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

1. Restarting planned surgery in the context of the COVID-19 pandemic

Restarting planned surgery in the context of the COVID-19 pandemic 1 May 2020 | icmanaesthesiacovid-19.org | 1 Restarting planned surgery in the context of the COVID-19 pandemic A strategy document from the Royal College of Anaesthetists, Association of Anaesthetists, Intensive Care Society and Faculty of Intensive Care Medicine Background As a logical and necessary part of the country’s response to the COVID-19 pandemic, elective surgery was suspended throughout the NHS to liberate staff (...) and capacity for patients requiring hospital admission for treatment of COVID-19 and its complications. The Government’s approach to the management of the pandemic has reached the point at which we are seeing a decline in hospital admissions, critical care bed occupancy and deaths from COVID-19. This enables the NHS to consider how best to resume planned surgical activity. While there is considerable concern over the potentially severe impact of COVID-19 on patients who have undergone surgery

2020 ICM Anaesthesia COVID-19

2. Cardiac Surgery in Canada During the COVID-19 Pandemic: A Guidance Statement From the Canadian Society of Cardiac Surgeons Full Text available with Trip Pro

Cardiac Surgery in Canada During the COVID-19 Pandemic: A Guidance Statement From the Canadian Society of Cardiac Surgeons Cardiac Surgery in Canada During the COVID-19 Pandemic: A Guidance Statement From the Canadian Society of Cardiac Surgeons - Canadian Journal of Cardiology Go search Powered By Mendeley Share on Cardiac Surgery in Canada During the COVID-19 Pandemic: A Guidance Statement From the Canadian Society of Cardiac Surgeons Ansar Hassan Affiliations New Brunswick Heart Center (...) , Dalhousie University, Saint John, New Brunswick, Canada Rakesh C. Arora Affiliations Max Rady College of Medicine, Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada Corey Adams Affiliations Libin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada Denis Bouchard Affiliations Montréal Heart Institute, Department of Surgery, University of Montréal, Montréal, Québec, Canada Richard Cook Affiliations St. Paul’s Hospital, Department of Surgery, University

2020 Canadian Cardiovascular Society

3. Covid-19: Local Resumption of Elective Surgery Guidance

Covid-19: Local Resumption of Elective Surgery Guidance Local Resumption of Elective Surgery Guidance Enter Keyword Enter Keyword Local Resumption of Elective Surgery Guidance Local Resumption of Elective Surgery Guidance Online April 17, 2020 Introduction In order to focus local resources on managing the new coronavirus (COVID-19) pandemic, “elective” surgery has been largely postponed and stopped. As the COVID-19 rates have already reached their peaks, or will do so over the next week or two (...) capabilities (e.g., beds, testing, operating rooms [ORs]) as well as potential constraints (e.g., workforce, supply chain), while keeping an eye on potential subsequent waves of COVID-19 will continue to be important. Within the categories of I. COVID-19 Awareness, II. Preparedness, III. Patient Issues, and IV. Delivery of Safe High-Quality Care , there are 10 distinct issues to be addressed locally before elective surgery may be safely reinstituted. Evaluating and addressing each of these 10 issues

2020 American College of Surgeons

4. ACS Guidelines for Triage and Management of Elective Cancer Surgery Cases During the Acute and Recovery Phases of Coronavirus Disease 2019 (COVID-19) Pandemic

ACS Guidelines for Triage and Management of Elective Cancer Surgery Cases During the Acute and Recovery Phases of Coronavirus Disease 2019 (COVID-19) Pandemic ACS Guidelines for Triage and Management of Elective Cancer Surgery Cases During the Acute and Recovery Phases of Coronavirus Disease 2019 (COVID-19) Pandemic Developed by the leaders within the ACS Cancer Programs (American Joint Committee on Cancer [AJCC], Clinical Research Program [CRP], Commission on Cancer [COC], National (...) on elective surgery, and during the recovery phase when, no doubt, bans will be lifted and backlogs of patients will need urgent attention. While most among us would not consider cancer surgery as elective, some cancer operations are more urgent than others, and this document helps to provide some guidance on prioritization strategies that may be helpful. As before, we fully appreciate that nothing takes the place of sound medical judgment and that local conditions and resources will dictate how and when

2020 American College of Surgeons

5. ASA/ACS/AORN/AHA Joint Statement: Roadmap for Resuming Elective Surgery after COVID-19 Pandemic

ASA/ACS/AORN/AHA Joint Statement: Roadmap for Resuming Elective Surgery after COVID-19 Pandemic Joint Statement: Roadmap for Resuming Elective Surgery after COVID-19 Pandemic | American Society of Anesthesiologists (ASA) Menu Menu Close Standards and Guidelines Back Standards and Guidelines Advocacy & ASAPAC Back Advocacy & ASAPAC Education and Career Back Education and Career Events Back Events In the Spotlight Back In the Spotlight Podcasts Back Podcasts Quality and Practice Management Back (...) Quality and Practice Management Research and Publications Back Research and Publications Member Center Back Member Center About ASA Back About ASA News April 17, 2020 Joint Statement: Roadmap for Resuming Elective Surgery after COVID-19 Pandemic American College of Surgeons American Society of Anesthesiologists Association of periOperative Registered Nurses American Hospital Association (PDF) Introduction: In response to the COVID-19 pandemic, the Centers for Medicare and Medicaid Services (CMS

2020 American Society of Anesthesiologists

6. Covid-19 Guidance for Return to Practice for Otolaryngology-Head and Neck Surgery: Part One

Covid-19 Guidance for Return to Practice for Otolaryngology-Head and Neck Surgery: Part One 1 Guidance for Return to Practice for Otolaryngology-Head and Neck Surgery Part One Future of Otolaryngology Task Force: Gavin Setzen, MD (Chair), Samantha Anne, MD, Eugene G. Brown III, MD, James C. Denneny III, MD, Marc G. Dubin, MD, Stacey L. Ishman, MD, MPH, Ronald B. Kuppersmith, MD, MBA, and, Richard V. Smith, MD. INTRODUCTION While this document will address many important concerns (...) There are two main documents that will be released. This first document contains general considerations for practice that apply across the specialty. A second forthcoming document will contain subspecialty specific recommendations. These documents were prepared by the Future of Otolaryngology Task Force of the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) with input from the AAO-HNS Board of Directors, the Infectious Disease Committee, and Patient Safety and Quality Improvement

2020 American Academy of Otolaryngology - Head and Neck Surgery

7. AAOS Guidelines for Elective Surgery During the COVID-19 Pandemic

AAOS Guidelines for Elective Surgery During the COVID-19 Pandemic AAOS Guidelines for Elective Surgery - American Academy of Orthopaedic Surgeons Search Education Publications Quality & Practice Management Registries Advocacy Membership About AAOS / / AAOS Guidelines for Elective Surgery During the COVID-19 Pandemic Facebook LinkedIn Twitter Email Daniel K. Guy, MD, FAAOS; Joseph A. Bosco III, MD, FAAOS; and Felix H. Savoie III, MD, FAAOS April 2, 2020 In these uncertain times, we all need (...) to be considerate of the population. AAOS’ guidelines on elective surgery during the COVID-19 pandemic should be applied judiciously depending on your location, where your area/institution happens to be situated relative to the curve of the disease, and the availability, or scarcity, of your resources, including personal protective equipment (PPE), intensive care unit (ICU) beds, respirators, and personnel. The Centers for Medicare & Medicaid Services (CMS) and the American College of Surgeons (ACS) have

2020 American Academy of Orthopaedic Surgeons

8. Metabolic surgery for the treatment of type 2 diabetes: A network meta-analysis of randomized controlled trials Full Text available with Trip Pro

Metabolic surgery for the treatment of type 2 diabetes: A network meta-analysis of randomized controlled trials Metabolic Surgery for the Treatment of Type 2 Diabetes: A Network Meta-Analysis of Randomized Controlled Trials - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. National Institutes of Health National Library of Medicine (...) Diabetes Obes Metab Actions . 2020 Apr 3. doi: 10.1111/dom.14045. Online ahead of print. Metabolic Surgery for the Treatment of Type 2 Diabetes: A Network Meta-Analysis of Randomized Controlled Trials , , , Affiliations Expand Affiliations 1 Diabetology, Careggi Hospital, Florence, Italy. 2 University of Florence, Florence, Italy. PMID: 32243058 DOI: Item in Clipboard Metabolic Surgery for the Treatment of Type 2 Diabetes: A Network Meta-Analysis of Randomized Controlled Trials Barbara Cresci et al

2020 EvidenceUpdates

9. Adult liver transplantation: UK clinical guideline – part 2: surgery and post-operation

Adult liver transplantation: UK clinical guideline – part 2: surgery and post-operation 1 Millson C, et al. Frontline Gastroenterology 2020;0:1–12. doi:10.1136/flgastro-2019-101216 Review Adult liver transplantation: UK clinical guideline - part 2: surgery and post- oper ation Charles Millson , 1 Aisling Considine, 2 Matthew E Cramp, 3 Andrew Holt, 4 Stefan Hubscher, 5 John Hutchinson, 6 Kate Jones, 7 Joanna Leithead, 8 Steven Masson, 9 Krish Menon, 10 Darius Mirza, 11 James Neuberger, 12 Raj (...) has dealt with all aspects of liver transplantation up to the point of placement on the waiting list. Part 2 explains the organ allocation process, organ donation and organ type and how this influences the choice of recipient. After organ allocation, the transplant surgery and the critical early post- operative period are, of necessity, confined to the liver transplant unit. However, patients will eventually return to their referring secondary care centre with a requirement for ongoing supervision

2020 British Society of Gastroenterology

10. Randomized double blind clinical trial of ABM/P-15 versus allograft in noninstrumented lumbar fusion surgery

Randomized double blind clinical trial of ABM/P-15 versus allograft in noninstrumented lumbar fusion surgery Randomized Double Blind Clinical Trial of ABM/P-15 Versus Allograft in Noninstrumented Lumbar Fusion Surgery - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. National Institutes of Health National Library of Medicine National (...) Actions . 2020 Jan 28;S1529-9430(20)30021-8. doi: 10.1016/j.spinee.2020.01.009. Online ahead of print. Randomized Double Blind Clinical Trial of ABM/P-15 Versus Allograft in Noninstrumented Lumbar Fusion Surgery , , , , , , Affiliations Expand Affiliations 1 Center for Spine Surgery & Research, Region of Southern Denmark, Østre Hougvej 55, DK-5500, Middelfart, Denmark; Institute of Regional Health Research, University of Southern Denmark, Winsløwparken 19, 3, DK-5000, Odense C, Denmark. 2 Department

2020 EvidenceUpdates

11. Guidelines for Perioperative Care for Pancreatoduodenectomy: Enhanced Recovery After Surgery (ERAS) Recommendations 2019

Guidelines for Perioperative Care for Pancreatoduodenectomy: Enhanced Recovery After Surgery (ERAS) Recommendations 2019 Guidelines for Perioperative Care for Pancreatoduodenectomy: Enhanced Recovery After Surgery (ERAS) Recommendations 2019 - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. National Institutes of Health National (...) Permalink Copy Page navigation Review World J Surg Actions . 2020 Mar 11. doi: 10.1007/s00268-020-05462-w. Online ahead of print. Guidelines for Perioperative Care for Pancreatoduodenectomy: Enhanced Recovery After Surgery (ERAS) Recommendations 2019 , , , , , , , , , , , , , , , Affiliations Expand Affiliations 1 Department of Visceral Surgery, University Hospital Lausanne (CHUV), University of Lausanne, Rue du Bugnon 46, 1011, Lausanne, Switzerland. 2 Department of Hepatobiliary and Pancreatic Surgery

2020 EvidenceUpdates

12. Does Preoperative Decolonization Reduce Surgical Site Infections in Elective Orthopaedic Surgery? A Prospective Randomized Controlled Trial

Does Preoperative Decolonization Reduce Surgical Site Infections in Elective Orthopaedic Surgery? A Prospective Randomized Controlled Trial Does Preoperative Decolonization Reduce Surgical Site Infections in Elective Orthopaedic Surgery? A Prospective Randomized Controlled Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable (...) Cancel Actions Cite Share Permalink Copy Page navigation Clin Orthop Relat Res Actions . 2020 Jan 31. doi: 10.1097/CORR.0000000000001152. Online ahead of print. Does Preoperative Decolonization Reduce Surgical Site Infections in Elective Orthopaedic Surgery? A Prospective Randomized Controlled Trial , , , , , , , , , Affiliations Expand Affiliation 1 F. Rohrer, P. Cottagnoud, T. Hermann, J. Brügger, Department of Internal Medicine, Sonnenhofspital, Bern, Switzerland F. Rohrer, H. Nötzli, L. Risch, P

2020 EvidenceUpdates

13. A Double-Blind, Randomized Controlled Trial of Pre-incision Wound Infiltration Using Diclofenac Versus Bupivacaine for Post-operative Pain Relief in Open Thyroid and Parathyroid Surgery

A Double-Blind, Randomized Controlled Trial of Pre-incision Wound Infiltration Using Diclofenac Versus Bupivacaine for Post-operative Pain Relief in Open Thyroid and Parathyroid Surgery A Double-Blind, Randomized Controlled Trial of Pre-incision Wound Infiltration Using Diclofenac Versus Bupivacaine for Post-operative Pain Relief in Open Thyroid and Parathyroid Surgery - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features (...) in email: Save Cancel Create a file for external citation management software Create file Cancel Actions Cite Share Permalink Copy Page navigation World J Surg Actions . 2020 Mar 19. doi: 10.1007/s00268-020-05458-6. Online ahead of print. A Double-Blind, Randomized Controlled Trial of Pre-incision Wound Infiltration Using Diclofenac Versus Bupivacaine for Post-operative Pain Relief in Open Thyroid and Parathyroid Surgery , , , Affiliations Expand Affiliations 1 Department of Surgery, University

2020 EvidenceUpdates

14. Joint Statement: Roadmap for Resuming Elective Surgery after COVID-19 Pandemic

Joint Statement: Roadmap for Resuming Elective Surgery after COVID-19 Pandemic Joint Statement: Roadmap for Resuming Elective Surgery after COVID-19 Pandemic Enter Keyword Enter Keyword Joint Statement: Roadmap for Resuming Elective Surgery after COVID-19 Pandemic Joint Statement: Roadmap for Resuming Elective Surgery after COVID-19 Pandemic Online April 17, 2020 American College of Surgeons American Society of Anesthesiologists Association of periOperative Registered Nurses American Hospital (...) patient demand for surgical and procedural care may be immense, and health care organizations, physicians and nurses must be prepared to meet this demand. Many patients have had their needed, but not essential, surgeries postponed due to the pandemic. Physician and facility readiness to resume elective surgery will vary by geographic location. The following is a list of principles and considerations to guide physicians, nurses and local facilities in their resumption of care for operating rooms

2020 American College of Surgeons

15. Erector spinae plane versus paravertebral nerve blocks for postoperative analgesia after breast surgery: a randomized clinical trial

Erector spinae plane versus paravertebral nerve blocks for postoperative analgesia after breast surgery: a randomized clinical trial Erector Spinae Plane Versus Paravertebral Nerve Blocks for Postoperative Analgesia After Breast Surgery: A Randomized Clinical Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. National Institutes (...) Share Permalink Copy Page navigation Reg Anesth Pain Med Actions . 2020 Apr;45(4):260-266. doi: 10.1136/rapm-2019-101013. Epub 2020 Jan 21. Erector Spinae Plane Versus Paravertebral Nerve Blocks for Postoperative Analgesia After Breast Surgery: A Randomized Clinical Trial , , , , , , , , , , , , , Affiliations Expand Affiliations 1 Anesthesiology, University of California San Diego, San Diego, California, USA mwswisher@ucsd.edu. 2 Surgery, University of California San Diego, San Diego, California

2020 EvidenceUpdates

16. Prevention of Perioperative Hypothermia: A Prospective, Randomized, Controlled Trial of Bair Hugger Versus Inditherm in Patients Undergoing Elective Arthroscopic Shoulder Surgery

Prevention of Perioperative Hypothermia: A Prospective, Randomized, Controlled Trial of Bair Hugger Versus Inditherm in Patients Undergoing Elective Arthroscopic Shoulder Surgery Prevention of Perioperative Hypothermia: A Prospective, Randomized, Controlled Trial of Bair Hugger Versus Inditherm in Patients Undergoing Elective Arthroscopic Shoulder Surgery - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search (...) : Save Cancel Create a file for external citation management software Create file Cancel Actions Cite Share Permalink Copy Page navigation Arthroscopy Actions . 2020 Feb;36(2):347-352. doi: 10.1016/j.arthro.2019.08.015. Epub 2019 Dec 31. Prevention of Perioperative Hypothermia: A Prospective, Randomized, Controlled Trial of Bair Hugger Versus Inditherm in Patients Undergoing Elective Arthroscopic Shoulder Surgery , , , , , , , Affiliations Expand Affiliations 1 The Royal Liverpool & Broadgreen

2020 EvidenceUpdates

17. Immunosuppression and the risk of readmission and mortality in patients with rheumatoid arthritis undergoing hip fracture, abdominopelvic and cardiac surgery

Immunosuppression and the risk of readmission and mortality in patients with rheumatoid arthritis undergoing hip fracture, abdominopelvic and cardiac surgery Immunosuppression and the Risk of Readmission and Mortality in Patients With Rheumatoid Arthritis Undergoing Hip Fracture, Abdominopelvic and Cardiac Surgery - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced (...) citation management software Create file Cancel Actions Cite Share Permalink Copy Page navigation Ann Rheum Dis Actions . 2020 May;79(5):573-580. doi: 10.1136/annrheumdis-2019-216802. Epub 2020 Mar 24. Immunosuppression and the Risk of Readmission and Mortality in Patients With Rheumatoid Arthritis Undergoing Hip Fracture, Abdominopelvic and Cardiac Surgery , , , , , , , , Affiliations Expand Affiliations 1 Rheumatology and Epidemiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA

2020 EvidenceUpdates

18. Perianal block with ropivacaine as a supplement to anaesthesia in proctological surgery: double-blind randomized placebo-controlled trial (PERCEPT) Full Text available with Trip Pro

Perianal block with ropivacaine as a supplement to anaesthesia in proctological surgery: double-blind randomized placebo-controlled trial (PERCEPT) Perianal Block With Ropivacaine as a Supplement to Anaesthesia in Proctological Surgery: Double-Blind Randomized Placebo-Controlled Trial (PERCEPT) - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily (...) Create file Cancel Actions Cite Share Permalink Copy Page navigation Br J Surg Actions . 2020 Mar 18. doi: 10.1002/bjs.11520. Online ahead of print. Perianal Block With Ropivacaine as a Supplement to Anaesthesia in Proctological Surgery: Double-Blind Randomized Placebo-Controlled Trial (PERCEPT) , , , , , , Affiliations Expand Affiliations 1 Clarunis, Pelvic Floor Unit, University Centre for Gastrointestinal and Liver Diseases, St Clara Hospital and University Hospital Basle, Basle, Switzerland. 2

2020 EvidenceUpdates

19. A Randomized Controlled Trial of Enhanced Recovery After Surgery Versus Standard of Care Recovery for Emergency Cesarean Deliveries at Mbarara Hospital, Uganda Full Text available with Trip Pro

A Randomized Controlled Trial of Enhanced Recovery After Surgery Versus Standard of Care Recovery for Emergency Cesarean Deliveries at Mbarara Hospital, Uganda A Randomized Controlled Trial of Enhanced Recovery After Surgery Versus Standard of Care Recovery for Emergency Cesarean Deliveries at Mbarara Hospital, Uganda - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced (...) citation management software Create file Cancel Actions Cite Share Permalink Copy Page navigation Randomized Controlled Trial Anesth Analg Actions . 2020 Mar;130(3):769-776. doi: 10.1213/ANE.0000000000004495. A Randomized Controlled Trial of Enhanced Recovery After Surgery Versus Standard of Care Recovery for Emergency Cesarean Deliveries at Mbarara Hospital, Uganda , , , , Affiliations Expand Affiliations 1 From the Departments of Anaesthesia and Critical Care. 2 Community Health. 3 Obstetrics

2020 EvidenceUpdates

20. Covid-19: Clinical guide for the management of essential cancer surgery for adults during the coronavirus pandemic

Covid-19: Clinical guide for the management of essential cancer surgery for adults during the coronavirus pandemic Publications approval reference: 001559 NHS England and NHS Improvement Specialty guides for patient management during the coronavirus pandemic Clinical guide for the management of essential cancer surgery for adults during the coronavirus pandemic 7 April 2020 Version 1 Background Government and the NHS nationally have made it clear that cancer treatment should continue (...) surgery in a COVID-free hub, with centralised triage to prioritise patients based on clinical need: https://www.england.nhs.uk/coronavirus/publication/advice-to-trusts-on-maintaining-cancer- treatment-during-the-covid-19-response/ This supplementary guidance, which builds on the experience in China, Italy and London, supports cancer services on the prioritisation and management of essential cancer surgery 2 | Clinical guide for the management of essential cancer surgery for adults during

2020 Covid-19 Ad hoc guidelines