surgeon, patient safety enthusiast, views personal
Bristol
Joined September 2012
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Anne pullyblank retweeted
Meta-analysis: Among adults undergoing surgery, #IncisionalNegativePressureWoundTherapy was associated with lower risk of surgical site infection, and higher risk of skin blistering and device-related adverse events. ja.ma/4yhd5YQ
Anne pullyblank retweeted
Seasonal variation was observed in #Diverticulitis incidence but not in severity or the proportion of cases requiring an operation. Diverticulitis was more common in summer and autumn.
#colonhealth
📖 Read full article: ja.ma/4jpTIt0
Anne pullyblank retweeted
After elective #GICancer surgery, #DaysAtHome at 90 days was a valid, clinically meaningful, and patient-centered outcome that reflected complications, health care use, and survival. ja.ma/4jtd0O5
Anne pullyblank retweeted
Presented at #ANES26 from @JAMA_current: Among high-risk patients undergoing elective major abdominal surgery, individualized #CardiacIndex-guided hemodynamic therapy did not reduce postoperative organ injury, severe infection, cardiac arrest, or death.
ja.ma/4yzwLHI
Anne pullyblank retweeted
Ventral Mesh Rectopexy and Rectal Cancer: An Underrecognized Concern. Read now in #DCRJournal: bit.ly/47si9yG
@IntColoproct
Anne pullyblank retweeted
Clinical practice guideline on management of left-sided colonic diverticulitis. Updated from last guidelines published in 2020. #DCRJournal: bit.ly/4B6wcre
Anne pullyblank retweeted
Outpatient non-operative treatment of uncomplicated acute appendicitis: meta-analysis ➡️doi.org/10.1093/bjsopen/zrag…
Antibiotic-first treatment is an accepted option for selected patients with imaging-confirmed uncomplicated acute appendicitis, yet the need for hospital admission remains uncertain. This systematic review and meta-analysis of three comparative studies (1064 patients; 502 outpatient, 562 in-hospital) found that outpatient management was associated with a lower 30-day appendicectomy rate (OR 0.52, 95% c.i. 0.36 to 0.76), with similar overall complications and unplanned healthcare use. Certainty of evidence was low to very low. Outpatient antibiotic treatment may be feasible in appropriately selected patients within structured pathways offering prompt reassessment.
👏👏👏Mauro Podda, Adolfo Pisanu, Fausto Catena, Marco Ceresoli
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #EmergencySurgery #AcuteCare #Appendicitis #SystematicReview #MetaAnalysis
Anne pullyblank retweeted
Costs and health burden of surgical site infections and anastomotic leakage in major abdominal surgery
➡️doi.org/10.1093/bjsopen/zrag…
Prospective data on the societal costs of surgical site infection (SSI), including anastomotic leakage, remain limited. This secondary analysis of the multicentre EPO2CH randomized trial evaluated costs and quality of life within 90 days in 1119 patients undergoing elective abdominal surgery. SSI was associated with higher mean total costs (€53 562 versus €23 969; difference €29 592), with the greatest difference observed for anastomotic leakage (€56 401). SSI was also associated with a mean loss of 0.035 quality-adjusted life-years, corresponding to 12.78 days in perfect health. These estimates may inform resource allocation for SSI prevention.
👏👏👏Nathan Bontekoning, Hannah Groenen, Stijn W de Jonge, Markus W Hollmann, Marja A Boermeester, Marcel G W Dijkgraaf, Niels Wolfhagen, on behalf of the EPO2CH Study Group #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #SurgicalSiteInfection #AnastomoticLeak #HealthEconomics #GeneralSurgery
Anne pullyblank retweeted
Among patients undergoing appendectomy for acute appendicitis, higher ASA score, symptoms lasting >2 days, and the presence of an appendicolith were independently associated with postoperative infectious complications. ovid.com/10.1097/SLA.0000000…
Anne pullyblank retweeted
In a single-center study of patients undergoing appendectomy for acute appendicitis, postoperative antibiotics were not associated with fewer infectious complications, even in the presence of intra-abdominal fluid. ovid.com/10.1097/SLA.0000000…
Anne pullyblank retweeted
Both linear and circular stapling were safe and feasible. Linear stapling was associated with shorter hospitalization and faster recovery, while circular stapling required fewer staplers. Prospective validation is needed.
DOI: doi.org/10.3393/ac.2025.0124…
Anne pullyblank retweeted
Brilliant results from @SunflowerStudy
Largest surgical trial ever completed in the UK
MRCP is not indicated in patients with gallstones disease and low to moderate risk of CBD stones.
Anne pullyblank retweeted
🐊 ALLIGATOR results are out.
45,218 patients · 1,377 hospitals · 112 countries · Feb - May 2025
Longer wait for first surgical assessment = higher perforation risk: 23% (<12 h) vs 48% (≥72 h).
Now in The Lancet Global Health
live at #ESCP26
📅 Thursday 24 September
🕓 16:00
📍 Congress Hall
doi.org/10.1016/j.langlo.202…
Anne pullyblank retweeted
For adult #Trauma with colon injury, primary repair or resection with anastomosis is preferred over routine diversion for most stable patients, while diversion is reserved for persistent physiologic derangement.
ja.ma/4jkeaLF
Anne pullyblank retweeted
Stop being lazy, sad, or scared. With very, very few exceptions …just do the anastomosis.
Colon and Rectal Injuries From Blunt and Penetrating Trauma jamanetwork.com/journals/jam…
Anne pullyblank retweeted
With #ACSCC26 fast approaching, it's a good time to share the new @ASCRS_1 2026 #CPG on #Diverticulitis
This group effort, hot off the press in the October @DCRjournal issue, was expertly led by @alexhawkinsmd
Don't forget to catch us in DC as well at PS102 (This Sunday at 1245, Ballroom C. Hottest ticket in town!)
Yes, the CPG discusses omission of antibiotics for uncomplicated disease, but there are so many other great topics:
Emergency surgery:
-Which patients should receive a protected anastomosis during emergency surgery for peritonitis.
-Colectomy preferred over lap lavage for most patients
Elective surgery:
-Selective approach to elective surgery for pelvic abscesses as well as immunocompromised patients
-Avoidance of colo-colonic anastomoses, as this is associated with high rates of recurrence.
-The threshold for elective surgery is not based on an arbitrary number of attacks, but instead individualized based on QUALITY OF LIFE!
-One third of patients have chronic symptoms after an episode of diverticulitis, and surgery is effective at improving their QOL.
Link to the CPG:
journals.lww.com/dcrjournal/…
@AmCollSurgeons @BoutrosMarylise @a_bham18 @Thomascurran27 @ianmpaquette @tlhedr0 @GaertnerWB
Anne pullyblank retweeted
More than one-third of older adults at extreme risk for early mortality died within 48 hours of high-risk #EGS, highlighting a substantial rate of nonbeneficial surgery. ja.ma/4iP6EYQ
Anne pullyblank retweeted
Among older surgical patients with #frailty, assignment to home-based prehabilitation before elective noncardiac surgery did not improve 30-day disability scores or reduce postoperative complications vs usual care.
🔗 ja.ma/4AIevyf
Anne pullyblank retweeted
Compared with nonoperative management, surgical stabilization of rib fractures was associated with lower risk of pulmonary complications, even when performed >3 days after blunt chest trauma. ja.ma/4qUa3HY
Anne pullyblank retweeted
Original Article: Colonoscopy Intervals and Colorectal Cancer Incidence after Adenoma Removal (EPoS II trial) nej.md/4yCEnJN
Editorial: When More Is Not Better — Colonoscopy Surveillance after High-Risk Adenomas nej.md/3UXgpKK
Correspondence: Colorectal Cancer Risk among Patients with Serrated Polyps (EPoS III trial) nej.md/3UXhqCA
#Oncology #Gastroenterology
ALT A graph showing the cumulative incidence of colorectal cancer in the two trial groups. The x-axis represents years since randomization, and the y-axis represents cumulative incidence percentage. Two lines are shown: a blue line labeled "3-yr Group, 0.82" and a gray line labeled "5-yr Group, 0.77".
ALT A bar chart showing numbers of cases of early-stage cancer and of late-stage cancer per 1000 patients according to trial group. An inset shows the same data on an expanded y axis.