BJS

💟 February is Oesophageal cancer awareness month
buff.ly/7tMm242

Read the 🆕 blog and check out 6️⃣ of the most important studies published in @bjsurgery.bsky.social and @bjsopen.bsky.social from the past year

#surgsky #medsky

💜Oesophageal cancer awareness month: Implementation and effectiveness of robot-assisted minimally invasive oesophagectomy (RAMIO): a systematic review using the IDEAL
➡️ buff.ly/qgMBH3g

Published in @bjsurgery.bsky.social

#surgsky #medsky

#SoMe4Surgery #MedTwitter #SurgEd #Surgery #MedicalTechniques @bjsacademy.bsky.social @martyn-evans.bsky.social @drjuliomayol.bsky.social @bjsopen.bsky.social @gio-marchegiani.bsky.social @malinasund.bsky.social

A must-read!
#SurgicalInstruments #MedicalHistory #SurgicalHistory #medicaleducation
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic

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

The Instrumentalist by Michael Crumplin A series of articles for the BJS exploring the history of surgical instruments

🛠️📖Have you explored The Instrumentalist at @BJSurgery?
hunterianmuseum.org/digital-hunt...

#SoMe4Surgery #MedTwitter #SurgEd #Surgery #MedicalTechniques @bjsacademy.bsky.social @martyn-evans.bsky.social @drjuliomayol.bsky.social @bjsopen.bsky.social @gio-marchegiani.bsky.social @malinasund.bsky.social

Work by Fiorenzo V Angehrn , Julian Süsstrunk , Romano Schneider , Kaspar Baltzer , Beat P Müller , Johannes Baur , Daniel C Steinemann

• 🧠 Surgeon workload (NASA TLX) significantly lower with rTAPP
📌 Takeaway: Robotic repair did not reduce postoperative pain or complications but was associated with lower surgeon workload—at the cost of longer operating time.

• 📊 Pain scores: TEP 5 (IQR 2–7) vs rTAPP 4 (IQR 2–7) → no significant difference (P=0.431)
• ⚠️ Complication rates similar: 11% (TEP) vs 10% (rTAPP)
• ⏱️ Operating time longer with robotics: 80 vs 64 minutes (P<0.001)

🤖 Robotic vs laparoscopic inguinal hernia repair — does robotics reduce pain?
• 🧪 Single-centre, patient- and investigator-blinded RCT (n=182) comparing TEP vs robotic TAPP (rTAPP)
• 🎯 Primary endpoint: pain while coughing 24h after surgery

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

#SoMe4Surgery #MedTwitter #SurgEd #Surgery #MedicalTechniques @bjsacademy.bsky.social @martyn-evans.bsky.social @drjuliomayol.bsky.social @bjsopen.bsky.social @gio-marchegiani.bsky.social @malinasund.bsky.social

Work by Gerard McKnight , Hassan Ali Daoud , Rocco Friebel , Rachel Hargest

• 🔄 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.

• 🚨 Highest priority skill gap for anaesthesia providers: emergency front of neck access (cricothyroidotomy)
• 📚 Other key needs: regional anaesthesia, management of co-morbidities, geriatric anaesthesia

🌍 Prioritizing surgical training in low-income settings—data-driven approach
• 🛠️ Novel use of the Hennessy–Hicks Training Needs Analysis (HHTNA) tool in Somaliland
• 👥 110 respondents: 41 anaesthesia providers, 69 surgical providers

Training needs analysis of surgical teams in Somaliland Prioritizing resources is essential for low-income countries aiming to improve surgical systems effectively, yet few validated tools exist to facilitate th

Training needs analysis of surgical teams in Somaliland
➡️ doi.org/10.1093/bjs/...

#SoMe4Surgery #MedTwitter #SurgEd #Surgery #MedicalTechniques @bjsacademy.bsky.social @martyn-evans.bsky.social @drjuliomayol.bsky.social @bjsopen.bsky.social @gio-marchegiani.bsky.social @malinasund.bsky.social

Work by Wei Guo , Dan Rong , Hongkun Zhang , Leiyang Zhang , Hui Zhuang , Hua Peng , Xuejun Wu , Kunmei Gong , Wei Wang , Zhen Li , Weiguo Fu , Xiaoming Zhang , Mingjin Guo , Guangqi Chang , Xiangchen Dai , Jian Zuo , Yingqiang Guo , Bing Chen , Lei Zhang , Taoran Zhang , Hongpeng Zhang

📌 Modular arch repair appears feasible and comparably safe to custom branched devices, hybrid approaches, and open surgery—but long-term comparative data are still needed.

• 🎯 Technical success: 100%
• ⚠️ 30-day outcomes: 3% mortality, 9% stroke
• 📅 Survival: 91% at 1 year, 86% at 2 years, 81% at 3 years
• 🔄 10 endoleaks observed—none required reintervention

🫀 Modular branched stent-graft for aortic arch disease—feasible without customization
• 🏥 Multicentre study (17 centres, China) evaluating a non-customized modular inner branched stent-graft
• 👥 88 patients treated (2021–2024)

Outcomes of endovascular aortic arch repair with an off-the-shelf modular inner branched stent-graft: an IDEAL 2a prospective multicentre trial This study reported a novel modular aortic arch stent graft and included the largest cohort to date, demonstrating significantly lower death compared to op

Outcomes of endovascular aortic arch repair with an off-the-shelfmodular inner branched stent-graft: an IDEAL 2a prospectivemulticentre trial
➡️ doi.org/10.1093/bjs/...

#SoMe4Surgery #MedTwitter #SurgEd #Surgery #MedicalTechniques @bjsacademy.bsky.social @martyn-evans.bsky.social @drjuliomayol.bsky.social @bjsopen.bsky.social @gio-marchegiani.bsky.social @malinasund.bsky.social

• 💉 Subcutaneous anticipatory medications should be prescribed in the last days of life to manage pain, nausea, agitation, and respiratory secretions

Work by Madeleine R Carr , Miriam Rigby

• 🕊️ Proactive de-escalation of treatment in frail or deteriorating patients helps preserve dignity and comfort
• 💬 Advance care planning can be initiated by any healthcare professional to clarify what matters most to the patient

🌱 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

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

#SoMe4Surgery #MedTwitter #SurgEd #Surgery #MedicalTechniques @bjsacademy.bsky.social @martyn-evans.bsky.social @drjuliomayol.bsky.social @bjsopen.bsky.social @gio-marchegiani.bsky.social @malinasund.bsky.social