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General Surgery News No.1-rated independent monthly newspaper for general surgeons and surgical subspecialists.

General Surgery News, is a monthly newspaper designed to keep general surgeons abreast of the latest developments in the field. The publication features extensive meeting coverage, analysis of journal articles, educational reviews, and information on new drugs and products.

🎥 A fast, practical look at SpyGlass cholangioscopy.In this 2-Minute Drill, Amir Bashiri, MD walks through the use of Sp...
10/14/2026

🎥 A fast, practical look at SpyGlass cholangioscopy.

In this 2-Minute Drill, Amir Bashiri, MD walks through the use of SpyGlass cholangioscopy in under five minutes.

Watch now: https://f.mtr.cool/3dg96qsjyc

Nutrition decisions in complex surgical oncology are rarely made by one clinician alone.At ASPEN 2026, surgeons, dietiti...
10/12/2026

Nutrition decisions in complex surgical oncology are rarely made by one clinician alone.

At ASPEN 2026, surgeons, dietitians and pharmacists used two complex cases - a Whipple procedure after prior bariatric surgery, and a pelvic exenteration complicated by an enterocutaneous fistula - to show how nutrition decisions get made.

A low albumin level in these patients often signals inflammation, not just poor nutrition.

Read more: https://f.mtr.cool/8yk6tsna8e

What keeps a surgeon engaged 50 years into practice?In a new essay for General Surgery News, bariatric and general surge...
10/09/2026

What keeps a surgeon engaged 50 years into practice?

In a new essay for General Surgery News, bariatric and general surgeon Benjamin Clapp, MD, reflects on what he calls the "surgical sweet spot" — the career stage where accumulated skill and hard-won judgment let a surgeon confidently handle complex cases, know when not to operate, and recognize both their own limits and their patients'.

He describes it as a wider comfort zone and a renewed sense of enjoyment in the work.

Read more: https://f.mtr.cool/bznwodboo6

Which breast cancer patients can safely have less surgery?At the 2026 Society of Surgical Oncology meeting, Anna Weiss, ...
10/08/2026

Which breast cancer patients can safely have less surgery?

At the 2026 Society of Surgical Oncology meeting, Anna Weiss, MD, framed this year's top breast cancer advances around personalization and de-escalation—from active monitoring for low-risk DCIS to omitting sentinel lymph node biopsy in selected patients.

✔️ LORETTA: active monitoring with tamoxifen alone saw no breast cancer deaths in low-risk DCIS, though the trial missed its primary endpoint
✔️ COMET: active monitoring was noninferior to standard care in selected DCIS patients
✔️ BOOG, SOUND and INSEMA (~7,000 patients): selected patients can skip sentinel lymph node biopsy

What will patient selection look like as these approaches move into practice?

Read more: https://f.mtr.cool/r0w41o9ltk

Is full axillary dissection still necessary for every node-positive breast cancer patient?A new analysis of 26,906 patie...
10/08/2026

Is full axillary dissection still necessary for every node-positive breast cancer patient?

A new analysis of 26,906 patients with advanced (cN2/3) node-positive breast cancer in the National Cancer Database found that 35% achieved a complete nodal response after neoadjuvant therapy alone, researchers reported at the 2026 American Society of Breast Surgeons meeting.

✔️ Patients who also achieved an overall pathologic complete response had significantly better survival
✔️ The findings are retrospective—researchers are now planning a prospective trial

Read more: https://f.mtr.cool/79ai89q1li

Is intraperitoneal underlay mesh (IPUM) obsolete for ventral hernia repair?At the 2026 SAGES annual meeting, Sarah Moham...
10/07/2026

Is intraperitoneal underlay mesh (IPUM) obsolete for ventral hernia repair?

At the 2026 SAGES annual meeting, Sarah Mohamedaly, MD, MPH, of Mayo Clinic argued that the data don't support writing it off, even as robotic extraperitoneal techniques have become the default approach.

She pointed to a 0.62% rate of reoperation for intraperitoneal mesh complications within six years of minimally invasive IPUM, and comparable one-year recurrence, pain and infection outcomes versus open sublay repair and versus robotic IPUM in the randomized PROVE-IT trial.

Her conclusion: IPUM isn't the right choice for large defects or extensive wound comorbidities, but it remains reasonable for higher-risk patients with small hernias, take-back cases and emergencies.

Read more: https://f.mtr.cool/sg0w6i3fra

🏥 As SADI-S adoption surged in Michigan, did outcomes hold up?A registry analysis of 330 patients found the serious 30-d...
10/05/2026

🏥 As SADI-S adoption surged in Michigan, did outcomes hold up?

A registry analysis of 330 patients found the serious 30-day complication rate stayed flat at 2.7% even as case volume tripled and the number of performing surgeons doubled since 2022 — no deaths, median 2-day stay.

A learning-curve analysis found serious complications fell from 5.2% to 0.9% after a surgeon's first 20 cases.

Could this approach to monitoring new-procedure adoption work elsewhere?

Read more: https://f.mtr.cool/sptpcr8t1i

🩺 Has the minimally invasive era left some surgeons uneasy with open technique?In a new opinion piece, Frederick L. Gree...
10/02/2026

🩺 Has the minimally invasive era left some surgeons uneasy with open technique?

In a new opinion piece, Frederick L. Greene, MD, General Surgery News's senior medical adviser, describes "surgical agoraphobia" — a reluctance toward open approaches among surgeons trained mostly in laparoscopic and robotic methods, and the judgment risk it can create when conversion is truly needed. His call to action: bring structured open-surgery exposure — video review, senior faculty mentorship — back into training.

What's your experience training residents to convert to open approaches when indicated?

Read more:
👉 https://f.mtr.cool/qhs2qbgni3

🎥 A quick expert tip for your next acute cholecystitis case.In General Surgery News' latest 2-Minute Drill, guest expert...
09/30/2026

🎥 A quick expert tip for your next acute cholecystitis case.

In General Surgery News' latest 2-Minute Drill, guest expert Amir Bashiri, MD, walks through the use of ICG (indocyanine green) fluorescence cholangiogram during acute cholecystitis.

Watch now: https://f.mtr.cool/y4onszgda4

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