JAMA Surgery

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 s*xes 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

03/28/2026

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

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

03/23/2026

Ventral hernia reimbursement reform by was linked to lower episode spending and reduced professional fees, with no significant increase in complex procedures or postoperative billing. https://ja.ma/4d5zIZo

03/22/2026

A national mixed-methods survey of US surgeons found that major obstetric complications were more frequent among female surgeons than the childbearing partners of male surgeons.

However, this s*x difference was no longer significant after accounting for lack of workplace support ( ), which was experienced by 64% of female and 32% of male surgeons.

https://ja.ma/4bJa76k

03/22/2026

Schools with mass school shootings were located farther from level I and II trauma centers, with increasing numbers of shootings and victims since the 1980s, indicating geographic gaps in emergency trauma access. https://ja.ma/3Pi2GLD

03/21/2026

Meta-analysis: Whole-blood transfusion was associated with reduced 24-hour and 30-day mortality vs component therapy in civilian trauma, but not in military settings, based on 40 studies including nearly 50,000 patients.

An absolute risk reduction of 4.6 percentage points (NNT = 22) was estimated for civilian patients, though findings showed substantial heterogeneity.

https://ja.ma/4bWfMqN