journal of Clinical and Aesthetic Dermatology

 

Guideline for the prevention, diagnosis, and management of acute bacterial soft tissue infections following nonsurgical cosmetic procedures.

13 Feb, 2022 | 21:40h | UTC

Guideline for the Prevention, Diagnosis, and Management of Acute Bacterial Soft Tissue Infections Following Nonsurgical Cosmetic Procedures – The Journal of Clinical and Aesthetic Dermatology

 

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