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Journal of Surgical Research

Tyler J Loftus, Martin D Rosenthal, Chasen A Croft, R Stephen Smith, Frederick A Moore, Scott C Brakenridge, Philip A Efron, Alicia M Mohr
BACKGROUND: Nonselective beta blockade (BB) and clonidine may abrogate catecholamine-mediated persistent injury-associated anemia. We hypothesized that critically ill trauma patients who received BB or clonidine would have favorable hemoglobin (Hb) trends when adjusting for operative blood loss (OBL), phlebotomy blood loss (PBL), and red blood cell (RBC) transfusion volumes, and that the effect would be greatest among the elderly, who have higher catecholamine levels. METHODS: We performed a 4-y retrospective cohort analysis of 280 consecutive trauma patients with ICU stay ≥48 h and moderate/severe anemia...
June 28, 2018: Journal of Surgical Research
James J Glazier, Amir Kaki
No abstract text is available yet for this article.
June 22, 2018: Journal of Surgical Research
Tae Soo Kang, Stephen H McKellar
No abstract text is available yet for this article.
June 22, 2018: Journal of Surgical Research
Todd C Crawford, Cecillia Lui, J Trent Magruder, Jinny S Ha, Robert S Higgins, Christian A Merlo, Bo S Kim, Errol L Bush
BACKGROUND: Previous studies suggest double-lung transplant (DLT) may be associated with superior survival compared to single-lung transplantation (SLT) in chronic obstructive pulmonary disease (COPD) recipients. The purpose of this study was to compare survival in patients with COPD undergoing DLT versus SLT since the inception of the lung allocation score. METHODS: We used the United Network for Organ Sharing database to retrospectively identify adult patients with COPD who underwent isolated lung transplantation from 5/4/2005-12/31/2014...
June 2, 2018: Journal of Surgical Research
Bao Ngoc N Tran, Bernard T Lee, Dhruv Singhal
No abstract text is available yet for this article.
May 31, 2018: Journal of Surgical Research
Kevin N Harrell, Mohammad R Jajja, Lauren M Postlewait, Bahar Memis, Shishir K Maithel, Juan M Sarmiento, N Volkan Adsay, David A Kooby
BACKGROUND: Postoperative pancreatic fistula (POPF) is a potentially debilitating complication following pancreatoduodenectomy (PD). There are limited data correlating pancreatic parenchymal histopathologic features specifically fat and fibrosis content with development of POPF after PD. METHODS: Patients who underwent PD (January 2010-May 2015) with archived pathologic slides were included. Each pancreatic neck transection margin was histologically graded for fat and fibrosis, scored from 0 to 4, and grader was blinded to clinical outcomes...
May 10, 2018: Journal of Surgical Research
Chenglong Wang, Adriana C Panayi, Minqiang Xin
No abstract text is available yet for this article.
April 24, 2018: Journal of Surgical Research
Naomi-Liza Denning, Ibrahim Abd El-Shafy, John Hagen, Steven Stylianos, Jose M Prince, Aaron M Lipskar
BACKGROUND: The development of a gastrocutaneous fistula (GCF) after gastrostomy tube removal is a frequent complication that occurs 5%-45% of the time. Conservative therapy with chemical cauterization is frequently unsuccessful, and surgical GCF repair with open primary layered closure of the gastrotomy is often required. We describe an alternative approach of GCF closure that is an outpatient, less invasive procedure that allows patients to avoid the comorbidities of general endotracheal anesthesia and intraabdominal surgery...
September 2018: Journal of Surgical Research
Nidhi Desai, Laura Veras, Ankush Gosain
BACKGROUND: Bradford's law of scattering defines an exponentially diminishing return when extending a search for references in journals and can be used to identify the "core" journals in a field. The purpose of this study was to identify the core journals of pediatric surgery. METHODS: With Institutional Review Board approval, we developed bibliometric profiles for the top academically productive pediatric surgeons in the United States. These profiles included the total number of publications, journals in which those authors published their manuscripts, and identification of all articles cited by those surgeons, along with the journals those references were drawn from...
September 2018: Journal of Surgical Research
Francisco Schlottmann, Paula D Strassle, Apoorve Nayyar, Fernando A M Herbella, Bruce A Cairns, Marco G Patti
BACKGROUND: The number of elderly patients with esophageal cancer is expected to increase. We aimed to determine the postoperative outcomes of esophagectomy for esophageal cancer in elderly patients. MATERIAL AND METHODS: A retrospective, population-based analysis was performed using the National inpatient sample for the period 2000-2014. Adult patients ≥18 years old (yo) diagnosed with esophageal cancer who underwent esophagectomy during their inpatient hospitalization were included...
September 2018: Journal of Surgical Research
Jarek Kobiela, Piotr Spychalski, Dariusz Łaski, Agata Błażyńska-Spychalska, Andrzej J Łachiński, Zbigniew Śledziński, Tracy Hull
BACKGROUND: Laparoscopic colorectal surgery has an established role. The ability to multitask (use a retraction tool with one hand and navigate a laparoscopic camera with the other) is desired for efficient laparoscopic surgery. Surgical trainees must learn this skill to perform advanced laparoscopic tasks. The aim was to determine whether a box-training protocol improves the stability of retraction while multitasking in colorectal surgery simulation. MATERIALS AND METHODS: Fifty-eight medical students were recruited to attend a basic laparoscopic box-training course...
September 2018: Journal of Surgical Research
Dani O Gonzalez, Amy E Lawrence, Jennifer N Cooper, Richard Sola, Erin Garvey, Blake C Weber, Shawn D St Peter, Daniel J Ostlie, Jonathan E Kohler, Charles M Leys, Katherine J Deans, Peter C Minneci
BACKGROUND: The ability of ultrasound to identify specific features relevant to nonoperative management of pediatric appendicitis, such as the presence of complicated appendicitis (CA) or an appendicolith, is unknown. Our objective was to determine the reliability of ultrasound in identifying these features. METHODS: We performed a retrospective study of children who underwent appendectomy after an ultrasound at four children's hospitals. Imaging, operative, and pathology reports were reviewed...
September 2018: Journal of Surgical Research
McKenzie Brown, Sean Nassoiy, Whitney Chaney, Timothy P Plackett, Robert H Blackwell, Fred Luchette, Milo Engoren, Joseph Posluszny
BACKGROUND: Atrial fibrillation (AF) with rapid ventricular rate (RVR; heart rate >100) in noncardiac postoperative surgical patients is associated with poor outcomes. The objective of this study was to evaluate the practice patterns of AF management in a surgical intensive care unit to determine practices associated with rate and rhythm control and additional outcomes. MATERIALS AND METHODS: Adult patients (≥18 y) admitted to the surgical intensive care unit (SICU) from June 2014 to June 2015 were retrospectively screened for the development of new-onset AF with RVR...
September 2018: Journal of Surgical Research
Kevin R Olsen, David J Hall, Juan C Mira, Patrick W Underwood, Ajay B Antony, Terrie Vasilopoulos, George A Sarosi
BACKGROUND: Increasing mortality from opioid overdoses has prompted increased focus on prescribing practices of physicians. Unfortunately, resident physicians rarely receive formal education in effective opioid prescribing practices or postoperative pain management. Data to inform surgical training programs regarding the utility and feasibility of formal training are lacking. METHODS: Following Institutional Review Board approval, a single institution's resident physicians who had completed at least one surgical rotation were surveyed to assess knowledge of pain management and evaluate opioid prescribing practices...
September 2018: Journal of Surgical Research
N Rhea Udyavar, Ali Salim, Joaquim M Havens, Zara Cooper, Edward E Cornwell, Stuart R Lipsitz, John W Scott, Adil H Haider
BACKGROUND: Benchmarking of mortality outcomes across the country has revealed major differences in survival based on the trauma center at which a patient receives care. The role of the individual surgeon in determining trauma outcomes is unknown. Most believe that differences in outcomes are primarily driven by system- and process-based variations. Our objective was to determine if variation in individual surgeon outcomes could help explain difference in survival after trauma. METHODS: Analysis of trauma patients in the Florida State Inpatient Database from 2010 to 2014...
September 2018: Journal of Surgical Research
Katie Mellor, Daniel Hind, Matthew J Lee
BACKGROUND: Small bowel obstruction (SBO) is a condition which is commonly treated by general surgeons. The evidence base for treatment of this condition is limited in part by variable reporting of outcomes in the literature. The aim of this study was to identify commonly used outcomes in research on SBO. METHODS: This review was reported in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and registered with PROSPERO (CRD42017065538)...
September 2018: Journal of Surgical Research
Alice Claeson, Mattias Sterner, Jonathan Attergrim, Monty Khajanchi, Vineet Kumar, Makhan Lal Saha, Martin Gerdin Wärnberg
BACKGROUND: Trauma is the cause of 1.2 million deaths in India annually. Injury severity scores play an important role in trauma research and care because these scores enable the adjustment of trauma severity when comparing mortality outcomes. The generalizability of the International Classification of Diseases Injury Severity Score (ICISS) between different populations is not fully known, and the validity of the ICISS has not been assessed in the Indian context. The aim of this study was to assess the predictive performances of three international versions of the ICISS, derived from data from Australia, New Zealand and pooled data from seven different high-income countries, in trauma patients admitted to four public hospitals in urban India...
September 2018: Journal of Surgical Research
Mubina A Isani, Christopher Schlieve, Jeremy Jackson, Melissa Elizee, Grace Asuelime, David Rosenberg, Eugene S Kim
BACKGROUND: With the advent of minimally invasive techniques, laparoscopic Ladd's procedure is increasingly used to treat children with malrotation, yet evidence regarding its safety and efficacy is lacking. We hypothesize that operative and postoperative outcomes with the open technique are superior to the laparoscopic Ladd's procedure. METHODS: We conducted a 5-y retrospective chart review of all patients who underwent Ladd's procedure at our institution from 2010-2015...
September 2018: Journal of Surgical Research
Robert J Vandewalle, Christian C Frye, Matthew P Landman, Joseph M Croffie, Frederick J Rescorla
BACKGROUND: Esophageal achalasia is an uncommon condition in children. Although many interventions exist for the management of this disorder, esophageal (Heller) myotomy offers one of the most durable treatments. Our institution sought to review patients undergoing Heller myotomy concentrating on preoperative clinical factors that might predict postoperative outcomes. MATERIALS AND METHODS: All patients from January 1, 2007, to December 31, 2016, who underwent surgical treatment for achalasia at our tertiary pediatric hospital were identified and included in the study cohort...
September 2018: Journal of Surgical Research
Ya-Ching Hung, Yanik J Bababekov, Sahael M Stapleton, Swagoto Mukhopadhyay, Song-Lih Huang, Susan M Briggs, David C Chang
BACKGROUND: Current global surgery initiatives focus on increasing surgical workforce; however, it is unclear whether this approach would be helpful globally, as patients in low-resource countries may not be able to reach hospitals in a timely fashion without formal Emergency Medical Services (EMS). We hypothesize that increased surgical workforce correlates with decreased road traffic deaths (RTDs) only in countries with EMS. METHODS: Estimated RTDs were obtained from the Global Status Report on Road Safety 2013, which estimated the RTD rate in 2010 (RTD 2010)...
September 2018: Journal of Surgical Research
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