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: A. Storesund, A. S. Haugen, M. Hjortås, M. W. Nortvedt, H. Flaatten, G. E. Eide et al.
Notes: Code correctly
Authors: O. Uleberg, K. Pape, T. Kristiansen, P. R. Romundstad, P. Klepstad
Authors: G. Polychronidis, F. J. Hüttner, P. Contin, K. Goossen, L. Uhlmann, M. Heidmann et al.
Authors: F. F. A. IJpma, T. M. van Gulik
Authors: J. Zheng, S.‐H. Xie, G. Santoni, J. Lagergren
Notes: Diabetes increases risk
Pancreas‐sparing, ampulla‐preserving duodenectomy for major duodenal (D1–D2) perforations. BJS 2018; 105: 1487-1492.
Authors: S. Di Saverio, E. Segalini, A. Birindelli, S. Todero, M. Podda, A. Rizzuto et al.
Notes: Useful option
Systematic review of the prevalence, impact and mitigating strategies for bullying, undermining behaviour and harassment in the surgical workplace. BJS 2018; 105: 1390-1397.
Authors: U. A. Halim, D. M. Riding
Notes: Common and damaging
Authors: A. Endo, A. Shiraishi, K. Fushimi, K. Murata, Y. Otomo
Notes: Mortality similar among low, medium and high ratios
Authors: N. Patani, F. MacAskill, S. Eshelby, A. Omar, A. Kaura, K. Contractor et al.
Notes: Outcomes improve
Meta‐analysis of in‐hospital delay before surgery as a risk factor for complications in patients with acute appendicitis. BJS 2018; 105: 933-945.
Authors: S. T. van Dijk, A. H. van Dijk, M. G. Dijkgraaf, M. A. Boermeester
Notes: Delay is safe