A randomized controlled trial comparing non-selective versus selective TIRADS-based cytology in thyroid cancer diagnostics ➡️ doi.org/10.1093/bjs/znag076 This randomized controlled trial supports the use of EU-TIRADS to correctly select neoplastic nodules for FNA without missing thyroid cancer. The proportion of patients where FNA can be safely omitted using EU-TIRADS may however be exaggerated, indicating a need for further refinement of risk stratification systems for thyroid cancer diagnostics. Work by Jakob Dahlberg , Jeanette Carlqvist , Ann Örtoft , Lilian Hammarstedt , Ekaterina Aula , Mikael Hellström , Erik Elias , Andreas Muth #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #endocrine @BalibreaJose #thyroid @CirEnd_AEC

Making the operating room (OR) work: sociomaterial study of ergonomics in the OR ➡️doi.org/10.1093/bjs/znag083 OR ergonomic challenges extend beyond equipment and workspace design—social position, individual agency, team collaboration and understanding of roles all play a major part Many barriers are system-level problems for which solutions are still being left to individuals Work by Alexis Mah , Csilla Kalocsai , Fahad Alam , Allia Karim , Jeremie Larouche , M Susan Hallbeck , Tara Cohen , Anna Ding , Jessica Armah , Julie Hallet , the SORE Research Group #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

Patient-reported outcomes in masculinizing gender-affirming chest surgery: validation of the GENDER-Q Chest scales ➡️ doi.org/10.1093/bjs/znag089 The GENDER-Q Chest scales evidenced construct validity to measure appearance of chest, nipples and areolas, and scars for individuals seeking or undergoing masculinizing gender-affirming chest surgery The GENDER-Q Chest scales provide a robust, validated approach for assessing outcomes in this context and are well suited for generating high-quality evidence on patient-reported outcomes Work by Caleb Haley , Shane D Morrison , Manraj N Kaur , Charlene Rae , Megan Lane , Danny A Young-Afat , Tim C van de Grift , Nicola R Dean , Kathleen A Armstrong , Devin Coon , Zac A Cannell , Christian X Lava , Sylvie D Cornacchi , Alexis Laungani , Margriet G Mullender , Jens A Sørensen , Lotte Poulsen , Jack G Graesser , Thomas Satterwhite , Allison C Hu , Gerhard S Mundinger , Hilliard T Brydges , Jessica J Hsu , Blair R Peters , Jens U Berli , Christodoulos Kaoutzanis , Nargis Kalia , Rachel Bluebond-Langner , Oren Ganor , Alireza Hamidian Jahromi , Bashar A Hassan , Fan Liang , John H Pang , Edward C Ray , Gabriel A Del Corral , Kenneth L Fan , Lily R Mundy , Andrea L Pusic , Anne F Klassen #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #BreastCancerAwareness #BreastSurgery

Seeing the unseen: a theory of sexual misconduct perception in the surgical workplace ➡️ doi.org/10.1093/bjs/znag077 Sexual misconduct is experienced very differently across the surgical workforce - but why do colleagues working in the same department often perceive completely different realities? This study introduces the Lateral View X-ray theory, showing how personal experience, power, and workplace culture shape what individuals see—or fail to see Understanding these different perspectives is essential to improving responses and driving meaningful cultural change Work by Rebecca A Fisher , Philippa C Jackson , Greta McLachlan , Carrie Newlands , Christopher T Begeny , Rosalind Searle #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #SoMe4Trauma #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

Malin, similar to Italy in Germany. Problem is, it's defensive law, not a lack of safety standards, that stalls careers here. In Germany, hospital CEOs face personal criminal liability (and jail time) under the maternity laws if a pregnant surgeon is exposed to risks.

🚨 Pregnant surgeons excluded from operating? In Italy, legislation is often interpreted as preventing pregnant surgeons from entering the operating theatre. What does this mean for surgical training, career progression and retaining women in surgery? ➡️doi.org/10.58974/bjss/azbc15… #WomenInSurgery #Surgery @MalinASund @bjsurgery @bjsopen

Anal high-grade squamous intraepithelial lesions: identification, classification, and management ➡️ doi.org/10.1093/bjs/znag006 Early detection and treatment of anal squamous intraepithelial lesions are key to preventing anal cancer This review highlights the evolving role of high-resolution anoscopy in modern screening and management Work by Emanuel Cavazzoni , Mariangela Desantis , Carlo Vivaldi , Hartmut Schäfer , Massimiliano Mistrangelo #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto

Economic evaluation of lymphaticovenous anastomosis versus conservative therapy for breast cancer-related lymphoedema: secondary outcome analysis of a randomized clinical trial ➡️doi.org/10.1093/bjs/znag062 LVA combined with CDT was more costly than CDT alone, but generated slightly more QALYs and may be cost-effective from a societal perspective, particularly when performed under local anaesthesia Work by Alieske Kleeven , Yasmine M J Jonis , Olivia Currie , Joost Wolfs , Merel Kimman , Hanneke Tielemans , René R W J van der Hulst , Stefan Hummelink , Shan Shan Qiu #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #vascularsurgery #vascular #Ischemia @vascularsurgery @VascularSVS

Perioperative risk assessment using cardiopulmonary exercise testing: supporting shared decision-making and prehabilitation ➡️ doi.org/10.1093/bjs/znag020 🫀 CPET objectively measures functional fitness, improving preoperative risk stratification beyond traditional assessment tools. 🎯 It helps identify the cause of exercise limitation and guides personalized prehabilitation and perioperative planning. 💪 Higher VO₂peak and anaerobic threshold are associated with fewer postoperative complications and faster recovery. 🤝 Integrated with clinical risk scores, CPET supports shared decision-making and individualized surgical care. Work by Tara Edwards , Gurinder Rayat , Denny Z H Levett , Malcolm A West #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

Interventions to reduce postoperative mortality in low- and middle-income countries: #systematicreview ➡️ doi.org/10.1093/bjs/znag038 🔍 This systematic review found 18 RCTs evaluating interventions to reduce postoperative mortality in LMICs, despite the major global burden of surgical deaths 🌍 Evidence remains limited and uneven, with few trials conducted in the regions where postoperative mortality is highest 📉 Only 4 trials showed a significant mortality reduction, and these were mostly context-specific interventions ✅ High adherence across studies suggests that well-designed interventions can be implemented successfully in LMIC settings 🚨 Future research should prioritize locally co-designed, scalable multicentre trials in diverse LMIC environments, especially sub-Saharan Africa. Work by Liam N Phelan , Anita E Agbeko , Alazar B Aregawi , Aneel A Bhangu , Parvez D Haque , Sivesh K Kamarajah , Maria Picciochi , Sandrine Zola , Dmitri Nepogodiev , James Glasbey on behalf of the NIHR Global Health Research Unit on Global Surgery #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

Development of a robotic training curriculum for visceral and gastrointestinal surgical trainees: an international Delphi study ➡️doi.org/10.1093/bjs/znag054 🤖 International consensus defines the core elements of GI robotic surgery training: ▪️ Knowledge requirements ▪️ Structured curriculum ▪️ Performance assessment ▪️ Certification standards ➡️ Supporting safer and more standardized robotic surgical education worldwide. Work by Michael G Fadel , Josephine Walshaw , Marina Yiasemidou , Matthew Boal , Francesca Pecchini , Muhammed Elhadi , Lisa H Massey , Francesco M Carrano , Matyas Fehervari , Caoimhe M Walsh , Piers R Boshier , Jennifer Eckhoff , Peter Buckle , the European Robotic Surgery Consensus (ERSC) Study Group , Suzanne S Gisbertz , Nicole Bouvy , Alberto Arezzo , Silvana Perretta , Felix Nickel , Jim Khan , George B Hanna , Barbara Seeliger , Stavros A Antoniou , Hans F Fuchs , Nader K Francis , Christos Kontovounisios #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

Comparing multifocal with unifocal breast cancer and the relationshipwith survival: national cohort study ➡️ doi.org/10.1093/bjs/znag033 The present study suggests that focality provides prognostic information that is additional to that provided by traditional tumour characteristics Work by Emma Söderberg , Fredrik Wärnberg , Anna-Karin Wennstig , Greger Nilsson , Hans Garmo , Lars Holmberg , Malin Sund , Charlotta Wadsten #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #breastcancer #BreastCancerAwareness #BreastSurgery

Storseger i VM-premiären ✅ 🇸🇪 5-1 🇹🇳 | #FIFAWorldCup

Saving the surgeon-scientist: need to build enduring support for surgical science ➡️doi.org/10.1093/bjs/znag003 🩺🔬 The surgeon-scientist is an endangered species 🪡This BJS Needlepoint article highlights the growing challenges facing surgeon-scientists worldwide—from inadequate salary support and limited protected research time to increasing clinical demands Sustaining surgical innovation will require coordinated action from funding agencies, institutions, and health systems to protect the vital link between scientific discovery and patient care Work by Noémie Villemure-Poliquin , Stephanie Wong , Julie Hallet #SurgeonScientist #AcademicSurgery #SurgicalResearch #SurgicalInnovation #SoMe4Surgery #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

Presented at #ASCO26: Among patients with previously treated metastatic pancreatic ductal adenocarcinoma, the RAS(ON) inhibitor daraxonrasib led to significantly longer overall survival and progression-free survival than chemotherapy. Full phase 3 RASolute 302 trial results: nej.md/4nWaxvM @ASCO

Surgical innovation and technology ➡️ doi.org/10.1093/bjs/znaf224 The future of surgery will be more precise, personalized, and technology-enabled—but innovation must be judged by its impact on patient care, not by novelty alone This BJS Commission highlights how surgeons, engineers, scientists, and industry can work together to ensure new tools improve outcomes, equity, and value Work by @JBMatthews, Jelle P Ruurda , Peter G Vaughan-Shaw , Desmond C Winter , Andrew Beggs , Andrew Yiu , Brian Davidson , Barbara Seeliger , Chen Xin , Daniel Stoyanov , Daphne D Rietbergen , Fijs W B van Leeuwen , Gerlof M Kuiper , Guglielmo N Piozzi , Jianing Qiu , James M Kinross , João Ramalhinho , Jim S Khan , Kurinchi Gurusamy , Kyle Lam , Kai F Chan , Li Zhang , Matthew Boal , Matthew J Clarkson , Matthias N van Oosterom , Nader Francis , Neeraj Lal , Philip W Y Chiu , Tessa Buckle , Yafit Shasha , Israa F E Hussein #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

Surgical innovation and technology ➡️ doi.org/10.1093/bjs/znaf224 The future of surgery will be more precise, personalized, and technology-enabled—but innovation must be judged by its impact on patient care, not by novelty alone This BJS Commission highlights how surgeons, engineers, scientists, and industry can work together to ensure new tools improve outcomes, equity, and value Work by @JBMatthews, Jelle P Ruurda , Peter G Vaughan-Shaw , Desmond C Winter , Andrew Beggs , Andrew Yiu , Brian Davidson , Barbara Seeliger , Chen Xin , Daniel Stoyanov , Daphne D Rietbergen , Fijs W B van Leeuwen , Gerlof M Kuiper , Guglielmo N Piozzi , Jianing Qiu , James M Kinross , João Ramalhinho , Jim S Khan , Kurinchi Gurusamy , Kyle Lam , Kai F Chan , Li Zhang , Matthew Boal , Matthew J Clarkson , Matthias N van Oosterom , Nader Francis , Neeraj Lal , Philip W Y Chiu , Tessa Buckle , Yafit Shasha , Israa F E Hussein #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery