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JOURNAL ARTICLE
Matthew J Salvino, Sullivan A Ayuso, William R Lorenz, Alexis M Holland, Kent W Kercher, Vedra A Augenstein, B Todd Heniford
BACKGROUND: Flank and lumbar hernias (FLH) are challenging to repair. This study aimed to establish a reproducible management strategy and analyze elective flank and lumbar repair (FLHR) outcomes from a single institution. METHODS: A prospective analysis using a hernia-specific database was performed examining patients undergoing open FLHR between 2004 and 2021. Variables included patient demographics and operative characteristics. RESULTS: Of 142 patients, 106 presented with flank hernias, and 36 with lumbar hernias...
April 10, 2024: American Journal of Surgery
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EDITORIAL
Tanna J Boyer, Sally A Mitchell
No abstract text is available yet for this article.
April 8, 2024: American Journal of Surgery
#3
EDITORIAL
Herbert Chen
No abstract text is available yet for this article.
April 6, 2024: American Journal of Surgery
#4
EDITORIAL
Morgan Hopp, Jenny M Shao, Chantal Reyna, Lisa K Cannada, Lauren B Nosanov
No abstract text is available yet for this article.
April 3, 2024: American Journal of Surgery
#5
JOURNAL ARTICLE
Ying Sun, Yongfeng Li, Zhiqiang Liu, Tao Peng, Chunyou Wang, Heshui Wu, Shanmiao Gou
OBJECTIVES: There remains a lack of consensus regarding the benefits of stent placement following pancreaticojejunostomy in terms of clinically relevant postoperative pancreatic fistulas (CR-POPFs). This study was aimed at analyzing the effects of stent placement, stent technique (internal and external), stent size, and dilation of the main pancreatic duct on CR-POPFs. METHODS: Our study comprised a systematic review and meta-analysis of randomized controlled trials involving patients undergoing pancreaticojejunostomy...
April 3, 2024: American Journal of Surgery
#6
EDITORIAL
Andrew T Gabrielson, Claudia Corwin, Kristin Chrouser
No abstract text is available yet for this article.
April 2, 2024: American Journal of Surgery
#7
JOURNAL ARTICLE
Riley Brian, Elizabeth Lancaster, Jade Hiramoto
BACKGROUND: Despite widespread efforts to combat the opioid epidemic, an ongoing contributor to opioid misuse remains post-operative opioid overprescribing by residents. The goal of this study was to evaluate the impact of a low-cost, reproducible "just in time" intervention on opioid prescribing in dialysis access operations. METHODS: Standardized opioid prescribing guidelines were emailed to residents on the vascular service on the first day of the rotation. Opioid prescriptions were reviewed for four years before and one year after this intervention...
March 28, 2024: American Journal of Surgery
#8
EDITORIAL
Alison Zhu, Sarah Joy Aitken
No abstract text is available yet for this article.
March 28, 2024: American Journal of Surgery
#9
JOURNAL ARTICLE
Nir Messer, Ryan C Ellis, Sara M Maskal, Jenny H Chang, Ajita S Prabhu, Benjamin T Miller, Lucas Ra Beffa, Clayton C Petro, Serrgio Mazzola Poli de Figueiredo, Aldo Fafaj, Varisha Essani, Michael J Rosen
INTRODUCTION: Abdominal surgery following transversus abdominis release (TAR) procedure commonly involves incisions through the previously implanted mesh, potentially creating vulnerabilities for hernia recurrence. Despite the popularity of the TAR procedure, current literature regarding post-AWR surgeries is limited. This study aims to reveal the incidence and outcomes of post-TAR non-hernia-related abdominal surgeries of any kind. METHODS: Adult patients who underwent non-hernia-related abdominal surgery following ventral hernia repair with concurrent TAR procedure and permanent synthetic mesh in the Cleveland Clinic Center for Abdominal Core Health between January 2014 and January 2022 were queried from a prospectively collected database in the Abdominal Core Health Quality Collaborative...
March 27, 2024: American Journal of Surgery
#10
JOURNAL ARTICLE
Victoria H Chen, Keiko M Patterson, Julio Montaner, Sam M Wiseman
BACKGROUND: This study aimed to review the varied 1-4 gastrointestinal (GI) system surgical outcomes among people living with Human Immunodeficiency Virus (PLWH) in the HAART-era. METHODS: MEDLINE and EMBASE were searched for primary publications on GI surgery outcomes exclusively in HAART-treated HIV patients. NSQIP-reported complications (NRCs), all-cause complications (ACC) and HIV disease parameters were extracted. RESULTS: 12 studies met study inclusion criteria, examining bowel (4), bariatric (5), cholecystectomy (1), appendectomy (1), and other general abdominal operations (1)...
March 26, 2024: American Journal of Surgery
#11
JOURNAL ARTICLE
Casey R Erwin, Todd W Costantini, Andrea Krzyzaniak, Matthew J Martin, Jayraan Badiee, Alexandra S Rooney, Laura N Haines, Allison E Berndtson, Vishal Bansal, C Beth Sise, Richard Y Calvo, Michael J Sise
BACKGROUND: Conflicting evidence exists evaluating associations between cannabis (THC) and post-traumatic DVT. METHODS: Retrospective analysis (2014-2023) of patients ≥15yrs from two Level I trauma centers with robust VTE surveillance and prophylaxis protocols. Multivariable hierarchical regression assessed the association between THC and DVT risk. THC + patients were direct matched to other drug use categories on VTE risk markers and hospital length of stay...
March 26, 2024: American Journal of Surgery
#12
REVIEW
David Leong, Connull Leslie, Brodie Laurie, Lachlan Hou, Jo Keyser, Ming Khoon Yew, Simon Ryan, Hieu Nguyen, Dean Lisewski
BACKGROUND: The tall cell subtype of papillary thyroid cancer (TCPTC) is the most common aggressive subtype and often treated aggressively. This approach may not be necessary in smaller tumours without adverse histological characteristics. METHODS: 97 patients with TCPTC defined as a height-to-width ratio of ≥3:1 and at least 30% tall cells were compared against 390 classical papillary thyroid carcinoma (CPTC) based on tumour size with recurrence free survival (RFS) as the primary outcome...
March 26, 2024: American Journal of Surgery
#13
JOURNAL ARTICLE
Sai Krishna Bhogadi, Omar Hejazi, Adam Nelson, Collin Stewart, Hamidreza Hosseinpour, Audrey L Spencer, Tanya Anand, Michael Ditillo, Louis J Magnotti, Bellal Joseph
INTRODUCTION: We aimed to examine impact of trauma center (TC) surgical stabilization of rib fracture (SSRF) volume on outcomes of patients undergoing SSRF. METHODS: Blunt rib fracture patients who underwent SSRF were included from ACS-TQIP2017-2021. TCs were stratified according to tertiles of SSRF volume:low (LV), middle, and high (HV). Outcomes were time to SSRF, respiratory complications, prolonged ventilator use, mortality. RESULTS: 16,872 patients were identified (LV:5470,HV:5836)...
March 26, 2024: American Journal of Surgery
#14
JOURNAL ARTICLE
J Cole Gwin, Niyati Rangnekar, Glenn P Murray, Saskya Byerly, Andrew M Fleming, Thomas S Easterday, Andrew J Kerwin, Isaac W Howley
BACKGROUND: Despite improving understanding of trauma-induced coagulopathy (TIC), mortality and morbidity due to exsanguinating trauma remain high. Increased complications due to hemorrhage have been reported in blood group O, possibly due to reduced levels of von Willebrand factor (vWF). METHODS: An urban level 1 adult trauma center registry was retrospectively queried. Patients receiving ≥6 units of pRBC within 4 h of presentation were included...
March 26, 2024: American Journal of Surgery
#15
JOURNAL ARTICLE
Negaar Aryan, Areg Grigorian, Erika Tay-Lasso, Michael Cripps, Heather Carmichael, Robert McIntyre, Shane Urban, Catherine Velopulos, Clay Cothren Burlew, Shana Ballow, Rachel C Dirks, Aimee LaRiccia, Michael S Farrell, Deborah M Stein, Michael S Truitt, Heather M Grossman Verner, Caleb J Mentzer, T J Mack, Chad G Ball, Kaushik Mukherjee, Georgi Mladenov, Daniel J Haase, Hossam Abdou, Thomas J Schroeppel, Jennifer Rodriquez, Miklosh Bala, Natasha Keric, Morgan Crigger, Navpreet K Dhillon, Eric J Ley, Tanya Egodage, John Williamson, Tatiana Cp Cardenas, Vadine Eugene, Kumash Patel, Kristen Costello, Stephanie Bonne, Fatima S Elgammal, Warren Dorlac, Claire Pederson, Nicole L Werner, James M Haan, Kelly Lightwine, Gregory Semon, Kristen Spoor, Laura A Harmon, Jason M Samuels, M C Spalding, Jeffry Nahmias
BACKGROUND: High-grade liver injuries with extravasation (HGLI + Extrav) are associated with morbidity/mortality. For low-grade injuries, an observation (OBS) first-strategy is beneficial over initial angiography (IR), however, it is unclear if OBS is safe for HGLI + Extrav. Therefore, we evaluated the management of HGLI + Extrav patients, hypothesizing IR patients will have decreased rates of operation and mortality...
March 26, 2024: American Journal of Surgery
#16
EDITORIAL
Eli Mlaver, Virginia O Shaffer
No abstract text is available yet for this article.
March 22, 2024: American Journal of Surgery
#17
EDITORIAL
Juliet C Dalton, Jennifer K Plichta
No abstract text is available yet for this article.
March 18, 2024: American Journal of Surgery
#18
JOURNAL ARTICLE
Michelle M Dugan, Sharona Ross, Maria Christodoulou, Tara M Pattilachan, Jeilianis Adorno Flores, Alexander Rosemurgy, Iswanto Sucandy
BACKGROUND: As the first comprehensive investigation into hospital readmissions following robotic hepatectomy for neoplastic disease, this study aims to fill a critical knowledge gap by evaluating risk factors associated with readmission and their impact on survival and the financial burden. METHODS: The study analyzed a database of robotic hepatectomy patients, comparing readmitted and non-readmitted individuals post-operatively using 1:1 propensity score matching...
March 18, 2024: American Journal of Surgery
#19
JOURNAL ARTICLE
Hayley Standage, Katherine Kelley, Heather Buxton, Cate Wetzel, Karen Brasel, Heather Hoops
BACKGROUND: Emotional intelligence (EI) can decrease physician burnout. EI and burnout were assessed in surgical residents through participation in Patient-Centric Resident Conferences (PCRCs), which incorporated patients in resident education. We hypothesized PCRCs would improve EI and reduce burnout. METHODS: This was a single institution study of General Surgery residents from 2018 to 2019. Residents participated in standard didactic conferences and PCRCs. The Trait Emotional Intelligence Questionnaire-Short Form (TEIQue-SF) survey and an ACGME burnout survey were administered at three time points...
March 11, 2024: American Journal of Surgery
#20
EDITORIAL
Teaching cultural dexterity in surgical care: As essential to a surgeon's skill set as tying a knot.
Gezzer Ortega, Brittany M Dacier, Jorge Zárate Rodriguez, Maria B J Chun, N Rhea Udyavar, Benjamin G Allar, Alexander R Green, Adil H Haider, Douglas S Smink
No abstract text is available yet for this article.
March 11, 2024: American Journal of Surgery
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