15,654 results match your criteria American Surgeon[Journal]


Primary Repair of Umbilical Hernias: Evidence of Feasibility.

Am Surg 2020 04;86(4):e220

View Article

Download full-text PDF

Source

Pay More Attention to the Follow-Up of Remnant Stomach.

Am Surg 2020 04;86(4):e219

View Article

Download full-text PDF

Source

REBOA Catheter Balloon Rupture during CPR.

Am Surg 2020 Apr;86(4):e196-e197

View Article

Download full-text PDF

Source

Fundectomy as a Modified Technique for One Anastomosis Gastric Bypass.

Authors:
Hung-Chieh Lo

Am Surg 2020 Apr;86(4):e194-e195

View Article

Download full-text PDF

Source

Giant Colonic Diverticulum after Side-to-Side Colonic Anastomosis.

Authors:
Victor E Pricolo

Am Surg 2020 Apr;86(4):e183-e184

View Article

Download full-text PDF

Source

Postmastectomy Radiotherapy: Barriers to Implementation in a Disparate Population.

Am Surg 2020 Apr;86(4):377-385

From the *Department of Surgery, †Markey Cancer Center, and ‡Department of Biostatistics, University of Kentucky, Lexington, Kentucky.

Appalachian Kentucky (AK) has a disproportionally high breast cancer mortality rate. Postmastectomy radiotherapy (PMRT) in N2/N3 nodal disease improves survival and locoregional recurrence. We evaluated Kentucky patient compliance to the quality measure of PMRT received within one year of diagnosis. Read More

View Article

Download full-text PDF

Source

Early Anti-Xa Assay-Guided Low Molecular Weight Heparin Chemoprophylaxis Is Safe in Adult Patients with Acute Traumatic Brain Injury.

Am Surg 2020 Apr;86(4):369-376

From the *Department of Surgery, New York University School of Medicine, New York, New York.

This study evaluated the safety of early anti-factor Xa assay-guided enoxaparin dosing for chemoprophylaxis in patients with TBI. We hypothesized that assay-guided chemoprophylaxis would be comparable in the risk of intracranial hemorrhage (ICH) progression to fixed dosing. An observational analysis of adult patients with blunt traumatic brain injury (TBI) was performed at a Level I trauma center from August 2016 to September 2017. Read More

View Article

Download full-text PDF

Source

Chemoprophylaxis and Venous Thromboembolism in Traumatic Brain Injury at Different Trauma Centers.

Am Surg 2020 Apr;86(4):362-368

From the *Department of Trauma, Burns and Surgical Critical Care, University of California, Irvine Medical Center, Orange, California; and.

Patients with severe traumatic brain injury (TBI) are at an increased risk of venous thromboembolism (VTE). Because of concerns of worsening intracranial hemorrhage, clinicians are hesitant to start VTE chemoprophylaxis in this population. We hypothesized that ACS Level I trauma centers would be more aggressive with VTE chemoprophylaxis in adults with severe TBI than Level II centers. Read More

View Article

Download full-text PDF

Source

Blunt Cardiac Injury: A Single-Center 15-Year Experience.

Am Surg 2020 Apr;86(4):354-361

From the *Department of Cardiothoracic Surgery, and †Department of Traumatology, Central Affiliated Hospital of Chongqing University, Chongqing Emergency Medical Center, Chongqing, China.

In recent years, the incidence of blunt cardiac injury (BCI) has increased rapidly and is an important cause of death in trauma patients. This study aimed to explore early diagnosis and therapy to increase survival. All patients with BCI during the past 15 years were analyzed retrospectively regarding the mechanism of injury, diagnostic and therapeutic methods, and outcome. Read More

View Article

Download full-text PDF

Source

Early Active Irrigation-Suction Drainage among Enterocutaneous Fistulas Patients with Chronic Critical Illness: A Retrospective Cohort Study.

Am Surg 2020 Apr;86(4):346-353

From the *Department of Surgery, Jinling Hospital, Nanjing Medical University, Nanjing, P R China and.

Enterocutaneous fistulas (ECFs) requiring admission to ICU is a serious surgical complication. A growing number of patients survive ECFs but remain chronically critically ill. The aim of our study was to investigate the risk factors of hospital death in patients with chronic critical illness attributed to ECFs. Read More

View Article

Download full-text PDF

Source

A Potential Role for Robotic Cholecystectomy in Patients with Advanced Liver Disease: Analysis of the NSQIP Database.

Am Surg 2020 Apr;86(4):341-345

From the *Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California and.

Robotic surgery has been widely adopted by many specialties, including hepatobiliary surgery. However, robotic procedures generally require longer operative times and are costlier than their laparoscopic counterparts. The role for robotic cholecystectomy (RC), particularly in patients with advanced liver disease, has not been established. Read More

View Article

Download full-text PDF

Source

Significance of Amylase Monitoring in Peritoneal Drainage Fluid after Splenectomy: A Clinical Analysis of Splenectomy in 167 Patients with Hepatolenticular Degeneration.

Am Surg 2020 Apr;86(4):334-340

From the *Department of General Surgery, The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, China and.

Different kinds of complications after splenectomy in hepatolenticular degeneration patients with hypersplenism have been reported in the past decades, but studies on pancreatic fistula and the corresponding targeted prevention and treatment after splenectomy still remain much unexplored. The present work investigated the pathogenic factors of pancreatic fistula after splenectomy and the variation tendency of amylase in drainage fluid, aiming to verify the significance of monitoring amylase in the abdominal drainage fluid in the early diagnosis of pancreatic fistula after splenectomy. One hundred sixty-seven patients with hepatolenticular degeneration and hypersplenism who underwent splenectomy in the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine from January 2016 to August 2018 were selected and analyzed. Read More

View Article

Download full-text PDF

Source

Use of CT Scans for Abdominal Pain in the ED: Factors in Choice.

Am Surg 2020 Apr;86(4):324-333

From the *Saint Agnes Hospital, Baltimore, Maryland.

Overutilization of healthcare resources is a threat to long-term healthcare sustainability and patient outcomes. CT is a costly but efficient means of assessing abdominal pain; however, 97 per cent of ED physicians acknowledge its overutilization. This study sought to understand factors that influence ED providers' decision regarding CT use in the evaluation of abdominal pain. Read More

View Article

Download full-text PDF

Source

Is It Rational to Perform Liver Resection for Patients with Intermediate and Advanced Stages of Hepatocellular Carcinoma?

Am Surg 2020 Apr;86(4):313-323

From the *Department of Surgery, †Department of Radiology, ‡Department of Gastroenterology, §Department of Oncology, and ¶Department of Pathology, School of Medicine, Karadeniz Technical University, Trabzon, Turkey; and ║Department of Biostatistics, Hacettepe University, Ankara, Turkey.

This study aimed to investigate clinical characteristics of hepatocellular carcinoma and the outcome of our aggressive treatment policy which follows the Barcelona Clinic Liver Cancer (BCLC) guidance. In this study, we retrospectively analyzed data of 102 patients who were treated for hepatocellular carcinoma between January 2007 and October 2016. Male predominance (81. Read More

View Article

Download full-text PDF

Source

Operative Surgery Is Rarely Required in the Acute Management of Diverticulitis in the Modern Era.

Am Surg 2020 Apr;86(4):308-312

From the *School of Medicine, Griffith University, Gold Coast, Australia and.

Acute diverticulitis is an emergency surgical condition that is commonly managed an acute surgical unit model. Operative surgery is indicated in selected situations including generalized peritonitis or fistulous disease; however, limited data exist on how borderline patients potentially needing surgery may be salvaged by close clinical management with modern interventional techniques. The aims of the study were to identify the operative surgery rates in acute diverticulitis and predictors for identifying patients with complicated diverticulitis. Read More

View Article

Download full-text PDF

Source

A Single-Center Experience with Minimally Invasive Transgastric ERCP in Patients with Previous Gastric Bypass: Lessons Learned and Technical Considerations.

Am Surg 2020 Apr;86(4):300-307

As bariatric surgery increases, there is a growing population of patients with biliary obstruction and anatomy which precludes transoral access through endoscopic retrograde cholangiopancreatography (ERCP). Minimally invasive transgastric ERCP (TG-ERCP) offers a feasible alternative for the treatment. A retrospective review was performed of all patients who underwent laparoscopic or robotic-assisted TG-ERCP between 2010 and 2017. Read More

View Article

Download full-text PDF

Source

Advancing the Time to the Initiation of Adjuvant Chemotherapy and Improving Postoperative Outcome: Enhanced Recovery after Surgery in Pancreaticoduodenectomy.

Am Surg 2020 Apr;86(4):293-299

Early initiation of chemotherapy could improve overall survival after pancreaticoduodenectomy (PD). The concept of enhanced recovery after surgery (ERAS), which aims to reduce the stress response to surgery and accelerate recovery, is relatively limited in PD. The aim of the study was to retrospectively analyze the relationships of ERAS with the time of initiation of postoperative chemotherapy and recovery in PD patients. Read More

View Article

Download full-text PDF

Source

Cancer Immunotherapy for the General Surgeon.

Am Surg 2020 Apr;86(4):284-292

Progress in the arena of cancer immunotherapy has been immense in recent years. The fact remains that most of the cancer resections in the United States are performed by general surgeons and not oncologic specialists. A busy practice in general surgery will invariably make it difficult to keep pace with such rapid advancement. Read More

View Article

Download full-text PDF

Source

Why Halsted Went into Medicine.

Authors:
Don K Nakayama

Am Surg 2020 Apr;86(4):281-283

View Article

Download full-text PDF

Source

Blunt Cerebrovascular Injury in Children.

Am Surg 2020 Mar;86(3):e142-e143

View Article

Download full-text PDF

Source