iiinova — where your digital self keeps evolving

BJS Open @bjsopen.bsky.social · 01/12/2025

👏👏👏Mark M Youssef, Abigail C Watson, Sarah A Profitt, Matthew Allaway, Yuni Ongso, Jonathan Sivakumar, Afrin N Kamal, Yuto Shimamura, Sarah K Thompson, David I Watson, Cuong P Duong, David S Liu

000

BJS Open @bjsopen.bsky.social · 01/12/2025

There are also ongoing refinements in patient selection for interventional therapy. This article reviews the latest developments, with a focus on available medium- to long-term outcome data and current active trials of evaluation.

100

BJS Open @bjsopen.bsky.social · 01/12/2025

Gastro-oesophageal reflux disease (GORD) is highly prevalent and significantly impairs quality of life. Treatment for GORD is rapidly evolving due to advances in pharmacotherapy, surgical techniques, approaches, and devices.

100

BJS Open @bjsopen.bsky.social · 28/11/2025

The findings highlight the need to balance functional outcomes with oncological benefits in future research. 👏👏👏Chun-Kai Liao, Yen-Lin Yu, Ya-Ting Kuo, Yu-Jen Hsu, Yih-Jong Chern, Yueh-Chen Lin, Pao-Shiu Hsieh, Jeng-Fu You, Jy-Ming Chiang

000

BJS Open @bjsopen.bsky.social · 28/11/2025

This meta-analysis of 65 studies involving 13 971 patients compared transanal with laparoscopic total mesorectal excision (TME) for rectal cancer. Transanal TME was associated with better surgical and oncological outcomes but a higher risk of major low anterior resection syndrome.

100

Reposted by BJS Open

BJS Academy @bjsacademy.bsky.social · 27/11/2025

💜 In focus this Pancreatic Cancer Awareness Month: 🔬Neoadjuvant therapy versus upfront surgery for resectable and borderline resectable pancreatic cancer: systematic review and meta-analysis 📖 Read it: buff.ly/Uyto6CX #surgsky @bjsopen.bsky.social

011

BJS Open @bjsopen.bsky.social · 27/11/2025

👏👏👏Arthur Morris, Sally A Roberts, Nikki Grae, Chris Frampton

000

BJS Open @bjsopen.bsky.social · 27/11/2025

This study analysed the surgical site infection (SSI) rate for clean operations where cefazolin prophylaxis was used. There were 66 292 procedures where the timing (in minutes) was known. There was a higher SSI risk when prophylaxis was given more than 51 minutes before incision.

100

BJS Open @bjsopen.bsky.social · 26/11/2025

👏👏👏Emma Hansson, Nicholas Moellhoff, Susanne Ahlstedt Karlsson, Alexandra Uusimäki, Ilkka Kaartinen, Lisbet Rosenkrantz Hölmich, Rado Zic, Ruth Waters, Mark Henley, Riccardo E Giunta, Anna Elanderon behalf of the ESPRAS European Quality Indicator Group

000

BJS Open @bjsopen.bsky.social · 26/11/2025

Spanning six quality domains and incorporating structure, process, and outcome measures, including patient-reported outcomes and patient-reported experiences, these quality indicators offer a comprehensive foundation for future benchmarking and quality improvement across Europe.

100

BJS Open @bjsopen.bsky.social · 26/11/2025

This study used a structured Delphi process involving experts and patient representatives from 21 European countries to develop a consensus-based set of 41 quality indicators for breast reconstruction.

100

BJS Open @bjsopen.bsky.social · 26/11/2025

Quality indicators for breast reconstruction following cancer—an international Delphi consensus study supported by the European Society of Plastic, Reconstructive and Aesthetic Surgery ➡️ doi.org/10.1093/bjso... @bjsacademy.bsky.social @bjsurgery.bsky.social

111

Reposted by BJS Open

BJS Academy @bjsacademy.bsky.social · 20/11/2025

💜 November is Pancreatic Cancer Awareness Month: Check out 7️⃣ of the most important pancreatic papers published in BJS and BJS Open this year. ➡️ buff.ly/4sY2Nh1 @bjsurgery.bsky.social @bjsopen.bsky.social #surgsky #medsky

011

Reposted by BJS Open

BJS Academy @bjsacademy.bsky.social · 25/11/2025

💜 In focus this Pancreatic Cancer Awareness Month: 🔬Predicting postoperative pancreatic fistula after robotic pancreatoduodenectomy 📖 Read it: buff.ly/GZCisvI #surgsky @bjsopen.bsky.social

011

BJS Open @bjsopen.bsky.social · 25/11/2025

👏👏👏Riadh Salem, Wing K Chou, Lorenzo Giorgi, Sivesh K Kamarajah, Sheraz R Markar

000

BJS Open @bjsopen.bsky.social · 25/11/2025

The overall quality of evidence was poor, with most studies non-randomized and at moderate risk of bias. Meta-regression identified industry involvement as a significant source of heterogeneity, highlighting the need for independent evaluation and cautious adoption.

100

BJS Open @bjsopen.bsky.social · 25/11/2025

This systematic review and meta-analysis of 90 studies (65 296 patients) found very low-certainty evidence suggesting possible benefits of robotic-assisted gastrectomy over conventional surgery.

100

BJS Open @bjsopen.bsky.social · 25/11/2025

Evaluating safety and quality of robotic-assisted gastric cancer surgery: meta-analysis and meta-regression ➡️ doi.org/10.1093/bjso... @bjsacademy.bsky.social @bjsurgery.bsky.social

121

BJS Open @bjsopen.bsky.social · 24/11/2025

👏👏👏Wen-Quan Wang, Yao-Lin Xu, Lin-Hui Tang, Jun-Yi He, Yu Li, Fei Liang, Yue-Ming Zhang, Wei Gan, Hua-Xiang Xu, Lei Zhang, Wen-Chuan Wu, Chen-Ye Shi, Yun Jin, Chong-Yi Jiang, Zheng Wang, Min He, Xu-An Wang, Yu-Dong Qiu, Liang Liu

000

BJS Open @bjsopen.bsky.social · 24/11/2025

A patented drainage device for external drainage was designed and the trial plans to enrol patients at moderate to high risk of postoperative pancreatic fistula (POPF) because retrospective data suggest that external drainage potentially reduces the incidence of POPF.

100

BJS Open @bjsopen.bsky.social · 24/11/2025

This article describes the protocol for a randomized clinical trial comparing the clinical benefit of external versus internal drainage techniques in pancreatoduodenectomy.

100

BJS Open @bjsopen.bsky.social · 24/11/2025

Impact of external drainage of the main pancreatic duct and common bile duct on postoperative pancreatic fistula following pancreatoduodenectomy: protocol for a multicentre randomized clinical trial ➡️ doi.org/10.1093/bjso... @bjsacademy.bsky.social @bjsurgery.bsky.social

121

BJS Open @bjsopen.bsky.social · 20/11/2025

Iain K Moppett, Lawrence Mudford, John Norrie, Rupert M Pearse, Thomas Pinkney, Athanasios Saratzis, Robert Sayers, Cecilia Vindrola-Padros, Justin Waring

000

BJS Open @bjsopen.bsky.social · 20/11/2025

👏👏👏Jugdeep K Dhesi, Judith S L Partridge, Bridget C Strasser, Lindsay Bearne, Nathan Hall, Andrew Healey, John S M Houghton, Laura Magill, Bijan Modarai,

100

BJS Open @bjsopen.bsky.social · 20/11/2025

perioperative medicine services can be implemented at scale to cost-effectively improve clinical outcomes for older patients undergoing elective and emergency surgery. A predefined dissemination strategy has been co-designed with patients, clinical community of practice, and organizational bodies.

110

BJS Open @bjsopen.bsky.social · 20/11/2025

Perioperative Medicine for Older People Undergoing Surgery Scale Up (POPS-SUp) is a hybrid implementation–effectiveness interrupted time series study using mixed methodology to examine whether comprehensive geriatric assessment and optimization based

100

BJS Open @bjsopen.bsky.social · 20/11/2025

The number of older people undergoing surgery is increasing and age-related physiological decline, multimorbidity, frailty, and dementia predispose older people to postoperative complications and incomplete functional recovery, with resultant health and social care costs.

100

BJS Open @bjsopen.bsky.social · 18/11/2025

Marc G Besselink, Giovanni Marchegiani, Federico Storni, Alexander Dullenkopf, Fabian Hauswirth, Markus K Muller, Pietro Renzulli

000

BJS Open @bjsopen.bsky.social · 18/11/2025

👏👏👏Laura Pietrogiovanna, Pascal Probst, Eduard A van Bodegraven, Alberto Balduzzi, Jörg Kaiser, Thilo Hackert, Eva Kalkum, Philip C Müller, Sara Canovi, Pia Antony, Hendrik Strothmann,

100

BJS Open @bjsopen.bsky.social · 18/11/2025

The present meta-analysis therefore provides level 1a evidence in favour of a selective early drain removal policy in partial pancreatoduodenectomy and a no-drain policy in left pancreatectomy.

100

BJS Open @bjsopen.bsky.social · 18/11/2025

Early removal of drains in partial pancreatoduodenectomy was safe with the additional benefit of significantly reducing chyle leak. The omission of routine abdominal drainage in left pancreatectomy was found to be safe, resulting in fewer postoperative pancreatic fistulas and a shorter hospital stay

100

BJS Open @bjsopen.bsky.social · 18/11/2025

Use and management of routine prophylactic abdominal drainage in pancreatic surgery: meta-analysis of randomized clinical trials ➡️ doi.org/10.1093/bjso... @bjsacademy.bsky.social @bjsurgery.bsky.social

121

BJS Open @bjsopen.bsky.social · 15/11/2025

👏👏👏Thomas O Butler, Jessie A Elliott, Matthew G Davey, Patrick M Collins, Megan McNamara, Eoin O'Malley, Micheal J Brennan, Kevin Barry, Sami Abd Elwahab, Karl Sweeney, Carmel Malone, Ray McLaughlin, Aoife Lowery, Michael J Kerin

000

BJS Open @bjsopen.bsky.social · 15/11/2025

This study found that sarcopenia was not associated with poorer prognosis, but lower lean body mass was associated with reduced overall and invasive disease-free survival.

100

BJS Open @bjsopen.bsky.social · 15/11/2025

The association between sarcopenia and clinicopathological characteristics and prognostic outcomes among patients receiving neoadjuvant chemotherapy for breast cancer is unclear.

100

Reposted by BJS Open

Giovanni Marchegiani, MD PhD @gio-marchegiani.bsky.social · 12/11/2025

💦 Use and management of drains in pancreas surgery remains controversial 🔎 MA of 17 RCT - 4k patients out now in @bjsopen.bsky.social 🏆 Whipple level 1a: selective early drain removal 🏆 Left panc: no drain policy 🎖️ Do you stick to highest level of evidence?! 🫵 academic.oup.com/bjsopen/arti...

031

Reposted by BJS Open

BJS Academy @bjsacademy.bsky.social · 15/11/2025

🆕Quality of life in patients with permanent hypoparathyroidism after thyroidectomy for benign thyroid disease: population-based study with long-term follow-up 🗨️Comment buff.ly/LPBh5jI ✍️ Response buff.ly/hbFvRGo 📖 Paper published in @BJSOpen.bsky.social What’s your take on this? Comment ⬇️

011

BJS Open @bjsopen.bsky.social · 13/11/2025

👏👏👏Evi Banken, Barbara M Geubels, Fleur E C Vande Kerckhove, Davy M J Creemers, Stijn H J Ketelaers, Joost Nederend, Heike M U Peulen, Irene E G van Hellemond, Harm J T Rutten, Jacobus W A Burger

000

BJS Open @bjsopen.bsky.social · 13/11/2025

It adds evidence for expanding organ-preserving strategies without compromising oncological outcomes in patients with locally advanced rectal cancer typically associated with a poorer prognosis.

100

BJS Open @bjsopen.bsky.social · 13/11/2025

This study supports the safety of a watch-and-wait approach in patients with high-risk rectal cancer with a complete response after total neoadjuvant therapy, highlighting low recurrence and favourable survival.

100

BJS Open @bjsopen.bsky.social · 12/11/2025

👏👏👏Pooya Rajabaleyan, Lasse Kaalby, Ulrik Deding, Issam al-Najami, Mark Bremholm Ellebæk

000

BJS Open @bjsopen.bsky.social · 12/11/2025

No significant differences were found in overall or time-specific (30-day, 90-day, and 1-year) mortality between the two groups. These findings suggest that PAC and VAC are comparable in terms of mortality outcomes in the management of secondary peritonitis.

100

BJS Open @bjsopen.bsky.social · 12/11/2025

This nationwide Danish register-based cohort study compared mortality outcomes in 13 898 patients undergoing surgery for secondary peritonitis between primary abdominal closure (PAC) and vacuum-assisted closure (VAC).

100

BJS Open @bjsopen.bsky.social · 12/11/2025

Mortality in patients with secondary peritonitis treated by primary closure or vacuum-assisted closure: nationwide register-based cohort study ➡️ doi.org/10.1093/bjso...

100