minimally invasive surgery • surgical recovery • enhanced recovery after surgery • simulation • surgical education
My research focuses on improving recovery after surgery and surgical education. While surgical technique and perioperative care have advanced significantly in the past years, a significant proportion of patients still experience complications and are slow to recovery. Our multidisciplinary group (surgery, anaesthesiology, clinical epidemiology, exercise physiology, nutrition and psychology) studies perioperative interventions that could further improve surgical outcomes. We investigate the effectiveness of interventions like exercise, minimally invasive surgery, and enhanced recovery pathways to improve recovery after surgery. We look at the effectiveness of these approaches from the patients' perspectives and also look at the costs of new techniques. New techniques and technologies are continually introduced into surgical practice, and often are associated with a learning curve, during which time patients are at risk for poorer outcomes. The focus of my research in surgical education is to develop and validate curricula, including assessment tools, to move the learning curve for surgeons from the operating room to the simulation centre.
Lee L, Mata J, Augustin B, Ghitulescu G, Boutros M, Charlebois P, Stein B, Liberman AS, Fried GM, Morin N, Carli F, Latimer E, Feldman LS. Cost-Effectiveness of Enhanced Recovery versus Conventional Perioperative Management for Colorectal Surgery. Ann Surg 2014 Nov 3 [Epub ahead of print] PMID: 25371130.
Madani A, Watanabe Y, Vassiliou MC, Fuchshuber P, Jones DB, Schwaitzberg S, Fried GM, Feldman LS; For SAGES' FUSE Committee. Does simulation improve learning of the Fundamental Use of Surgical Energy™ (FUSE) curriculum? A randomized controlled trial in surgical trainees. Surg Endosc 2014 May 2 [epub ahead of print] PMID: 24789134.
Gillis C, Li C, Lee L, Rashami A, Berson A, Liberman AS, Stein B, Charlebois P, Feldman LS, Carli F. Prehabilitation vs rehabilitation: a randomized control trial in patients undergoing colorectal resection for cancer. Anesthesiology 2014 Jul 29 [Epub ahead of print] PMID: 25076007.
Antonescu I, Scott S, Tran TT, Mayo NE, Feldman LS (Feldman and Mayo considered co-senior authors). Measuring Postoperative Recovery: What are Clinically Meaningful Differences? Surgery 2014 Aug; 156(2):319-27 PMID: 24947644.
Antonescu I, Mueller C, Fried GM, Vassiliou MC, Mayo N, Feldman LS. Outcomes reporting in high impact surgical journals. Br J Surg 2014 Apr;101(5):582-9 PMID: 24615616.