Latest & greatest articles for surgery

The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on surgery or other clinical topics then use Trip today.

This page lists the very latest high quality evidence on surgery and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.

What is Trip?

Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality research evidence to support their practice and/or care.

Trip has been online since 1997 and in that time has developed into the internet’s premier source of evidence-based content. Our motto is ‘Find evidence fast’ and this is something we aim to deliver for every single search.

As well as research evidence we also allow clinicians to search across other content types including images, videos, patient information leaflets, educational courses and news.

For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via jon.brassey@tripdatabase.com

Top results for surgery

1. Antithrombotic treatment after coronary artery bypass graft surgery: systematic review and network meta-analysis. (PubMed)

Antithrombotic treatment after coronary artery bypass graft surgery: systematic review and network meta-analysis. To assess the effects of different oral antithrombotic drugs that prevent saphenous vein graft failure in patients undergoing coronary artery bypass graft surgery.Systematic review and network meta-analysis.Medline, Embase, Web of Science, CINAHL, and the Cochrane Library from inception to 25 January 2019. ELIGIBILITY CRITERIA: for selecting studies Randomised controlled trials (...) , myocardial infarction, and death among different antithrombotic therapies. The possibility of intransitivity could not be ruled out; however, between-trial heterogeneity and incoherence were low in all included analyses. Sensitivity analysis using per graft data did not change the effect estimates.The results of this network meta-analysis suggest an important absolute benefit of adding ticagrelor or clopidogrel to aspirin to prevent saphenous vein graft failure after coronary artery bypass graft surgery

2019 BMJ

2. Interventions to improve psychosocial well-being in female BRCA-mutation carriers following risk-reducing surgery. (PubMed)

Interventions to improve psychosocial well-being in female BRCA-mutation carriers following risk-reducing surgery. Women who carry a pathogenic mutation in either a BRCA1 DNA repair associated or BRCA2 DNA repair associated (BRCA1 or BRCA2) gene have a high lifetime risk of developing breast and tubo-ovarian cancer. To manage this risk women may choose to undergo risk-reducing surgery to remove breast tissue, ovaries, and fallopian tubes. Surgery should increase survival, but can impact women's (...) lives adversely at the psychological and psychosexual levels. Interventions to facilitate psychological adjustment and improve quality of life post risk-reducing surgery are needed.To examine psychosocial interventions in female BRCA carriers who have undergone risk-reducing surgery and to evaluate the effectiveness of such interventions on psychological adjustment and quality of life.We searched the Cochrane Central Register of Controlled Trials (CENTRAL) in the Cochrane Library, MEDLINE and Embase

2019 Cochrane

3. 3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery )

3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery ) 3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery ) - YouTube Skip navigation Sign in Search Loading... Choose your language. Close You're viewing YouTube in English (UK) . You can . You're viewing YouTube in English (United Kingdom) . You can . Close This video is unavailable. Watch Queue Queue Watch Queue Queue Remove all Disconnect The next (...) video is starting stop Loading... Watch Queue Queue __count__/__total__ Changes to YouTube’s Terms of Service Loading... Our Terms of Service have been updated. Please review the new Terms. Working... Ok 3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery ) Loading... Unsubscribe from San Francisco, Vascular Neurosurgery, Adib Abla MD? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe 332 Loading... Loading... Working... Add to Want to watch

2019 University of Arkansas (UAMS) - Vascular Neurosurgery Program (Videos)

4. PICA - PICA Bypass (Side to Side) -- 3D HD video (red - blue anaglyph). ( Brain surgery )

PICA - PICA Bypass (Side to Side) -- 3D HD video (red - blue anaglyph). ( Brain surgery ) PICA - PICA Bypass (Side to Side) -- 3D HD video (red - blue anaglyph). ( Brain surgery ) - YouTube Skip navigation Sign in Search Loading... Choose your language. Close You're viewing YouTube in English (UK) . You can . You're viewing YouTube in English (United Kingdom) . You can . Close Content Warning This video may be inappropriate for some users. Sign in to confirm your age Watch Queue Queue Watch (...) Queue Queue Remove all Disconnect The next video is starting stop Loading... Watch Queue Queue __count__/__total__ Changes to YouTube’s Terms of Service Loading... Our Terms of Service have been updated. Please review the new Terms. Working... Ok PICA - PICA Bypass (Side to Side) -- 3D HD video (red - blue anaglyph). ( Brain surgery ) Loading... Unsubscribe from San Francisco, Vascular Neurosurgery, Adib Abla MD? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe Loading... Loading

2019 University of Arkansas (UAMS) - Vascular Neurosurgery Program (Videos)

5. Complex surgery and perioperative systemic therapy for genitourinary cancer of the retroperitoneum

Complex surgery and perioperative systemic therapy for genitourinary cancer of the retroperitoneum Guideline 3-20 A Quality Initiative of the Program in Evidence-Based Care (PEBC), Cancer Care Ontario (CCO) Complex surgery and perioperative systemic therapy for genitourinary cancer of the retroperitoneum A. Finelli, N. Coakley, J. Chin, T. Flood, A. Loblaw, C. Morash, R. Shayegan, R. Siemens, and the Genitourinary Cancer Guideline Development Group Report Date: August 8, 2019 For information (...) , et al. Complex surgery and perioperative systemic therapy for genitourinary cancer of the retroperitoneum. Toronto (ON): Cancer Care Ontario; 2019 August 8. Program in Evidence-Based Care Guideline No.: 3-20. Copyright This report is copyrighted by Cancer Care Ontario; the report and the illustrations herein may not be reproduced without the express written permission of Cancer Care Ontario. Cancer Care Ontario reserves the right at any time, and at its sole discretion, to change or revoke

2019 Cancer Care Ontario

6. Preoperative Seed Placement for Breast Cancer Surgery: Clinical Effectiveness, Cost-Effectiveness, and Guidelines

Preoperative Seed Placement for Breast Cancer Surgery: Clinical Effectiveness, Cost-Effectiveness, and Guidelines Preoperative Seed Placement for Breast Cancer Surgery: Clinical Effectiveness, Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Preoperative Seed Placement for Breast Cancer Surgery: Clinical Effectiveness, Cost-Effectiveness, and Guidelines Preoperative Seed Placement for Breast Cancer Surgery: Clinical Effectiveness, Cost-Effectiveness, and Guidelines (...) Last updated: April 1, 2019 Project Number: RB1319-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the clinical effectiveness of preoperative seed placement for patients undergoing surgery for breast cancer? What is the cost-effectiveness of preoperative seed placement for patients undergoing surgery for breast cancer? What are the evidence-based guidelines regarding methods of preoperative tumor localization for patient

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

7. Pregnancy Testing for Patients Requiring Diagnostic Imaging or Surgery in the Emergency Department: Clinical Effectiveness, Cost-Effectiveness, and Guidelines

Pregnancy Testing for Patients Requiring Diagnostic Imaging or Surgery in the Emergency Department: Clinical Effectiveness, Cost-Effectiveness, and Guidelines Pregnancy Testing for Patients Requiring Diagnostic Imaging or Surgery in the Emergency Department: Clinical Effectiveness, Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Pregnancy Testing for Patients Requiring Diagnostic Imaging or Surgery in the Emergency Department: Clinical Effectiveness, Cost (...) -Effectiveness, and Guidelines Pregnancy Testing for Patients Requiring Diagnostic Imaging or Surgery in the Emergency Department: Clinical Effectiveness, Cost-Effectiveness, and Guidelines Last updated: May 28, 2019 Project Number: RB1345-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the clinical effectiveness of performing a pregnancy test prior to diagnostic imaging or surgery in the emergency department setting? What

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

8. Electro-Surgery, Cautery, and Surgical Positioning for Surgical Patients in the Operating Room: Guidelines

Electro-Surgery, Cautery, and Surgical Positioning for Surgical Patients in the Operating Room: Guidelines Electro-Surgery, Cautery, and Surgical Positioning for Surgical Patients in the Operating Room: Guidelines | CADTH.ca Find the information you need Electro-Surgery, Cautery, and Surgical Positioning for Surgical Patients in the Operating Room: Guidelines Electro-Surgery, Cautery, and Surgical Positioning for Surgical Patients in the Operating Room: Guidelines Last updated: March 8, 2019 (...) Project Number: RA1018-000 Product Line: Research Type: Devices and Systems Report Type: Reference List Result type: Report Question What are the evidence-based guidelines regarding electro-surgery for the treatment of surgical patients in the operating room? What are the evidence-based guidelines regarding cautery for the treatment surgical patients in the operating room? What are the evidence-based guidelines regarding surgical positioning for the treatment of adult surgical patients

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

9. Mohs Surgery for Patients with Skin Cancer: A Review of Guidelines

Mohs Surgery for Patients with Skin Cancer: A Review of Guidelines Mohs Surgery for Patients with Skin Cancer: A Review of Guidelines | CADTH.ca Find the information you need Mohs Surgery for Patients with Skin Cancer: A Review of Guidelines Mohs Surgery for Patients with Skin Cancer: A Review of Guidelines Last updated: March 20, 2019 Project Number: RC1084-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What (...) are the evidence-based guidelines regarding the use of Mohs surgery for the treatment of skin cancer? Key Message Nine evidence-based guidelines were identified; two guidelines issued recommendations on basal cell carcinoma, four on squamous cell carcinoma, two on melanoma, and one on Merkel cell carcinoma. Mohs micrographic surgery (MMS) is recommended as a first-line option for high-risk primary or recurrent basal cell carcinoma. For high-risk primary or recurrent squamous cell carcinoma, MMS may

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

10. Rural Breast Cancer Surgery Programs: A Rapid Qualitative Review

Rural Breast Cancer Surgery Programs: A Rapid Qualitative Review Rural Breast Cancer Surgery Programs: A Rapid Qualitative Review | CADTH.ca Find the information you need Rural Breast Cancer Surgery Programs: A Rapid Qualitative Review Rural Breast Cancer Surgery Programs: A Rapid Qualitative Review Last updated: May 3, 2019 Project Number: RC1104-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What (...) to opt for a treatment pathway that limited work and life disruptions and avoided relying on others. For some patients this meant choosing mastectomy over breast conserving surgery, which allowed them to avoid radiation therapy and repeated trips to the cancer centre. Rural stoicism also emerged through a general reticence to seek care, which may contribute in part to the common phenomena of delayed diagnosis among rural breast cancer patients.Shortages of health care professionals and fragmented

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

11. Povidone-Iodine for Breast Implant Surgery: A Review of Clinical Effectiveness and Guidelines

Povidone-Iodine for Breast Implant Surgery: A Review of Clinical Effectiveness and Guidelines Povidone-Iodine for Breast Implant Surgery: A Review of Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Povidone-Iodine for Breast Implant Surgery: A Review of Clinical Effectiveness and Guidelines Povidone-Iodine for Breast Implant Surgery: A Review of Clinical Effectiveness and Guidelines Last updated: May 16, 2019 Project Number: RC1120-000 Product Line: Research Type (...) : Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What is the comparative clinical effectiveness of povidone-iodine solutions versus other antiseptic solutions for pocket irrigation in breast implant surgery? What is the comparative clinical effectiveness of povidone-iodine solutions versus other antiseptic solutions for implant soaking in breast implant surgery? What are the evidence-based guidelines regarding the use of povidone-iodine solutions

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

12. Intravenous Iron Preparations for Patients Undergoing Elective Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines

Intravenous Iron Preparations for Patients Undergoing Elective Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines Intravenous Iron Preparations for Patients Undergoing Elective Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Intravenous Iron Preparations for Patients Undergoing Elective Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines Intravenous Iron Preparations (...) for Patients Undergoing Elective Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines Last updated: March 27, 2019 Project Number: RC1088-000 Product Line: Research Type: Drug Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of intravenous iron preparations for patients identified as iron deficient undergoing elective cardiac surgery or other elective surgery? What is the cost-effectiveness of intravenous iron

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

13. Intraoperative Mammography for Breast Cancer Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines

Intraoperative Mammography for Breast Cancer Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines Intraoperative Mammography for Breast Cancer Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Intraoperative Mammography for Breast Cancer Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines Intraoperative Mammography for Breast Cancer Surgery: A Review of Clinical (...) Effectiveness, Cost-Effectiveness, and Guidelines Last updated: April 22, 2019 Project Number: RC1102-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of intraoperative imaging with mammography for breast cancer surgery? What is the cost-effectiveness of intraoperative imaging with mammography for breast cancer surgery? What are the evidence-based guidelines regarding intraoperative imaging

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

14. Radiotherapy versus transoral robotic surgery and neck dissection for oropharyngeal squamous cell carcinoma (ORATOR): an open-label, phase 2, randomised trial

Radiotherapy versus transoral robotic surgery and neck dissection for oropharyngeal squamous cell carcinoma (ORATOR): an open-label, phase 2, randomised trial Transoral robotic surgery (TORS) with concurrent neck dissection has supplanted radiotherapy in the USA as the most common treatment for oropharyngeal squamous cell carcinoma (OPSCC), yet no randomised trials have compared these modalities. We aimed to evaluate differences in quality of life (QOL) 1 year after treatment.The ORATOR trial

2019 EvidenceUpdates

15. Effects of Alirocumab on Cardiovascular Events After Coronary Bypass Surgery

Effects of Alirocumab on Cardiovascular Events After Coronary Bypass Surgery Patients with acute coronary syndrome (ACS) and history of coronary artery bypass grafting (CABG) are at high risk for recurrent cardiovascular events and death.This study sought to determine the clinical benefit of adding alirocumab to statins in ACS patients with prior CABG in a pre-specified analysis of ODYSSEY OUTCOMES (Evaluation of Cardiovascular Outcomes After an Acute Coronary Syndrome During Treatment

2019 EvidenceUpdates

16. A randomized controlled trial of tibial component migration with kinematic alignment using patient-specific instrumentation versus mechanical alignment using computer-assisted surgery in total knee arthroplasty

A randomized controlled trial of tibial component migration with kinematic alignment using patient-specific instrumentation versus mechanical alignment using computer-assisted surgery in total knee arthroplasty Patient-specific instrumentation of total knee arthroplasty (TKA) is a technique permitting the targeting of individual kinematic alignment, but deviation from a neutral mechanical axis may have implications on implant fixation and therefore survivorship. The primary objective (...) of this randomized controlled study was to compare the fixation of tibial components implanted with patient-specific instrumentation targeting kinematic alignment (KA+PSI) versus components placed using computer-assisted surgery targeting neutral mechanical alignment (MA+CAS). Tibial component migration measured by radiostereometric analysis was the primary outcome measure (compared longitudinally between groups and to published acceptable thresholds). Secondary outcome measures were inducible displacement after

2019 EvidenceUpdates

17. Gynaecologic Surgery in the Obese Patient

Gynaecologic Surgery in the Obese Patient Guideline No. 386-Gynaecologic Surgery in the Obese Patient - Journal of Obstetrics and Gynaecology Canada Email/Username: Password: Remember me Search Terms Search within Search Volume 41, Issue 9, Pages 1356–1370.e7 Guideline No. 386-Gynaecologic Surgery in the Obese Patient x Paul J. Yong Correspondence Corresponding author: Dr. Paul Yong , MD , x Paul J. Yong Correspondence Corresponding author: Dr. Paul Yong Vancouver, BC x Jackie Thurston , MD (...) . Intended Users Physicians, including gynaecologists, family physicians, general surgeons; nurses, including registered nurses and nurse practitioners; medical trainees, including medical students, residents, and fellows; and all other health care providers. Target Population Adult women (18 years and older) meeting criteria for obesity (body mass index ≥30) and undergoing gynaecologic surgery. Outcomes Physiologic changes and comorbid conditions associated with obesity; the evidence for the impact

2019 Society of Obstetricians and Gynaecologists of Canada

18. Pulsed Electron Avalanche Knife (PEAK) PlasmaBlade versus Traditional Electrocautery for Surgery: A Review of Clinical Effectiveness and Cost-Effectiveness

Pulsed Electron Avalanche Knife (PEAK) PlasmaBlade versus Traditional Electrocautery for Surgery: A Review of Clinical Effectiveness and Cost-Effectiveness Pulsed Electron Avalanche Knife (PEAK) PlasmaBlade versus Traditional Electrocautery for Surgery: A Review of Clinical Effectiveness and Cost-Effectiveness | CADTH.ca Find the information you need Pulsed Electron Avalanche Knife (PEAK) PlasmaBlade versus Traditional Electrocautery for Surgery: A Review of Clinical Effectiveness and Cost (...) -Effectiveness Pulsed Electron Avalanche Knife (PEAK) PlasmaBlade versus Traditional Electrocautery for Surgery: A Review of Clinical Effectiveness and Cost-Effectiveness Last updated: August 9, 2019 Project Number: RC1162-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What is the comparative clinical effectiveness of Pulsed Electron Avalanche Knife (PEAK) PlasmaBlade soft tissue dissection device versus traditional

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

19. Optimal Use of Minimally Invasive Glaucoma Surgery: A Health Technology Assessment

Optimal Use of Minimally Invasive Glaucoma Surgery: A Health Technology Assessment Optimal Use of Minimally Invasive Glaucoma Surgery: A Health Technology Assessment | CADTH.ca Find the information you need Optimal Use of Minimally Invasive Glaucoma Surgery: A Health Technology Assessment Optimal Use of Minimally Invasive Glaucoma Surgery: A Health Technology Assessment Last updated: March 14, 2019 Project Number: OP0532-000 Product Line: Result type: Report Glaucoma is a leading cause (...) of blindness. A range of surgical interventions exist for treating glaucoma, including a group of procedures commonly called micro-invasive or minimally invasive glaucoma surgery (MIGS). It has been noted that, across Canada, there is a growing demand for MIGS, as well as a rise in the use of MIGS procedures. At the same time, the cost of MIGS implantable devices can be considerable and inconsistencies appear to exist in some jurisdictions regarding coverage under public health insurance plans. CADTH

2019 CADTH - Optimal Use

20. Robotic-assisted surgery compared with laparoscopic resection surgery for rectal cancer: the ROLARR RCT

Robotic-assisted surgery compared with laparoscopic resection surgery for rectal cancer: the ROLARR RCT Robotic-assisted surgery compared with laparoscopic resection surgery for rectal cancer: the ROLARR RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find the information you need (...) . >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} There is insufficient evidence to conclude that robotic rectal cancer surgery compared with laparoscopic surgery reduces the risk of conversion to laparotomy, and overall it results in comparable outcomes and it was more expensive. {{author}} {{($index , , , , , , , , , & . David Jayne 1, * , Alessio Pigazzi 2 , Helen Marshall 3 , Julie Croft 3 , Neil Corrigan 3 , Joanne Copeland 3 , Philip Quirke 4 , Nicholas

2019 NIHR HTA programme