JAMA Surgery
@JAMASurgery
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JAMA Surgery is a member of the JAMA Network, a consortium of peer-reviewed, general medical and specialty publications.
Chicago, IL
Joined July 2009
Up to 82% of pregnant surgeons experience miscarriage, preterm delivery, and intrauterine growth restriction. Occupational hazards, including prolonged standing, physical exertion, overnight shifts, and teratogenic exposure, contribute to these risks.
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Only 2 types of doctors never have surgical complications: those who don’t operate and those who aren’t truthful.
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More familiar surgeon-anesthesiologist dyads can yield better outcomes for complex GI surgery: each surgery done together is associated with 5% lower odds of morbidity for the next patient. @HalletJulie @DrTonyEskander @propelresearch
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Most viewed in the last 7 days from @JAMASurgery: . This narrative review summarizes the current evidence on and recommendations for management of gallstone pancreatitis.
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Findings of this study suggest that patients treated by female surgeons have a lower risk-adjusted likelihood of adverse postoperative outcomes at 90 days and 1 year following surgery. @WallisCJD @propelresearch @DrRajSat
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Ultrasonographic-Guided Resuscitation of the Surgical Patient
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From @JAMA_current: Povidone iodine in alcohol as preoperative skin antisepsis was noninferior to chlorhexidine gluconate in alcohol in preventing surgical site infections after cardiac or abdominal surgery.
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Autonomic neural blockade can reduce postoperative visceral pain, nausea, and vomiting following minimally invasive surgery. It may also provide an important adjunct to enhanced recovery protocols.
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From @JAMA_current: Povidone iodine in alcohol as preoperative skin antisepsis was noninferior to chlorhexidine gluconate in alcohol in preventing surgical site infections after cardiac or abdominal surgery.
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This narrative review summarizes the current evidence on and recommendations for management of gallstone pancreatitis.
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Surgical jackets and bouffants are neither beneficial nor cost-effective in preventing SSIs
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Findings of this study suggest that patients treated by female surgeons have a lower risk-adjusted likelihood of adverse postoperative outcomes at 90 days and 1 year following surgery. @WallisCJD @propelresearch @DrRajSat.
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Most viewed in the last 7 days from @JAMASurgery:. This Viewpoint provides recommendations for surgeons to stay active amidst demanding professional and personal commitments to help manage stress, avoid burnout, and improve overall quality of life.
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Disposable perioperative jackets do not decrease the incidence of SSIs #NorthwellHealth #PlainviewOrthopaedics #NorthwellOrthopaedicInstitute
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Lessons to be learned: Retired surgeons wish they had achieved a healthier work-life balance during their career.
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In this study, robotic-assisted cholecystectomy was associated with higher rates of bile duct injury compared to traditional laparoscopic surgery. Real-world data is critical for the safe adoption of new technology in surgical practice.
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Double-blinded MOBILE2-trial found that mechanical bowel preparation and oral antibiotics reduced the rate of overall morbidity, surgical site infections and anastomotic leaks compared to mechanical bowel preparation only prior anterior rectal resection.
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JAMA Surgery is pleased to partner with @SurgOutcomes to provide a checklist and series of guides designed to elevate the science of #surgicaloutcomes research. Learn more from @AdilHaiderMD, @kbilimoria, and @kibbemr #SurgData #VisualAbstract
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Ergonomic best practices are crucial for surgeon longevity. This primer outlines best ergonomic practices in surgery and how they can be implemented.
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Most viewed in the last 7 days from @JAMASurgery: . This Review describes the risks that pregnant surgeons may experience and proposes a policy for perinatal care of surgeons and surgical trainees.
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In this study, robotic-assisted cholecystectomy was associated with higher rates of bile duct injury compared to traditional laparoscopic surgery. Real-world data is critical for the safe adoption of new technology in surgical practice.
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Most viewed in the last 7 days from @JAMASurgery: . This narrative review summarizes the current evidence on and recommendations for management of gallstone pancreatitis.
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What is the cost of 1 minute of operating room time, and what contributes to this cost? Find out in this original investigation by @dgsomucla's Christopher P. Childers, MD, Melinda and Maggard-Gibbons, MD, MSHS #VisualAbstract
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Narrative review summarizes left-sided diverticulitis pathophysiology, advances in diagnosis, prevention strategies, and surgical approaches and decision-making.
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From @JAMA_current: JAMA Clinical Guidelines Synopsis summarizes the accpchest 2022 guideline on perioperative management of patients taking oral anticoagulation or antiplatelet therapy who are undergoing an elective surgery or procedure.
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Does the use of sterile gloves vs nonsterile clean gloves for the repair of wounds and lacerations make a difference in SSIs? This systematic review and meta-analysis found no difference. @LoaiAlbarqouni
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Study led by @drdevirgilio found 21 characteristics associated with outstanding surgical resident graduate performance. Overall performance was able to be accurately predicted by 3 traits: surgical judgment, leadership, and medical knowledge.
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Most viewed in the last 7 days from @JAMASurgery: . Care of patients with diverticulitis is undergoing a paradigm shift. This narrative review summarizes the current evidence for left-sided uncomplicated and complicated diverticulitis.
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Most viewed in the last 7 days from @JAMASurgery: . Care of patients with diverticulitis is undergoing a paradigm shift. This narrative review summarizes the current evidence for left-sided uncomplicated and complicated diverticulitis.
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This cohort study’s findings suggest that early cholecystectomy should be considered carefully in patients with moderately severe and severe acute biliary pancreatitis, as it was associated with increased postoperative mortality and morbidity.
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Autonomic neural blockade may reduce postoperative visceral pain, nausea, and vomiting following minimally invasive surgery.
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JAMA Surgery partnered with @Surg_Education to create this Guide to Statistics and Methods in Surgical Education Research. @AmaliaCochranMD, @dstefanidis1, and @kibbemr introduce the collection.
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In this study, patients treated by female surgeons had lower health care costs following surgery.
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The results of this cohort study indicate that female surgeons have more favorable outcomes and operate more slowly than male surgeons in elective and acute care cholecystectomies. @myblohm @Johannasterber4 @LarsEnochsson @GabrielSandblom
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More familiar surgeon-anesthesiologist dyads can yield better outcomes for complex GI surgery: each surgery done together is associated with 5% lower odds of morbidity for the next patient. @HalletJulie @DrTonyEskander @propelresearch.
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In this study, a plastic wound protector decreased surgical site infection rates by 46.8% across bowel surgeries compared with surgical gauze.
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How does surgeon compensation impact clinical practice? Surgeons reported their compensation model (clinical productivity-based incentives vs salary alone) impacts clinical decision-making, relationships with colleagues, and engagement and well-being.
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Congratulations to JAMA Surgery editor in chief @kibbemr on her appointment as dean of @MedicineUVA and chief health affairs officer for @UVAHealth.
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"As a surgical discipline, I hope that we can get past the belief that we do not have enough qualified women to serve." Read this editorial from JAMA Surgery Editor @kibbemr.
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This cohort study’s findings suggest that early cholecystectomy should be considered carefully in patients with moderately severe and severe acute biliary pancreatitis, as it was associated with increased postoperative mortality and morbidity.
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Challenges of pregnancy as a surgeon: Compared to male surgeons & their partners, female surgeons.•More likely to delay children & need assisted reproduction.•Have 1.7X ↑ risk pregnancy complications;long OR hrs ↑risk by 1.6x.•↑ risk postpart
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Analysis of over 1 million emergency general surgery patients found an increase in minimally invasive surgery. Robotic surgery associated with decreased conversion to open surgery and decreased post-op length of stay vs. laparoscopy.
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Multicenter study of 958 children from 16 hospitals found no benefit with use of postoperative antibiotics in children with nonperforated appendicitis with gangrenous, suppurative, or exudative findings. @ShawnRangelMD
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Increased surgeon stress as quantified by heart rate variability was associated with a significant reduction in major surgical complications.
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The results of this cohort study indicate that female surgeons have more favorable outcomes and operate more slowly than male surgeons in elective and acute care cholecystectomies. @myblohm @Johannasterber4 @LarsEnochsson @GabrielSandblom.
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CDC Guideline for the Prevention of Surgical Site Infection, 2017
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Females and URiM (underrepresented in medicine) surgical leaders are disproportionately clustered in roles that may not translate into future promotion, finds study of faculty at surgical departments in US & PR. @DrLolaFayanju @Yoshiko_Iwai @pennsurgery
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Study illustrates the significant negative effect of the #COVID19 pandemic on general surgery resident operative experience, highlighting the importance of identifying future mitigation strategies
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Electronic surgical consent forms can be sent via patient portals, and if signed 1 day before surgery, can reduce first-start delays.
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Ergonomic best practices are crucial for surgeon longevity. This primer outlines best ergonomic practices in surgery and how they can be implemented.
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Although widely performed, high quality data supporting laparoscopic cholecystectomy for biliary dyskinesia is lacking. This narrative review discusses diagnostic strategies, management, and outcomes data for biliary dyskinesia in the pediatric population.
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In this cohort analysis including 31,045 faculty, female surgeons who are also underrepresented in medicine were the least likely to be promoted and the most likely to leave academia. @JohnsonJoshMD @heatheryeoMD @JasosaMD @AndreaMMesitiMD
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A Call to Action from @kibbemr and @JFreischlag: Diversity in the Editorial and Peer Review Process
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For hemodynamically stable patients with traumatic hemothorax, combining percutaneous tube thoracostomy and thoracic lavage may represent optimal management, improving patient comfort and decreasing retained hemothorax.
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For hemodynamically stable patients with traumatic hemothorax, combining percutaneous tube thoracostomy and thoracic lavage may represent optimal management, improving patient comfort and decreasing retained hemothorax.
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Prehospital plasma improves 28-day mortality in trauma patients with hemorrhagic shock when transport times are longer than 20 minutes by 40%
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Findings from this long-term follow-up of a randomized clinical trial suggest that tension-free crural repair with nonabsorbable mesh does not reduce the incidence of hiatal hernia recurrence 13 years postoperatively.
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In this RCT of 200 surgical clinic patients, surgeons wearing a clear mask were rated significantly higher for providing understandable explanations, demonstrating empathy, and eliciting trust @IanKratzkeMD @muneerakapadia @UNCSurgery.
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Among US surgical residents, pregnancy/parenthood-based mistreatment, obstetric complications, and postpartum depression were associated with female gender, likely driving gendered attrition.
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Bariatric surgery was associated with a reduced risk of breast cancer in women with obesity. The risk reduction was strongest in women with high insulin levels at baseline.
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In this Viewpoint, @jimmymcd13, @drdevirgilio, and @DrSharonLum provide recommendations for surgeons to stay active amidst demanding professional and personal commitments to help manage stress, avoid burnout, and improve overall quality of life.
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Success goes beyond citations to views, press coverage, podcast usage and video views, email, circulation, social media reach, and more. JAMA Surgery owes its success to our authors, reviewers, readers, and you, our followers. THANK YOU!
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The use of resuscitative endovascular balloon occlusion of the aorta in severely injured #trauma patients may increase the risk of complications and mortality
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The POISE-3 trial substudy including 3260 general surgery patients showed that prophylactic IV TXA can reduce the risk of perioperative bleeding without increasing thromboembolic risk in general surgery procedures.
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Most viewed in the last 7 days from @JAMASurgery:. Article discusses the use of intraoperative autonomic neural blockade as a technique to manage postoperative visceral pain and symptoms of postoperative nausea and vomiting in minimally invasive surgery.
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Just Out: Read the CDC Guideline for the Prevention of Surgical Site Infection, 2017
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Commentary from @JFreischlag: Domestic Responsibilities of Physician Mothers: Chores, Catsup Sandwiches, and Snacks #VisualAbstract
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Patients should be presented with all viable treatment options, including #antibiotics alone, while future research on antibiotic treatment for #appendicitis should focus on improving failure rates. #VisualAbstract
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Bariatric surgery was associated with a reduced risk of breast cancer in women with obesity. The risk reduction was strongest in women with high insulin levels at baseline.
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Most viewed in the last 7 days from @JAMASurgery: . Does mechanical and oral antibiotic bowel preparation reduce morbidity in patients undergoing elective rectal resection? .
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Most viewed in the last 7 days from @JAMASurgery:. Viewpoint describes potential benefits and hurdles to implementing a more personalized approach to obesity treatment.
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Open surgery is a challenging frontier for AI. A computer vision model trained on diverse YouTube surgical content and deployed on prospectively recorded surgical videos showed promise in differentiating btwn operators of variable training and experience.
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Preoperative mechanical bowel preparation and oral #antibiotics are proven to prevent surgical site infections in elective colorectal surgery
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Is there #genderdisparity in awards to general surgery residents? @lindsaykuo and @NancyLCho investigate
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In this study, a plastic wound protector decreased surgical site infection rates by 46.8% across bowel surgeries compared with surgical gauze.
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This is the first large-scale, controlled study to demonstrate that a history of gender-affirming surgery is associated with lower odds of past-year suicidal ideation and past-month psychological distress among transgender and gender-diverse people
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Most viewed in the last 7 days from @JAMASurgery:. This Viewpoint provides recommendations for surgeons to stay active amidst demanding professional and personal commitments to help manage stress, avoid burnout, and improve overall quality of life.
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72 hours of perioperative #gabapentin use may promote #opioid cessation after surgery and decrease the duration of postoperative #opioiduse. #VisualAbstract
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Patient survey results suggest scrub color impacts ability to be perceived as a surgeon as well as how trustworthy, caring, skilled, and knowledgeable a provider is. @CarolynQuinsey
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Only 10% of recommendations in surgical clinical practice guidelines are supported by high quality evidence.
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Most viewed in the last 7 days from @JAMASurgery:. Article discusses the use of intraoperative autonomic neural blockade as a technique to manage postoperative visceral pain and symptoms of postoperative nausea and vomiting in minimally invasive surgery.
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Anatomic hepatectomy based on portal vein region (PT) and edge priority (MPT-AR) maximizes the removal of PT liver tissue while providing sufficient surgical margin to enable rapid treatment and perioperative recovery of hepatocellular carcinoma.
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Surgeons and hospitals should continue to question the value of robotics for colectomy @UMichCHOPFellow @KyleSheetz @scottregenbogen @jdimick1.
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Read the most popular JAMA Surgery articles published in 2024.
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Analysis of over 1 million emergency general surgery patients found an increase in minimally invasive surgery. Robotic surgery associated with decreased conversion to open surgery and decreased post-op length of stay vs. laparoscopy.
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Body composition scores reflecting the quantity and quality of skeletal muscle were strongly correlated with patient frailty and associated with 30-day readmission and postop mortality and morbidity.
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This study reports five year follow-up outcomes for patients with symptomatic cholelithiasis comparing patients who received surgery vs a nonoperative approach.
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Challenges of pregnancy as a surgeon: Compared to male surgeons & their partners, female surgeons.•More likely to delay children & need assisted reproduction.•Have 1.7X ↑ risk pregnancy complications;long OR hrs ↑risk by 1.6x.•↑ risk postpart
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In a general population of emergency department patients with abdominal pain, using unenhanced CT to avoid risks of intravenous contrast medium administration is associated with a large diagnostic penalty.
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Most viewed in the last 7 days from @JAMASurgery:. Surgical Innovation article describes the use of anatomic resection of the liver based on portal territory with margin priority for the treatment of hepatocellular carcinoma.
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In this randomized clinical trial, closure of mesenteric defects during LRYGB surgery effectively reduced the long-term risk for small bowel obstruction. @ErikStenberg_MD
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To improve surgical care the person most influential in the process - the surgeon - must be accountable for outcomes
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This systematic review examines how surgical complications in their patients affect the health of surgeons, in particular emotional outcomes, coping strategies, and support mechanisms.
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For patients with end-stage liver disease with MELD-Na scores of 11 or greater, living donor liver transplant can decrease mortality by 35% and provide up to 17 life years gained compared to remaining on the waiting list.
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Elective sigmoid resection versus conservative treatment for recurrent #diverticulitis—a randomized clinical trial from Finland @villesallinen #SoMe4Surgery #colorectalsurgery #VisualAbstract
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