JAMA Surgery

04/09/2026

Cryopreserved platelets were associated with similar adverse events but were less effective than conventional liquid-stored platelets for bleeding during cardiac surgery, indicating no need for changes in current transfusion practice.

There is no substitute for blood during the treatment of hemorrhage. From the first reported successful transfusion of human blood to treat postpartum hemorrhage in 1825,1 to the early use of whole blood in combat casualty care during World War I,2 and to the development of blood preservation and...

04/08/2026

A systematic review found that hospital admissions for consistently peaked in warmer months and were lowest in winter across multiple continents, indicating environmental or behavioral influences on disease onset.

https://ja.ma/41mpf4H

04/07/2026

Surgeons sponsored for H-1B visas represent a small fraction of the US workforce but are overrepresented in rural and high-poverty counties, where surgical shortages are most pronounced.

https://ja.ma/3NZF3Ht

04/05/2026

📊 JAMA Clinical Guidelines Synopsis: The 2024 guideline from the American Heart Association and American College of Cardiology addresses perioperative cardiovascular medication management for adult patients undergoing noncardiac surgery.

Recommendations include continuing statins and β-blockers for patients already receiving them, initiating statins in those with established or elevated atherosclerotic cardiovascular disease risk, and withholding sodium-glucose cotransporter 2 (SGLT-2) inhibitors 3-4 days before surgery to reduce metabolic acidosis risk.

Perioperative aspirin is recommended only for patients with prior percutaneous coronary intervention, with initiation discouraged for others due to increased bleeding risk.

https://ja.ma/4deeEQx

04/03/2026

Consensus guidelines recommend distinguishing infectious vs noninfectious mastitis, favor minimally invasive interventions for management, and guide use of antibiotics, imaging, and surgery for common breast conditions.

https://ja.ma/4ckvP1P

04/02/2026

Among patients with kidney failure undergoing dialysis and coronary artery bypass grafting, men had better 5-year survival than women after arterial grafting; both sexes benefited from LIMA grafting vs saphenous vein grafting.

https://ja.ma/4tthpCx

04/01/2026

Interview with Eva B. Deerenberg, MD, PhD, and Rudolf van den Berg, BSc, authors of Small Bites vs Large Bites for Closure of Abdominal Midline Incisions: A Randomized Clinical Trial. Hosted by Jamie Coleman, MD. https://ja.ma/4tcblxO

04/01/2026

Small-bites fascial closure after elective midline laparotomy reduced long-term risk and size of incisional hernia vs traditional large-bites technique, supporting small bites as standard practice for abdominal closure.

https://ja.ma/4bZH66i

03/26/2026

Among patients with and peripheral arterial disease, rates of major amputation after minor amputation are similar in Veterans Affairs hospitals and non-VA centers, supporting comparable limb salvage outcomes.

https://ja.ma/4sPNGUt

03/25/2026

Incidental appendiceal tumors in acute are primarily small, low-grade neuroendocrine tumors, with aggressive malignancies occurring only in high-risk profiles.

Jamie Coleman, MD, interviews Maxine Germes, MD, and Maxime Collard, MD, about oncologic risk and the role of shared decision-making in antibiotic-only management.

🎧 Listen now:

Interview with Maxine Germes, MD and Maxime K. Collard, MD, PhD authors of Oncologic Risk of Missed Appendiceal Tumors in Acute Appendicitis. Hosted by Jamie Coleman, MD.

03/25/2026

Incidental appendiceal tumors were rare after appendectomy for , and aggressive malignancies were reliably excluded by strict preoperative selection criteria, indicating oncologic safety of antibiotic-only management.

https://ja.ma/4trNbzR