Surgery in space. BJS 2018; 105: 1234-1243.
Published: 19th June 2018
Authors: S. S. Panesar, K. Ashkan
There has been renewed public interest in manned space exploration owing to novel initiatives by private and governmental bodies. Long‐term goals include manned missions to, and potential colonization of, nearby planets. Travel distances and mission length required for these would render Earth‐based treatment and telemedical solutions unfeasible. These issues present an anticipatory challenge to planners, and novel or adaptive medical technologies must therefore be devised to diagnose and treat the range of medical issues that future space travellers will encounter.
The aim was to conduct a search of the literature pertaining to human physiology, pathology, trauma and surgery in space.
Known physiological alterations include fluid redistribution, cardiovascular changes, bone and muscle atrophy, and effects of ionizing radiation. Potential pathological mechanisms identified include trauma, cancer and common surgical conditions, such as appendicitis.
Potential surgical treatment modalities must consist of self‐sufficient and adaptive technology, especially in the face of uncertain pathophysiological mechanisms and logistical concerns.Full text
You may also be interested in
Authors: T. J. Patterson, J. Beck, P. J. Currie, R. A. J. Spence, G. Spence
Authors: L. de Munter, S. Polinder, C. L. P. van de Ree, N. Kruithof, K. W. W. Lansink, E. W. Steyerberg et al.
Nationwide observational study of mortality from complicated intra‐abdominal infections and the role of bacterial cultures.
Authors: A. Tsuchiya, H. Yasunaga, Y. Tsutsumi, T. Kawahara, H. Matsui, K. Fushimi et al.
Surgical removal of the index node marked using magnetic seed localization to assess response to neoadjuvant immunotherapy in patients with stage III melanoma.
Authors: B. Schermers, V. Franke, E. A. Rozeman, B. A. van de Wiel, A. Bruining, M. W. Wouters et al.
Impact of enhanced recovery on oncological outcomes following minimally invasive surgery for rectal cancer.
Authors: B. J. Quiram, J. Crippa, F. Grass, J. K. Lovely, K. T. Behm, D. T. Colibaseanu et al.
Prospective cohort study of ultrasound surveillance of regional lymph nodes in patients with intermediate‐risk cutaneous melanoma.
Authors: A. J. Hayes, E. Moskovic, K. O'Meara, H. G. Smith, R. J. E. Pope, J. Larkin et al.
Multicentre study of non‐surgical management of diverticulitis with abscess formation. BJS 2019; 106: 458-466.
Authors: D. P. V. Lambrichts, H. E. Bolkenstein, D. C. H. E. van der Does, D. Dieleman, R. M. P. H. Crolla, J. W. T. Dekker et al.
Authors: S. Biondo
Randomized clinical trial
Randomized clinical trial of selective decontamination of the digestive tract in elective colorectal cancer surgery (SELECT trial). BJS 2019; 106: 355-363.
Authors: G. S. A. Abis, H. B. A. C. Stockmann, H. J. Bonjer, N. van Veenendaal, M. L. M. van Doorn‐Schepens, A. E. Budding et al.
Authors: R. Miller, J. C. R. Wormald, R. G. Wade, D. P. Collins
Time to calcitonin normalization after surgery for node‐negative and node‐positive medullary thyroid cancer. BJS 2019; 106: 412-418.
Authors: A. Machens, K. Lorenz, H. Dralle
Notes: Sensitive as prognostic tool