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Am J Surg 2022 May 15. Epub 2022 May 15.

Department of Obstetrics & Gynecology, University of Illinois at Chicago, College of Medicine, Chicago, IL, 60611, USA.

Objective: Determining perception of hand size as it relates to instrument use and ability to perform a procedure in a diverse population of proceduralists across surgical and medical specialties.

Methods: Cross-sectional survey was distributed via electronic format to a convenience sample of surgeons/physicians. Secondary analysis included identified instrument use and choice of/perception of ability to learn and perform procedures. Read More

Am J Surg 2022 May 17. Epub 2022 May 17.

Division of Trauma and Critical Care and Acute Care Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, USA. Electronic address:

Am J Surg 2022 May 16. Epub 2022 May 16.

Department of Surgery, Shiga University of Medical Science, Seta Tsukinowa-cho, Otsu, Shiga, 520-2192, Japan.

Background: This study aimed to evaluate the impact of postoperative intra-abdominal infectious complications (PICs) on survival after surgery for gastric cancer.

Methods: A total of 152 patients who underwent curative gastrectomy for gastric cancer were included. The effect of clinicopathological features and PICs on recurrence-free survival (RFS) and overall survival (OS) were investigated. Read More

Am J Surg 2022 May 13. Epub 2022 May 13.

Michigan Bariatric Surgical Collaborative, USA; Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, USA; Department of Surgery, University of Michigan, Ann Arbor, USA.

Am J Surg 2022 Apr 29. Epub 2022 Apr 29.

Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA. Electronic address:

Background: While the advent of work-hour restrictions contributes to increased resident well-being, new interventions are needed to ensure that surgical residents continue to be adequately trained. Our study aims to take the evidence supportive of enhanced feedback and apply it in the real world by creating a feedback training curriculum within a surgical residency.

Methods: A large academic general surgery residency program consisting of 42 residents was sequentially surveyed using the Kirkpatrick model to assess baseline attitudes towards feedback and the efficacy of a feedback training program for faculty and residents. Read More

Am J Surg 2022 May 13. Epub 2022 May 13.

Department of Surgery, Division of Transplantation, University of Alabama at Birmingham, Birmingham, AL, USA.

Background: Donation after cardiac death(DCD) has been proposed as an avenue to expand the liver donor pool.

Methods: We examined factors associated with nonrecovery of DCD livers using UNOS data from 2015 to 2019.

Results: There 265 non-recovered potential(NRP) DCD livers. Read More

Am J Surg 2022 May 6. Epub 2022 May 6.

Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, United States. Electronic address:

Background: The role of preoperative parathyroid localization for tertiary hyperparathyroidism(tHPT) is unclear. We reviewed our experience regarding the feasibility of parathyroidectomy without preoperative localization.

Methods: This is a retrospective study of renal allograft recipients who underwent parathyroidectomies (2001-2019). Read More

Am J Surg 2022 May 4. Epub 2022 May 4.

University of Utah, Department of Surgery, Division of Vascular Surgery, USA.

Background: It is unclear whether shortened training of integrated vascular surgery residencies (IVSR) has detrimental effects on graduates' performance. We sought to investigate whether there is a difference in frail patient outcomes based on the training paradigm completed by their surgeon.

Methods: IVSR and vascular surgery fellowship (VSF)-trained surgeons were identified in the American Board of Surgery database and linked to the Vascular Quality Initiative registry (2013-2019) to evaluate provider-specific patient outcomes for frail patients following vascular procedures using mixed-effects logistic regression. Read More

Am J Surg 2022 May 11. Epub 2022 May 11.

Department of Surgery, Henry Ford Health System, USA.

Background: Only a small proportion of eligible individuals undergo bariatric surgery. The purpose was to examine attrition to surgery and whether psychiatric symptoms and eating behaviors differentially predicted attrition among men and women.

Method: Data was collected from a retrospective chart review of 313 patients who underwent a pre-surgical psychosocial evaluation. Read More

Am J Surg 2022 May 11. Epub 2022 May 11.

MultiCare Health Network, Tacoma, WA, 98405, USA. Electronic address:

Background: Since its inception colectomy has routinely been performed in the inpatient setting. The advent of Enhanced Recovery After Surgery (ERAS) protocols has led improved outcomes, including decreased length of stay (LOS). These improvements have introduced the possibility of ambulatory colectomy. Read More

Am J Surg 2022 May 7. Epub 2022 May 7.

University of Alabama at Birmingham, 1808 7th Ave S, Birmingham, AL, 35233, USA. Electronic address:

Introduction: Deviation of an individual outside of gender normative stereotypes can limit hiring and promotion. The application, interview, and ranking process for medical students pursuing a general surgery residency has multiple opportunities for gender bias to affect an applicant's acceptance. This study examines medical students applying for a top academic general surgery residency and potential bias in perceived gender roles. Read More

Am J Surg 2022 May 7. Epub 2022 May 7.

Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, PR China.

Am J Surg 2022 May 6. Epub 2022 May 6.

Department of Foundational Medical Studies, Oakland University William Beaumont School of Medicine, USA. Electronic address:

Background: Surgical education strongly involves the use of mentorship to improve the confidence and efficiency of trainees. Social distancing due to the COVID-19 pandemic may serve as a catalyst to promote the use of telementoring and other remote learning opportunities in medical education.

Methods: A comprehensive literature review was performed using the electronic databases PubMed, Embase, Web of Science, Scopus, and the Cochrane Library with respect to telementoring in the surgical field. Read More

Am J Surg 2022 May 6. Epub 2022 May 6.

Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; Department of Surgery, Veterans Affairs Boston Healthcare System, Harvard Medical School, Boston, MA, USA. Electronic address:

Background: Our study evaluated general surgery resident indebtedness and perspectives on financial compensation.

Methods: In May 2020, a survey was distributed nationwide by general surgery program directors in the Association of Program Directors in Surgery on a voluntary basis to their residents.

Results: The survey was completed by 419 general surgery residents. Read More

Am J Surg 2022 Apr 25. Epub 2022 Apr 25.

Department of General Surgery, Division of Oncologic and Endocrine Surgery, Mayo Clinic Arizona, 5777 East Mayo Blvd, Phoenix, AZ, 85054, USA.

Background: This study evaluated bone health outcomes of parathyroidectomy in elderly primary hyperparathyroidism (pHPT) patients.

Methods: A retrospective review was performed of parathyroidectomy patients with pHPT at a single institution from 2010 to 2019. Bone mineral density (BMD) improvements at postoperative dual-energy X-ray absorptiometry (DEXA) scans were analyzed between groups aged ≥75 and < 75 years using 1:1 matching on preoperative BMD. Read More

Am J Surg 2022 May 3. Epub 2022 May 3.

Division of Surgical Oncology, Department of Surgery, University of Wisconsin, Madison, USA. Electronic address:

Am J Surg 2022 Apr 4. Epub 2022 Apr 4.

Grady Health System, Atlanta, GA, USA; Emory University School of Medicine, Atlanta, GA, USA; Rollins School of Public Health, Emory University, Atlanta, GA, USA. Electronic address:

Background: This study investigated the impact of COVID-19 infection on hospitalized trauma patients.

Methods: A retrospective review of hospitalized trauma patients at a level I trauma center was performed from March-December 2020. Data pertaining to patient demographics, presentation and hospital course was compared between COVID positive and negative trauma patients. Read More

Am J Surg 2022 Apr 30. Epub 2022 Apr 30.

Department of Surgery, The University of Alabama at Birmingham, Division of Gastrointestinal Surgery, USA. Electronic address:

Background: Patients with limited health literacy (HL) have difficulty understanding written/verbal information. The quality of verbal communication is not well understood. Therefore, our aim was to characterize patient-surgeon conversations and identify opportunities for improvement. Read More

Am J Surg 2022 May 5. Epub 2022 May 5.

Department of Endocrine Surgery, Endocrinology and Metabolism Institute, Cleveland Clinic, Cleveland, OH, USA.

Background: Patient-reported outcome measures for parathyroid and thyroid disease (PROMPT) is a 30-question, previously validated, survey assessing symptoms on a scale from 0 to 100. Using PROMPT, we aimed to assess symptom improvement for patients undergoing thyroidectomy and parathyroidectomy.

Methods: Single-center prospective study in which PROMPT was used to assess symptom improvement in patients undergoing parathyroidectomy or thyroidectomy. Read More

Am J Surg 2022 Apr 26. Epub 2022 Apr 26.

Division of Gastrointestinal Surgery, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address:

Background: Patient engagement technologies (PETs) guide patients through perioperative care, but little is known about their costs-benefits.

Methods: Retrospective cohort study of patients undergoing elective colorectal, cardiac, thoracic surgery 2015-2020. PET was implemented 2018. Read More

Am J Surg 2022 Apr 28. Epub 2022 Apr 28.

University of Utah, Department of Surgery, 30 N 1900 E, Salt Lake City, UT, 84132, USA; Huntsman Cancer Institute at the University of Utah, Division of Surgical Oncology, 2000 Cir of Hope Dr #1950, Salt Lake City, UT, 84112, USA. Electronic address:

Background: American Indians/Alaska Natives (AI/AN) receive less colorectal cancer (CRC) screening than other populations. Using gastroenterologist (GI) locations as a measure of colonoscopy access, we correlate GI density and AI/AN CRC screening rates.

Methods: We identified GIs from the 2016 National Provider Identifier registry, and calculated GI density per 100,000 people. Read More

Am J Surg 2022 Apr 29. Epub 2022 Apr 29.

Faculty of Medicine, McGill University, Montreal. 3605 Rue de la Montagne Décarie, Montreal, Quebec, H3G 2M1, Canada; Cedars Breast Clinic, McGill University Health Centre, 1001 Boulevard Décarie, Montreal, Quebec, H4A 3J1, Canada; Division of General Surgery, Department of Surgery, McGill University Health Centre, 1001 Boulevard Décarie, Montreal, Quebec, H4A 3J1, Canada. Electronic address:

Background: There is uncertainty whether benign breast papillomas without atypia (BP) can be followed by imaging or require surgical resection.

Methods: A single-center, retrospective cohort study of patients diagnosed with BP (2011-2021) to determine the upgrade rate on surgery, and factors associated with surgical intervention and upgrade.

Results: 139 BPs were included. Read More

Am J Surg 2022 Apr 22. Epub 2022 Apr 22.

Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA. Electronic address:

Introduction: Inadequate pain control frequently extends length of stay (LOS) and costs for patients undergoing mastectomy with implant-based reconstruction (IBR). We sought to examine the effects of Paravertebral blocks (PVB) and liposomal bupivacaine (LB) and compare LOS, pain scores and costs of hospitalization.

Methods: Prospective database review of patients undergoing mastectomy with IBR was performed. Read More

Am J Surg 2022 Apr 26. Epub 2022 Apr 26.

Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China. Electronic address:

Background: We compared post-treatment pain, quality of recovery and complications between those who did not receive (Group I) and received (Group II) intravenous low-dose Midazolam (<0.05 mg/kg) and Pethidine (<0.5 mg/kg) during radiofrequency ablation (RFA) of benign thyroid nodules. Read More

Am J Surg 2022 Apr 29. Epub 2022 Apr 29.

Trauma Unit Shamir Medical Center Affiliated with University Tel Aviv, Zerefin, Israel. Electronic address:

Am J Surg 2022 Apr 25. Epub 2022 Apr 25.

Department of Surgery, St. Paul's Hospital, University of British Columbia, 1081 Burrard Street, Vancouver, British Columbia, V6Z 1Y6, Canada. Electronic address:

Am J Surg 2022 Apr 25. Epub 2022 Apr 25.

University of Pennsylvania, Department of Surgery, USA. Electronic address:

Background: An updated examination of the surgeon experience during the Covid-19 pandemic is lacking. This study sought to describe how surgeon stress levels and sources of stress evolved over the pandemic.

Methods: An electronic survey was administered to surgeons at four academic hospitals at 6-months and 12-months following an initial telephone survey. Read More

Am J Surg 2022 Apr 15. Epub 2022 Apr 15.

University of Alabama at Birmingham, Department of Surgery/ Division of Breast and Endocrine Surgery, Birmingham, AL, USA.

Background: Primary hyperparathyroidism (PHPT) with low preoperative vitamin D levels is thought to be related to 4-gland hyperplasia. We reviewed final parathyroid pathology in relationship to preoperative vitamin D levels.

Methods: A retrospective review was performed for all PHPT patients undergoing parathyroidectomy from 2001 to 2019. Read More

Am J Surg 2022 Apr 6. Epub 2022 Apr 6.

Division of Head & Neck Surgery, Department of Surgical Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Am J Surg 2022 Apr 23. Epub 2022 Apr 23.

Department of Surgery, Mount Sinai South Nassau, Oceanside, NY, USA; Department of Surgery, Division of HPB Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA. Electronic address:

Background: Although gallbladder cancer is the most common biliary tract malignancy, squamous cell carcinoma of the gallbladder (GBSCC) is extremely uncommon, comprising approximately 1-4% of all malignant gallbladder tumors. Given its rare incidence, there are currently no established treatment guidelines for GBSCC.

Methods: We reviewed the current data available through a comprehensive search of PubMed/MEDLINE and Embase. Read More