Latest & greatest articles for surgery

The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on surgery or other clinical topics then use Trip today.

This page lists the very latest high quality evidence on surgery and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.

What is Trip?

Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality research evidence to support their practice and/or care.

Trip has been online since 1997 and in that time has developed into the internet’s premier source of evidence-based content. Our motto is ‘Find evidence fast’ and this is something we aim to deliver for every single search.

As well as research evidence we also allow clinicians to search across other content types including images, videos, patient information leaflets, educational courses and news.

For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via jon.brassey@tripdatabase.com

Top results for surgery

101. External beam accelerated partial breast irradiation versus whole breast irradiation after breast conserving surgery in women with ductal carcinoma in situ and node-negative breast cancer (RAPID): a randomised controlled trial. (Abstract)

External beam accelerated partial breast irradiation versus whole breast irradiation after breast conserving surgery in women with ductal carcinoma in situ and node-negative breast cancer (RAPID): a randomised controlled trial. Whole breast irradiation delivered once per day over 3-5 weeks after breast conserving surgery reduces local recurrence with good cosmetic results. Accelerated partial breast irradiation (APBI) delivered over 1 week to the tumour bed was developed to provide a more (...) convenient treatment. In this trial, we investigated if external beam APBI was non-inferior to whole breast irradiation.We did this multicentre, randomised, non-inferiority trial in 33 cancer centres in Canada, Australia and New Zealand. Women aged 40 years or older with ductal carcinoma in situ or node-negative breast cancer treated by breast conserving surgery were randomly assigned (1:1) to receive either external beam APBI (38·5 Gy in ten fractions delivered twice per day over 5-8 days) or whole

2019 Lancet

102. Long-term primary results of accelerated partial breast irradiation after breast-conserving surgery for early-stage breast cancer: a randomised, phase 3, equivalence trial. (Abstract)

Long-term primary results of accelerated partial breast irradiation after breast-conserving surgery for early-stage breast cancer: a randomised, phase 3, equivalence trial. Whole-breast irradiation after breast-conserving surgery for patients with early-stage breast cancer decreases ipsilateral breast-tumour recurrence (IBTR), yielding comparable results to mastectomy. It is unknown whether accelerated partial breast irradiation (APBI) to only the tumour-bearing quadrant, which shortens

2019 Lancet

103. Video Review of Baseline Performance on Global Ratings in a Double-Blind Placebo Surgery Trial. Full Text available with Trip Pro

Video Review of Baseline Performance on Global Ratings in a Double-Blind Placebo Surgery Trial. A randomized controlled double-blind sham surgery trial was conducted to determine the effectiveness of implantation of human embryonic dopamine neurons into the putamen of patients with advanced Parkinson's disease (PD). The present analyses determined whether patients viewing a video of them performing motor activities off medications at baseline would affect self-ratings 12 months later (...) on the Global Rating Scale (GRS).To examine changes in GRS scores pre- and post-video review for the total sample; to examine differences in scores between actual implant and sham groups, as well as perceived groups pre- and post-video review; to examine differences among four subgroups of patients based on actual and perceived treatment (i.e., actual implant/perceived implant).Forty participants were recruited and randomly assigned to receive either neural implantation or sham surgery. The primary outcome

2019 Movement disorders clinical practice Controlled trial quality: predicted high

104. The effect of remote ischaemic preconditioning on myocardial injury in emergency hip fracture surgery (PIXIE trial): phase II randomised clinical trial. Full Text available with Trip Pro

The effect of remote ischaemic preconditioning on myocardial injury in emergency hip fracture surgery (PIXIE trial): phase II randomised clinical trial. To investigate whether remote ischaemic preconditioning (RIPC) prevents myocardial injury in patients undergoing hip fracture surgery.Phase II, multicentre, randomised, observer blinded, clinical trial.Three Danish university hospitals, 2015-17.648 patients with cardiovascular risk factors undergoing hip fracture surgery. 286 patients were (...) assigned to RIPC and 287 were assigned to standard practice (control group).The RIPC procedure was initiated before surgery with a tourniquet applied to the upper arm and consisted of four cycles of forearm ischaemia for five minutes followed by reperfusion for five minutes.The original primary outcome was myocardial injury within four days of surgery, defined as a peak plasma cardiac troponin I concentration of 45 ng/L or more caused by ischaemia. The revised primary outcome was myocardial injury

2019 BMJ

105. Subacromial decompression surgery for adults with shoulder pain Full Text available with Trip Pro

Subacromial decompression surgery for adults with shoulder pain Subacromial decompression surgery for adults with shoulder pain: a clinical practice guideline | The BMJ Intended for healthcare professionals Username * Password * Edition: Search form Search Search Subacromial... Subacromial decompression surgery for adults with shoulder pain: a clinical practice guideline (Published 06 February 2019) Cite this as: BMJ 2019;364:l294 Visual summary of recommendation or Subacromial decompression (...) surgery Nonoperative management only Arthroscopic subacromial decompression plus nonoperative management Including guided physical therapy, exercise programmes, NSAIDs, and steroid injections Interventions compared Recommendation Population Adults with shoulder pain for more than 3 months Does not apply to patients with: Including: Traumatic shoulder pain Subacromial pain syndrome (SAPS) Rotator cuff disease (RCD) Other differential diagnoses We recommend against subacromial decompression surgery More

2019 BMJ Rapid Recommendations

106. Impact of Affordable Care Act on Trauma and Emergency General Surgery

Impact of Affordable Care Act on Trauma and Emergency General Surgery Downloaded from https://journals.lww.com/jtrauma by SHrJlXRiF9wyGdmDxC/n4ZvpFObN52W8/pJs1OP5wSe8gFsvgypyd1IoKm1sOFkZv1K8SX2R9B65BkYPRgcPtMQCRf/IzvVQaOu4uz61ZYv4n2SlVPyMQA== on 08/13/2019 Downloaded from https://journals.lww.com/jtrauma by SHrJlXRiF9wyGdmDxC/n4ZvpFObN52W8/pJs1OP5wSe8gFsvgypyd1IoKm1sOFkZv1K8SX2R9B65BkYPRgcPtMQCRf/IzvVQaOu4uz61ZYv4n2SlVPyMQA== on 08/13/2019 ImpactoftheAffordableCareActontraumaandemergency (...) and reduce health care costs via three strategies: (1) expanding Medicaideligibilitytoanyonefallingunderaparticularincome level; (2) increased affordability of health insurance through subsidies, newly created insurance markets, and health insur- ance mandates; and (3) promoting efforts to curb unnecessary costswhileimprovingquality. Submitted: September 21, 2018, Revised:March 28, 2019, Accepted: April 7,2019, Publishedonline: Month May 13, 2019. From the Center for Surgery and Public Health (Y.A.Z

2019 Eastern Association for the Surgery of Trauma

107. Outpatient total hip or knee arthroplasty in ambulatory surgery center versus arthroplasty ward: a randomized controlled trial Full Text available with Trip Pro

Outpatient total hip or knee arthroplasty in ambulatory surgery center versus arthroplasty ward: a randomized controlled trial Background and purpose - Discharge on the day of surgery (DOS) in selected patients operated with total hip arthroplasty (THA) or total knee arthroplasty (TKA) has been shown to be feasible, but different factors may determine whether patients are discharged on the DOS or not and setting may be one of them. We investigated the importance of the setting in which (...) the short stay following outpatient THA or TKA takes place: was there a difference between the proportion of patients being discharged on the DOS from an ambulatory surgery center (ASC) compared with patients staying on an arthroplasty ward?Patients and methods - 50 patients (30 TKA, 20 THA) were included in the study and postoperatively randomized to either staying in the ASC or the arthroplasty ward until discharge. All patients were operated under general anesthesia by the same experienced surgeon

2019 EvidenceUpdates

108. Pertuzumab (Perjeta) after surgery for some breast cancers at high risk of recurrence

Pertuzumab (Perjeta) after surgery for some breast cancers at high risk of recurrence Prescrire IN ENGLISH - Spotlight ''Sample Free Download article (titre court pour FB et Twitter)'', 1 December 2019 {1} {1} {1} | | > > > Sample Free Download article (titre court pour FB et Twitter) Spotlight Every month, the subjects in Prescrire’s Spotlight. 100 most recent :  |   |   |   |   |   |   |   |   |  Spotlight In the December (...) issue of Prescrire International: pertuzumab (Perjeta°) after surgery for some breast cancers at high risk of recurrence FREE DOWNLOAD Pertuzumab (Perjeta°) is a monoclonal antibody which has been authorised for use after surgery for some breast cancers. How do Prescrire's editors rate the drug's harm-benefit balance in this situation, in light of the most recent evidence? Full text available for free download. Summary Pertuzumab (Perjeta°, Roche) is a monoclonal antibody with anti-HER2 activity

2019 Prescrire

109. Reported Postoperative Complication Rates Are Lower for Zygomatic Implants Than for Maxillary Sinus Floor Augmentation Surgeries

Reported Postoperative Complication Rates Are Lower for Zygomatic Implants Than for Maxillary Sinus Floor Augmentation Surgeries UTCAT3402, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Reported Postoperative Complication Rates Are Lower for Zygomatic Implants Than for Maxillary Sinus Floor Augmentation Surgeries Clinical Question For edentulous and partial edentulous patients with an atrophic maxilla, does (...) for fewer implants to support a fixed prosthesis. However, zygomatic implant placement may be a more invasive surgical procedure and failure of the implants may result in the need for complex revision procedures when compared to the conventional implant failures. Specialty/Discipline (Oral Surgery) (Periodontics) (Prosthodontics) (Restorative Dentistry) Keywords Zygomatic implant, sinus augmentation, complications ID# 3402 Date of submission: 11/22/2019 E-mail janusz@livemail.uthscsa.edu Author Caitlin

2019 UTHSCSA Dental School CAT Library

110. Dynamic Navigation for Implant Placement Surgery May be More Accurate than Freehand Placement and as Accurate as Static Guide Protocols

Dynamic Navigation for Implant Placement Surgery May be More Accurate than Freehand Placement and as Accurate as Static Guide Protocols UTCAT3411, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Dynamic Navigation for Implant Placement Surgery May be More Accurate than Freehand Placement and as Accurate as Static Guide Protocols Clinical Question For patients receiving dental implants, is use of dynamic navigation more (...) °±1.37°. DG 95% CI for PD: 0.89mm, 1.21mm; AD: 1.10mm, 1.48mm, and ANG: 2.54°, 3.57°. P-value for PD=0.47, AD=0.94, and ANG=0.60. #2) Gargallo-Albiol 2019 4,063 implants in 19 studies Systematic review of non-randomized trials Key results This systematic review comparing various methods of implant guidance found that fully-guided surgery using a flapless technique and a computer-planned and fabricated tooth-supported SG had the highest accuracy. The lowest accuracy was found in FH placement. DN

2019 UTHSCSA Dental School CAT Library

111. Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: 2018 Full Text available with Trip Pro

Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: 2018 This is the fourth updated Enhanced Recovery After Surgery (ERAS®) Society guideline presenting a consensus for optimal perioperative care in colorectal surgery and providing graded recommendations for each ERAS item within the ERAS® protocol.A wide database search on English literature publications was performed. Studies on each item within the protocol were

2019 ERAS Society

112. Guidelines for Perioperative Care in Esophagectomy: Enhanced Recovery After Surgery (ERAS) Society Recommendations

Guidelines for Perioperative Care in Esophagectomy: Enhanced Recovery After Surgery (ERAS) Society Recommendations Guidelines for Perioperative Care in Esophagectomy: Enhanced Recovery After Surgery (ERAS®) Society Recommendations

2019 ERAS Society

113. Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations Full Text available with Trip Pro

Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations: Acta Orthopaedica: Vol 0, No 0 | Search in: Journal 6,974 Views 0 CrossRef citations to date Altmetric Articles Consensus statement for perioperative care in total (...) hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS ® ) Society recommendations , , , , , , & Published online: 30 Oct 2019 In this article Articles Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS ® ) Society recommendations Ljungqvist O , Scott M , Fearon K C . Enhanced Recovery After Surgery: a review . JAMA Surg 2017 ; 152(3): 292 – 8 . , , , ). For total hip (THR

2019 ERAS Society

114. A Comparison of Two Methods of Catheter Management After Pelvic Reconstructive Surgery: A Randomized Controlled Trial (Abstract)

A Comparison of Two Methods of Catheter Management After Pelvic Reconstructive Surgery: A Randomized Controlled Trial To compare effects on activity between two catheter management systems after failed voiding trial after pelvic reconstructive surgery.Women with a failed postoperative voiding trial after reconstructive pelvic surgeries were randomized to plug-unplug or continuous drainage catheters. The primary outcome was a mean activity assessment scale score. Secondary outcomes included

2019 EvidenceUpdates

115. Anaesthetic depth and complications after major surgery: an international, randomised controlled trial. (Abstract)

Anaesthetic depth and complications after major surgery: an international, randomised controlled trial. An association between increasing anaesthetic depth and decreased postoperative survival has been shown in observational studies; however, evidence from randomised controlled trials is lacking. Our aim was to compare all-cause 1-year mortality in older patients having major surgery and randomly assigned to light or deep general anaesthesia.In an international trial, we recruited patients from (...) 73 centres in seven countries who were aged 60 years and older, with significant comorbidity, having surgery with expected duration of more than 2 h, and an anticipated hospital stay of at least 2 days. We randomly assigned patients who had increased risk of complications after major surgery to receive light general anaesthesia (bispectral index [BIS] target 50) or deep general anaesthesia (BIS target 35). Anaesthetists also nominated an appropriate range for mean arterial pressure for each

2019 Lancet

116. Postoperative adhesions in gynecologic surgery: a committee opinion

Postoperative adhesions in gynecologic surgery: a committee opinion Postoperative adhesions in gynecologic surgery: a committee opinion Practice Committee of the American Society for Reproductive Medicine in collaboration with the Society of Reproductive Surgeons American Society for Reproductive Medicine, Birmingham, Alabama Postoperativeadhesionsareanaturalconsequenceofsurgicaltissuetraumaandhealingandmayresultininfertility,pain,andbowel (...) obstruction.Adherencetomicrosurgicalprinciplesandminimallyinvasivesurgerymayhelptodecreasepostoperativeadhesions.Some surgicalbarriershavebeendemonstratedtobeeffectiveforreducingpostoperativeadhesions,butthereisnosubstantialevidencethat their use improves fertility, decreases pain, or reduces the incidence of postoperative bowel obstruction. This document replaces the document, ‘‘Pathogenesis, consequences, andcontrol of peritoneal adhesions in gynecologic surgery: a committee opinion,’’ last pub- lished in 2013. (Fertil Steril 2019;112:458–63.2019 by American Society for Reproductive Medicine.) Discuss: You

2019 Society for Assisted Reproductive Technology

117. Surgery for pectus deformity

Surgery for pectus deformity NHS England » Surgery for pectus deformity (all ages) Search Search Menu Surgery for pectus deformity (all ages) Document first published: 22 February 2019 Page updated: 22 February 2019 Topic: Publication type: , NHS England will not routinely commission surgery for pectus deformity in accordance with the criteria outlined in this document. In creating this policy NHS England has reviewed this clinical condition and the options for its treatment. It has considered

2019 NHS England

118. The Effect of Prolonged Postoperative Antibiotic Administration on the Rate of Infection in Patients Undergoing Posterior Spinal Surgery Requiring a Closed-Suction Drain: A Randomized Controlled Trial (Abstract)

The Effect of Prolonged Postoperative Antibiotic Administration on the Rate of Infection in Patients Undergoing Posterior Spinal Surgery Requiring a Closed-Suction Drain: A Randomized Controlled Trial Closed-suction drains are frequently used following posterior spinal surgery. The optimal timing of antibiotic discontinuation in this population may influence infection risk, but there is a paucity of evidence. The aim of this study was to determine whether postoperative antibiotic administration (...) for 72 hours (24 hours after drain removal as drains were removed on the second postoperative day) decreases the incidence of surgical site infection compared with postoperative antibiotic administration for 24 hours.Patients undergoing posterior thoracolumbar spinal surgery managed with a closed-suction drain were prospectively randomized into 1 of 2 groups of postoperative antibiotic durations: (1) 24 hours, or (2) 24 hours after drain removal (72 hours). Drains were discontinued on the second

2019 EvidenceUpdates

119. Computer-Assisted Kinematic and Mechanical Axis Total Knee Arthroplasty: A Prospective Randomized Controlled Trial of Bilateral Simultaneous Surgery (Abstract)

Computer-Assisted Kinematic and Mechanical Axis Total Knee Arthroplasty: A Prospective Randomized Controlled Trial of Bilateral Simultaneous Surgery Randomized controlled trials of kinematic alignment (KA) and mechanical alignment (MA) in primary total knee arthroplasty (TKA) have to date demonstrated at least equivalence of KA in terms of clinical outcomes. No trial of bilateral TKA has been conducted so patient preference for one technique over the other is unknown.Forty-one participants

2019 EvidenceUpdates

120. Intermittent bolus versus continuous infusion popliteal sciatic nerve block following major foot and ankle surgery: a prospective randomized comparison (Abstract)

Intermittent bolus versus continuous infusion popliteal sciatic nerve block following major foot and ankle surgery: a prospective randomized comparison Foot and ankle surgery is associated with severe pain that can be reduced with continuous popliteal sciatic nerve block. We tested the hypothesis that programmed intermittent bolus (PIB) delivery of local anesthetic provides superior analgesia to a continuous infusion (CI) regimen.60 patients undergoing major foot and ankle surgery were

2019 EvidenceUpdates