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Conclusion: During the introduction of a new bariatric surgery program, a critical multidisciplinary process debrief led to significant continuous improvement in operating room efficiency as measured by gradual decline in non-operative room time

Several patterns emerge from this data

Breaking this association requires building alternative stress-response habits that activate the same neurochemical pathways: vigorous exercise (most effective), cold water immersion, progressive muscle relaxation, or any high-engagement physical activity

Therefore, removal of adjacent tissue and washing of tissue are effective methods to reduce these contaminants