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American Journal of Surgery

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https://www.readbyqxmd.com/read/28325587/the-impact-of-allogenic-blood-transfusion-on-the-outcomes-of-total-pancreatectomy-with-islet-autotransplantation
#1
Gumpei Yoshimatsu, Rauf Shahbazov, Giovanna Saracino, Michael C Lawrence, Peter T Kim, Nicholas Onaca, Ernest E Beecherl, Bashoo Naziruddin, Marlon F Levy
BACKGROUND: Allogenic blood transfusion (ABT) may be needed for severe bleeding during total pancreatectomy with autotransplantation (TPIAT), but may induce inflammation. This study investigated the impact of ABT. METHODS: With a population of 83 patients who underwent TPIAT from 2006 to 2014, this study compared cytokine levels, patient characteristics, islet characteristics, metabolic outcomes, insulin requirements, and hemoglobin A1c for those who received a blood transfusion (BT) versus no blood transfusion (NBT)...
March 15, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28325588/operative-management-of-chronic-pancreatitis-a-review
#2
REVIEW
John D Tillou, Jacob A Tatum, Joshua S Jolissaint, Daniel S Strand, Andrew Y Wang, Victor Zaydfudim, Reid B Adams, Kenneth L Brayman
BACKGROUND: Pain secondary to chronic pancreatitis is a difficult clinical problem to manage. Many patients are treated medically or undergo endoscopic therapy and surgical intervention is often reserved for those who have failed to gain adequate pain relief from a more conservative approach. RESULTS: There have been a number of advances in the operative management of chronic pancreatitis over the last few decades and current therapies include drainage procedures (pancreaticojejunostomy, etc...
March 14, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28302275/3d-vision-accelerates-laparoscopic-proficiency-and-skills-are-transferable-to-2d-conditions-a-randomized-trial
#3
Stine Maya Dreier Sørensen, Lars Konge, Flemming Bjerrum
BACKGROUND: Laparoscopy is difficult to master, in part because surgeons operate in a three-dimensional (3D) space guided by two-dimensional (2D) images. This trial explores the effect of 3D vision during a laparoscopic training program, and examine whether it is possible to transfer skills acquired with 3D conditions to 2D conditions. METHODS: We designed a randomized controlled trial where residents (n = 34) were randomized to proficiency-based laparoscopic simulator training under either 3D or 2D conditions...
March 9, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28274466/queries-for-article-the-changing-pattern-of-diagnosing-primary-hyperparathyroidism-in-young-patients
#4
LETTER
Roma Pradhan, Aromal Suresh Chekavar, Amit Agarwal
No abstract text is available yet for this article.
February 28, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28291523/sbas-presidential-address-change-management-leadership-the-society-of-black-academic-surgeons-sbas
#5
EDITORIAL
Orlando C Kirton
No abstract text is available yet for this article.
February 22, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28284432/the-seven-attributes-of-the-academic-surgeon-critical-aspects-of-the-archetype-and-contributions-to-the-surgical-community
#6
Todd K Rosengart, Meredith C Mason, Scott A LeMaire, Mary L Brandt, Joseph S Coselli, Steven A Curley, Kenneth L Mattox, Joseph L Mills, David J Sugarbaker, David A Berger
BACKGROUND: "Academic surgeon" describes a member of a medical school department of surgery, but this term does not fully define the important role of such physician-scientists in advancing surgical science through translational research and innovation. METHODS: The curriculum vitae and self-descriptive vignettes of the records of achievement of seven surgeons possessing documented records of academic leadership, innovation, and dissemination of knowledge were reviewed...
February 20, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28279396/reprocessed-bipolar-energy-for-laparoscopic-colectomy-is-it-worth-it
#7
Justin T Brady, Avinash Bhakta, Scott R Steele, Joseph A Trunzo, Anthony J Senagore, Krista Holmgren, Anthony Schillero, Bradley J Champagne
BACKGROUND: Reprocessed (re-sterilized) bipolar energy devices represent one effort to reduce operative costs. METHODS: Between January 2014 to October 2015, 76 patients underwent laparoscopic colectomy using a reprocessed bipolar energy device and were case-matched to 76 patients from a prospectively-maintained database from November 2012 to December 2013 when an identical, new device was used. Outcomes included reprocessed device safety, efficiency and hospital costs...
February 20, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28283179/the-salutary-effect-of-an-integrated-system-on-the-rate-of-repeat-ct-scanning-in-transferred-trauma-patients-improved-costs-and-efficiencies
#8
Joseph Bledsoe, Amy E Liepert, Todd L Allen, Li Dong, Jamon Hemingway, Sarah Majercik, Scott Gardner, Mark H Stevens
BACKGROUND: Duplication of Computed Tomography (CT) scanning in trauma patients has been a source of quality waste in healthcare and potential harm for patients. Integrated and regional health systems have been shown to promote opportunities for efficiencies, cost savings and increased safety. METHODS: This study evaluated traumatically injured patients who required transfer to a Level One Trauma Center (TC) from either within a vertically integrated healthcare system (IN) or from an out-of-network (OON) hospital...
February 17, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28256241/exploring-the-usage-of-a-mobile-phone-application-in-transplanted-patients-to-encourage-medication-compliance-and-education
#9
Alana Zanetti-Yabur, Amanda Rizzo, Nicole Hayde, Anthony C Watkins, Juan P Rocca, Jay A Graham
BACKGROUND: Medication non-adherence in transplant patients is a grave problem that results in increased rejection episodes, graft loss and significant morbidity. METHODS: The efficacy of users and non-users of a mobile phone application (mobile app) in promoting medication adherence was investigated. The Beliefs about Medicine Questionnaire (BMQ) and Morisky Medication Adherence Scale (MMAS-8) were used in these cohorts to assess the predilection for poor adherence...
February 17, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28259203/perioperative-blood-transfusions-increases-the-risk-of-anastomotic-leakage-after-surgery-for-gej-cancer
#10
Kaare Terp Fjederholt, Lars Bo Svendsen, Frank Viborg Mortensen
OBJECTIVE: To investigate the effect of blood transfusions on the risk of anastomotic leakage (AL) in patients with gastro-esophageal-junction (GEJ) cancer. BACKGROUND: The incidence of GEJ cancer is increasing in the western world. Surgery is the curative treatment of choice. AL increases mortality and morbidity, and increases the risk cancer reoccurrence. In colo-rectal surgery a relation between AL and blood transfusions have been demonstrated. METHOD: The risk of AL in relation to blood transfusions was investigated in a cohort study...
February 14, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28237047/percutaneous-cholecystostomy-in-the-management-of-high-risk-patients-presenting-with-acute-cholecystitis-timing-and-outcome-at-a-single-institution
#11
S Zarour, A Imam, G Kouniavsky, G Lin, A Zbar, E Mavor
BACKGROUND: Cholecystectomy is the standard of care in acute cholecystitis (AC). Percutaneous cholecystostomy (PC) is an effective alternative for high-risk surgical cases. METHODS: A retrospective analysis is presented of AC patients treated with PC drainage at a single tertiary institution over a 21 month period, assessing outcome and complications. RESULTS: Of 119 patients, 103 had clinical improvement after PC insertion. There were 7 peri-procedural deaths (5...
February 14, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28233540/overseas-organ-donation-during-wartime-operations-benchmarking-military-performance-against-civilian-practice
#12
John S Oh, Darren Malinoski, Kathleen D Martin, J Salvador De La Cruz, David Zonies
BACKGROUND: Over the past 15 years of war, eligible U.S. military members donated organs overseas in Germany. Our hypothesis was that outcomes at a military treatment facility were comparable to a civilian cohort. METHODS: Military donors were matched 1:3 with a donor cohort from the U.S. United Network for Organ Sharing. Data were compared using univariate and multivariate analysis. Significance set at p < 0.05. RESULTS: Forty military organ donors were compared with 116 civilian matched donors...
February 14, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28233538/comparing-definitions-of-outpatient-surgery-implications-for-quality-measurement
#13
Hillary J Mull, Peter E Rivard, Aaron Legler, Steven D Pizer, Mary T Hawn, Kamal M F Itani, Amy K Rosen
BACKGROUND: Adverse event (AE) rates in outpatient surgery are inconsistently reported, partly because of the lack of a standard definition of outpatient surgery. We compared the types and rates of surgical procedures defined by two national healthcare agencies: Health Care Cost Institute (HCCI) and the Healthcare Cost and Utilization Project (HCUP) and considered implications for quality measurement. METHODS: We used HCCI and HCUP definitions to identify FY2012-14 VA outpatient surgeries...
February 14, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28228249/a-computerised-test-of-perceptual-ability-for-learning-endoscopic-and-laparoscopic-surgery-and-other-image-guided-procedures-score-norms-for-picsor
#14
Patrick Henn, Anthony G Gallagher, Emmeline Nugent, Roddy Cowie, Neal E Seymour, Randy S Haluck, Hazem Hseino, Oscar Traynor, Paul C Neary
BACKGROUND: The aptitude to infer the shape of 3-D structures, such as internal organs from 2-D monitor displays, in image guided endoscopic and laparoscopic procedures varies. We sought both to validate a computer-generated task Pictorial Surface Orientation (PicSOr), which assesses this aptitude, and to identify norm referenced scores. METHODS: 400 subjects (339 surgeons and 61 controls) completed the PicSOr test. 50 subjects completed it again one year afterwards...
February 14, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28219624/the-effects-of-body-mass-index-on-complications-and-mortality-after-emergency-abdominal-operations-the-obesity-paradox
#15
Elizabeth R Benjamin, Evren Dilektasli, Tobias Haltmeier, Elizabeth Beale, Kenji Inaba, Demetrios Demetriades
BACKGROUND: Recent literature suggests that obesity is protective in critically illness. This study addresses the effect of BMI on outcomes after emergency abdominal surgery (EAS). METHODS: Retrospective, ACS-NSQIP analysis. All patients that underwent EAS were included. The study population was divided into five groups based on BMI; regression models were used to evaluate the role of obesity in morbidity and mortality. RESULTS: 101,078 patients underwent EAS; morbidity and mortality were 19...
February 13, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28214477/hospital-wide-porcine-mesh-conversion-results-in-cost-savings-with-equivalent-clinical-outcomes
#16
Nickolas Byrge, Mary C Mone, Daniel Vargo
BACKGROUND: A variety of biologic mesh is available for ventral hernia repair. Despite widely variable costs, there is no data comparing cost of material to clinical outcome. METHODS: Biologic mesh product change was examined. A prospective survey was done to determine appropriate biologic mesh utilization, followed by a retrospective chart review of those treated from Sept. 2012 to Aug. 2013 with Strattice™ and from Sept. 2013 to Aug. 2014 with Permacol™. Outcome variables included complications associated with each material, repair success, and cost difference over the two periods...
February 12, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28262203/development-and-evaluation-of-a-trauma-decision-making-simulator-in-oculus-virtual-reality
#17
Cuan M Harrington, Dara O Kavanagh, John F Quinlan, Donncha Ryan, Patrick Dicker, Dara O'Keeffe, Oscar Traynor, Sean Tierney
BACKGROUND: Consumer-available virtual-reality technology was launched in 2016 with strong foundations in the entertainment-industry. We developed an innovative medical-training simulator on the Oculus™ Gear-VR platform. This novel application was developed utilising internationally recognised Advanced Trauma Life Support (ATLS) principles, requiring decision-making skills for critically-injured virtual-patients. METHODS: Participants were recruited in June, 2016 at a single-centre trauma-course (ATLS, Leinster, Ireland) and trialled the platform...
February 10, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28237046/authors-reply-to-the-letter-to-editor-thyroglobulin-antibodies-may-serve-as-predictive-marker-for-papillary-thyroid-carcinoma-in-indeterminate-cytology-acceptable-or-not
#18
LETTER
Theodore Karatzas, Ioannis Vasileiadis
No abstract text is available yet for this article.
February 10, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28233537/predictors-of-curative-resection-and-long-term-survival-of-gallbladder-cancer-a-retrospective-analysis
#19
Pramod Kumar Mishra, Sundeep Singh Saluja, Nabi Prithiviraj, Vaibhav Varshney, Neeraj Goel, Nilesh Patil
BACKGROUND: Gallbladder cancer (GBC) is an aggressive malignancy. We analysed factors predicting resectability and survival of patients with GBC and the impact of surgical obstructive jaundice (SOJ). METHODS: Four hundred and thirty-seven patients with suspected GBC were analysed (52 excluded: benign pathology n = 35, missed GBC n = 17). The remaining 385 patients were divided into non-SOJ (n = 234) and SOJ (n = 151) groups. Predictors of resectability and long term survival were analysed and compared with their subgroups...
February 9, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28215963/racial-and-ethnic-variations-in-one-year-clinical-and-patient-reported-outcomes-following-breast-reconstruction
#20
Nicholas L Berlin, Adeyiza O Momoh, Ji Qi, Jennifer B Hamill, Hyungjin M Kim, Andrea L Pusic, Edwin G Wilkins
BACKGROUND: Existing studies evaluating racial and ethnic disparities focus on describing differences in procedure type and the proportion of women who undergo reconstruction following mastectomy. This study seeks to examine racial and ethnic variations in clinical and patient-reported outcomes (PROs) following breast reconstruction. METHODS: The Mastectomy Reconstruction Outcomes Consortium is an 11 center, prospective cohort study collecting clinical and PROs following autologous and implant-based breast reconstruction...
February 9, 2017: American Journal of Surgery
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