Patel et al1 performed a meta-analysis of 85 randomized clinical trials (RCTs) comprising 16 980 adult patients in whom prophylactic incisional negative pressure wound therapy (piNPWT) was applied to primarily closed surgical incisions and compared with standard…

While extensive high-quality data have driven rapid advances in breast cancer management over the last few decades, the management of atypical benign proliferative lesions has remained largely controversial with constraints of limited prospective data and…

In the era of minimally invasive surgery, postoperative intra-abdominal adhesions are still one of the most common complications in mid- and long-term follow-up. Since 2010, there is evidence that the laparoscopic approach is associated with lower rates of…

This diagnostic/prognostic study uses postoperative wound photographs to develop and externally validate a deep learning model to detect wounds suggestive of surgical site infections.

Interest in neoadjuvant chemoradiation was fueled by a trial demonstrating chemoradiation to provide for survival advantage over upfront surgery.1 Almost all trials since then have indicated that it was chemotherapy and not radiation responsible for the improved…

It is long overdue for enhanced recovery after surgery (ERAS) approaches to be adopted by pediatric perioperative teams. Now a global standard in adults, ERAS was introduced in the early 2000s to target perioperative physiologic stresses. Over the last 25…

The article by Sumra et al1 reports several important findings. In their survey of fellows and associate fellows of the American College of Surgeons, surgeons reported working an average of 68.1 scheduled hours per week and working outside scheduled hours…

The 2018 MISSION ACT for expanding access for Veterans to receive care outside of
the VA healthcare system has resulted in a significant increase in Vascular Surgery
Community Care referrals and cost, especially for endovascular procedures, over time.
We…

Patients undergoing vascular surgery have disproportionately high rates of limited
health literacy, yet vascular disease-specific knowledge and digital health literacy
remain poorly characterized in this population, particularly in a safety-net setting.
We…

Optimal antithrombotic therapy following infrapopliteal angioplasty for chronic limb-threatening
ischemia (CLTI) remains uncertain. Dual pathway inhibition (DPI) with low-dose rivaroxaban
plus aspirin has demonstrated benefit in broader peripheral arterial…

The optimal criteria for reintervention after endovascular aneurysm repair (EVAR)
remain controversial, particularly for type II endoleak (T2EL)–associated sac enlargement.
This study evaluated a post-EVAR rupture prevention strategy prioritizing sealing…

Pelvic congestion syndrome (PCS) consists of clinical symptoms as well as the underlying
anatomical and physiological abnormalities of venous insufficiency.1-3 However, secondary
causes such as extrinsic venous compression may mimic or exacerbate PCS symptoms.

Vascular smooth muscle cells (VSMCs) are the major cell type in the aortic media layer
and have diverse embryological origins depending on their somatic location. The aortic
arch experiences distinct regional hemodynamics; the greater curvature of the aortic…

CGuardI led to the Food and Drug Administration approval of the CGuard Prime stent
(135 cm system) for transfemoral carotid artery stenting. This next-generation stent
with its MicroNet may be more efficacious than traditional standard carotid stents.
The…

Impulse control is standard of care after aortic dissection. However, there is a paucity
of long-term, granular data exploring whether the maintenance of impulse control impacts
outcomes for surgically managed aortic dissection.

Peripheral arterial disease (PAD) is characterized by chronic inflammation and immune
dysregulation. Although plaque-associated immune programs have been described, it
remains unclear whether these programs are detectable in circulating immune cells
and reflected…

Late open conversion after failed endovascular aneurysm repair with suprarenal fixation
remains technically challenging, lacking dedicated tools and relying on improvised
methods with high risks of aortic wall trauma and prolonged ischemia. The Hjarta Care…

To describe the surgical approach of treating muscular entrapment of the internal
jugular vein (IJV), the clinical symptoms it relieves, and the predictive value of
presurgical muscular blocks.

Although technical proficiency is a critical component of a competent vascular surgeon,
there is presently no formal testing method to evaluate the ability of a senior vascular
trainee to independently and successfully perform both endovascular and open vascular…

Entrustable professional activities (EPAs) provide a framework for competency-based
assessment in surgical training, yet validity evidence remains limited. Before the
launch of EPAs, trainee performance was assessed through semiannual ACGME Milestone
ratings…