An aqueous antiseptic solution for incisional wound irrigation reduces surgical site infections; study results suggest that the use of antibiotic wound irrigation be avoided. ja.ma/3w9g2Rq

Which may be the better long-term approach to appendicitis—interval elective appendectomy or nonsurgical treatment with antibiotics? Dimitrios Moris MD, MSc, PhD and Theodore Pappas address that question in this Viewpoint. ja.ma/3wdZZl6

Viewpoint discusses the pros and cons of performing interval appendectomy in patients who have recovered from successful antibiotic treatment of acute uncomplicated appendicitis. ja.ma/3xSnW23

Most viewed in the last 7 days from JAMA Surgery:

Can preoperative computed tomography scans provide patient frailty assessments that are associated with outcomes of abdominal surgery?

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In this study, a plastic wound protector decreased surgical site infection rates by 46.8% across bowel surgeries compared with surgical gauze. ja.ma/4b7gePH

Higher presentation acuity was associated with worse outcomes for patients in deprived neighborhoods despite being insured, suggesting additional barriers to accessing health care. ja.ma/3JfJZ4Y

Study suggests geographical disparities persist in access to hand surgery for patients with rheumatoid arthritis, especially among non-urban residential areas. ja.ma/3JfJY0U

Study found that the surgical volume of ambulatory surgery centers is an important predictor of patient outcomes, especially in patients with multimorbidity. ja.ma/3UbbUt4

Trauma activation fees for emergency trauma patients vary widely based on insurance status and hospital location. ja.ma/4aViOs6

Most viewed in the last 7 days from JAMA Surgery:

Can preoperative computed tomography scans provide patient frailty assessments that are associated with outcomes of abdominal surgery?

ja.ma/444Q2Da

Narrative review summarizes left-sided diverticulitis pathophysiology, advances in diagnosis, prevention strategies, and surgical approaches and decision-making. ja.ma/3vY6Rmy

Does blinding matter in trials of procedural interventions and surgery? This meta-analysis identifies how the placebo effect influences clinical trial results. Placebo-control is essential for exercise, quality of life and physician assessed endpoints. ja.ma/4d6928z

Authors Paulina Salminen and Jussi Haijanen discuss 'Three-Year Outcomes of Oral Antibiotics vs Intravenous and Oral Antibiotics for Uncomplicated Acute Appendicitis' with JAMA Surgery Web Editor TXAggieBurnDoc. Hosted on @amaedhub. ja.ma/3UlZT4o

Most viewed in the last 7 days from JAMA Surgery:

What is the year-over-year hernia recurrence rate in patients with prior ventral hernia repair?

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3-year appendectomy rate in patients with uncomplicated appendicitis in the APPAC II RCT was 36.6% in oral antibiotics alone, vs 34.8% in IV followed by oral antibiotics, suggesting oral antibiotics to be feasible also at longer-term. ja.ma/3UkslU1

A new approach to surgical navigation in the anterior skull base employing 3D endoscopy & SLAM algorithms provides continuous information about anatomy underlying the exposed tissue surface without requiring an external tracking system, finds case series. ja.ma/3PZ0S7V

Study results suggest that video laryngoscopy may be a preferable approach for intubating patients undergoing surgical procedures.

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In-depth interviews of head and neck cancer patients after reconstructive surgery reveal their experience of surgery as traumatic event, and uncovers opportunities to improve the patient experience of preoperative counseling and decision-making. ja.ma/4aLvUYO

Study findings suggest that the optimal surveillance strategy for intraductal papillary mucinous neoplasm (IPMN) should be customized based on the natural history of IPMN. ja.ma/49yoJCq

While mitral valve repair is the preferred option for patients with degenerative mitral regurgitation, there may be a notable tendency among cardiac surgeons to opt for mitral valve replacement in isolated anterior pathologic status. ja.ma/3U2jKnN