• Hepatobiliary Anatomical Variations and Surgical Safety
    Jan 24 2026

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    Anatomical variations in the hepatobiliary system are a major root cause of vasculobiliary injury during cholecystectomy and other surgical procedures. Because these variations occur in roughly one-third to one-half of all patients, they frequently lead to the misidentification of ducts and vessels, which can result in catastrophic complications like bile duct division or hepatic ischemia.

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    15 mins
  • Clinical Management of Anaemia in Colorectal Cancer
    Jan 21 2026

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    Anaemia in colorectal cancer (CRC) patients is typically multifactorial, involving a combination of blood loss, systemic inflammation, and treatment-related factors.

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    13 mins
  • Jehovah’s Witness Patients - Bloodless Medicine Protocols
    Jan 18 2026

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    The management of Jehovah’s Witness patients is governed by a framework that balances deeply held religious convictions with legal protections for patient autonomy. This framework shifts the clinical focus from standard transfusion-based approaches to a structured protocol of early recognition, blood conservation, and shared decision-making.

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    12 mins
  • Pancreatic Cysts - Clinical Management and Surveillance
    Jan 15 2026

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    Clinical guidelines categorize pancreatic cysts based on their physical and clinical characteristics to determine the likelihood of malignancy and the necessary medical response. The distinction generally follows a three-tiered approach: low-risk surveillance, worrisome features, and high-risk stigmata.

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    14 mins
  • ATLS Protocol: A Comprehensive Guide for Surgical Practice
    Jan 12 2026

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    The systematic sequence of surveys—Primary, Secondary, and Tertiary—reduces mortality in acute trauma care by transforming the inherent chaos of major injury into a prioritized, disciplined resuscitation framework. This approach ensures that clinicians do not become overwhelmed by multiple simultaneous injuries, preventing the "paralysis and omissions" that often occur in high-pressure environments.

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    13 mins
  • Managing Adverse Outcomes, Patient Safety and Duty of Candour in Surgery
    Jan 9 2026

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    The introduction of ethical and legal obligations regarding transparency—specifically the Duty of Candour—has fundamentally shifted surgical responses to harm from a culture of "spin" and defensiveness to one of structured disclosure, systematic learning, and multidisciplinary support.

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    16 mins
  • Care of the Critically Ill Surgical Patient (CCrISP) Protocol: A Comprehensive Guide
    Jan 6 2026

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    The Care of the Critically Ill Surgical Patient (CCrISP) protocol provides a structured, evidence-based framework by prioritising rapid diagnosis and timely intervention through a systematic approach. It is designed to minimize critical omissions—a common cause of poor outcomes—by teaching clinicians to follow a hierarchy of assessment and resuscitation.

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    14 mins
  • Clinical Perspectives on Refeeding and Dumping Syndromes
    Jan 3 2026

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    Refeeding syndrome and dumping syndrome are both nutrition-related metabolic disorders, but they differ fundamentally in their physiological drivers, timing, and the specific biochemical shifts they cause.

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    14 mins