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Related Concept Videos

Psychosurgery01:30

Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

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Related Experiment Video

Updated: Jun 20, 2026

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
03:07

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial

Published on: August 19, 2025

Challenges in evaluating surgical innovation.

Patrick L Ergina1, Jonathan A Cook, Jane M Blazeby

  • 1Department of Surgery, McGill University Health Centre, Montreal, QC, Canada. patrick.ergina@muhc.mcgill.ca

Lancet (London, England)
|September 29, 2009
PubMed
Summary
This summary is machine-generated.

Evaluating surgical interventions presents unique challenges in study design and methodology. Addressing these obstacles is crucial for advancing evidence-based surgical practice and improving patient outcomes.

Related Experiment Videos

Last Updated: Jun 20, 2026

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
03:07

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial

Published on: August 19, 2025

Area of Science:

  • Medical research methodology
  • Surgical innovation and evaluation

Background:

  • Surgical research faces numerous methodological and practical challenges.
  • These challenges are often amplified in surgical evaluation due to their overlapping nature.

Purpose of the Study:

  • To discuss obstacles in study design for randomized controlled trials and non-randomized studies of surgical interventions.
  • To describe issues inherent to surgical procedures, including complexity and surgeon-specific factors.

Main Methods:

  • Review of challenges in study design for surgical interventions.
  • Analysis of factors influencing surgical procedure evaluation.

Main Results:

  • Surgical evaluation is demanding due to the confluence of various research challenges.
  • Complexity, surgeon variability, and outcome measurement present significant hurdles.

Conclusions:

  • Despite difficulties, rigorous surgical evaluation is achievable and essential.
  • Tailored solutions and a framework for evidence generation are needed to support surgical practice.