Managing ‘HPV Positive, Normal Cytology’: When to Reassure vs Colposcopy

Managing ‘HPV Positive, Normal Cytology’: When to Reassure vs Colposcopy   Abstract Human papillomavirus (HPV) testing has become a cornerstone of cervical cancer screening programs worldwide. However, the management of women who test positive for high-risk HPV but have normal cytology results remains a

Anastomotic Leak Prediction: Biomarkers + AI vs Surgeon Judgment

Anastomotic Leak Prediction: Biomarkers + AI vs Surgeon Judgment   Key Takeaways Anastomotic leak prediction is evolving rapidly, with three distinct approaches showing different strengths and implementation timelines for surgical practice. AI models achieve 99.6% accuracy but face practical barriers. Biomarker protocols offer negative predictive

Psychedelics in Anesthesia and Pain: From OR Curiosity to Clinical Therapy

Psychedelics in Anesthesia and Pain From OR Curiosity to Clinical Therapy   Abstract The integration of psychedelic substances into anesthesia and pain management represents an important and evolving development in contemporary medical practice. Historically associated with psychiatric research and later restricted due to regulatory concerns, psychedelic compounds are now reemerging

Hypotension Prediction Index and Machine Learning: Game Changer or Gimmick?

Hypotension Prediction Index and Machine Learning Game Changer or Gimmick   Abstract Intraoperative and critical care hypotension is independently associated with adverse outcomes, including acute kidney injury, myocardial injury, stroke, prolonged hospitalization, and increased mortality. Even brief episodes of mean arterial pressure below established thresholds have been

The New Margin Wars in Oncology: Less Is More…Until It Isn’t

The New Margin Wars in Oncology Less Is More…Until It Isn’t   Abstract The concept of the surgical margin has long stood at the center of oncologic surgery, traditionally guided by the principle that wider excision confers superior local control and improved survival. Historically, radical

Are Operating Rooms Ready for Surgical AI? New Data Reveals Critical Insights

Are Operating Rooms Ready for Surgical AI New Data Reveals Critical Insights Introduction Surgical decision making remains a critical determinant of patient outcomes, with lapses in judgment consistently identified by surgeons as the most common cause of major intraoperative errors. These judgment related failures represent

The Surprising Truth: Why Open Surgery Might Be Better Than Minimally Invasive Options

The Surprising Truth: Why Open Surgery Might Be Better Than Minimally Invasive Options   Introduction The open surgery definition encompasses direct physical access to organs and tissues through larger incisions, a technique that remains essential despite the technological revolution in surgical care. While minimally invasive

The Opioid-Free OR: Can Multimodal Anesthesia Eliminate Narcotics Entirely?

The Opioid-Free OR: Can Multimodal Anesthesia Eliminate Narcotics Entirely?   Abstract The growing opioid crisis has pushed healthcare systems worldwide to explore alternative pain management strategies, particularly in the perioperative setting. This paper examines the feasibility and effectiveness of opioid-free anesthesia through multimodal approaches

Same-Day Discharge After Major Surgery: How Far Can We Safely Push ERAS?

Same-Day Discharge After Major Surgery: How Far Can We Safely Push ERAS? Abstract Enhanced Recovery After Surgery (ERAS) protocols have changed how we think about postoperative care. These evidence-based approaches aim to reduce complications, speed recovery, and help patients return to their normal

Managing ‘HPV Positive, Normal Cytology’: When to Reassure vs Colposcopy