Impact of Teaching on Surgical Site Infection after Colonic Surgery

Oral Antibiotics Bowel Preparation Without Mechanical Preparation for Minimally Invasive Colorectal Surgeries: Current Practice and Future Prospects

“…Careful balancing of risks (dehydration, fluid homeostasis, patient satisfaction) and potential benefits of MBP is necessary, given the lesser impact on the patient of superficial incisional SSI, which can often be managed in an outpatient setting. 16,17 This fact applies likewise to the rates of deep incisional SSI in patients with rectal cancer (0.9% vs 0.1%), where the incidence in both groups was very low. Nevertheless, the risk of underreporting of these complications in a national dataset has to be considered.…”

Surgical teaching does not increase the risk of intraoperative adverse events

“…Length of surgery was equivalent in the two groups (159 min) [5,6]. Other outcomes than intraoperative technical adverse event have been studied, with no harm described in teaching settings [4]. The present study focused on intraoperative adverse events to assess the safety of surgical teaching, since postoperative outcomes are influenced by numerous patient-and disease-related factors and compliance to perioperative care pathways and thus not specific enough [3].…”

“…Further, it was demonstrated that postoperative surgical complications were rather the result of non-technical factors [3]. A structured and standardized teaching environment with step-by-step definition of surgical procedure allowing trainees to constantly achieve surgical milestones has been repeatedly associated with non-adverse postoperative outcomes [4][5][6]. However, less is known about the influence of teaching on intraoperative Basile Pache and Fabian Grass contributed equally to this work.…”