The MOSART study, conducted over 9 months at a single centre, investigated the impact of surgeon-selected background music on stress levels during surgery. The study involved vascular and general surgeons and assessed feasibility, including recruitment rates, practicability, and data completeness, along with heart rate variability, anxiety levels, and surgical task-load. We observed no significant impact of intra-operative music on surgeon stress levels, however, the study established the feasibility of such interventions in the operating theatre and suggests the need for further research in simulated settings with more extensive physiological monitoring.

Complete mesocolic excision for colon cancer involves precise dissection of the avascular embryonic plane between the parietal retroperitoneum and visceral peritoneum of the mesocolon. Whether this approach results in improved overall or disease-free survival remains unclear and its role remains controversial particularly given the risk of significant morbidity associated with a more extensive central vascular dissection. As a result of the current state of equipoise, various national guidelines have disparate recommendations as to when complete mesocolic excision should be performed if at all and this article aimed to review the rationale for and technical aspects of complete mesocolic excision, summarize available short and long term outcome data and address current controversies.

Our current understanding of the mechanisms that underlie colonic motility are based upon a range of experimental techniques, including molecular biology, single cell studies, recordings from muscle strips, analysis of part or whole organ ex vivo through to in vivo human recordings. For the surgeon involved in the clinical management of colonic conditions this amounts to a formidable volume of material. Here, we synthesize the key findings from these various experimental approaches so that surgeons can be better armed to deal with the complexities of the colon.

This review aims to explore available data on the relationship between skeletal muscle and adiposity, and their association with chemotherapy toxicity in non-metastatic colorectal cancer patients. Low skeletal muscle is associated with chemotherapy toxicities in non-metastatic colorectal cancer patients yet the role of adiposity is limited and heterogeneous. More studies are needed to confirm these associations with an emphasis on a more coherent body composition definition and an approach to its assessment.

Survival outcomes after caudate lobectomy for hepatocellular carcinoma: Systematic review and meta-analysis.

An evaluation of the utility of large language model ChatGPT in the management of acute appendicitis. Our study found promising potential for ChatGPT however concerns in its information giving, deeming it unsafe to use reliably in medical practice.

Artificial intelligence is increasingly being used in all aspects of life in information compilation and writing, and this includes healthcare. We have found Chat GPT can generate an acceptable patient information leaflet about laparoscopic cholecystectomy. Such artificial intelligence models can be a useful part of healthcare moving into the future if we use them correctly.

We describe use of artificial intelligence in developing management plan for patient with Stage IV, recurrence, synchronous colorectal cancers.

CADe is a most useful aid to clinicians during endoscopy in the detection of SSA/P but must be complemented with factors such as good endoscopy skill and bowel prep for effective detection, and biopsy coupled with subsequent accurate histological diagnosis. In this article, we describe a guide through a video to illustrate the detection of SSA/P during AI-assisted colonoscopy.

Peptic ulcer perforation is a common surgical emergency in India with significant morbidity and mortality. In this retrospective observational study from our tertiary care centre, 500 patients with perforated peptic ulcer who underwent exploratory laparotomy in an eight year period were analysed. Older age, co-morbidities, higher ASA grade, size of perforation >1 cm, prolonged surgery and volume of biliopurulent contamination >500 mL were found to be associated with increased morbidity and mortality.

This study aims to determine differences in patient outcomes when comparing the omental patch repair to the falciform ligament repair. Thirty-seven patients had falciform repairs and were mostly ASA of 2 compared to 292 patients receiving omental patch repair who were mostly ASA 3. There were no statistically significant differences in patient outcomes between the omental patch and falciform ligament groups.

Laparoscopic common bile duct exploration (CBDE) is a safe and effective method of managing CBD stones within a single anaesthetic avoiding the risks associated with ERCP. Factors such as cystic duct diameter, size and number of CBD stones, and stone: cystic duct ratio are associated with an increased chance of failure. Whilst these factors are not absolute contraindications, the presence of them can help clinicians in decision-making during LCBDE to improve chance of success using other methods such as laparoscopic choledochotomy, early conversion to open or ERCP.

Pancreatic enucleation combined with prophylactic pancreaticojejunostomy can lead to severe complications, including haemorrhage and even mortality. Minimally invasive enucleation with most enucleation wounds left exposed is a safe and feasible procedure.

In this work, we report the first worldwide experience of three consecutive cases of full-robotic cholecystectomies with the Hugo RAS™ system. The position of the robotic arms, as well as the trocars sites and the docking angles have been developed and verified by our team in order to guarantee reproducibility and safety.

The advancements in VR technology provide an opportunity to improve our communication with patients by integrating an immersive experience into the perioperative discussions. In this pilot study of elective colorectal cancer patients we demonstrate that VR was well tolerated and its use in an outpatient clinic setting is feasible. This study is significant in that it is the first randomized trial of VR in colorectal surgery patients and its findings should be validated in a prospective, statistically powered RCT.

This trial demonstrates that the use of oral antibiotics in the management of uncomplicated colonic diverticulitis is non-inferior to the use of intravenous antibiotics and that treatment can be provided safely in the outpatient setting.

Index transanal endoscopic microsurgery excisions of rectal adenomas and adenocarcinomas at Dunedin Hospital, New Zealand between 2000 and 2020 were examined to determine recurrence rates. Of 75 benign cases, 11 (14.7%) developed local recurrence and of 25 malignant cases, 9 (36%) developed recurrence. Our adenoma recurrence rate was at the higher end of the reported range of 2.4–16%.

Anastomotic leak (AL) after colon cancer resection is feared by surgeons with its associated morbidity and mortality. Certain types of resection are associated with higher leak rates although there remains a paucity of data on this. This study confirms that AL is more common in extended colonic resections. With growing evidence of similar oncological outcomes between subtotal colectomy and left hemicolectomy for splenic flexure cancers, more limited resections should be considered.

Developing a new disease-specific quality of life instrument for chronic limb-threatening ischemia requires understanding of patients' perspectives of quality of life. A qualitative study using reflexive thematic analysis was performed with patient and public involvement. Resultant themes provide valuable insight into what quality of life means and what matters for patients' quality of life.

Post thrombotic syndrome following iliofemoral deep venous thrombosis (IFDVT) is associated with high morbidity. We present results from a single session interventional protocol with pharmacomechanical thrombectomy and deep venous stents, which support early intervention for proximal DVT.

The value of proximal bone analysis for surgical clearance of infection remains debated. Our study evaluated routine proximal bone analysis for microbiology and histopathology in the treatment of diabetes-related foot infections and osteomyelitis. We demonstrated that proximal bone microbiology and histopathology have different clinical roles in guiding treatment following amputation surgeries.

Comparison of hand infection outcomes across two varying sites in Australia (Darwin and Adelaide). Results demonstrate more bacterial variability in Darwin, but similar patient related outcomes.

Necrotising fasciitis is a rare and fulminant soft tissue infection, with prompt surgical debridement of the involved soft tissues and necrotic fascia its definitive treatment and any delay associated with increased mortality. The LRINEC score is a clinical adjunct to risk stratify patients presenting to the emergency department with soft tissue infections, utilising common blood tests to calculate a score and stratify patients. We performed a prospective cohort study to ascertain the accuracy of the LRINEC score in identifying patients with necrotising fasciitis in an Indian population, identifying a high positive and negative predictive value. The use of this scoring system can facilitate better allocation of resources and aids in the decision to transfer patients in rural or regional settings, which are often complicated by being a resource limited environment.

In our study, we present long-term results of plantar foot reconstruction with super-thin ALT flaps in patients that required reconstruction with free tissue transfer.

Laparoscopic repair of perforated duodenal ulcers has proven superior results to open procedures though uptake has been poor. We describe the ‘three arches’ technique as a means of reducing technical difficulty and improving operative efficiency. Our case series of patients undergoing this technique for perforated peptic ulcer disease demonstrates comparable results to other methods of repair.