Article
Medicine, General & Internal
Akos Marton, James Ashcroft
Summary: This article discusses strategies for giving feedback in the operating room, including encouraging a sociocultural process, forming an educational alliance, and sharing training goals. Surgeons need to understand these feedback theories and how they influence surgical training.
POSTGRADUATE MEDICAL JOURNAL
(2023)
Article
Surgery
Amr Al Abbas, Ganesh Sankaranarayanan, Patricio M. Polanco, Jeffrey A. Cadeddu, William Daniel, Vanessa Palter, Teodor Grantcharov, Sonja Bartolome, Priya Dandekar, Kim Evans, Herbert J. Zeh
Summary: The use of the Operating Room Black Box (ORBB) allows for the tracking of checklist compliance, engagement, and quality in surgical procedures. The ORBB provides real-time assessment of compliance and enables the timely addressing of safety threats.
Article
Ergonomics
Fadi Hamad, Nadine Marie Moacdieh, Rim Banat, Zavi Lakissian, Saif Al-Qaisi, George Zaytoun, Rana Sharara-Chami
Summary: This study aimed to investigate how OR staff perceived noise, whether music was considered noise and what its perceived effects were. Surgeons generally chose the music played in ORs and were likely positively inclined to its effects, while anaesthesiologists and nurses minded the lack of choice and were more likely to consider it as noise.
INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS
(2022)
Article
Computer Science, Information Systems
Joanna Abraham, Alicia Meng, Katherine J. Holzer, Luke Brawer, Aparna Casarella, Michael Avidan, Mary C. Politi
Summary: The study findings indicate that surgical patients' attitudes towards remote monitoring in eOR are influenced by familiarity with clinicians and healthcare systems, with a preference for local telemedicine systems over distant ones. However, barriers to eOR remote monitoring predominantly involve organizational policies, environment, culture, personnel, workflow, communication, hardware, and software aspects.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2021)
Article
Engineering, Industrial
Haim Shore
Summary: A method is developed to determine the required sample size for estimating the utilisation rate (UR) of a facility. It categorizes work process/job blocks into repetitive, semi-repetitive, or memoryless based on the variability of work content, and uses a recently developed surgery duration model to estimate UR.
INTERNATIONAL JOURNAL OF PRODUCTION RESEARCH
(2023)
Article
Surgery
Dimitrios I. Athanasiadis, Sara Monfared, Jake Whiteside, Ambar Banerjee, Donna Keller, Annabelle Butler, Dimitrios Stefanidis
Summary: The study focused on observing and recording delays during the preparatory phase of general surgery operations using a novel surgical application. Results showed a significant prolongation in preparatory time for cases with incidents, averaging 18% of the total time. Identifying and addressing these inefficiencies through targeted interventions may optimize preoperative preparation efficiency.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Computer Science, Interdisciplinary Applications
Jaesang Park, Byung-In Kim, Myungeun Eom, Byung Kwan Choi
Summary: Operating rooms are crucial facilities in hospitals, and efficient scheduling is necessary for optimizing hospital profits and providing good healthcare services. This study focuses on OR scheduling for a Korean university hospital, considering surgeons' preferences and cooperative operations. A mathematical programming model and solution approach were proposed, demonstrating the algorithm's effectiveness in generating superior schedules compared to manual or mathematically generated ones.
COMPUTERS & INDUSTRIAL ENGINEERING
(2021)
Article
Health Care Sciences & Services
Timothy Wong, Erik J. Zhang, Andrea J. Elhajj, Donna M. Rizzo, Kevin A. Sexton, Jaideep J. Pandit, Mitchell H. Tsai
Summary: The Acute Care Surgery model has direct implications on tactical and operational processes in perioperative services, indicating characteristics of a complex adaptive system. The study demonstrated that the power law relationships present in the system impact the decision-making process and potential improvements in perioperative services. Elements of complex adaptive systems in healthcare can be identified through analysis of inter-event times and understanding system-specific behaviors.
JOURNAL OF MEDICAL SYSTEMS
(2021)
Article
Multidisciplinary Sciences
Thorsten Jentzsch, Lucas Kutschke, Patrick O. Zingg, Mazda Farshad
Summary: This study investigated the potential risk of different operating room architectures for Surgical Site Infections (SSI) and found no significant difference in SSI revision rates between open-plan and closed-plan operating rooms. Age and gender were not risk factors for SSI revision, while American Society of Anesthesiologists (ASA) classification and Body Mass Index (BMI) were identified as independent risk factors for SSI revision.
SCIENTIFIC REPORTS
(2021)
Review
Orthopedics
Jeremy T. Smith, Lorraine A. T. Boakye, Marco L. Ferrone, Gregg L. Furie
Summary: Hotter global temperatures and climate change have negative impacts on human health. This article focuses on the environmental effect of orthopaedic operating rooms and efforts to improve sustainability in these facilities, with a particular emphasis on patient safety and cost savings. Orthopaedic surgeons have the opportunity to lead initiatives in improving environmental sustainability and combating climate change.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2022)
Article
Operations Research & Management Science
Jian-Jun Wang, Zongli Dai, Wenxuan Zhang, Jim Junmin Shi
Summary: This paper focuses on the research of operating room scheduling under non-operating room anesthesia (NORA) mechanism, in the presence of the uncertainty of emergency arrivals. It is shown through experiments that the NORA mechanism can significantly improve the operating room utilization in comparison with traditional surgical anesthesia practice under different operating room settings.
ANNALS OF OPERATIONS RESEARCH
(2023)
Article
Surgery
Jonathan D. D'Angelo, Sarah Lund, Rebecca A. Busch, Sarah Tevis, Kellie L. Mathis, Scott R. Kelley, Eric J. Dozois, Anne-Lise D. D'Angelo
Summary: This study found that stepping back to think and act after making an error in surgery is considered the most effective coping strategy among surgeons. There are differences in coping strategies between male and female surgeons, with males generally perceiving their coping strategies as more effective.
Review
Surgery
Elizabeth F. Yates, Alexis N. Bowder, Lina Roa, Lotta Velin, Andrea S. Goodman, Louis L. Nguyen, Craig D. McClain, John G. Meara, Zara Cooper
Summary: Climate change negatively impacts patient health, with operating rooms being one of the most energy-intensive and wasteful areas of hospitals. The healthcare industry in the US emits 9.8% of the country's greenhouse gases, indicating a significant energy consumption issue.
Article
Management
K. W. Soh, C. Walker, M. O'Sullivan, J. Wallace
Summary: The operating room (OR) scheduling problem is a critical issue in healthcare management. This research introduces a new OR scheduling metric to evaluate the quality of surgical lists, aiming to simplify scheduling and improve resource utilization.
OPERATIONS MANAGEMENT RESEARCH
(2022)
Review
Multidisciplinary Sciences
Ilse M. Spenkelink, Jan Heidkamp, Jurgen J. Futterer, Maroeska M. Rovers
Summary: The hybrid operating room combines the functionality of a standard OR with fixed advanced imaging systems for minimally invasive image-guided procedures. The advantages include more accurate treatment results, while challenges include elongation of procedure time and an increase in radiation dose. Further comparative studies are needed to investigate which procedures truly benefit from being performed in a hybrid OR.
Letter
Transplantation
Dimitrios Giannis, Ioannis A. Ziogas, Stepan M. Esagian, Evangelia Matenoglou, Dimitrios Moris
EXPERIMENTAL AND CLINICAL TRANSPLANTATION
(2022)
Letter
Transplantation
Dimitrios Giannis, Dimitrios Moris
EXPERIMENTAL AND CLINICAL TRANSPLANTATION
(2023)
Article
Surgery
Samantha E. Halpern, Dimitrios Moris, Jared N. Gloria, Brian I. Shaw, John C. Haney, Jacob A. Klapper, Andrew S. Barbas, Matthew G. Hartwig
Summary: The objective of this study was to define the textbook outcome for lung transplantation and evaluate its association with post-transplant outcomes and costs. The study found that achieving a textbook outcome was associated with better post-transplant outcomes and lower costs. This suggests that a textbook outcome can help providers and patients assess the quality of transplant centers and identify areas for improvement.
Letter
Transplantation
Dimitrios Moris, Lisa M. McElroy, Andrew S. Barbas
EXPERIMENTAL AND CLINICAL TRANSPLANTATION
(2023)
Review
Oncology
Dimitrios Moris, Manisha Palta, Charles Kim, Peter J. Allen, Michael A. Morse, Michael E. Lidsky
Summary: Intrahepatic cholangiocarcinoma (ICC) is a common primary liver tumor, and the choice of treatment depends on the patient's condition. Doublet chemotherapy with gemcitabine and cisplatin has been the most effective first-line regimen, but triplet regimens and immunotherapy may also be effective. Combining systemic therapy with locoregional therapies and molecular targeted therapy have been developed to improve the treatment outcomes. Recent data showed that combining durvalumab with standard cytotoxic therapy improved survival in ICC patients.
CA-A CANCER JOURNAL FOR CLINICIANS
(2023)
Review
Oncology
Ioannis A. Ziogas, Kathrine S. Rallis, Panagiotis T. Tasoudis, Dimitrios Moris, Richard D. Schulick, Marco Del Chiaro
Summary: This article systematically reviews the worldwide literature on ampullary mixed adenoneuroendocrine carcinoma (MANEC). The study found that early diagnosis and management are crucial for improving outcomes in these patients.
Article
Critical Care Medicine
Dias Argandykov, Ander Dorken-Gallastegi, Mohamad El Moheb, Anthony A. Gebran, Jefferson Proano-Zamudio, Mary M. Bokenkamp, Angela Renne, Dmitri Nepogodiev, Aneel Bhangu, Haytham M. A. Kaafarani
Summary: Patients with perioperative COVID-19 have higher 30-day mortality and postoperative complications, especially thromboembolism, compared with similar patients without COVID-19 undergoing similar surgeries.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2023)
Article
Critical Care Medicine
Rondi B. Gelbard, Hannah Hensman, Seth Schobel, Linda Stempora, Eric Gann, Dimitrios Moris, Christopher J. Dente, Timothy G. Buchman, Allan D. Kirk, Eric Elster
Summary: This study aimed to explore whether assessment of cell phenotypes using flow cytometry (FCM) could be used to identify pulmonary infection after thoracic trauma. The results showed that Acute Physiology and Chronic Health Evaluation score, highest pulse rate in first 24 hours, and frequency of CD4(+) central memory cells were the three key variables for identifying pulmonary infection after thoracic trauma. The study suggests that clinical and FCM data have diagnostic utility in the early identification of patients at risk of nosocomial pneumonia (PNA) following thoracic injury.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2023)
Article
Gastroenterology & Hepatology
Benjamin V. Tran, Dimitrios Moris, Daniela Markovic, Hamed Zaribafzadeh, Ricardo Henao, Quirino Lai, Sander S. Florman, Parissa Tabrizian, Brandy Haydel, Richard M. Ruiz, Goran B. Klintmalm, David D. Lee, C. Burcin Taner, Maarouf Hoteit, Matthew H. Levine, Umberto Cillo, Alessandro Vitale, Elizabeth C. Verna, Karim J. Halazun, Amit D. Tevar, Abhinav Humar, William C. Chapman, Neeta Vachharajani, Federico Aucejo, Jan Lerut, Olga Ciccarelli, Mindie H. Nguyen, Marc L. Melcher, Andre Viveiros, Benedikt Schaefer, Maria Hoppe-Lotichius, Jens Mittler, Trevor L. Nydam, James F. Markmann, Massimo Rossi, Constance Mobley, Mark Ghobrial, Alan N. Langnas, Carol A. Carney, Jennifer Berumen, Gabriel T. Schnickel, Debra L. Sudan, Johnny C. Hong, Abbas Rana, Christopher M. Jones, Thomas M. Fishbein, Ronald W. Busuttil, Andrew S. Barbas, Vatche G. Agopian
Summary: The individual prediction of post-liver transplantation hepatocellular carcinoma (HCC) recurrence risk is important. By analyzing the data of 4981 HCC patients undergoing transplantation, a prediction score was developed to accurately discriminate the risk of HCC recurrence. The score was externally validated in another 1160 patients, showing consistent results in risk discrimination.
LIVER TRANSPLANTATION
(2023)
Review
Gastroenterology & Hepatology
Ioannis A. Ziogas, Christos D. Kakos, Dimitrios P. Moris, Christof Kaltenmeier, Georgios Tsoulfas, Martin I. Montenovo, Sophoclis P. Alexopoulos, David A. Geller, Elizabeth A. Pomfret
Summary: The value of minimally invasive approaches for living donor hepatectomy remains unclear. This study compared donor outcomes after different surgical approaches and found that pure laparoscopic and robotic living donor hepatectomy were associated with decreased blood loss and length of stay compared to open hepatectomy, but had longer operative time. Robotic living donor hepatectomy was also associated with decreased length of stay compared to laparoscopy-assisted hepatectomy.
LIVER TRANSPLANTATION
(2023)
Article
Gastroenterology & Hepatology
Floris M. Thunnissen, Daan J. Comes, Carmen S. S. Latenstein, Martijn W. J. Stommel, Cornelis J. H. M. van Laarhoven, Joost P. H. Drenth, Marten A. Lantinga, Femke Atsma, Philip R. de Reuver
Summary: This study defined the ideal outcome for the treatment of uncomplicated gallstone disease through expert meetings and surveys, and found that 64.2% of patients achieved this outcome based on analysis of Dutch patient data.
Article
Multidisciplinary Sciences
Miriam Manook, Danae Olaso, Imran J. Anwar, Janghoon Yoon, Isabel Delaura, Yeeun Bae, Dimitrios Moris, Brian Shaw, Mingqing Song, Alton B. Farris, Annette Jackson, Jean Kwun, Stuart Knechtle
Summary: This study examined the effectiveness of costimulation blockade and proteasome inhibition for desensitization in female NHPs sensitized by pregnancy alone. The results showed that the addition of belatacept and tacrolimus significantly prolonged graft survival and suppressed the production of donor-specific antibodies.
Editorial Material
Oncology
Dimitrios Moris
Letter
Medicine, General & Internal
Dimitrios Moris, Theodore Pappas
Article
Pediatrics
Anthony Eze, Chinecherem Chime, Oluebubechukwu Eze, Grace Kwon, Dimitrios Moris, Elisabeth Tracy
Summary: Neonatal appendicitis is extremely rare and lacks specific clinical signs. Delayed diagnosis and surgical intervention in neonates are common due to the rarity and lack of specific physical signs, resulting in significant morbidity and mortality.
JOURNAL OF PEDIATRIC SURGERY CASE REPORTS
(2023)
