Damage-control laparotomy performed at rural hospitals before transfer to a trauma centre is not associated with higher morbidity or mortality, and collaboration between lead trauma hospitals and rural centres should be encouraged in select cases. Research. Reinforcing the role of rural trauma laparotomy
Chaulk et al. Can J Surg March 3, 2026 69 (2) E108-E113; DOI: https://doi.org/10.1503/cjs.013325
Reinforcing the role of rural trauma laparotomy:
Collaboration between hospitals and rural centres should be encouraged in select cases.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.013325
05.03.2026 14:31
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Stimulant misuse is a relevant issue in the trauma population, associated with increased hospital length of stay, but no significant difference in mortality. Research. Stimulant drug misuse in patients presenting to level 1 trauma centres: a retrospective analysis of 80 000 patients in Canada and the United States. Cristofaro et al. Can J Surg March 3, 2026 69 (2) E114-E120; DOI: https://doi.org/10.1503/cjs.010024
Stimulant drug misuse in trauma patients:
A relevant issue in the trauma population, associated with increased hospital length of stay, but no significant difference in mortality.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.010024
04.03.2026 15:07
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CJS Volume 69 Issue 2. Read the latest on: stimulant drug misuse in trauma patients, rural trauma laparotomy. Image: 3,4-methylenedioxy-methamphetamine (MDMA) crystals.
Stimulant drug misuse in patients presenting to level 1 trauma centres: a retrospective analysis.
New articles on stimulant drug misuse in trauma patients, and rural trauma laparotomy.
➡️ www.canjsurg.ca/content/69/2
03.03.2026 15:06
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Cold Steel Podcast E187. Krista Goulding on pelvic sarcomas, 3D printing, and what patients really want. Graphic includes podcast title, episode number, and an illustration of headphones/microphone.
This week on #ColdSteel, in a “How I Built This” segment of the William Ersil Research day, we explored Dr. Krista Goulding’s career, pelvic sarcomas, 3D printing, and what patients really want.
➡️https://www.canjsurg.ca/podcasts
26.02.2026 18:38
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Nous risquons l’exode de toute une génération d’extraordinaires talents en devenir et de médecins aux compétences hors pair qui risquent de refuser d’exercer la profession au Québec dans les conditions contraignantes de la loi 83 et de la loi 2. Éditorial. Les médecins mis à mal par François Legault. Harvey. Can J Surg February 18, 2026 69 (1) E104-E105; DOI: https://doi.org/10.1503/cjs.003826
Les médecins mis à mal par François Legault:
Nous risquons l’exode de toute une génération d’extraordinaires talents en devenir qui risquent de refuser d’exercer la profession au Québec.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.003826
25.02.2026 14:56
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We risk a generational exodus where the brightest minds and most capable physicians are unwilling to practise in Quebec under constraints from Bill 83 and Bill 2. Editorial: Legault took aim at Quebec physicians. Harvey. Can J Surg February 18, 2026 69 (1) E102-E103; DOI: https://doi.org/10.1503/cjs.003126
Legault took aim at Quebec physicians:
We risk a generational exodus where the brightest minds are unwilling to practise in Quebec under constraints from Bill 83 and Bill 2.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.003126
24.02.2026 15:09
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Changing a small number of events affects the significance of results comparing carotid endarterectomy to carotid artery stenting. Research.
Assessing the fragility index of randomized controlled trials on carotid artery stenosis: a systematic review. Liu et al. Can J Surg February 18, 2026 69 (1) E90-E96; DOI: https://doi.org/10.1503/cjs.008525
Fragility index of RCTs on carotid artery stenosis:
Changing a small number of events affects the significance of results comparing carotid endarterectomy to carotid artery stenting.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.008525
23.02.2026 16:33
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As key contributors to surgical emissions and as leaders in the OR, surgeons have an important role in addressing surgical sustainability and advocating for greener OR practices. Discussions in Surgery. Environmental sustainability in the operating room: perspectives and practice patterns of general surgeons in Canada. Ma et al. Can J Surg February 18, 2026 69 (1) E84-89; DOI: https://doi.org/10.1503/cjs.012325
Environmental sustainability in the OR:
Surgeons have an important role in addressing surgical sustainability and advocating for greener OR practices.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.012325
20.02.2026 13:36
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Adoption of a national guideline would empower trainees, promote inclusivity, and encourage more women to consider orthopedic surgery careers. Discussions in Surgery. Provincial agreements for pregnant and parenting orthopedic surgery residents: a call for a national residency guideline. Morrison et al. Can J Surg February 18, 2026 69 (1) E97-E101; DOI: https://doi.org/10.1503/cjs.015623
Provincial agreements for pregnant and parenting orthopedic surgery residents: a call for a national residency guideline.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.015623
19.02.2026 13:24
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CJS Volume 69 Issue 1. Read the latest on:
pregnant and parenting ortho surgery residents, environmental sustainability in the OR, fragility index of RCTs, Quebec physicians. Image: Pregnant surgeon preparing for the operating room.
Provincial agreements for pregnant and parenting orthopedic surgery residents: a call for a national residency guideline.
New articles on environmental sustainability, fragility index of RCTs, and more.
➡️ www.canjsurg.ca/content/69/1
18.02.2026 18:08
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Surgical mortality among nonagenarian patients is nearly 3 times higher than among octogenarian patients; comprehensive geriatric assessment is essential before operating. Research. Surgical outcomes in nonagenarian versus octogenarian patients: a propensity-matched analysis with implications for shared decision-making. Kanani et al. Can J Surg February 4, 2026 69 (1) E71-E83; DOI: https://doi.org/10.1503/cjs.009525
Surgical outcomes:
Surgical mortality among nonagenarian patients is nearly 3 times higher than among octogenarian patients; comprehensive geriatric assessment is essential before operating.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.009525
09.02.2026 16:50
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The relocation of appropriate gynecologic procedures from the OR to an ambulatory setting provides quality care and improves access without increasing cost to the system.
Commentary:
The migration of hysteroscopy from the operating room to an ambulatory setting.
Thiel et al.
Can J Surg February 4, 2026 69 (1) E68-E70; DOI: https://doi.org/10.1503/cjs.008825
Hysteroscopies:
The relocation of appropriate gynecologic procedures from the OR to an ambulatory setting provides quality care and improves access without increasing cost to the system.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.008825
06.02.2026 14:35
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The poorer prognosis associated delayed or missing follow-up highlights the importance of respecting provincial guidelines for follow-up after incomplete colonoscopies.
Research.
The impact of incomplete colonoscopies: a single-centre retrospective study.
Abdelli et al.
Can J Surg February 4, 2026 69 (1) E59-E67; DOI: https://doi.org/10.1503/cjs.003425
Incomplete colonoscopies:
The poorer prognosis associated delayed or missing follow-up highlights the importance of respecting provincial guidelines for follow-up after incomplete colonoscopies.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.003425
05.02.2026 16:07
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CJS Volume 69 Issue 1. Read the latest on: Incomplete colonoscopies, Hysteroscopy in an ambulatory setting, Surgical outcomes in nonagenarians. Image: Doctor explaining colonoscopy results to patient using monitor images on screen.
The impact of incomplete colonoscopies: a single-centre retrospective study.
New articles on incomplete colonoscopies, hysteroscopies, and surgical outcomes in nonagenarians.
➡️ www.canjsurg.ca/content/69/1
04.02.2026 16:33
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Upper-extremity amputation has high health care costs exceeding controls, with implications for vascularized composite allotransplantation. Research: Health care costs of major upper-extremity amputations in Ontario: a retrospective matched-cohort analysis with considerations for transplantation. Duru et al.
Can J Surg January 20, 2026 69 (1) E48-E58; DOI: https://doi.org/10.1503/cjs.000525
Health care costs of major upper-extremity amputations in Ontario:
High health care costs exceeding controls, with implications for vascularized composite allotransplantation.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.000525
22.01.2026 13:43
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Immigrant females with breast cancer in Ontario undergo immediate and delayed breast reconstruction less often than nonimmigrant females.
Research:
Reconstructive surgery and immigration status among females with breast cancer.
Lovrics et al.
Can J Surg January 20, 2026 69 (1) E38-E47; DOI: https://doi.org/10.1503/cjs.012324
Reconstructive surgery and immigration status:
Immigrant females with breast cancer in Ontario undergo immediate and delayed breast reconstruction less often than nonimmigrant females.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.012324
21.01.2026 14:56
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Read the latest on
- Reconstructive surgery and immigration status
- Costs of major upper-extremity amputations.
Image: Surgical image showing breast reconstruction after mastectomy in a breast cancer patient with pale skin.
Reconstructive surgery and immigration status among females with breast cancer.
New articles on reconstructive surgery and immigration status, and costs of major upper-extremity amputations.
➡️ www.canjsurg.ca/content/69/1
20.01.2026 15:13
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There is a marked disparity in trauma-related mortality between Eeyou Istchee and the rest of Quebec, with motor vehicle collisions the leading cause of trauma death. Research - The burden of trauma in Eeyou Istchee (Cree territories, James Bay): epidemiology, transfers, and patient outcomes. Alsuwaidi et al. Can J Surg January 13, 2026 69 (1) E30-E36; DOI: https://doi.org/10.1503/cjs.011325.
The burden of trauma:
There is a marked disparity in trauma-related mortality between Eeyou Istchee and the rest of Quebec, with motor vehicle collisions the leading cause of trauma death.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.011325
15.01.2026 14:58
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Pneumonectomy remains a valuable therapeutic option when treating patients with non–small cell lung cancer with a curative intent with regard to their overall survival, but it remains a procedure with high perioperative morbidity and mortality.
Research:
Is pneumonectomy still relevant for non–small cell lung cancer? Long-term overall survival from a 15-year experience.
Hache et al.
Can J Surg January 13, 2026 69 (1) E22-E29; DOI: https://doi.org/10.1503/cjs.007524
Is pneumonectomy still relevant for non–small cell lung cancer? Long-term overall survival from a 15-year experience.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.007524
14.01.2026 20:47
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CJS Volume 69 Issue 1. Read the latest on: pneumonectomy in patients with NSCLC, the burden of trauma in Eeyou Istchee. Image: Pneumonectomy model showing the anatomy of the lungs, with one lung removed.
Is pneumonectomy still relevant for NSCLC? Long-term overall survival from a 15-year experience.
New articles on pneumonectomy in patients with NSCLC and the burden of trauma in Eeyou Istchee.
➡️ www.canjsurg.ca/content/69/1
13.01.2026 13:52
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E186: Adnan Alseidi on surgical education. Graphic includes podcast title, episode number, and an illustration of headphones/microphone.
On episode 186 of #ColdSteel, Dr. Adnan Alseidi discusses surgical education. What are the phases of mastery? Should we really be aiming for that? And how do we create trust between attending and trainees?
➡️https://www.canjsurg.ca/podcasts
12.01.2026 13:34
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Patients of lower socioeconomic status were less likely to undergo rotator cuff repair and more likely to face delays in publicly funded care.
Research: The impact of socioeconomic status on the management of rotator cuff tears in a publicly funded health care system.
Honoki et al.
Can J Surg January 6, 2025 69 (1) E15-E21; DOI: https://doi.org/10.1503/cjs.010924
Socioeconomic status and the management of rotator cuff tears:
Patients of lower socioeconomic status were less likely to undergo repair and more likely to face delays in publicly funded care.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.010924
09.01.2026 13:28
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Patterns highlighted population-specific pressure behaviour and supported continuous monitoring as a valuable tool for identifying ACS risk after orthopedic trauma. Research: Pre- and postsurgery measurements of continuous muscle compartment pressure in patients with extremity trauma.
Bouklouch et al.
Can J Surg January 6, 2025 69 (1) E10-E14; DOI: https://doi.org/10.1503/cjs.001525
Continuous muscle compartment pressure in patients with extremity trauma:
Patterns highlighted population-specific pressure behaviour and supported continuous monitoring.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.001525
08.01.2026 15:52
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Transitioning to reusable bags for patient belongings and reusable water bottles is an environmentally friendly initiative to reduce the carbon footprint of an OR.
“Bring your own” reusables to surgery: an environmental sustainability quality-improvement initiative.
Brar et al.
Can J Surg January 6, 2025 69 (1) E1-E9; DOI: https://doi.org/10.1503/cjs.001325
“Bring your own” reusables to surgery:
Reusable bags for patient belongings and reusable water bottles is an environmentally friendly initiative to reduce the carbon footprint of an OR.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.001325
07.01.2026 15:12
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CJS Volume 69 Issue 1. Read the latest on reusables in surgery, continuous muscle compartment pressure, socioeconomic status and rotator cuff repair.
Image: Person refilling reusable water bottle at a hospital water station.
“Bring your own” reusables to surgery.
New articles on reusables in surgery, continuous muscle compartment pressure, and socioeconomic status and rotator cuff repair.
➡️ www.canjsurg.ca/content/69/1
06.01.2026 15:13
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Episode 185 of the Cold Steel Podcast features Teresa Purzner discussing developing a cure for pediatric brain tumors, entrepreneurship, and design-thinking in healthcare. Graphic includes podcast title, episode number, and an illustration of headphones/microphone
On this episode of #ColdSteel, Dr. Teresa Purzner discusses developing a cure for pediatric brain tumors, entrepreneurship, and design-thinking in healthcare.
➡️https://www.canjsurg.ca/podcasts
18.12.2025 21:01
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En tant que membres d’une communauté chirurgicale, nous devons continuellement plaider haut et fort pour un système de traumatologie capable de fournir rapidement des soins de grande qualité à l’ensemble de la population canadienne.
Éditorial
Pouvons-nous encore sauver la traumatologie au Canada?
Ball et al.
Can J Surg December 10, 2025 68 (6) E493-E494; DOI: https://doi.org/10.1503/cjs.022025-f
La traumatologie au Canada:
Nous devons continuellement plaider haut et fort pour un système de traumatologie capable de fournir rapidement des soins de grande qualité.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.022025-f
17.12.2025 18:15
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As a surgical community, we must advocate, loudly and consistently, for a trauma system capable of providing timely, high-quality injury care to all Canadians.
Editorial -
Is Canadian trauma care still salvageable?
Ball et al.
Can J Surg December 10, 2025 68 (6) E491-E492; DOI: https://doi.org/10.1503/cjs.022025
Trauma care in Canada:
As a surgical community, we must advocate, loudly and consistently, for a trauma system capable of providing timely, high-quality injury care to all Canadians.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.022025
17.12.2025 18:14
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Personalized prehabilitation focused on social determinants of health can accelerate recovery and improve surgical outcomes.
Discussions in Surgery -
Personalized prehabilitation: a health promotion tool to improve surgical outcomes.
Majeed et al.
Can J Surg December 10, 2025 68 (6) E487-E490; DOI: https://doi.org/10.1503/cjs.010425
Personalized prehabilitation:
Personalized prehabilitation focused on social determinants of health can accelerate recovery and improve surgical outcomes.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.010425
16.12.2025 16:45
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Quality of life after CRS/HIPEC showed dynamic recovery over 12 months and was influenced by clinical, demographic, and psychosocial factors.
Research:
Quality of life following cytoreductive surgery and hyperthermic intraperitoneal chemotherapy: a Canadian experience.
Taqi et al.
Can J Surg December 10, 2025 68 (6) E476-E486; DOI: https://doi.org/10.1503/cjs.006125
Quality of life following CRS/HIPEC:
Quality of life after CRS/HIPEC showed dynamic recovery over 12 months and was influenced by clinical, demographic, and psychosocial factors.
➡️https://www.canjsurg.ca/lookup/doi/10.1503/cjs.006125
15.12.2025 16:23
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