iiinova — where your digital self keeps evolving

BJS @bjsurgery.bsky.social · 02/06/2026

Saving the surgeon-scientist: need to build enduring support for surgical science ➡️https://doi.org/10.1093/bjs/znag003

BJS @bjsurgery.bsky.social · 30/05/2026

Incidence of autoimmune disease after hernia surgery with a mesh implant: national retrospective cohort study ➡️ doi.org/10.1093/bjs/...

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BJS @bjsurgery.bsky.social · 27/05/2026

🦵 How should we define “no-option” or “poor-option” CLTI? 🌍 This modified Delphi study brought together 164 vascular specialists from 30 countries to develop an expert-validated definition.

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BJS @bjsurgery.bsky.social · 25/05/2026

Presurgical levels of circulating tumour DNA in patients with resectable chemotherapy-naïve colorectal liver metastases: association with multiorgan recurrence and survival in the MIRACLE cohort ➡️ doi.org/10.1093/bjs/...

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BJS @bjsurgery.bsky.social · 20/05/2026

Standards for reporting research methods, interventions, and Outcomes in Surgical Prehabilitation studies (SOS-Prehab) ➡️https://doi.org/10.1093/bjs/znaf302

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BJS @bjsurgery.bsky.social · 17/05/2026

Development of a standard definition of ‘no-option’ and ‘poor-option’ for revascularization in chronic limb-threatening ischemia ➡️ doi.org/10.1093/bjs/...

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BJS @bjsurgery.bsky.social · 16/05/2026

Diagnosis of inflammatory bowel disease after symptomatic faecalimmunochemical testing: population-based cohort study ➡️ doi.org/10.1093/bjs/...

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BJS @bjsurgery.bsky.social · 10/05/2026

Clinical and molecular landscape of surgically resected early onset pancreatic cancer ➡️ doi.org/10.1093/bjs/...

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BJS @bjsurgery.bsky.social · 03/05/2026

Survival after breast-conserving surgery and radiotherapy versusmastectomy: propensity score analyses within a randomized anaesthesiology trial ➡️ doi.org/10.1093/bjs/...

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BJS @bjsurgery.bsky.social · 01/05/2026

Locoregional and systemic control after total neoadjuvant therapywith short-course radiotherapy for locally advanced rectal cancer: long-term outcomes from the LARCT-US study ➡️ doi.org/10.1093/bjs/...

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BJS @bjsurgery.bsky.social · 28/04/2026

⚠️ There was no increase in complications, including haemorrhage, in day-case patients 📊 Centres with higher day-case rates (>30%) did not demonstrate worse outcomes compared with low-use centres

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BJS @bjsurgery.bsky.social · 27/04/2026

Nationwide outcomes of Fenestrated Endovascular Aneurysm Repair ➡️https://doi.org/10.1093/bjs/znag037

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BJS @bjsurgery.bsky.social · 26/04/2026

Management of gastric cancer peritoneal metastasis: International Gastric Cancer Association GCPM Working Group consensus statements ➡️ doi.org/10.1093/bjs/...

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BJS @bjsurgery.bsky.social · 25/04/2026

Nationwide outcomes of endovascular thoracoabdominal aorticaneurysm repair ➡️https://doi.org/10.1093/bjs/znag035

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BJS @bjsurgery.bsky.social · 24/04/2026

Preoperative low-energy diets for patients with body mass index >30kg/m2 undergoing non-bariatric surgery: A pilot feasibility #RCT and a systematic review and meta-analysis of efficacy data ➡️ doi.org/10.1093/bjs/...

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BJS @bjsurgery.bsky.social · 13/04/2026

Join us for the next BJS Academy Virtual Journal Club in collaboration with IFSO 🌍 📅 23 April | ⏰ 13:00–14:00 CET events.teams.microsoft.com/event/05f9b4...

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BJS @bjsurgery.bsky.social · 12/04/2026

Locoregional and systemic control after total neoadjuvant therapy with short-course radiotherapy for locally advanced rectal cancer: long-term outcomes from the LARCT-US study ➡️ doi.org/10.1093/bjs/...

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BJS @bjsurgery.bsky.social · 09/04/2026

Identifying novel indicators of non-technical skills derived from operative video annotation ➡️ doi.org/10.1093/bjs/... Work by L Dick, C Boyle, VR Tallentire, J Norton, E Howie, DS Smink, RJE Skipworth, S Yule, Surgical Video Grading and Assessment Group

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BJS @bjsurgery.bsky.social · 07/04/2026

🎯 Combining ctDNA with pathological risk stratified patients markedly, with 3-year recurrence ranging from 82% (high-risk + ctDNA+) to 7% (low-risk + ctDNA−). 🚀 These findings support ctDNA as a powerful tool to personalize adjuvant treatment and risk stratification in colon cancer.

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BJS @bjsurgery.bsky.social · 30/03/2026

Open excisional haemorrhoidectomy versus transanal haemorrhoidal dearterialization for grade III haemorrhoids: open-label #RCT ➡️ doi.org/10.1093/bjs/...

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BJS @bjsurgery.bsky.social · 28/03/2026

🏃‍♂️Multimodal prehabilitation, when implemented hospital-wide, did not reduce postoperative complications or length of stay in a real-world cohort These findings suggest that prehabilitation should be targeted to high-risk patients rather than applied universally ➡️ doi.org/10.1093/bjs/...

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BJS @bjsurgery.bsky.social · 23/03/2026

Systematic review of the Lancet Commission on Global Surgery indicators with quality assessment of modelled estimates ➡️https://doi.org/10.1093/bjs/znaf289

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BJS @bjsurgery.bsky.social · 21/03/2026

📋 Post-event allergy investigation, clear documentation, and multidisciplinary planning are essential to identify triggers and prevent recurrence in future surgeries Work by Panu Uusalo and Ronja Kuuskoski

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BJS @bjsurgery.bsky.social · 21/03/2026

💉 The most common triggers are antibiotics (~47%), neuromuscular blocking agents (~33%), chlorhexidine, dyes, and less commonly latex, with geographical variation in causes

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BJS @bjsurgery.bsky.social · 19/03/2026

Following Neoadjuvant Chemotherapy vs Chemoradiotherapy in Esophageal Squamous Cell Carcinoma ➡️ doi.org/10.1093/bjs/...

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BJS @bjsurgery.bsky.social · 18/03/2026

Work by Raghav Khanna , Yang Li , Matthew Cook , Preeti Sawant , Raymond Hounon , Danielle Carroll , Lakita Lowe , Lukas Lindenroth , Toktam Mahmoodi , Nicholas Raison , Alejandro Granados , Anu Ojha , Christos Bergeles , Alberto Breda , Sebastien Ourselin , Prokar Dasgupta

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BJS @bjsurgery.bsky.social · 18/03/2026

This review summarizes previous work on surgery in microgravity and proposes robotic surgery as the best solution for positive astronaut-care outcomes, with a complete technical workflow that covers the crew, robot, and environment

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BJS @bjsurgery.bsky.social · 14/03/2026

Perioperative management of respiratory conditions and complications ➡️ doi.org/10.1093/bjs/...

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BJS @bjsurgery.bsky.social · 12/03/2026

Stroke risk is highest with proximal (Zone 0) landing Perioperative stroke worsens survival 🚨 Careful patient selection & stroke prevention are critical in proximal EVAR ➡️https://doi.org/10.1093/bjs/znag008

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BJS @bjsurgery.bsky.social · 09/03/2026

Drug-coated balloons were not cost-effective compared with plain balloons Drug-eluting stents show potential cost-effectiveness but need further research to explore the economic case ➡️https://doi.org/10.1093/bjs/znaf274

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BJS @bjsurgery.bsky.social · 23/02/2026

Long-term mortality rate after supervised exercise therapy versus early revascularization for intermittent claudication: a systematic review and meta-analysis ➡️https://doi.org/10.1093/bjs/znaf294

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BJS @bjsurgery.bsky.social · 22/02/2026

📊 Most current studies focus on isolated, task-specific solutions, missing the potential of versatile models that could support entire surgical workflows

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BJS @bjsurgery.bsky.social · 21/02/2026

📊 Occurs in 10–20% after major abdominal surgery → ↑ complications, LOS, and costs 🧠 Driven by neurogenic inhibition + inflammation, worsened by opioids 👨‍⚕️ Higher risk with prolonged surgery, bowel handling, and opioid-heavy analgesia

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BJS @bjsurgery.bsky.social · 17/02/2026

Laparoscopic-assisted transversus abdominis plane block versus port-site infiltration in appendicectomy: multicentre #RCT ➡️https://doi.org/10.1093/bjs/znaf257

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BJS @bjsurgery.bsky.social · 15/02/2026

This fascinating collection dives into the history, evolution, and stories behind surgical instruments—highlighting the craftsmanship and innovation that have shaped modern surgery. Curated by @MichaelCrumplin and beautifully compiled by the @HunterianLondon Museum, the full collection is available

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BJS @bjsurgery.bsky.social · 13/02/2026

Robotic versus laparoscopic minimally invasive inguinal hernia repair: randomized clinical trial (the ROGER trial) ➡️https://doi.org/10.1093/bjs/znaf283

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BJS @bjsurgery.bsky.social · 12/02/2026

• 🔄 Respondents highlighted that training alone is not enough—system and workplace improvements are also required 📊 Pragmatic training needs analysis in low-resource settings is feasible—and can directly inform targeted workforce development and surgical system strengthening.

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BJS @bjsurgery.bsky.social · 07/02/2026

🌱 End-of-life care: key principles for all clinicians • 👩‍⚕️🧑‍⚕️ Doctors across all specialties should be able to recognize clinical deterioration and provide compassionate, holistic end-of-life care • 📉 Illness trajectories and functional performance scales can support timely prognostication

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BJS @bjsurgery.bsky.social · 07/02/2026

A guide to end of life care: recognizing dying, advance care planning, and symptom management ➡️https://doi.org/10.1093/bjs/znaf226

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BJS @bjsurgery.bsky.social · 06/02/2026

⚖️ Sleeve gastrectomy (SG) is the most performed bariatric procedure worldwide, but long-term issues such as suboptimal weight loss, recurrent weight gain, and de novo GORD are common compared with Roux-en-Y gastric bypass (RYGB).

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BJS @bjsurgery.bsky.social · 05/02/2026

📊 In the international prospective AXSANA cohort (2020–2024), outcomes of cALND were analysed in patients with ITCs or micrometastases after NACT. 🔍 cALND led to nodal upstaging in a small subset (from ypN1mi to ypN2–3), indicating additional nodal disease.

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BJS @bjsurgery.bsky.social · 04/02/2026

🌍 International medical teams play a key role in conflict and disaster settings, but their effectiveness is increasingly questioned. 🗣️ In a qualitative study of 21 local surgeons from 8 countries in the Middle East and North Africa, perceptions of incoming teams and iNGOs were explored.

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BJS @bjsurgery.bsky.social · 01/02/2026

Second victim syndrome in surgeons: systematic review and meta-analysis of the impact of adverse events on surgeons ➡️https://doi.org/10.1093/bjs/znaf258

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BJS @bjsurgery.bsky.social · 19/01/2026

🤖 Robot-assisted minimally invasive oesophagectomy (RAMIO) is increasingly used for oesophageal cancer, but its uptake may have outpaced robust evaluation 📚 This systematic review included 104 studies (2002–2025) with 133,107 patients, assessing RAMIO development through the IDEAL framework

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BJS @bjsurgery.bsky.social · 18/01/2026

Perioperative cardiac arrest ➡️https://doi.org/10.1093/bjs/znaf262

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BJS @bjsurgery.bsky.social · 17/01/2026

🩺 Diabetes is present in ~7% of UK adults, but affects ~20% of hospital inpatients, and surgical patients with diabetes have higher complication rates, longer stays, and greater costs.

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BJS @bjsurgery.bsky.social · 16/01/2026

Randomized clinical trial of intradermal suture and metallic stapling for incisional groin closure after vascular surgery (VASC-INF trial) ➡️https://doi.org/10.1093/bjs/znaf256

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BJS @bjsurgery.bsky.social · 11/01/2026

Neocolonialism: should it concern surgeons? ➡️https://doi.org/10.1093/bjs/znaf203

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BJS @bjsurgery.bsky.social · 10/01/2026

Perioperative nutrition—ongoing challenges in the era of ERAS ➡️ doi.org/10.1093/bjs/...

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BJS @bjsurgery.bsky.social · 08/01/2026

Long-term mortality rate and clinical outcomes associated with femoro-popliteal drug–coated balloon angioplasty and drug-eluting stents in chronic limb-threatening ischaemia: an analysis of the BASIL-3 RCT ➡️https://doi.org/10.1093/bjs/znaf251

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