Publications by authors named "T Brocke"
Article Synopsis
- The study aimed to gather validity evidence for the Anastomosis Objective Structured Assessment of Technical Skills (A-OSATS) tool, designed to assess the performance of a specific surgical procedure (bowel anastomosis) in surgery residents.
- Residents conducted simulated surgeries on an ex vivo pig model, were evaluated using A-OSATS, and underwent a leak test on their work to measure performance.
- Results showed that more experienced residents (PGY-5s) scored significantly higher and completed tasks faster than PGY-4s, indicating the A-OSATS tool is reliable for assessing surgical skills, though further improvements are needed before its use in critical evaluations.
Background: Preoperative steroid use has been associated with worse surgical outcomes. The purpose of this study was to determine whether laparoscopic surgery reduces the risk of septic shock/sepsis among ulcerative colitis patients with preoperative chronic steroid use.
Methods: Patients with ulcerative colitis undergoing a total abdominal colectomy were identified from the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database (2005-2019).
Aim: The objective was to assess the effect of three different surgical treatments for T1 rectal tumours, radical resection (RR), open local excision (open LE) and laparoscopic local excision (laparoscopic LE), on overall survival (OS).
Methods: Adults from the National Cancer Database (2008-2016) with a diagnosis of T1 rectal cancer were stratified by treatment type (LE vs RR). We assumed that laparoscopic LE equates to transanal minimally invasive surgery (TAMIS) or transanal endoscopic microsurgery.
Since the dawn of humanity, wounds have afflicted humans, and healers have held responsibility for treating them. This article tracks the evolution of wound care from antiquity to the present, highlighting the roles of surgeons, scientists, culture, and society in the ever-changing management of traumatic and iatrogenic injuries.
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