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: S. M. L. de Mik, F. E. Stubenrouch, R. Balm, D. T. Ubbink
Notes: Heterogeneous data
Authors: M. L. Nicholson, C. Yong, P. B. Trotter, L. Grant, S. A. Hosgood
Notes: Rare, but predictable
Meta‐analysis of the influence of lifestyle changes for preoperative weight loss on surgical outcomes.
Authors: M. Roman, A. Monaghan, G. F. Serraino, D. Miller, S. Pathak, F. Lai et al.
Notes: Possible but how much is enough?
Multicentre cohort study of antihypertensive and lipid‐lowering therapy cessation after bariatric surgery.
Authors: J. Thereaux, T. Lesuffleur, S. Czernichow, A. Basdevant, S. Msika, D. Nocca et al.
Notes: Better than controls
Authors: M. S. de Vos, J. F. Hamming
Development and validation of a nomogram to predict recurrence and melanoma‐specific mortality in patients with negative sentinel lymph nodes.
Authors: D. Verver, D. van Klaveren, V. Franke, A. C. J. van Akkooi, P. Rutkowski, U. Keilholz et al.
Notes: Could personalize care
Authors: A. M. Warwick, T. Jenks, R. Fisher, R. Garrett‐Cox, F. Lecky, D. Yates et al.
Notes: Better in hospitals with a paediatric surgeon
Experimental study of needle recording electrodes placed on the thyroid cartilage for neuromonitoring during thyroid surgery.
Authors: Y. Zhao, C. Li, D. Zhang, L. Zhou, X. Liu, S. Li et al.
Notes: Quick and stable
Authors: D. J. Harris, S. J. Vine, M. R. Wilson, J. S. McGrath, M.‐E. LeBel, G. Buckingham et al.
Notes: Watching other surgeons helpful
Authors: A. Storesund, A. S. Haugen, M. Hjortås, M. W. Nortvedt, H. Flaatten, G. E. Eide et al.
Notes: Code correctly