15,141 results match your criteria Am Surg[Journal]


Micropapillary Thyroid Carcinoma Papillary Thyroid Microcarcinoma-What Is in the Name?

Authors:
Andrey Bychkov

Am Surg 2019 Mar;85(3):e185-e186

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March 2019
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Barium Appendicitis: An Unusual Complication of Barium Enema.

Am Surg 2019 Mar;85(3):e160-e161

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Recurrent Cardiogastric Fistula.

Am Surg 2019 Mar;85(3):e154-e156

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Gastric Necrosis Due to Gastric Distension.

Am Surg 2019 Mar;85(3):e137-e138

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Management of Thoracic and Lumbar Spine Fractures: Is MRI Necessary in Patients without Neurological Deficits?

Am Surg 2019 Mar;85(3):306-311

MRI after a CT scan for thoracolumbar spine (TLS) trauma has become commonplace because of the concerns for detection of posterior ligamentous complex injuries in the absence of substantial scientific evidence to support its use. We hypothesized that MRI scans were not necessary in the clinical management of TLS fractures. A prospective study was conducted at our Level I trauma center. Read More

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Is the Perioperative Continuation of Antiplatelet Therapy Safe for Elective Hernia Surgery?

Am Surg 2019 Mar;85(3):303-305

Antiplatelet medication use in the perioperative period for elective surgical procedures remains controversial. We hypothesized that for elective hernioplasty, the continuation of antiplatelet agents would not increase postoperative complications. A single surgeon prospectively tracked all elective hernia repairs performed. Read More

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March 2019
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Short-Term Outcomes of Robotic Laparoscopic Total Mesorectal Excision for Rectal Cancer: A Cohort Study.

Am Surg 2019 Mar;85(3):294-302

The aim of this study was to evaluate and compare the intestinal function recovery time and other short-term outcomes between robotic-assisted total mesorectal excision (R-TME) and laparoscopic total mesorectal excision (L-TME) for rectal cancer. This is a retrospective study using a prospectively collected database. Patients' records were obtained from Gansu Provincial Hospital between July 2015 and October 2017. Read More

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Abdominal and Pelvic Vascular Injury: A National Trauma Data Bank Study.

Am Surg 2019 Mar;85(3):292-293

The aim of this study was to characterize the outcomes of traumatic abdominal and pelvic vascular injuries. Using the 2012 National Trauma Data Bank, we identified 5858 patients with major abdominal and/or pelvic vascular injury. Patients were stratified by age group, gender, race, Injury Severity Score (ISS), and mechanism of injury. Read More

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Early Use of a Chest Trauma Protocol in Elderly Patients with Rib Fractures Improves Pulmonary Outcomes.

Am Surg 2019 Mar;85(3):288-291

Rib fractures are among the most common injuries identified in blunt trauma patients. Morbidity increases with increasing age and increasing number of rib fractures. The use of noninvasive ventilation has been shown to be helpful as a rescue technique avoiding intubation in patients who have become hypoxemic but little data with regard to its use to prophylactically prevent worsening respiratory status are available. Read More

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March 2019
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Open Diverticulectomy and Cricopharyngotomy for Symptomatic Zenker's Diverticulum after Endoscopic Diverticuloesophagostomy.

Am Surg 2019 Mar;85(3):284-287

Two of the accepted treatments for symptomatic Zenker's diverticula are open resection of the diverticulum with cricopharyngotomy and transoral, endoscopic diverticuloesophagostomy with cricopharyngotomy. We report our experience with open surgical resection of the diverticulum with repeat cricopharyngotomy in patients with persistent symptoms after endoscopic diverticuloesophagostomy. This is a retrospective review of patients who underwent open surgical resection of the diverticulum, with repeat cricopharyngotomy in patients with persistent symptoms after endoscopic diverticuloesophagostomy. Read More

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March 2019
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Lumbar Incisional Hernia Repair: Complete Reconstruction of the Deficient Myofascial Component Using Christmas Tree Bone Anchors.

Am Surg 2019 Mar;85(3):280-283

Lumbar incisional hernias are difficult to repair because one of the hernia margins is bone, namely, the iliac crest. Previous studies have described the use of orthopedic bone anchors that fix a mesh onto the iliac crest. We present a novel technique for open repair of large lumbar incisional hernias using a double-mesh technique in combination with suture-loaded bone anchors to reattach the abdominal wall musculature onto the iliac crest. Read More

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March 2019
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Laparoscopic Weight Loss Surgery in the Elderly: An ACS NSQIP Study on the Effect of Age on Outcomes.

Am Surg 2019 Mar;85(3):273-279

In an era of rising obesity and an aging population, there are conflicting data regarding outcomes of laparoscopic weight loss surgery in older Americans. The aim of this study was to characterize the short-term outcomes of laparoscopic weight loss surgery in the elderly. The ACS NSQIP database was queried for obese patients aged ≥40 years undergoing laparoscopic Roux-en-Y gastric bypass or sleeve gastrectomy. Read More

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Penetrating Renal Trauma: Nonoperative Management Is Safe in Selected Patients.

Am Surg 2019 Mar;85(3):266-272

Present literature seems to support the nonoperative management of penetrating renal trauma although data remain limited. We conducted a nine-year retrospective review of nonoperative operative management and mechanism of injury [stab wound (SW) gunshot wound (GSW)] among patients admitted with penetrating renal trauma. Of 203 patients, the median age was 24 years, with the majority being male and having GSW injuries. Read More

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Overuse of Previsit Ultrasound in Patients Referred for Treatment of Inguinal Hernias.

Am Surg 2019 Mar;85(3):261-265

Inguinal ultrasound (US) has a high sensitivity and specificity for the diagnosis of inguinal hernias but is often performed unnecessarily, adding cost and time to treatment. The aim of our study was to assess the rate and necessity of US before clinical examination by a hernia surgeon. Medical records of patients referred for an inguinal hernia from April through July 2017 were reviewed. Read More

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Diagnosis-Related Group in Colon Surgery: Identifying Areas of Improvement to Drive High-Value Care.

Am Surg 2019 Mar;85(3):256-260

Diagnosis-related group (DRG) migration is defined as the reassignment of colectomy patients from DRG 331 to 330 based exclusively on postoperative complications. Strategic and comparative application of this metric has the potential to demonstrate baseline and excessive rates of complications related directly to patient care differences across institutions. The aim of this study was to report the variability of DRG migration across United States hospitals and its impact on overall cost and length of stay (LOS). Read More

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Laparoscopic Sleeve Gastrectomy Outcomes in Patients with Polycystic Ovary Syndrome.

Am Surg 2019 Mar;85(3):252-255

Polycystic ovary syndrome (PCOS) is a common disease among the bariatric population. However, there are limited data regarding the impact of laparoscopic sleeve gastrectomy (SG) on these patients. The study was conducted at University Hospital, United States. Read More

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The Role of the American Board of Surgery in the Development of Surgical Residencies in Post-World War II America.

Am Surg 2019 Mar;85(3):245-251

The creation of Boards fundamentally altered the American medical landscape and transformed the process of educating physicians. The American Board of Surgery, founded in 1937, epitomized this role. It established expectations, implemented an inspection system to enforce those standards, and ultimately collaborated with other professional organizations to create the Residency Review Committee that endures today. Read More

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Resolution of Raynaud's Symptoms after Parathyroidectomy.

Am Surg 2018 Aug;84(8):e323-e324

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August 2018
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