Colorectal Surgery
Study: Higher cefazolin dose does not reduce SSIs among obese patients
A higher cefazolin dose was not associated with decreased rates of surgical site infections among obese patients undergoing elective colorectal surgery, study data showed.
Skipping prophylactic drainage raises post-gastrectomy reoperation risk by 7.2%
A no-drain strategy after gastrectomy increased the risk for reoperation or percutaneous drain placement within 30 days compared with prophylactic drainage among patients with gastric cancer, according to a study published in JAMA Surgery.
IV lidocaine does not expedite return of gut function 3 days after colon resection
Perioperative administration of 2% IV lidocaine had no significant effect on return of gut function at 72 hours among patients undergoing elective minimally invasive colonic resection, according to ALLEGRO trial results published in JAMA.
Anthem retracts ‘morally abhorrent’ policy to put time limit on anesthesia during surgery
Following backlash, Anthem Blue Cross Blue Shield stalled its policy change that would have put a time limit on coverage for anesthesiology services during surgery and other procedures in Connecticut, Missouri and New York.
City of Hope Orange County appoints executive medical director of colorectal surgery
Alessio Pigazzi, MD, PhD, has been appointed executive medical director of colorectal surgery at City of Hope Orange County.
Individualized opioid regimen, gabapentin lessens opioid use after colorectal surgery
A postoperative care bundle that includes an individualized opioid regimen, gabapentin and clonidine as a rescue analgesic may reduce the need for opioid analgesia after major colorectal surgery, according to data in JAMA Network Open.
Colorectal surgery during pandemic linked to worse outcomes in COVID-19 negative patients
Worse outcomes were seen in COVID-19 negative patients who underwent elective colorectal surgery during the pandemic, according to a study published in Journal of Gastrointestinal Surgery.
Liquid biopsy assay model identifies high-risk CRC to avoid unnecessary surgeries
A novel risk-stratification model developed for noninvasive identification of T1 colorectal cancer may help avoid unnecessary surgeries for high-risk patients.
Algorithm demonstrates efficacy for semiautomated surveillance of SSIs
Current method of calculating SSIs underestimates rates of some procedures
The current CDC National Healthcare Safety Network method of calculating rates of surgical site infection, or SSI, underestimates the SSI rate in procedures like laminectomies and rectal surgeries that are performed with higher-ranking procedures, researchers found.