Kambiz Kamrani MD MS FACS
@kambiz.kamrani.md
New 2025 review highlights why early CTA, fast revascularization, and timely OR decisions matter. The gut doesn’t wait. Neither should we. #AcuteCareSurgery #MesentericIschemia #VascularSurgery #TraumaSurgery #SurgicalCriticalCare #CTAngio
Mesenteric Ischemia Still Kills—But Only If We Let It
Pain Out of Proportion—and Time Out of Reach: How We Still Miss Mesenteric Ischemia
kambiz.kamrani.md
July 25, 2025 at 4:20 PM
New 2025 review highlights why early CTA, fast revascularization, and timely OR decisions matter. The gut doesn’t wait. Neither should we. #AcuteCareSurgery #MesentericIschemia #VascularSurgery #TraumaSurgery #SurgicalCriticalCare #CTAngio
Johns Hopkins' AI surgical robot removed 8 pig gallbladders all on its own. No surgeon at the console. Amazing progress—but human gallbladders aren’t always this clean. Real tissue bleeds, inflames, and surprises. We still need backup. #MedSky #SurgSky #surgery #AIinMedicine #robots #cholecystectomy
The Rise of the AI Surgicalist: Autonomous Robot Removes Pig Gallbladders—What It Means for General Surgeons
My take: It's exciting, but we're far from handing over the scalpel!
kambiz.kamrani.md
July 13, 2025 at 2:30 PM
Johns Hopkins' AI surgical robot removed 8 pig gallbladders all on its own. No surgeon at the console. Amazing progress—but human gallbladders aren’t always this clean. Real tissue bleeds, inflames, and surprises. We still need backup. #MedSky #SurgSky #surgery #AIinMedicine #robots #cholecystectomy
Surgeons face a growing financial crunch! New study shows a 24% inflation-adjusted drop in Medicare reimbursement for a common surgery, while malpractice costs vary wildly – requiring up to 163 procedures just to cover insurance in some states. The squeeze is real. #Healthcare #Surgery
The Squeeze on Surgeons: When Malpractice Costs Meet Shrinking Reimbursements
A decade of financial shifts highlights growing challenges in surgical practice across the US.
kambiz.kamrani.md
July 3, 2025 at 6:42 PM
Surgeons face a growing financial crunch! New study shows a 24% inflation-adjusted drop in Medicare reimbursement for a common surgery, while malpractice costs vary wildly – requiring up to 163 procedures just to cover insurance in some states. The squeeze is real. #Healthcare #Surgery
CT scans may account for 5% of future U.S. cancers. A call to balance diagnostic benefit with long-term risk. #CTScan #RadiationRisk #AcuteCareSurgery #CancerPrevention #JAMAInternal #ImagingStewardship
Rethinking CT Scan Utilization: Balancing Diagnostic Power with Long-Term Risk
A sobering projection on CT scan–related cancer risk urges surgical and medical communities to weigh imaging benefits with caution
kambiz.kamrani.md
April 16, 2025 at 5:30 PM
CT scans may account for 5% of future U.S. cancers. A call to balance diagnostic benefit with long-term risk. #CTScan #RadiationRisk #AcuteCareSurgery #CancerPrevention #JAMAInternal #ImagingStewardship
For obese patients with contaminated hernias, RTL and Da-Silva flap offer strong mesh-free options when standard repairs fail. Emerging data supports broader use in acute care.
#EmergencySurgery #HerniaCare #RTLTechnique #SurgicalInnovation #Surgery #AcuteCareSurgery #Hernia #Obesity
#EmergencySurgery #HerniaCare #RTLTechnique #SurgicalInnovation #Surgery #AcuteCareSurgery #Hernia #Obesity
Rethinking Hernia Repair in Morbidly Obese Emergency Surgery Patients
When Standard Approaches Fall Short, Two Underused Techniques Offer a Lifeline
kambiz.kamrani.md
April 12, 2025 at 11:45 PM
For obese patients with contaminated hernias, RTL and Da-Silva flap offer strong mesh-free options when standard repairs fail. Emerging data supports broader use in acute care.
#EmergencySurgery #HerniaCare #RTLTechnique #SurgicalInnovation #Surgery #AcuteCareSurgery #Hernia #Obesity
#EmergencySurgery #HerniaCare #RTLTechnique #SurgicalInnovation #Surgery #AcuteCareSurgery #Hernia #Obesity
Friday surgeries carry a higher risk of complications and mortality due to reduced weekend staffing. Patients should consider scheduling elective surgeries earlier in the week. #SurgeryTiming #SurgeryRisks #WeekendEffect #Surgery @jama.com
The Hidden Risk of Friday Surgeries: Why Timing Could Be a Matter of Life and Death
New Study Suggests Pre-Weekend Surgeries Have Higher Risks of Complications and Mortality
kambiz.kamrani.md
March 7, 2025 at 12:05 PM
Friday surgeries carry a higher risk of complications and mortality due to reduced weekend staffing. Patients should consider scheduling elective surgeries earlier in the week. #SurgeryTiming #SurgeryRisks #WeekendEffect #Surgery @jama.com
Reposted by Kambiz Kamrani MD MS FACS
🚨RECOMMENDED READ🚨
All you need to know about primary ventral and incisional hernias, including detailed open and mini invasive surgical approaches and great illustrations!!
➡️ doi.org/10.1093/bjso...
All you need to know about primary ventral and incisional hernias, including detailed open and mini invasive surgical approaches and great illustrations!!
➡️ doi.org/10.1093/bjso...
Primary ventral and incisional hernias: comprehensive review
This comprehensive review gives an overview of the classification, diagnosis, preoperative considerations, treatment strategies, and the most used surgical
doi.org
February 5, 2025 at 8:27 PM
🚨RECOMMENDED READ🚨
All you need to know about primary ventral and incisional hernias, including detailed open and mini invasive surgical approaches and great illustrations!!
➡️ doi.org/10.1093/bjso...
All you need to know about primary ventral and incisional hernias, including detailed open and mini invasive surgical approaches and great illustrations!!
➡️ doi.org/10.1093/bjso...
Reposted by Kambiz Kamrani MD MS FACS
Routine application of incisional negative pressure wound therapy to the closed surgical wound after emergency laparotomy did not prevent surgical site infection more than other dressings.
ja.ma/3POjXcn
#MedSky
ja.ma/3POjXcn
#MedSky
January 27, 2025 at 5:20 PM
Routine application of incisional negative pressure wound therapy to the closed surgical wound after emergency laparotomy did not prevent surgical site infection more than other dressings.
ja.ma/3POjXcn
#MedSky
ja.ma/3POjXcn
#MedSky
New EAES guidelines recommend primary anastomosis over Hartmann’s or lavage for complicated diverticulitis without sepsis, emphasizing shared decision-making. #Surgery #Diverticulitis #ColorectalSurgery #MedicalGuidelines #SurgSky link.springer.com/article/10.1...
January 8, 2025 at 4:54 PM
New EAES guidelines recommend primary anastomosis over Hartmann’s or lavage for complicated diverticulitis without sepsis, emphasizing shared decision-making. #Surgery #Diverticulitis #ColorectalSurgery #MedicalGuidelines #SurgSky link.springer.com/article/10.1...
The COLOR IV trial demonstrates that intracorporeal anastomosis offers equivalent safety to extracorporeal techniques while improving recovery in laparoscopic right colectomy.
#ColorectalSurgery #Laparoscopy #SurgicalInnovation #PatientOutcomes #Surgery #SurgSky
#ColorectalSurgery #Laparoscopy #SurgicalInnovation #PatientOutcomes #Surgery #SurgSky
Enhancing Outcomes in Right Colectomy: Insights from the COLOR IV Trial
Reevaluating Ileocolic Anastomosis in Colon Cancer Surgery
kambiz.kamrani.md
January 8, 2025 at 4:52 PM
The COLOR IV trial demonstrates that intracorporeal anastomosis offers equivalent safety to extracorporeal techniques while improving recovery in laparoscopic right colectomy.
#ColorectalSurgery #Laparoscopy #SurgicalInnovation #PatientOutcomes #Surgery #SurgSky
#ColorectalSurgery #Laparoscopy #SurgicalInnovation #PatientOutcomes #Surgery #SurgSky
High-energy SPN reduces infectious complications and shortens hospital stays for gastric cancer patients. Evidence supports early nutritional intervention for improved outcomes without increasing costs.
#NutritionTherapy #GastricCancer #PostoperativeCare #SurgicalInnovation #Surgery #SurgSky
#NutritionTherapy #GastricCancer #PostoperativeCare #SurgicalInnovation #Surgery #SurgSky
Optimizing Postoperative Nutrition: High-Energy Parenteral Support for Gastric Cancer Patients
A Nutritional Approach to Better Surgical Outcomes
kambiz.kamrani.md
January 8, 2025 at 4:47 PM
High-energy SPN reduces infectious complications and shortens hospital stays for gastric cancer patients. Evidence supports early nutritional intervention for improved outcomes without increasing costs.
#NutritionTherapy #GastricCancer #PostoperativeCare #SurgicalInnovation #Surgery #SurgSky
#NutritionTherapy #GastricCancer #PostoperativeCare #SurgicalInnovation #Surgery #SurgSky
Gallstone recurrence is linked to size, comorbidities like cirrhosis, and stone type. Understanding these factors can help identify high-risk patients and improve prevention. #Gallstones #Surgery #HealthcareResearch #Prevention #Gallbladder #SurgSky
Recurrence of gallstones: a comprehensive multivariate analysis of clinical and biochemical risk factors in a large Chinese cohort of 16,763 patients
Gallstone disease is common, with a prevalence of 5%–22% in Western countries and 6.3%–12.1% in Chinese adults, increasing with age. Postsurgery recurrence is high and analyzing recurrence factors ...
www.tandfonline.com
January 7, 2025 at 1:09 AM
Gallstone recurrence is linked to size, comorbidities like cirrhosis, and stone type. Understanding these factors can help identify high-risk patients and improve prevention. #Gallstones #Surgery #HealthcareResearch #Prevention #Gallbladder #SurgSky
Older adults with serious illness face more pain, depression, and caregiving needs post-surgery. Palliative care integration is key to improving outcomes. #Geriatrics #PalliativeCare #SurgeryOutcomes #Healthcare #Surgery #SurgSky
Long-term Changes in Pain, Depression, Function and... : Annals of Surgery
ties of daily living (ADLs) and informal caregiving post-surgery.
Background:
The American College of Surgeons has endorsed the integration of palliative care (PC) into surgical care in adults with...
journals.lww.com
January 7, 2025 at 1:08 AM
Older adults with serious illness face more pain, depression, and caregiving needs post-surgery. Palliative care integration is key to improving outcomes. #Geriatrics #PalliativeCare #SurgeryOutcomes #Healthcare #Surgery #SurgSky
Reposted by Kambiz Kamrani MD MS FACS
You can use this form letter to send a letter to your senators asking them to not confirm RFK Jr.
actionnetwork.org/letters/tell...
actionnetwork.org/letters/tell...
Tell your Senators: Oppose Kennedy for Health and Human Services Secretary
Please contact Congress now!
actionnetwork.org
January 3, 2025 at 6:10 PM
You can use this form letter to send a letter to your senators asking them to not confirm RFK Jr.
actionnetwork.org/letters/tell...
actionnetwork.org/letters/tell...
The GERIATRIC risk tool redefines surgical risk stratification for patients over 90. With superior accuracy compared to traditional methods, it guides decision-making & improves care outcomes in high-risk populations.
#GERIATRICCare
#PatientSafety
#RiskStratification
#Surgery
#GeriatricMedicine
#GERIATRICCare
#PatientSafety
#RiskStratification
#Surgery
#GeriatricMedicine
A New Risk Stratification Tool for Nonagenarian and Centenarian Surgical Patients
Advancing Surgical Decision-Making for the Oldest Patients
kambiz.kamrani.md
January 5, 2025 at 6:17 PM
The GERIATRIC risk tool redefines surgical risk stratification for patients over 90. With superior accuracy compared to traditional methods, it guides decision-making & improves care outcomes in high-risk populations.
#GERIATRICCare
#PatientSafety
#RiskStratification
#Surgery
#GeriatricMedicine
#GERIATRICCare
#PatientSafety
#RiskStratification
#Surgery
#GeriatricMedicine
Machine learning models outperform traditional tools in diagnosing appendicitis, achieving up to 92% accuracy. These models reduce dependency on labs and imaging, offering real-time clinical support for ED physicians.
#MachineLearning #AI #Surgery #Appendicitis #AcuteCareSurgery #SurgSky
#MachineLearning #AI #Surgery #Appendicitis #AcuteCareSurgery #SurgSky
Machine Learning: A New Era in Diagnosing Appendicitis
Rethinking Acute Abdominal Pain Diagnosis
kambiz.kamrani.md
January 5, 2025 at 2:18 PM
Machine learning models outperform traditional tools in diagnosing appendicitis, achieving up to 92% accuracy. These models reduce dependency on labs and imaging, offering real-time clinical support for ED physicians.
#MachineLearning #AI #Surgery #Appendicitis #AcuteCareSurgery #SurgSky
#MachineLearning #AI #Surgery #Appendicitis #AcuteCareSurgery #SurgSky
Laparoscopic retro-muscular mesh repairs outperform open techniques for ventral and incisional hernias, reducing hospital stays and complications. New insights help refine surgical strategies for better patient outcomes.
#HerniaRepair #LaparoscopicSurgery #SurgSky #PatientCare #Surgery #Hernia
#HerniaRepair #LaparoscopicSurgery #SurgSky #PatientCare #Surgery #Hernia
Advancing Hernia Repair: A Comprehensive Analysis of Techniques
Choosing the Optimal Approach for Ventral and Incisional Hernias
kambiz.kamrani.md
January 5, 2025 at 2:13 PM
Laparoscopic retro-muscular mesh repairs outperform open techniques for ventral and incisional hernias, reducing hospital stays and complications. New insights help refine surgical strategies for better patient outcomes.
#HerniaRepair #LaparoscopicSurgery #SurgSky #PatientCare #Surgery #Hernia
#HerniaRepair #LaparoscopicSurgery #SurgSky #PatientCare #Surgery #Hernia
Goal-directed hemodynamic therapy reduces surgical site infections by 29%, improving outcomes in diverse surgical populations. A systematic review highlights its potential for transforming perioperative care.
#SurgicalInnovation #SSI #HemodynamicTherapy #PatientCare #Surgery #SurgSky #MedSky
#SurgicalInnovation #SSI #HemodynamicTherapy #PatientCare #Surgery #SurgSky #MedSky
Refining Surgical Outcomes with Goal-Directed Hemodynamic Therapy
A Paradigm Shift in Reducing Surgical Site Infections
kambiz.kamrani.md
January 4, 2025 at 3:28 PM
Goal-directed hemodynamic therapy reduces surgical site infections by 29%, improving outcomes in diverse surgical populations. A systematic review highlights its potential for transforming perioperative care.
#SurgicalInnovation #SSI #HemodynamicTherapy #PatientCare #Surgery #SurgSky #MedSky
#SurgicalInnovation #SSI #HemodynamicTherapy #PatientCare #Surgery #SurgSky #MedSky
A study using time-stratified ancestry reveals migrations and genetic shifts in early medieval Europe, highlighting Scandinavian influences and dynamic admixture. #Genomics #Anthropology #Migration #GeneticHistory #MedievalEurope #humanancestry #anthropology #PopulationGenetics
Genetics Through Time: The Evolutionary Mosaic of Early Medieval Europe
How time-stratified ancestry illuminates hidden migrations and cultural shifts in ancient Europe.
www.anthropology.net
January 2, 2025 at 8:10 PM
A study using time-stratified ancestry reveals migrations and genetic shifts in early medieval Europe, highlighting Scandinavian influences and dynamic admixture. #Genomics #Anthropology #Migration #GeneticHistory #MedievalEurope #humanancestry #anthropology #PopulationGenetics
A novel smoke evacuation device for laparoscopic surgery removes 85% of smoke within seconds, enhancing visibility & safety. This innovation minimizes surgical delays & protects both patients and staff. #LaparoscopicSurgery #SmokeEvacuation #PatientSafety #Surgery #MinimallyInvasiveSurgery #SurgSky
Clearing the Air: A Novel Smoke Evacuation Device for Laparoscopic Surgery
Revolutionizing Safety in Minimally Invasive Surgery
kambiz.kamrani.md
January 2, 2025 at 3:23 PM
A novel smoke evacuation device for laparoscopic surgery removes 85% of smoke within seconds, enhancing visibility & safety. This innovation minimizes surgical delays & protects both patients and staff. #LaparoscopicSurgery #SmokeEvacuation #PatientSafety #Surgery #MinimallyInvasiveSurgery #SurgSky
A novel nomogram predicts SSI risk in colorectal cancer patients using systemic inflammation and tumor markers. This tool could revolutionize surgical care by enabling personalized, preventive interventions. #ColorectalCancer #MachineLearning #SSI #Surgery #SurgicalSiteInfection #SurgSky
Predicting Surgical Site Infections: Advancing Care for Colorectal Cancer Patients
A New Tool in the Fight Against Postoperative Infections
kambiz.kamrani.md
January 2, 2025 at 3:17 PM
A novel nomogram predicts SSI risk in colorectal cancer patients using systemic inflammation and tumor markers. This tool could revolutionize surgical care by enabling personalized, preventive interventions. #ColorectalCancer #MachineLearning #SSI #Surgery #SurgicalSiteInfection #SurgSky
Frailty & low albumin together are a powerful predictor of poor surgical outcomes! Study shows combined assessment is key for better perioperative planning. #Surgery #Frailty #Albumin #RiskAssessment #PerioperativeCare #SurgicalOutcomes #Surgery #GeneralSurgery #AcuteCareSurgery
A novel surgical risk predictor combining frailty and... : International Journal of Surgery
owever, a gap in the literature regarding the combined assessment of frailty and hypoalbuminemia and the predictive power of this combined assessment. This retrospective cohort study aimed to investig...
journals.lww.com
January 1, 2025 at 3:38 AM
Frailty & low albumin together are a powerful predictor of poor surgical outcomes! Study shows combined assessment is key for better perioperative planning. #Surgery #Frailty #Albumin #RiskAssessment #PerioperativeCare #SurgicalOutcomes #Surgery #GeneralSurgery #AcuteCareSurgery
Balanced fluids (BMES) better than normal saline (NS) for severe acute pancreatitis! Study shows BMES lowers chloride, reduces inflammation, & improves outcomes. #Pancreatitis #Fluids #BMES #NormalSaline #CriticalCare #ICU #AcuteCareSurgery #Surgery #SurgSky
Balanced Solution Versus Normal Saline in Predicted Severe... : Annals of Surgery
l fluid therapy in acute pancreatitis, but whether the use of BMES in preference to NS confers clinical benefits is unknown.
Methods:
In this multicenter, stepped-wedge, cluster-randomized trial, w...
journals.lww.com
January 1, 2025 at 3:37 AM
Balanced fluids (BMES) better than normal saline (NS) for severe acute pancreatitis! Study shows BMES lowers chloride, reduces inflammation, & improves outcomes. #Pancreatitis #Fluids #BMES #NormalSaline #CriticalCare #ICU #AcuteCareSurgery #Surgery #SurgSky
New tool predicts severe abdominal adhesions before surgery for anastomotic fistula after small intestine resection! This nomogram helps assess risk & improve surgical planning. #Surgery #Adhesions #Fistula #IntestinalSurgery #Nomogram #SurgicalPlanning #SurgSky #GeneralSurgery #AcuteCareSurgery
Nomogram for predicting severe abdominal adhesions prior to ... : International Journal of Surgery
23 and were randomly divided (2:1) into development and validation cohorts. Predictors of severe adhesion were identified and integrated into a nomogram. The nomogram’s performance was evaluated throu...
journals.lww.com
January 1, 2025 at 3:35 AM
New tool predicts severe abdominal adhesions before surgery for anastomotic fistula after small intestine resection! This nomogram helps assess risk & improve surgical planning. #Surgery #Adhesions #Fistula #IntestinalSurgery #Nomogram #SurgicalPlanning #SurgSky #GeneralSurgery #AcuteCareSurgery