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Mark S Cohen
No abstract text is available yet for this article.
September 15, 2018: Surgery
Andrew Yee, Ema Zubovic, Jennifer Yu, Shuddhadeb Ray, Sabine Hildebrandt, William E Seidelman, Rabbi Joseph A Polak, Michael A Grodin, J Henk Coert, Douglas Brown, Ira J Kodner, Susan E Mackinnon
The use of Eduard Pernkopf's anatomic atlas presents ethical challenges for modern surgery concerning the use of data resulting from abusive scientific work. In the 1980s and 1990s, historic investigations revealed that Pernkopf was an active National Socialist (Nazi) functionary at the University of Vienna and that among the bodies depicted in the atlas were those of Nazi victims. Since then, discussions persist concerning the ethicality of the continued use of the atlas, because some surgeons still rely on information from this anatomic resource for procedural planning...
September 14, 2018: Surgery
Ivy N Haskins, Ajita S Prabhu, Kristian K Jensen, Luciano Tastaldi, David M Krpata, Arielle J Perez, Chao Tu, Steven Rosenblatt, Michael J Rosen
INTRODUCTION: Transversus abdominis release is an increasingly used procedure in complex abdominal wall reconstruction. The transversus abdominis muscle is a primary stabilizer of the spine, yet little is known regarding the effect of transversus abdominis release on core stability, back pain, or hernia-specific quality of life. The purpose of our study was to investigate the effect of complex abdominal wall reconstruction using transversus abdominis release on patient quality of life and core stability function...
September 14, 2018: Surgery
Clayton C Petro, Ivy N Haskins, Luciano Tastaldi, Chao Tu, David M Krpata, Michael J Rosen, Ajita S Prabhu
BACKGROUND: Many studies implicate active smoking as a risk factor for postoperative wound complications and all 30-day morbidity, but the definitions of inclusion and exclusion criteria as well as outcome parameters are inconsistent. Critically, the ability of large databases and meta-analyses to generate statistically significant associations of active smoking with morbidity do not address whether those relationships are actually clinically meaningful. We investigated this relationship after open ventral hernia repair...
September 13, 2018: Surgery
Jae Won Cho, Jae Hyun Park, Yu-Mi Lee, Suck Joon Hong, Jong Ho Yoon
BACKGROUND: The long-term oncologic outcome of robotic surgery for thyroid cancer is not well established. The aim of this study was to predict the long-term oncologic outcome of robotic surgery by using dynamic risk stratification in classic papillary thyroid carcinoma. METHODS: A total of 444 propensity score-matched pairs of patients with papillary thyroid carcinoma treated with robotic surgery and conventional open surgery were classified into 4 response-to-therapy categories...
September 13, 2018: Surgery
Luciano Tastaldi, David M Krpata, Ajita S Prabhu, Clayton C Petro, Ramona Ilie, Ivy N Haskins, Hemasat Alkhatib, Chao Tu, Steven Rosenblatt, Michael J Rosen
BACKGROUND: Emergent groin hernia repair can be a challenging clinical scenario. We aimed to evaluate the perioperative and long-term outcomes of emergent groin hernia repair at our institution over the last 10 years, with particular interest in surgical approach and mesh use for such cases. METHODS: Adult patients who underwent emergent groin hernia repair from 2005-2015 were retrospectively reviewed. Outcomes included surgical site infections, perioperative complications, readmissions, reoperations, mortality, and long-term hernia recurrence...
September 12, 2018: Surgery
Martin Loos, Oliver Strobel, Matthias Legominski, Maximilian Dietrich, Ulf Hinz, Thorsten Brenner, Alexandra Heininger, Markus A Weigand, Markus W Büchler, Thilo Hackert
BACKGROUND: Postoperative pancreatic fistula is a dangerous complication in pancreatic surgery. This study assessed the impact of microbiologic pathogens detected in postoperative pancreatic fistula on clinical outcomes after partial pancreatoduodenectomy and distal pancreatectomy. METHODS: Microorganisms in postoperative pancreatic fistula were identified by microbiologic analyses from abdominal drains or intraoperative swabs during relaparotomy. Demographic, operative, and microbiologic data, as well as postoperative outcomes were examined...
September 11, 2018: Surgery
Genia Dubrovsky, Nhan Huynh, Anne-Laure Thomas, Shant Shekherdimian, James Cy Dunn
BACKGROUND: Short bowel syndrome is a condition with substantial morbidity and mortality, yet definitive therapies are lacking. Distraction enterogenesis uses mechanical force to "grow" new intestine. In this study, we examined whether intestinal plication can be used to safely achieve spring-mediated intestinal lengthening in a functioning segment of jejunum in its native position. METHODS: A total of 12 juvenile, miniature Yucatan pigs underwent laparotomy to place either compressed springs or expanded springs within a segment of jejunum (n = 6 per group)...
September 11, 2018: Surgery
Esteban Aguayo, Yas Sanaiha, Young-Ji Seo, Alexandra Mardock, Katherine Bailey, Vishal Dobaria, Peyman Benharash
BACKGROUND: Heparin is routinely used in many cardiovascular procedures to prevent thrombosis. An antibody-mediated process, heparin-induced thrombocytopenia occurs in a small subset of patients exposed to heparin. Though some have suggested a recent increase in the incidence of heparin-induced thrombocytopenia, data on the impact of heparin-induced thrombocytopenia on costs and duration of stay after cardiac surgery is generally lacking. The present study aimed to assess national trends in the incidence and resource use associated with heparin-induced thrombocytopenia in cardiac surgical patients...
September 11, 2018: Surgery
David Ljungman, Kerry A Vaughan, Kee B Park, Emmanuel M Makasa, Robert Marten, John G Meara
No abstract text is available yet for this article.
September 8, 2018: Surgery
Matthew C Hernandez, Jason Panchamia, Eric J Finnesgard, Jennifer L Leiting, Bernardo Franssen, Humza Saleem, Michael L Kendrick, David M Nagorney, Mark J Truty, Rory L Smoot
BACKGROUND: Opioid overprescription can contribute to suboptimal patient outcomes. Surgeon-performed transversus abdominis plane blocks appear to be associated with pain reduction. We compared the analgesic efficacy of surgeon-performed transversus abdominis plane blocks for major hepatectomy with or without concurrent neuraxial analgesia. METHODS: We performed a single-institution review, assessing surgeon-performed transversus abdominis plane blocks for major hepatectomy during 2013-2016...
September 7, 2018: Surgery
Julien Péron, Frederic Mercier, Jean-Jacques Tuech, Rami Younan, Lucas Sideris, Maximiliano Gelli, Frederic Dumont, Bertrand Le Roy, Olivia Sgarbura, Rea Lo Dico, Frederic Bibeau, Olivier Glehen, Guillaume Passot
BACKGROUND: The impact of the location of colorectal cancer on patient outcomes has been reported in several settings. The objective of this study was to assess the prognostic impact of the location of the primary colon cancer among patients with colorectal cancer peritoneal metastases undergoing complete cytoreductive surgery. METHODS: Using the prospectively maintained clinical and biological digestive peritoneal metastasis database of the BIG-RENAPE network, we identified 796 patients treated by a complete cytoreductive surgery between January 2004 and January 2017 for colorectal cancer peritoneal metastases in 16 different institutions...
September 6, 2018: Surgery
Kyle H Sheetz, Seth A Waits
No abstract text is available yet for this article.
September 6, 2018: Surgery
Masayuki Okuno, Claire Goumard, Scott Kopetz, Eduardo A Vega, Katharina Joechle, Takashi Mizuno, Ching-Wei D Tzeng, Yun Shin Chun, Jeffrey E Lee, Jean-Nicolas Vauthey, Thomas A Aloia, Claudius Conrad
BACKGROUND: The survival impact of specific body composition changes during preoperative chemotherapy in patients with colorectal liver metastases undergoing curative-intent surgery remains unclear. This study aimed to determine the impact of changes in body weight and muscle mass during preoperative chemotherapy on survival after hepatectomy in patients with colorectal liver metastases. METHODS: Consecutive patients with colorectal liver metastases undergoing preoperative chemotherapy and curative hepatectomy during 2009-2013 were retrospectively analyzed...
September 6, 2018: Surgery
Gwen Bonner, Mohammad Kalantar, Rami Mustafa, Mujjahid Abbas, Leena Khaitan
BACKGROUND: Bariatric procedures are complex, and the acceptance of complications by the general public is exceedingly low. Using the database of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program, outcomes in bariatric surgery were evaluated to determine the effect of trainees. METHODS: The following data on postoperative complications for patients undergoing bariatric surgery in 2015 were collected: surgical site infections, sepsis, urinary tract infection, duration of hospital stay, operative time, renal failure, pulmonary embolus, deep vein thrombosis, pneumonia, and re-operation...
September 5, 2018: Surgery
Luca Viganò, Fabio Procopio, Antonio Mimmo, Matteo Donadon, Alfonso Terrone, Matteo Cimino, Daniele Del Fabbro, Guido Torzilli
BACKGROUND: The superiority of anatomic resection compared with nonanatomic resection for hepatocellular carcinoma remains a matter of debate. Further, the technique for anatomic resection (dye injection) is difficult to reproduce. Anatomic resection using a compression technique is an easy and reversible procedure based on liver discoloration after ultrasound-guided compression of the tumor-feeding portal tributaries. We compared the oncologic efficacy of compression technique anatomic resection with that of nonanatomic resection...
September 5, 2018: Surgery
Kristian Kiim Jensen, Jannie Dressler, Niklas Nygaard Baastrup, Henrik Kehlet, Lars Nannestad Jørgensen
BACKGROUND: Enhanced recovery after surgery has been shown to lead to improved postoperative outcomes after several surgical procedures. However, only a few studies have examined the application of enhanced recovery after surgery after abdominal wall reconstruction. The aim of the current observational cohort study was to evaluate the outcomes of enhanced recovery after surgery after abdominal wall reconstruction in a large cohort. METHOD: This was a retrospective cohort study comparing patients undergoing abdominal wall reconstruction in a standard care pathway (control group) with patients undergoing abdominal wall reconstruction in an enhanced recovery after surgery pathway...
September 5, 2018: Surgery
Raymond P Onders, MaryJo Elmo, Cindy Kaplan, Robert Schilz, Bashar Katirji, Glen Tinkoff
BACKGROUND: Cervical spinal cord injury can result in catastrophic respiratory failure requiring mechanical ventilation with high morbidity, mortality, and cost. Diaphragm pacing was developed to replace/decrease mechanical ventilation. We report the largest long-term results in traumatic cervical spinal cord injury. METHODS: In this retrospective review of prospective institutional review board protocols, all patients underwent laparoscopic diaphragm mapping and implantation of electrodes for diaphragm strengthening and ventilator weaning...
September 5, 2018: Surgery
Duy T Dao, Lorenzo Anez-Bustillos, Amy Pan, Alison A O'Loughlin, Paul D Mitchell, Gillian L Fell, Meredith A Baker, Bennet S Cho, Prathima Nandivada, Arthur P Nedder, Charles J Smithers, Nancy Chen, Robert Comeau, Kevin Holmes, Susan Kalled, Angela Norton, Bohong Zhang, Mark Puder
BACKGROUND: Vascular endothelial growth factor has been found to accelerate compensatory lung growth after left pneumonectomy in mice. The aim of this study was to determine the natural history and the effects of vascular endothelial growth factor on compensatory lung growth in a large animal model. METHODS: To determine the natural history of compensatory lung growth, female Yorkshire piglets underwent a left pneumonectomy on days of life 10-11. Tissue harvest and volume measurement of the right lung were performed at baseline (n = 5) and on postoperative days 7 (n = 5), 14 (n = 4), and 21 (n = 5)...
September 4, 2018: Surgery
Yu-Shang Yang, Wei-Peng Hu, Wen-Ping Wang, Yong Yuan, Long-Qi Chen
No abstract text is available yet for this article.
September 4, 2018: Surgery
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