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Issue Information

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  •  7 December 2020
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Moynihan Abstracts

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  •  7 December 2020
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NELA Prize

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  •  7 December 2020
No abstract is available for this article.
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Short Papers of Distinction

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  •  7 December 2020
No abstract is available for this article.
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Short Papers

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  •  7 December 2020
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Talking Posters

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  •  7 December 2020
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ePosters

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  •  7 December 2020
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Issue Information

  •  1697-1704
  •  12 November 2020
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Snapshot quiz

  •  1825-1825
  •  12 November 2020
No abstract is available for this article.
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Scientific Surgery December 2020 BJS

  •  1856-1856
  •  12 November 2020
No abstract is available for this article.
More articles
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Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans

Graphical Abstract

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A very large number of operations will be cancelled or postponed owing to disruption caused by COVID-19. Governments should mitigate against this major burden on patients by developing recovery plans and implementing strategies to restore surgical activity safely.

A mountain to climb

Role of bariatric surgery in reducing the risk of colorectal cancer: a meta‐analysis

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In this meta-analysis of the effects of bariatric surgery on the incidence of colorectal cancer, patients who had bariatric surgery had a greater than 35 per cent reduction in the risk of colorectal cancer compared with obese individuals who did not have surgery.

Bariatric surgery reduces colorectal cancer

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Global guidance for surgical care during the COVID-19 pandemic

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During pandemics, surgical services need to balance supporting the whole hospital response and minimizing the risk of nosocomial spread of COVID-19 against continuing care for acute surgical conditions and managing urgent elective surgery. This article identifies the key considerations that should be included in pandemic plans for surgical services.

Best available advice

Perioperative intravenous contrast administration and the incidence of acute kidney injury after major gastrointestinal surgery: prospective, multicentre cohort study

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This secondary analysis of the Outcomes After Kidney injury in Surgery (OAKS) data set aimed to determine the impact of perioperative exposure to intravenous contrast for CT and the risk of developing postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery. There was no association between preoperative or postoperative intravenous contrast administered for CT up to 7 days before surgery and postoperative AKI.

No effect on acute kidney injury

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Immediate and long-term impact of the COVID-19 pandemic on delivery of surgical services

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Surgical services are adapting to mitigate the surge in patients with COVID-19 in need of critical care support. All non-essential elective surgery has been cancelled, or is pending cancellation, in healthcare systems around the globe, impacting millions of patients. The postpandemic phase will require re-establishment of surgical services, and capacity building to restore normalcy and to appropriately reduce the backlog of cases by priority. A framework for evaluation and a plan to incorporate surgical care into the WHO strategies for national health plans and pandemic mitigation is urgently needed.

Preparing for the next wave

Open access

Demographic trends in the incidence of young‐onset colorectal cancer: a population‐based study

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The incidence rate of colorectal cancer in young adults is increasing. Detailed epidemiological analysis of these trends is necessary to understand them better. This article shows that the rising incidence in young adults is being driven by distal colorectal tumours, with the magnitude of trends greatest in southern regions of England, independent of sex or socioeconomic status.

Incidence increasing in young adults

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Perioperative care of the obese patient

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Preoperative evaluation of obese patients is recommended. Investigation should focus on identifying and treating obesity- and non-obesity-related conditions that may affect the perioperative course. Proper patient positioning, the right approach to airway management, an adequate ventilation strategy, careful anaesthetic management, multimodal analgesia and optimal postoperative care improve outcomes in obese patients undergoing surgery.

Preoperative preparation critical

A video abstract is available at https://youtu.be/z3JRDDr1MKE

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Acute postoperative pain management

Abstract

en

Pain controllable

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Strategies to minimize intraoperative blood loss during major surgery

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Reducing perioperative blood loss is a key component of patient blood management. Multimodal surgical, anaesthetic and haemostatic interventions are available, and implementation requires a multidisciplinary approach.

Things that work to reduce bleeding

A video abstract is available at https://youtu.be/Lc7YDxMy2is

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Perioperative care of the obese patient

Graphical Abstract

Description unavailable

Preoperative evaluation of obese patients is recommended. Investigation should focus on identifying and treating obesity- and non-obesity-related conditions that may affect the perioperative course. Proper patient positioning, the right approach to airway management, an adequate ventilation strategy, careful anaesthetic management, multimodal analgesia and optimal postoperative care improve outcomes in obese patients undergoing surgery.

Preoperative preparation critical

A video abstract is available at https://youtu.be/z3JRDDr1MKE

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ePosters

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Perioperative fluid management for major elective surgery

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This review highlights current knowledge related to perioperative fluid management for major elective surgery. Volume optimization through goal-directed therapy during high-risk surgery is warranted. Balanced crystalloids are generally the first choice of fluids during major elective surgery. Additional research regarding perioperative fluid management is needed.

Goal is zero fluid balance

A video abstract is available at https://youtu.be/bpGfABtVzdQ

Open access

Avoiding, diagnosing and treating well leg compartment syndrome after pelvic surgery

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This article reviews the published literature relating to the aetiology, pathophysiology, clinical features, diagnosis and management of lower limb compartment syndrome after pelvic surgery. Guidelines on prevention, diagnosis and management, endorsed by the relevant surgical specialty associations, are presented.

Rare, but preventable

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Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans

Graphical Abstract

Description unavailable

A very large number of operations will be cancelled or postponed owing to disruption caused by COVID-19. Governments should mitigate against this major burden on patients by developing recovery plans and implementing strategies to restore surgical activity safely.

A mountain to climb

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Rational performance metrics for operating theatres, principles of efficiency, and how to achieve it

Graphical Abstract

Description unavailable

A list that is 100 per cent efficient will have no over- or under-run and will complete all scheduled cases.

Organizing chaos

A video abstract is available at https://youtu.be/CD49voqt-Es

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Association of Surgeons of Great Britain & Ireland
Sociedad Española de Investigaciones Quirúrgicas
Swedish Surgical Society
Swiss Society of Surgery
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