23,685 results match your criteria American journal of surgery[Journal]


The spectrum of injuries resulting from abdominal stab wounds with isolated omental evisceration: A South African experience.

Am J Surg 2018 Jun 15. Epub 2018 Jun 15.

Pietermaritzburg Metropolitan Trauma Service, Department of Surgery, University of KwaZulu Natal, Durban, South Africa; Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa.

Introduction: The spectrum of injury associated with anterior abdominal stab wounds (SWs) is well established. The literature in the specific setting of isolated omental evisceration is limited.

Materials And Methods: We reviewed our experience of 244 consecutive patients with established indications for laparotomy over an eight year period at a major trauma centre in South Africa. Read More

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The association of surgical drains with surgical site infections - A prospective observational study.

Am J Surg 2018 Jun 19. Epub 2018 Jun 19.

Department of Surgery, University of Basel and University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland. Electronic address:

Background: Surgical drains are widely used despite limited evidence in their favor. This study describes the associations between drains and surgical site infections (SSI).

Methods: This prospective observational double center study was performed in Switzerland between February 2013 and August 2015. Read More

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Simulation-based training for trauma resuscitation among ACS TQIP-Pediatric centers: Understanding prevalence of use, associated center characteristics, training factors, and implementation barriers.

Am J Surg 2018 Jun 18. Epub 2018 Jun 18.

Department of Surgery, Children's Hospital Los Angeles and USC Keck School of Medicine, Los Angeles, CA, USA. Electronic address:

Background: Simulation-based training (SBT) for pediatric trauma resuscitation can improve team performance. The purpose of this study was to describe the nationwide trend in SBT use and barriers to SBT implementation.

Methods: Trauma centers that participated in ACS TQIP Pediatric in 2016 (N = 125) were surveyed about SBT use. Read More

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The role of sex in the outcomes of patients with biliary tract cancers remains unclear: A population-based study.

Am J Surg 2018 Jun 19. Epub 2018 Jun 19.

Department of Medicine, Queen's University, Kingston, Ontario, Canada; Division of Cancer Care and Epidemiology, Queen's University Cancer Research Institute, Queen's University, Kingston, Ontario, Canada; Department of Public Health Sciences, Queen's University, Kingston, Ontario, Canada. Electronic address:

Background: Differences in outcomes between males and females with biliary tract cancer (BTC) has been previously reported but not studied.

Methods: This was a population-based retrospective cohort study of patients undergoing BTC resection in Ontario between 2002 and 2012. Descriptive statistics on patient, disease, and treatment-related factors in each BTC subtype were reported. Read More

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Total bilirubin trend as a predictor of common bile duct stones in acute cholecystitis and symptomatic cholelithiasis.

Am J Surg 2018 Jun 18. Epub 2018 Jun 18.

Yale School of Medicine, Department of Trauma, Surgical Critical Care and Surgical Emergencies, New Haven, CT, USA. Electronic address:

Background: We hypothesized that trends in total bilirubin in the context of cholecystitis and symptomatic cholelithiasis could be used to guide testing for the presence of common bile duct stones (CBDS).

Methods: A review of adult patients with acute cholecystitis or biliary colic with elevated total bilirubin and at least two levels drawn prior to procedural intervention was performed. Trends of total bilirubin and other serum makers were examined to predict the presence of CBDS. Read More

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Novel techniques of engineering 3D vasculature tissue for surgical procedures.

Am J Surg 2018 Jun 12. Epub 2018 Jun 12.

Department of Ophthalmology, Schepens Eye Research Institute, Harvard Medical School, Boston, MA, 02114, USA. Electronic address:

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Outcomes of preinjury anticoagulation in patients with traumatic rib fractures.

Am J Surg 2018 Jun 18. Epub 2018 Jun 18.

Section of Trauma and Acute Care Surgery, Department of Surgery, Albany Medical Center, Albany, NY, USA. Electronic address:

Background: Anticoagulant and antiplatelet agents (ACAP) have been shown to negatively affect trauma patients.

Methods: Outcomes in adults with rib fractures were reviewed. Pearson chi-square test was used for analysis. Read More

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June 2018
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Outcomes in patients with renal hyperparathyroidism requiring cinacalcet pre-operatively followed by parathyroidectomy.

Am J Surg 2018 Jun 19. Epub 2018 Jun 19.

Department of Surgery, William Beaumont Hospital - Royal Oak, MI, 3601 W. 13 Mile Rd., Royal Oak, MI, 48073, USA. Electronic address:

Background: Cinacalcet is an effective treatment for renal hyperthyroidism when traditional medical therapy has failed. We studied the impact of pre-operative cinacalcet administration on post-surgical outcomes.

Methods: A retrospective analysis was performed of patients from 2002 to 2017 diagnosed with renal hyperparathyroidism requiring parathyroidectomy to evaluate the need for post-operative supplementation and outcomes. Read More

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June 2018
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Differing perceptions of preoperative communication among surgical team members.

Am J Surg 2018 Jun 12. Epub 2018 Jun 12.

Operative Performance Research Institute, University of Chicago Medicine, 5841 South Maryland Avenue, Chicago, IL, 60637, USA; Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago Medicine, 5841 South Maryland Avenue, Chicago, IL, 60637, USA. Electronic address:

Background: Although preoperative communication is an emerging means through which surgical teams prepare for cases, little is known regarding its current state. This study investigated this topic in a survey of surgical team members.

Methods: An 11-question survey regarding the current state of and barriers to preoperative communication among surgical team members (surgeons, anesthesiologists, and surgical nurses and technologists) was distributed at a United States academic medical center utilizing the SurveyMonkey online questionnaire tool. Read More

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Detection of traumatic pancreatic duct disruption in the modern era.

Am J Surg 2018 Jun 12. Epub 2018 Jun 12.

Division of Trauma and Surgical Critical Care, LAC+USC Medical Center, University of Southern California, Los Angeles, CA, 2051 Marengo Street, IPT C5L100, Los Angeles, CA 90033, United States. Electronic address:

Background: Pancreatic trauma management hinges upon the presence or absence of pancreatic duct injury, but the optimal method of assessment is unclear. This study endeavored to evaluate the methods of pancreatic duct assessment in modern practice.

Methods: Patients presenting to LAC + USC Medical Center (01/2008-06/2015) with a pancreatic injury were identified (ICD-9 codes). Read More

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The enduring influence of surgical societies.

Am J Surg 2018 Jun 3;215(6):981-986. Epub 2018 Mar 3.

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How not to deal with sigmoid cancer.

Am J Surg 2018 May 29. Epub 2018 May 29.

Section of Colorectal Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY, United States. Electronic address:

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Joint statement by the Surgery Journal Editors Group.

Authors:

Am J Surg 2018 Jul 17;216(1). Epub 2018 May 17.

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The diagnostic value of splenectomy in patients without a definitive preoperative diagnosis.

Am J Surg 2018 May 29. Epub 2018 May 29.

Division of Surgical Oncology, Mayo Clinic Arizona, 5777 East Mayo Blvd, Phoenix, AZ 85054, USA. Electronic address:

Background: The purpose of this study was to describe the diagnostic value and therapeutic benefit of diagnostic splenectomy.

Methods: Retrospective review was performed of patients undergoing splenectomy with an unknown diagnosis (UD), a hematologic malignancy (HM) or idiopathic thrombocytopenic purpura. Surgical indications and postoperative outcomes were evaluated. Read More

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MELD-Na (the new MELD) and peri-operative outcomes in emergency surgery.

Am J Surg 2018 May 22. Epub 2018 May 22.

Michael E. DeBakey Veterans Affairs Medical Center, Baylor College of Medicine, Surgical Service (112), 2002 Holcombe Blvd., Houston, TX 77030, USA. Electronic address:

Background: The new Model for End-Stage Liver Disease includes serum sodium (MELD-Na). To evaluate its predictive power in non-transplant surgery, we analyzed emergency surgery outcomes of cirrhotic patients, hypothesizing that negative outcomes could be associated with discrete MELD-Na score thresholds.

Methods: Retrospective chart review was conducted of patients with cirrhosis undergoing emergency surgery at our institution from 2001 to 2013 (n = 85). Read More

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May 2018
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Single-site robotic cholecystectomy versus multi-port laparoscopic cholecystectomy: A systematic review and meta-analysis.

Am J Surg 2018 May 22. Epub 2018 May 22.

Department of Hepatobiliary and Transplantation Surgery, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, 110001, PR China. Electronic address:

Objective: To investigate the outcomes of single-site robotic cholecystectomy (SSRC) compared to multi-port laparoscopic cholecystectomy (MLC), evaluate the safety and feasibility of SSRC.

Methods: To find relevant studies, the electronic databases PubMed, MEDLINE, The Cochrane Library, and EMBASE were used to seek information in English literature from 2011 to 2017. Studies comparing SSRC to MLC, for any indication, were included in the analysis. Read More

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Naked-eye box trainer and training box games have similar training effect as conventional video-based box trainer for novices: A randomized controlled trial.

Am J Surg 2018 May 24. Epub 2018 May 24.

Division of Colon and Rectal Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan; School of Medicine, National Yang-Ming University, Taipei, Taiwan. Electronic address:

Background: Laparoscopic surgery has become a well-established technique for management of various surgical problems. A more efficient training methods are of upmost importance for current surgery residents.

Methods: This is a prospective, randomized, 3-arm trial to compare the training efficient of the naked-eye box trainer, training box games and conventional video-based box trainer in training laparoscopic suturing skill. Read More

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Impact of orthopaedic candidate interview timing on successful matching.

Am J Surg 2018 May 29. Epub 2018 May 29.

Department of Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch, Galveston, TX, USA.

Introduction: The impact of the interview date on matching in orthopaedic surgery residency is unknown.

Materials And Methods: A retrospective review of interviewed applicants for a first-year orthopaedic surgery residency was conducted to determine the likelihood of matching based on being interviewed early versus late at our program. The United States Medical Licensing Examination (USMLE) scores were compared between early and late interviewees. Read More

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Short-term surgical missions in resource-limited environments: Five years of early surgical outcomes.

Am J Surg 2018 May 18. Epub 2018 May 18.

Rutgers New Jersey Medical School, Department of Surgery, 185 South Orange Ave MSB G506, Newark, NJ, USA.

Outcomes of short-term surgical missions (STSMs) hosted in developing countries are underreported, raising quality concerns. This study aims to analyze early outcomes of one humanitarian surgical organization to show that safe essential general surgery can be provided in the context of STSMs. Records from 6 STSMs to Sierra Leone and Ghana were reviewed for early complications and analysis performed to identify associated factors. Read More

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Disparate outcomes of global emergency surgery - A matched comparison of patients in developed and under-developed healthcare settings.

Am J Surg 2018 Jun 12;215(6):1029-1036. Epub 2018 May 12.

Center for Surgery and Public Health, Harvard Medical School and Harvard T.H. Chan School of Public Health, Department of Surgery, Brigham & Women's Hospital, Boston, MA, USA. Electronic address:

Introduction: Access to surgical care is an essential element of health-systems strengthening. This study aims to compare two diverse healthcare settings in South Asia and the United States (US).

Methods: Patients at the Aga Khan University Hospital (AKUH), Pakistan were matched to patients captured in the US Nationwide Inpatient Sample (US-NIS) from 2009 to 2011. Read More

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Trends in the clinical presentation, treatment, and survival for pancreatic adenocarcinoma.

Am J Surg 2018 May 23. Epub 2018 May 23.

Department of Surgery, Albert Einstein Medical Center, Philadelphia, PA, USA.

Background: We assessed trends in the clinical presentation, treatment, and survival for pancreatic adenocarcinoma.

Methods: A retrospective cohort study using data from the SEER program (2004-2014). All patients diagnosed with pancreatic adenocarcinoma over 2 eras were included (A: 2004-2009 vs. Read More

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Volume-based feeding improves nutritional adequacy in surgical patients.

Am J Surg 2018 May 22. Epub 2018 May 22.

Department of Surgery, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, MI, USA.

Background: Critically ill surgical patients often receive inadequate enteral nutrition using traditional rate-based feeding methods. An alternative strategy is volume-based feeding, in which feeding rates are adjusted to deliver a goal volume per day.

Methods: This prospective quality improvement study in a single surgical, trauma, and burn ICU compared volume-based feeding to rate-based feeding in a before-and-after design. Read More

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Lean methods to improve operating room elective first case on-time starts in a large, urban, safety net medical center.

Am J Surg 2018 May 23. Epub 2018 May 23.

Los Angeles County + University of Southern California (LAC+USC) Medical Center, Los Angeles, CA, USA; Department of Surgery, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA. Electronic address:

Background: Delays in first cases contribute to multiple operating room (OR) inefficiencies and decreases in OR productivity.

Methods: Lean process improvement methods were used to redesign the existing workflow for elective first cases of the day in a large, urban, public hospital. First case start times were prospectively recorded from May 2, 2016 through December 29, 2017. Read More

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Advances in medical polymer technology towards the panacea of complex 3D tissue and organ manufacture.

Am J Surg 2018 May 18. Epub 2018 May 18.

3Dynamic Systems, Llynfi Enterprise Centre, Heol Ty Gwyn, United Kingdom. Electronic address:

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Racial disparities in surgical outcomes of patients with Inflammatory Bowel Disease.

Am J Surg 2018 Jun 12;215(6):1046-1050. Epub 2018 May 12.

Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, United States. Electronic address:

Background: Inflammatory Bowel Disease (IBD) has not historically been a focus of racial health disparities research. IBD has been increasing in the black community. We hypothesized that outcomes following surgery would be worse for black patients. Read More

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Outcomes of abdominal surgeries in cirrhotic patients performed by liver transplant surgeons: Are these safe?

Am J Surg 2018 May 12. Epub 2018 May 12.

Tampa General Medical Group, Tampa General Hospital, 409 Bayshore Blvd, Tampa, FL 33606, USA.

Background: Elective abdominal surgeries in patients with cirrhosis have been discouraged due to the high risk of complications. This study investigates the outcomes and safety of surgeries for hernias, and laparoscopic cholecystectomies in cirrhotic patients.

Methods: A retrospective cohort study that compared 91 cirrhotic patients to a control group of non-cirrhotic patients operated by liver transplant surgeons was conducted between 2009 and 2015. Read More

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Ventral hernia and pregnancy: A systematic review.

Am J Surg 2018 May 3. Epub 2018 May 3.

Digestive Disease Center, Bispebjerg Hospital, Bispebjerg Bakke 23, 2400 Copenhagen NV, Denmark. Electronic address:

Background: Consensus lacks concerning management of ventral hernia in women who are, or might become pregnant. The aim of this systematic review was to examine the risk of recurrence following pre-pregnancy ventral hernia repair, and secondly the prevalence of ventral hernia during pregnancy and the risk of surgical repair pre- and post-partum.

Data Sources: PubMed, Embase, CINAHL, Cochrane Library and Web of Science were systematically searched for randomized controlled trials, case-control, cohort studies and larger case-series on ventral (umbilical, epigastric or incisional) hernia repair in relation to pregnancy. Read More

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A novel endoscopic grading system for prediction of disease-related outcomes in patients with diverticulosis.

Am J Surg 2018 May 12. Epub 2018 May 12.

Department of Colorectal Surgery, Cleveland Clinic Foundation, 2049 East 100th Street, 44195, Cleveland, OH, USA. Electronic address:

Background: We describe a simple endoscopic grading system of diverticular disease for the assessment of disease severity and prediction of outcomes.

Methods: A retrospective analysis of prospectively maintained colonoscopy database was conducted. A single endoscopist prospectively graded disease severity according to the number and size of diverticula, the degree of muscular hypertrophy and rigidity of the sigmoid colon. Read More

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Effective utilization of non-invasive enteroscopy.

Authors:
Allen J Tsai

Am J Surg 2018 May 19. Epub 2018 May 19.

Northeast Ohio Medical University College of Medicine, 4209 St. Rt. 44, Rootstown, OH 44272, USA. Electronic address:

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Amputation stump perfusion is predictive of post-operative necrotic eschar formation.

Am J Surg 2018 May 19. Epub 2018 May 19.

Washington University School of Medicine, Department of Surgery, Section of Vascular Surgery, St. Louis, MO, USA; Veterans Affairs St. Louis Health Care System, St. Louis, MO, USA. Electronic address:

Background: A large proportion of patients develop poor amputation stump healing. We hypothesize that Laser-Assisted Fluorescent Angiography (LAFA) can predict inadequate tissue perfusion and healing.

Methods: Over an 8-month period we reviewed all patients who underwent lower extremity amputation and LAFA. Read More

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Sociodemographic determinants of non-accidental traumatic injuries in children.

Am J Surg 2018 Jun 12;215(6):1037-1041. Epub 2018 May 12.

Department of Surgery, University of Texas Medical Branch, Galveston, TX, United States. Electronic address:

Background: Traumatic injuries account for 18% of child abuse cases and 1680 children die from abuse annually. We set out to determine the impact of sociodemographic characteristics on resource utilization and outcomes in nonaccidental trauma (NAT).

Methods: We used the Kid's Inpatient Database to identify children with two main subgroups of child abuse diagnoses: NAT and other forms of child abuse. Read More

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Planning post-discharge destination for gastrointestinal surgery patients: Room for improvement?

Am J Surg 2018 May 16. Epub 2018 May 16.

Institute for Cancer Outcomes & Survivorship, University of Alabama at Birmingham, United States. Electronic address:

Background: We compared short-term recovery for patients discharged to inpatient rehabilitation versus skilled nursing facilities after gastrointestinal surgery.

Materials & Methods: We conducted a propensity-matched cohort study of 12,939 adults discharged to inpatient rehabilitation or skilled nursing facilities after colectomy, pancreatectomy or hepatectomy at hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program from 2011 to 2014. Primary outcomes were readmission and mortality rates 30 days after surgery. Read More

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Effectiveness and safety of total laparoscopic distal gastrectomy versus laparoscopy-assisted distal gastrectomy for gastric cancer: A retrospective cohort study.

Am J Surg 2018 May 16. Epub 2018 May 16.

Department of Minimally Invasive Surgery Center, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan Province, China. Electronic address:

Aim: To compare the results of total laparoscopic distal gastrectomy (TLDG) and laparoscopy-assisted distal gastrectomy (LADG) and explore the safety and feasibility of TLDG.

Methods: Data were collected and analyzed from patients underwent TLDG and LADG from January 2009 to December 2011 at our institution.

Results: 127 LADG cases and 104 TLDG cases were included and balanced for age, sex, BMI, ASA scores, and CEA level in this study. Read More

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May 2018
2 Reads

The physician of the future and the future of physicians.

Am J Surg 2018 May 3. Epub 2018 May 3.

Department of Surgery, West Virginia University, Charleston Division, 3110 McCorkle Ave, Charleston, WV 25304, United States. Electronic address:

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Review of risk assessment tools to predict morbidity and mortality in elderly surgical patients.

Am J Surg 2018 Apr 18. Epub 2018 Apr 18.

Department of Surgery, University of Alberta, Edmonton, Canada; Department of Critical Care Medicine, University of Alberta, Edmonton, Canada. Electronic address:

Background: Informed surgical consent requires accurate estimation of risks and benefits. Multiple risk assessment tools are available; however, most are not widely used or are specific to certain interventions. Assessing surgical risk is especially challenging in elderly patients because of their range of comorbidities, level of frailty, or severity of illness and a number of available surgical interventions. Read More

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Blunt splenic injury during colonoscopy: Is it as rare as we think?

Am J Surg 2018 Jun 12;215(6):1042-1045. Epub 2018 May 12.

Washington University School of Medicine, Department of Surgery, Section of Acute and Critical Care Surgery, Campus Box 8109, 660 S. Euclid Ave, St. Louis, MO, 63110, United States.

Background: Post colonoscopy blunt splenic injury (PCBSI) is a rarely reported and poorly recognized event. We analyzed cases of PCBSI managed at our hospital and compared them to existing literature.

Methods: We identified 5 patients admitted with PCBSI through chart review. Read More

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Prophylactic cholecystectomy in short bowel syndrome: Is it being utilized?

Am J Surg 2018 Jul 27;216(1):73-77. Epub 2018 Apr 27.

University of Nebraska Medical Center, Omaha, NE, USA.

Introduction: Cholelithiasis is common in patients with short bowel syndrome (SBS). Prophylactic cholecystectomy (PC) of the non-diseased gallbladder has been recommended in SBS patients when laparotomy is being undertaken for other reasons. Our aim was to determine if PC is being utilized. Read More

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The incidence and outcome of hyperlactatemia in patients admitted to the intensive care unit after elective surgery.

Am J Surg 2018 Apr 23. Epub 2018 Apr 23.

Intensive Care Unit, Department of Anesthesiology, The Jikei University School of Medicine, 3-19-18, Nishi-Shinbashi, Minato-ku, Tokyo, 105-8471, Japan. Electronic address:

Background: Although hyperlactatemia is often developed in critically ill patients, it is unclear whether hyperlactatemia is associated with poor prognosis for surgical ICU (SICU) patients.

Methods: We performed a retrospective analysis in an academic hospital in Tokyo. The maximum lactate was defined as the highest value within the SICU stay. Read More

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Octogenarians have worse clinical outcomes after thyroidectomy.

Am J Surg 2018 Apr 22. Epub 2018 Apr 22.

Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA. Electronic address:

Background: The rising proportion of older adults in the US population coupled with an increased prevalence of nodular thyroid disease will result in more thyroidectomies being performed. The aim of this study is to evaluate the clinical outcomes among older adults (age ≥65) undergoing thyroidectomy compared to younger adults (18-64).

Methods: This was a population-based study of adult thyroidectomy patients using the Premier Healthcare Database, 2005-2014. Read More

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A literature-based cost analysis of tissue plasminogen activator for prevention of biliary stricture in donation after circulatory death liver transplantation.

Am J Surg 2018 Apr 17. Epub 2018 Apr 17.

University of Louisville, Department of Surgery, Division of Transplantation, Louisville, KY, USA. Electronic address:

Introduction: This study sought to approximate the cost-effectiveness of tPA utilization for prevention of biliary strictures (PTBS) in donation after circulatory death liver transplantation (DCD-LT).

Methods: Previously-reported PTBS rates in DCD-LT with and without tPA were used to calculate the number needed to treat (NNT) for prevention of one PTBS. The incremental cost of PTBS was then used to determine the cost effectiveness of tPA for prevention of PTBS. Read More

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How to deal with rectal lesions more than 15 cm from the anal verge through transanal endoscopic microsurgery.

Am J Surg 2018 Apr 22. Epub 2018 Apr 22.

Coloproctology Unit. General and Digestive Surgery Service, Parc Tauli University Hospital, Sabadell, Universitat Autonoma de Barcelona, Parc Tauli s/n, 08208, Sabadell (Barcelona), Spain.

Background: The aim of this study is to assess postoperative morbidity and mortality in tumors with a proximal margin 15 cm or more from the anal verge operated with transanal endoscopic microsurgery (TEM).

Methods: This observational study of consecutive rectal tumor patients undergoing TEM was carried out from July 2004 to June 2017. We compared the results of rectal tumors at distances of ≥15 cm (group A) and <15 cm (group B) from the anal verge. Read More

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Value of ultrasound-guided fine needle aspiration in diagnosing axillary lymph node recurrence after breast cancer surgery.

Am J Surg 2018 Apr 21. Epub 2018 Apr 21.

Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Republic of Korea. Electronic address:

Background: This article aims to assess the diagnostic performance of ultrasound-guided fine needle aspiration (US-FNA) in diagnosing axillary lymph node (ALN) recurrence in patients with a history of breast cancer.

Methods: From January 2005 to June 2015, 231 US-FNA examinations performed for suspicious axillary lesions in 218 patients with a history of breast cancer were included. Diagnostic performance of US-FNA for ALN recurrence were evaluated. Read More

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April 2018
2 Reads

Prophylactic mesh augmentation: Patient selection, techniques, and early outcomes.

Am J Surg 2018 Apr 22. Epub 2018 Apr 22.

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, South Pavilion 14th Floor, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA. Electronic address:

Background: Incisional hernias (IH) following abdominal surgery are frequent and morbid. Prophylactic mesh augmentation (PMA) has emerged as a technique to reduce IH formation. We aim to report patient selection, techniques and early outcomes after PMA. Read More

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Early operative management of complicated appendicitis is associated with improved surgical outcomes in adults.

Am J Surg 2018 Apr 19. Epub 2018 Apr 19.

NewYork-Presbyterian Hospital / Weill Cornell Medicine, Department of Surgery, New York, NY, USA; Weill Cornell Medicine, Department of Healthcare Policy and Research, New York, NY, USA. Electronic address:

Background: There is no consensus on the ideal management of complicated appendicitis.

Methods: The New York State Planning and Research Cooperative database was used to identify all patients admitted with complicated appendicitis and undergoing appendectomy within 1-year. Primary outcome was any complication. Read More

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Is functional gallbladder disease truly increasing? Results from the Rochester Epidemiology Project.

Am J Surg 2018 Apr 17. Epub 2018 Apr 17.

Department of Surgery, Mayo Clinic, 200First Street SW, Rochester, MN, 55905, USA. Electronic address:

Introduction: Reports from US administrative databases showed an increase in cholecystectomy rate for functional gallbladder disorder (FGBD), a disease is not well recognized elsewhere. We aimed to identify the incidence and cholecystectomy rate for FGBD in an epidemiologically well-defined and prospectively studied population and compare results to published data.

Methods: After IRB approval, we extracted data from the NIH funded Rochester Epidemiology Project. Read More

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The reliability of operative rating tool evaluations: How late is too late to provide operative performance feedback?

Am J Surg 2018 Apr 17. Epub 2018 Apr 17.

Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, 601 N. Caroline St, JHOC 8161, Baltimore, 21287, MD, USA. Electronic address:

Background: Operative rating tools can enhance performance assessment in surgical training. However, assessments completed late may have questionable reliability. We evaluated the reliability of assessments according to evaluation time-to-completion. Read More

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April 2018
4 Reads

Incidence and predictors of synchronous liver metastases in patients with gastrointestinal stromal tumors (GISTs).

Am J Surg 2018 Apr 19. Epub 2018 Apr 19.

Second Department of Surgery, Democritus University of Thrace Medical School, Alexandroupoli, Greece.

Background: The liver is the most common metastatic site in patients with gastrointestinal stromal tumors (GISTs). The purpose of this study is to identify the incidence and predictive factors associated with synchronous liver metastases among patients with GISTs.

Methods: A retrospective review of the Surveillance Epidemiology and End Results (SEER) database was performed. Read More

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Effectiveness and safety of continuous neuromuscular blockade in trauma patients with an open abdomen: A follow-up study.

Am J Surg 2018 Apr 18. Epub 2018 Apr 18.

Vanderbilt University Medical Center, Division of Trauma and Surgical Critical Care, 1211 21st Ave S/404 Medical Arts Building, Nashville, TN, 37212, United States. Electronic address:

Background: Neuromuscular blocking agents (NMBA) have been associated with decreased time to fascial closure following damage control laparotomy (DCL). Changes in resuscitation over the last decade bring this practice into question.

Methods: A retrospective cohort study of adults who underwent DCL between 2009 and 2015 was conducted at an ACS-verified level 1 trauma center. Read More

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Model predicting the ypN0 status after good response to chemoradiotherapy in rectal cancer.

Am J Surg 2018 Mar 31. Epub 2018 Mar 31.

Department of Digestive Oncological Surgery, Gustave Roussy Cancer Campus, Villejuif, France.

Background: The purpose of this study was to identify the predictive factors for ypN0 status in tumors with good pathologic response to chemoradiotherapy (CRT).

Methods: A retrospective chart review was conducted on patients at two tertiary cancer center who underwent rectal resection after good response to CRT between 2000 and 2013.

Results: No preoperative treatment (oxaliplatin use, radiotherapy boost of 5,4 Gy, delay CRT-surgery) impacted on the ypN status. Read More

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March 2018
1 Read