Simon Erridge

Meta-analysis of determinants of survival following treatment of recurrent hepatocellular carcinoma.

Intrahepatic recurrence of hepatocellular carcinoma (HCC) following resection is common. However, no current consensus guidelines exist to inform management decisions in these patients. Systematic review and meta‐analysis of survival following different treatment modalities may allow improved treatment selection. This review aimed to identify the optimum treatment strategies for HCC recurrence.

Barriers to the implementation and uptake of simulation-based training programs in general surgery: a multinational qualitative study

BACKGROUND Despite evidence demonstrating the advantages of simulation training in general surgery, it is not widely integrated into surgical training programs worldwide. The aim of this study was to identify barriers and facilitators to the implementation and uptake of surgical simulation training programs. METHODS A multinational qualitative study was conducted using semi-structured interviews of general surgical residents and experts. Each interview was audio recorded, transcribed verbatim, and underwent emergent theme analysis. All data were anonymized and results pooled. RESULTS A total of 37 individuals participated in the study. Seventeen experts (Program Directors and Surgical Attendings with an interest in surgical education) and 20 residents drawn from the United States, Canada, United Kingdom, France, and Japan were interviewed. Barriers to simulation-based training were identified based on key themes including financial cost, access, and translational benefit. Participants described cost (89%) and access (76%) as principal barriers to uptake. Common facilitators included a mandatory requirement to complete simulation training (78%) and on-going assessment of skills (78%). Participants felt that simulation training could improve patient outcomes (76%) but identified a lack of evidence to demonstrate benefit (38%). There was a consensus that simulation training has not been widely implemented (70%). CONCLUSIONS There are multiple barriers to the implementation of surgical simulation training programs, however, there is agreement that these programs could potentially improve patient outcomes. Identifying these barriers enable the targeted use of facilitators to deliver simulation training programs.

Comparison of gaze behaviour of trainee and experienced surgeons during laparoscopic gastric bypass: Gaze behaviour of trainee and experienced surgeons during gastric bypass

Eye tracking presents a novel tool that could be used to profile skill levels in surgery objectively. The primary aim of this study was to identify differences in gaze behaviour between expert and junior surgeons performing a laparoscopic Roux‐en‐Y gastric bypass (LRYGB) for obesity.

Subclinical developmental dysplasia of the hip could predispose to femoroacetabular impingement

Developmental dysplasia of the hip (DDH) and femoroacetabular impingement (FAI) are separate causes of premature osteoarthritis. There is a paucity of literature describing potential ways in which an individual can be predisposed to FAI. This hypothesis aims to outline how subclinical DDH may predispose a patient to FAI. In DDH the acetabular malformation of the hip joint alters the weight distribution superiorly in the loading axis. In accordance with Wolffs Law, we propose that this change in loading may result in the formation of protrusions on either the acetabular rim or femoral head and neck, predisposing to impingement of the hip during to certain movements and consequently, FAI. Should this hypothesis be proven it would help to reduce the incidence FAI by aiding the understanding of disease aetiology.