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American Journal of Surgery

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https://www.readbyqxmd.com/read/28502556/morbidity-and-mortality-conference-is-not-sufficient-for-surgical-quality-control-processes-and-outcomes-of-a-successful-attending-physician-peer-review-committee
#1
H David Reines, Amber W Trickey, Jean Donovan
BACKGROUND: Physician Peer Review (PPR) is required by The Joint Commission to assure examination of individual and group outcomes. Although surgeons may utilize Morbidity and Mortality (M&M) conference, applying these data to determine Focused Professional Practice Evaluations involves outcomes review. A PPR Committee of senior surgeons was created. This report describes one institution's surgical PPR process and results. METHOD: A two-year (2014-2015) retrospective review of significant non-trauma complications and unanticipated deaths evaluated by PPR was performed...
May 3, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28468726/erratum-to-postdischarge-complications-following-nonoperative-management-of-blunt-splenic-injury-am-j-surg-211-4-2016-744-749
#2
Gil Freitas, Olubode A Olufajo, Khaled Hammouda, Elissa Lin, Zara Cooper, Joaquim M Havens, Reza Askari, Ali Salim
No abstract text is available yet for this article.
April 30, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28522073/cell-based-skin-substitutes-accelerate-regeneration-of-extensive-burn-wounds-in-rats
#3
Sadrollah Motamed, Ehsan Taghiabadi, Hojjat Molaei, Niloofar Sodeifi, Seyed Esmaeil Hassanpour, Saeed Shafieyan, Enzollah Azargashb, Fatemeh Farajzadeh-Vajari, Nasser Aghdami, Amir Bajouri
BACKGROUND: This study investigated the effects of amniotic membrane combined with adipose-derived stem cells or fetal fibroblasts on regenerating extensive burns in rats. METHODS: Third degree burns of 1100-1800 mm(2) were induced on 32 Sprague-Dawley rats. Burned sites were excised and randomly covered with Vaseline gauze (control), human amniotic membrane (HAM), human fetal fibroblasts seeded on HAM (HAM-FF), or human adipose-derived stem cells seeded on HAM (HAM-ASC), and followed by wound closure and histological assessments...
April 27, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28477839/microrna-21-as-a-prognostic-biomarker-in-patients-with-pancreatic-cancer-a-systematic-review-and-meta-analysis
#4
REVIEW
Ionut Negoi, Sorin Hostiuc, Massimo Sartelli, Ruxandra Irina Negoi, Mircea Beuran
OBJECTIVES: The aim of this systematic review and meta-analysis is to summarize the current knowledge regarding microRNA-21 and to evaluate its prognostic impact in patients with pancreatic cancer. METHODS: We conducted an electronic literature search to identify all published studies in PubMed/MEDLINE, Scopus and Google Scholar databases from 2000 until August 2016. RESULTS: A total of 17 studies involving 1471 patients met the inclusion criteria for the quantitative synthesis...
April 26, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28468725/caution-the-potential-overestimated-effect-of-prophylactic-alpha-blockade-for-the-prevention-of-urinary-retention-following-primary-inguinal-hernia-repair-in-a-meta-analysis-of-randomized-controlled-trials
#5
LETTER
Hui-Zi Li, Yu-Sheng Cheng, Xiao-Feng Wang, Wu Pan
No abstract text is available yet for this article.
April 26, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28473051/failure-of-efforts-to-contain-costs-of-care-after-colorectal-procedures-nationwide-trends-in-length-of-stay-costs-and-post-acute-care-utilization
#6
Ahmed M Al-Mazrou, Baser Onur, Ravi P Kiran
BACKGROUND: This study aims to report trends in healthcare resource utilization and costs after colorectal surgery in the US. METHODS: From all-payer inpatient data, patients who were discharged after elective colorectal procedures (2002-2011) were identified. Trends in postoperative hospital stay, costs and post-acute care were evaluated. RESULTS: Of 251,583 included patients, median length of stay was 6 days. Trends over time suggested a progressive reduction in hospital stay after surgery until 2008 after which there was an increase (6...
April 25, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28468724/in-search-of-a-resident-centered-handoff-tool-discovering-the-complexity-of-transitions-of-care
#7
Meredith Barrett, David Turer, Hadley Stoll, David T Hughes, Gurjit Sandhu
INTRODUCTION: Transfer of a patient's care between providers is a significant potential for medical errors. Given the potential for patient safety breeches we sought to investigate residents' perceptions of handoffs at our institution. METHODS: Residents completed an online survey assessing the effectiveness of handoffs and what they thought was necessary for safe and informative transition communication. Thematic analysis was used to identify critical themes. RESULTS: 78% of residents reported formal training in handoff delivery...
April 25, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28464998/detection-and-potential-consequences-of-intraoperative-adverse-events-a-pilot-study-in-the-veterans-health-administration
#8
Qi Chen, Brad S Oriel, Amy K Rosen, Mary A Greenan, Houman Amirfarzan, Hillary J Mull, Mia Shapiro, Piero M Fisichella, Kamal M F Itani
Surgical quality improvement efforts have focused on tracking and reducing postoperative mortality and morbidity. However, the prevalence of intraoperative adverse events (IAEs) and their association with postoperative surgical outcomes has been poorly studied. In this study, we detected IAEs using both retrospective chart review and prospective provider reporting. We then examined the association of IAEs with postoperative outcomes. The overall IAE detection rate per case was 0.7 and 0.07 (P < 0.0001) based on chart review and provider reporting, respectively...
April 25, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28460738/clinical-burden-of-preoperative-albumin-globulin-ratio-in-esophageal-cancer-patients
#9
Satoshi Oki, Yuji Toiyama, Yoshinaga Okugawa, Tadanobu Shimura, Masato Okigami, Hiromi Yasuda, Hiroyuki Fujikawa, Yoshiki Okita, Shigeyuki Yoshiyama, Junichiro Hiro, Minako Kobayashi, Masaki Ohi, Toshimitsu Araki, Yasuhiro Inoue, Yasuhiko Mohri, Masato Kusunoki
BACKGROUND: Lower albumin-globulin ratio (AGR) is associated with increased mortality in several cancers. However, no studies have evaluated the relationship between the AGR and prognostic outcome in esophageal cancer (EC) patients. METHODS: To identify indicators of early recurrence and poor prognosis, we assessed the clinicopathological findings and preoperative laboratory data (carcinoembryonic antigen [CEA], squamous cell carcinoma antigen, total protein, and albumin) of 112 EC patients who underwent surgery...
April 25, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28457475/how-can-we-be-more-deliberate-in-training-surgeons
#10
Jason J Han, Ari D Brooks
No abstract text is available yet for this article.
April 25, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28456341/patient-centered-surgical-prehabilitation
#11
Gabrielle Shaughness, Ryan Howard, Michael Englesbe
No abstract text is available yet for this article.
April 25, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28454660/management-of-hepatocellular-carcinoma-recurrence-after-liver-transplant-is-far-from-perfect
#12
LETTER
Andrea Mancuso, Alberto Maringhini
No abstract text is available yet for this article.
April 25, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28438261/the-affordable-care-act-and-its-association-with-length-of-stay-and-payer-status-for-trauma-patients-at-a-level-i-trauma-center
#13
Vicente Jose Undurraga Perl, Chris Dodgion, Kyle Hart, Bruce Ham, Martin Schreiber, David Zonies
BACKGROUND: We hypothesized that the ACA would shorten length of stay and increase numbers of insured patients without changing trauma patient outcomes. METHODS: A retrospective review of adult trauma patients admitted to a level I trauma center between 2012 and 2014 was performed. Demographics, length of stay, payer status, discharge disposition, and complications before and after the ACA implementation were analyzed. RESULTS: 4448 trauma patients were admitted during the study period...
April 8, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28433229/splenectomy-is-associated-with-higher-infection-and-pneumonia-rates-among-trauma-laparotomy-patients
#14
Kelly A Fair, Christopher R Connelly, Kyle D Hart, Martin A Schreiber, Jennifer M Watters
Splenectomy increases lifetime risk of thromboembolism (VTE) and is associated with long-term infectious complications, primarily, overwhelming post-splenectomy infection (OPSI). Our objective was to evaluate risk of VTE and infection at index hospitalization post-splenectomy. Retrospective review of all patients who received a laparotomy in the NTDB. Propensity score matching for splenectomy was performed, based on ISS, abdominal abbreviated injury score >3, GCS, sex and mechanism. Major complications, VTE, and infection rates were compared...
April 8, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28416180/revision-of-sleeve-gastrectomy-to-roux-en-y-gastric-bypass-a-canadian-experience
#15
Ekua Yorke, Caroline Sheppard, Noah J Switzer, David Kim, Christopher de Gara, Shahzeer Karmali, Aliyah Kanji, Daniel Birch
INTRODUCTION: Sleeve gastrectomy (SG) can be associated with inadequate weight loss, insufficient resolution of co-morbidities and severe reflux. Conversion to Roux-en-Y Gastric Bypass (RYGB) is a potential solution. The aim of this study was to determine the common indications for conversion from SG to RYGB at our centre, and evaluate patient outcomes with respect to weight loss and co-morbidity resolution. METHODS: A retrospective review of patients who underwent conversion from SG to RYGB between 2008 and 2015...
April 8, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28404204/global-surgical-electives-in-residency-the-impact-on-training-and-future-practice
#16
Melike Harfouche, Leandra Krowsoski, Amy Goldberg, Zoe Maher
BACKGROUND: The purpose of this study was to evaluate perceptions regarding the value of global surgical electives (GSEs) and pursuit of a career in global surgery amongst residents and surgeons. METHODS: We sent an anonymous questionnaire to all current and former surgical residents of our tertiary-care, university-based institution from the years 2000-2013. Questions addressed the experience and value of practicing surgery in low or middle income countries (LMIC) in residency and as a career...
April 7, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28456342/comparison-of-inflammatory-cytokines-in-peritoneal-fluid-at-source-control-surgery-for-abdominal-sepsis
#17
Michael S Bleszynski, Tiffany Chan, Andrzej K Buczkowski
BACKGROUND: Open abdomen with vacuum assisted closure (VAC) is an alternate method to primary abdominal closure (PAC) in select situations for the management of severe surgical abdominal sepsis or septic shock. Peritoneal cytokines may potentially correlate with deranged physiology and help stratify severity of sepsis. The primary objective of the study was to identify if cytokines can differentiate between patients who underwent PAC or VAC at primary source control laparotomy (SCL). METHODS: Prospective case series including patients with severe abdominal sepsis/septic shock requiring urgent SCL...
April 6, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28410631/comparison-of-three-caval-reconstruction-techniques-in-orthotopic-liver-transplantation-a-retrospective-review
#18
Tiffany Chan, Kristin DeGirolamo, Stephanie Chartier-Plante, Andrzej K Buczkowski
BACKGROUND: Classic caval reconstruction during liver transplantation involves complete cross-clamping and resection of the recipient inferior vena cava (IVC) followed by donor IVC interposition. Other techniques preserve the IVC, with piggyback (PB) to the hepatic veins or side-to-side (SS) caval anastomosis. Avoidance of cross-clamping may be beneficial for minimizing hemodynamic instability and transfusion requirements. METHODS: Retrospective review of a provincial transplant database (2007-2011)...
April 6, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28408112/outcome-comparisons-between-high-volume-robotic-and-laparoscopic-surgeons-in-a-large-healthcare-system
#19
Laila Rashidi, Chris Neighorn, Amir Bastawrous
Robotic colorectal surgery has been performed for nearly a decade, but has been criticized for high cost. We sought to assess outcomes of colorectal operations performed by surgeons with higher experience in robotics and laparoscopy across a large health system. We performed a retrospective review of colon or rectal resections performed between January 2013 and May 2016 within the Providence Health and Services. Surgeons were only included if they performed 30 or more procedures with an approach per year. We assessed outcomes including operative time, hospital length of stay, complications, readmission, conversion to open rates and total direct costs...
April 6, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28416179/increased-risk-of-ventral-hernia-recurrence-after-pregnancy-a%C3%A2-nationwide-register-based-study
#20
Erling Oma, Kristian K Jensen, Lars N Jorgensen
BACKGROUND: Female patients of reproductive age constitute a substantial portion of patients undergoing ventral hernia repair, however the impact of pregnancy on the risk of recurrence is scarcely documented. The aim of the study was to evaluate if pregnancy following ventral hernia repair was associated with an increased risk of recurrence. METHODS: This nationwide cohort study included all female patients of reproductive age registered in the Danish Ventral Hernia Database with ventral hernia repair between 2007 and 2013...
April 5, 2017: American Journal of Surgery
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