Annals of surgery
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To determine the relative or combined effects of Crohn disease (CD) and ulcerative colitis (UC) and the operation performed on postoperative venous thromboembolism (VTE) to better guide recommendations on extended VTE prophylaxis. ⋯ Postoperative VTE risk varies widely by the operation performed, and a diagnostic indication of CD or UC does not play a role. Extended duration VTE prophylaxis should be considered in all patients undergoing high-risk operations, regardless of their underlying diagnosis.
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The aim of this study was to obtain estimates of changes in perioperative outcomes and utilization of bariatric surgery in the United States from 1993 to 2016. ⋯ Perioperative safety of bariatric surgery improved over the last quarter-century. Despite growth in number of surgeries, utilization has only marginally increased. Addressing barriers for utilization may allow for greater access to surgical therapy.
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The aim of this study was to explore how trust was constructed between surgeons and residents in the operating room. ⋯ This study showed that surgical trust is constructed through an iterative process involving gathering and valuing of information, decision-making, close observation, and supervisory intervention. There were strong underlying themes of control and responsibility, and trust was noted to increase over time and over repeated observations. The model presented here may be useful in improving judgements on competence in the surgical workplace.
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To evaluate the impact of postoperative complications on health-related quality of life (HRQOL) up to 10 years after surgery for esophageal cancer. ⋯ Postoperative complications are associated with considerably impaired HRQOL up to 10 years after esophageal cancer surgery.