Inability to manage non-severe complications on an outpatient basis increases non-white patient readmission rates after pancreaticoduodenectomy: A large metropolitan tertiary care center experience
Pancreaticoduodenectomy (PD) has a high rate of readmission, and racial disparities in care could be an important contributor. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 16, 2021 Category: Surgery Authors: Jorge G. Zarate Rodriguez, Heidy Cos, Gregory A. Williams, Cheryl A. Woolsey, Ryan C. Fields, Steven M. Strasberg, Majella B. Doyle, Adeel S. Khan, William C. Chapman, Chet W. Hammill, William G. Hawkins, Dominic E. Sanford Source Type: research

Reassessing career pathways of surgical leaders: An examination of surgical leaders ’ early accomplishments
The American College of Surgeon (ACS), American Surgical Association (ASA), Association of Women Surgeons (AWS), and Society of Black Academic Surgeons (SBAS) partnered to gain insight into whether inequities found in surgical society presidents may be present earlier. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 16, 2021 Category: Surgery Authors: Elana Meer, Byron D. Hughes, Colin A. Martin, Arturo J. Rios-Diaz, Viren Patel, Carla M. Pugh, Cherisse Berry, Steven C. Stain, L.D. Britt, Sharon L. Stein, Paris D. Butler Source Type: research

Medical student attitudes and actions that encourage teaching on surgery clerkships
Surgical faculty and residents are responsible for the clinical education of medical students during their core surgical clerkship, sub-internships, and clinical electives. Much attention has been paid to faculty development in teaching, as well as residents-as-teachers programs, to enhance student learning in the surgical environment. This focus to “train the trainers” has not addressed what medical students can do to take ownership of and improve their own learning, as partners in educational interactions. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 15, 2021 Category: Surgery Authors: Sarah Nguyen, Tawni Johnston, Hilary C. McCrary, Candace Chow, Chanta'l Babcock, Boyd Richards, Brigitte K. Smith Source Type: research

Robotic surgical management of sigmoid colon cancer in pregnancy: A case series
Colorectal cancer (CRC) during pregnancy is uncommon and its management can be challenging. Maternal and fetal factors affect treatment options for CRC during pregnancy. In this case series of three pregnant patients with CRC we focus on adjustments made to address technical challenges. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 14, 2021 Category: Surgery Authors: Edward Hagen, Leigh Gerson, Laila Rashidi, Amir Bastawrous Source Type: research

The impact of COVID-19 on women surgeons and trainees: The transformation of medical students, surgical residents, and attending surgeons
The COVID-19 pandemic has drastically impacted practicing women surgeons and those receiving surgical education across the world. It has necessitated a significant reorganization of hospitals and postponement of nearly all elective procedures during the times of highest healthcare system burden. Longer-term repercussions have included worse clinical outcomes associated with delays in diagnosis and treatment, as well as impaired outpatient continuation of care.1 All involved in the delivery of surgical care have been deeply affected. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 14, 2021 Category: Surgery Authors: Camila R. Guetter, Lauren Nosanov, Marion C.W. Henry, Alisha Oropallo Tags: My Thoughts / My Surgical Pratice Source Type: research

Increased complications in patients who test COVID-19 positive after elective surgery and implications for pre and postoperative screening
The COVID-19 pandemic has necessitated the adoption of protocols to minimize risk of periprocedural complications associated with SARS-CoV-2 infection. This typically involves a preoperative symptom screen and nasal swab RT-PCR test for viral RNA. Asymptomatic patients with a negative COVID-19 test are cleared for surgery. However, little is known about the rate of postoperative COVID-19 positivity among elective surgical patients, risk factors for this group and rate of complications. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 14, 2021 Category: Surgery Authors: Nikhil K. Prasad, Rachel Lake, Brian R. Englum, Douglas Turner, Tariq Siddiqui, Minerva Mayorga-Carlin, John D. Sorkin, Brajesh K. Lal Source Type: research

Comparison of comorbidity indices for prediction of morbidity and mortality after major surgical procedures
Assessing perioperative risk is essential for surgical decision-making. Our study compares the accuracy of comorbidity indices to predict morbidity and mortality. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 14, 2021 Category: Surgery Authors: Lorine Haeuser, Peter Herzog, Asha Ayub, David-Dan Nguyen, Joachim Noldus, Eugene B. Cone, Matthew Mossanen, Quoc-Dien Trinh Source Type: research

Comparative outcomes between COVID-19 and influenza patients placed on veno-venous extracorporeal membrane oxygenation for severe ARDS
ECMO is an established supportive adjunct for patients with severe, refractory ARDS from viral pneumonia. However, the exact role and timing of ECMO for COVID-19 patients remains unclear. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 13, 2021 Category: Surgery Authors: Lauren A. Raff, Trista D. Reid, Daniel Johnson, Evan J. Raff, Andrew B. Schneider, Anthony G. Charles, Jared R. Gallaher Source Type: research

I text for I COUGH: A clinical pilot study to evaluate the impact of text messaging upon postoperative ambulation in the hospital
The “I COUGH” protocol is associated with improved postoperative pulmonary outcomes, and ambulation is an essential component. I COUGH is an acronym for Incentive spirometry, Coughing, Oral care, Understanding (patient and staff education), Getting-out-of-bed, and Head-of-bed elevation. This trial s ought to enhance one component, specifically ambulation after operations. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 13, 2021 Category: Surgery Authors: Michael Ghio, Katherine Vall ès, Sherif Aly, John Tyler Simpson, Chrissy Guidry, Pamela Rosenkranz, David McAneny Source Type: research

Surgical resection of gastric gastrointestinal stromal tumors (GIST) in octogenarians
Localized gastrointestinal stromal tumors (GISTs) are rare tumors typically managed with surgery, but outcomes among octogenarians remain less studied. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 11, 2021 Category: Surgery Authors: Adrienne B. Shannon, Yun Song, Douglas L. Fraker, Robert E. Roses, Ronald P. DeMatteo, John T. Miura, Giorgos C. Karakousis Source Type: research

Postoperative complications after non-obstetric surgery among pregnant patients in the National Surgical Quality Improvement Program, 2005 –2012
To examine whether pregnant patients have higher risk of major 30-day postoperative complications compared with their non-pregnant counterparts after non-obstetric surgery. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 10, 2021 Category: Surgery Authors: Mahmoud Abdelwahab, Courtney D. Lynch, Patrick Schneider, Stephen Thung, Maged M. Costantine, David O'Malley, Mark B. Landon, Tim M. Pawlik, Kartik K. Venkatesh Source Type: research

Predictive factors of radioiodine therapy failure in Graves ’ Disease: A meta-analysis
I-131 therapy is a common treatment modality for adults with Graves ’ Disease (GD). Utilizing meta-analysis, we examined patient specific factors that predict I-131 therapy failure. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 8, 2021 Category: Surgery Authors: Mahmoud Shalaby, Deena Hadedeya, Eman A. Toraih, Michael A. Razavi, Grace S. Lee, Mohammad Hosny Hussein, Mandy C. Weidenhaft, Michael J. Serou, Kareem Ibraheem, Mohamed Abdelgawad, Emad Kandil Source Type: research

Predictive factors of radioiodine therapy failure in Graves' Disease: A meta-analysis
I-131 therapy is a common treatment modality for adults with Graves ’ Disease (GD). Utilizing meta-analysis, we examined patient specific factors that predict I-131 therapy failure. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 8, 2021 Category: Surgery Authors: Mahmoud Shalaby, Deena Hadedeya, Eman A. Toraih, Michael A. Razavi, Grace S. Lee, Mohammad Hosny Hussein, Mandy C. Weidenhaft, Michael J. Serou, Kareem Ibraheem, Mohamed Abdelgawad, Emad Kandil Source Type: research

Oncologic outcomes in resected ampullary cancer: Relevance of histologic subtype and adjuvant chemotherapy
Outcomes in ampullary cancer (AC) may differ by pathologic subtype. No guidelines exist for the administration of adjuvant therapy (AT). We sought to evaluate the effect of subtype and AT on survival. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 7, 2021 Category: Surgery Authors: Marina Affi Koprowski, Thomas L. Sutton, Brian T. Brinkerhoff, Aaron Grossberg, Brett C. Sheppard, Skye C. Mayo Source Type: research

Evaluation of cost-effectiveness among open, laparoscopic and robotic distal pancreatectomy: A systematic review and meta-analysis
This study compares the cost-effectiveness of open (ODP), laparoscopic (LDP) and robotic distal pancreatectomy (RDP). (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 7, 2021 Category: Surgery Authors: Stefano Partelli, Claudio Ricci, Lorenzo Cinelli, Roberto Maria Montorsi, Carlo Ingaldi, Valentina Andreasi, Stefano Crippa, Laura Alberici, Riccardo Casadei, Massimo Falconi Source Type: research

Perceptions and experiences of simulation-based assessment of technical skill in surgery: A scoping review
This study sought to review and critique the available research regarding the perceptions and experiences of resident and their trainers towards simulation-based assessment of technical skills in surgery. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 6, 2021 Category: Surgery Authors: Conor Toale, Marie Morris, Dara Kavanagh Source Type: research

Characteristics and prognosis of patients with large well-differentiated hepatocellular carcinoma who have undergone resection
Large well-differentiated hepatocellular carcinoma (HCC)  ≥ 3 cm (defined as atypical HCC) is uncommon. We evaluated the characteristics and outcomes of atypical HCC patients underwent liver resection (LR). (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 4, 2021 Category: Surgery Authors: Shu-Hsien Lin, Hock-Liew Eng, Yueh-Wei Liu, Chih-Che Lin, Chee-Chien Yong, Chih-Chi Wang, Chao-Long Chen, Fang-Ying Kuo, Yu-Fan Cheng, Jing-Houng Wang, Yi-Hao Yen, Ting-Ting Liu, Wei-Feng Li, Chien-Hung Chen Source Type: research

A safer placement technique for percutaneous dilatational tracheostomy
Tracheostomy is one of the most frequent procedures performed in the intensive care unit (ICU), with over 100,000 performed annually in the United States.1 First described by Ciaglia in 1985,2 percutaneous dilatational tracheostomy (PDT) has become the standard of care for tracheostomy placement performed at the bedside. The addition of video bronchoscopy during PDT, which allows for direct visualization during tracheal cannulation and dilation, has further increased the safety of the procedure. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 2, 2021 Category: Surgery Authors: Brent Emigh, R.Daniel Zaunbrecher, Marc D. Trust, Pedro G. Teixeira, Carlos VR. Brown, Jayson D. Aydelotte Tags: My Thoughts / My Surgical Practice Source Type: research

Intraoperative ultrasound is associated with low re-excision rates following breast conserving surgery for non-palpable invasive breast cancers
Wire localized breast biopsy (WLB) is the most commonly performed procedure for the removal of non-palpable breast cancer. It is associated patient discomfort and high re-excision rates. Intraoperative ultrasound (IOUS) is an alternative technique that may improve patient experience and have lower re-excision rates. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 2, 2021 Category: Surgery Authors: Christopher Baliski, Michael Jay, Jeremy Hamm Source Type: research

From the Editor – in – Chief: Papers from the Society of Black Academic Surgeons
In the April Issue of The American Journal of Surgery (AJS) we feature manuscripts from the Society of Black Academic Surgeons (SBAS). I want to thank Society and Associate Editor Erika Newman for assembling an outstanding issue. We are happy to feature the papers from their annual meeting as highlights below as well as other papers outside of their meeting: (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 1, 2021 Category: Surgery Authors: Herbert Chen Tags: Editorial Source Type: research

The 25th SBAS Presidential Address: Tools for success in academic surgery
It has been my distinct honor to serve you as the 25th President of the Society of Black Academic Surgeons. I can't properly express to you how humbled I am to serve as your President. This is an exceptional honor and a coveted highlight in my academic career. I had planned to address you in person but due to the unprecedented and extraordinary circumstances surrounding the COVID-19 pandemic, the 30th Annual Scientific Assembly of SBAS has been canceled, and so I appreciate your indulgence to accept my Presidential Address by video. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 1, 2021 Category: Surgery Authors: Martin S. Karpeh Tags: Society of Black Academic Surgeons Source Type: research

Objective Structured Assessment of technical skill (OSATS) in the Surgical Skills and Technology Elective Program (SSTEP): Comparison of peer and expert raters
A major challenge with Competency Based Medical Education (CBME) is that of increased assessment burden on faculty. To reduce this burden, the accuracy and reliability of peer-assessment for surgical skills requires further exploration. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 1, 2021 Category: Surgery Authors: Hamza Asif, Carter McInnis, Frances Dang, Henry Ajzenberg, Peter L. Wang, Adam Mosa, Gary Ko, Boris Zevin, Stephen Mann, Andrea Winthrop Source Type: research

Efficacy and safety of bariatric revisions in patients older than 65 years old
Bariatric surgery in advanced age patients (>65-years-old) has been proven safe and effective. Revisional bariatric surgery is infrequently required for cases of refractory obesity. However, there is a paucity of data regarding revisional surgery for the elderly. We hypothesize that revisional bariatric surgery is viable and safe in elderly patients. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 1, 2021 Category: Surgery Authors: Torbjorg Holtestaul, John Kuckelman, Michael Derickson, Varinia Vigueras, Angel Reyes, Jason Bingham, James Sebesta Source Type: research

Differences in outcomes after emergency general surgery between Hispanic subgroups in the New Jersey State Inpatient Database (2009 –2014): The Hispanic population is not monolithic
Our aim was to examine differences in clinical outcomes between Hispanic subgroups who underwent emergency general surgery (EGS). (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 1, 2021 Category: Surgery Authors: Lydia R. Maurer, Sarah Rahman, Numa Perez, Benjamin G. Allar, Emily Witt, Jackelyn Moya, Margaret S. Pichardo, Minerva Angelica Romero Arenas, Tarsicio Uribe-Leitz, Tanujit Dey, Regan W. Bergmark, Gregory Peck, Gezzer Ortega Source Type: research

The impact of gastrointestinal anastomotic leaks on survival of patients undergoing cytoreductive surgery and heated intraperitoneal chemotherapy
Gastrointestinal (GI) leaks after cytoreductive surgery and hyperthermic Intraperitoneal Chemotherapy (CRS/HIPEC) is a known life-threatening complication that may alter patients' outcomes. Our aim is to investigate risk factors associated with GI leaks and evaluate the impact of GI leaks on patient's oncological outcomes. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 1, 2021 Category: Surgery Authors: Eyal Mor, Dan Assaf, Shachar Laks, Haggai Benvenisti, Almog Ben-Yaacov, Nitzan Zohar, Gal Schtrechman, David Hazzan, Einat Shacham-Shmueli, Daria Perelson, Mohammad Adileh, Aviram Nissan Source Type: research

Outcomes of large panel genetic evaluation of breast cancer patients in a community-based cancer institute
The use of restricted versus expanded panel genetic testing in breast cancer is controversial, with some institutions offering predominantly abbreviated gene panel testing. Our community program has offered larger panel testing for several years. We sought to evaluate the outcomes of large panel genetic testing and understand their impact on patient care. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 1, 2021 Category: Surgery Authors: Alexis K. Bagwell, Thomas L. Sutton, Stuart Gardiner, Nathalie Johnson Source Type: research

Loss of independence after emergency inguinal hernia repair in elderly patients: How aggressive should we be?
Loss of independence (LOI) assesses patient quality of life after surgery and is associated with increased readmission and death. This paper compares LOI among the elderly who received elective versus emergent inguinal hernia repair. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 1, 2021 Category: Surgery Authors: Japjot Bal, Nicole Ilonzo, Princess Spencer, Misa Hyakutake, I. Michael Leitman Source Type: research

When it comes to surgical devices, what is really broken?
Surgery has changed rapidly with a higher reliance upon surgical devices. Surgeons trust that the devices have been tested and are safe to use. However, malfunctions do happen and many of us have had these occur during operations. When misadventures occur, the focus usually is on fixing the problem and we are trained to do this. However, most surgeons do not know what should be done about the malfunctioning device; do we need to report this? To whom do we report this? Should we save the device for analysis? Surgeons feel inclined to do something as we realize there is a responsibility to the public to ensure that faulty de...
Source: American Journal of Surgery - March 29, 2021 Category: Surgery Authors: Kenneth W. Gow Source Type: research

Outcomes in resected ampullary cancer: Difficult decision-making in an uncommon heterogeneous malignancy
The prognostication and management of ampullary cancer continues to be a challenge for multidisciplinary oncology teams. Ampullary cancer is relatively rare and somewhat heterogeneous in histology and biology. Resection is the primary treatment modality with tumors often presenting at smaller size than pancreatic adenocarcinoma although the majority still have node positive disease (stage III). Fortunately, ampullary cancers have higher resection rates and higher 5 year overall survival rates compared to pancreas adenocarcinoma. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 29, 2021 Category: Surgery Authors: Lloyd A. Mack Tags: Invited Commentary Source Type: research

Adoption of intraoperative nerve monitoring for thyroidectomy: Supported by real-world NSQIP data
“My thoughts” – editorials on emerging topics. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 29, 2021 Category: Surgery Authors: Christina L. Schweitzer, Sam M. Wiseman Tags: My Thoughts / My Surgical Practice Source Type: research

Effectiveness of frailty screening and perioperative team management of colectomy patients aged 80 years or more
We aimed to clarify usefulness of the modified Frailty Index 11 (mFI-11) for assessing risk of postoperative complications (POCs) and effectiveness of perioperative management team (POMT) intervention for improving postoperative status of frail aged patients requiring colorectal cancer (CRC) surgery. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 29, 2021 Category: Surgery Authors: Yozo Suzuki, Mitsuyoshi Tei, Masahisa Ohtsuka, Manabu Mikamori, Kenta Furukawa, Mitsunobu Imasato, Rie Oe, Masahiro Tanemura, Takashi Kita, Hiroki Akamatsu Source Type: research

Alcohol withdrawal syndrome in trauma victims. Under appreciated costly event
Alcohol withdrawal syndrome (AWS) is one of the events occur due to sudden stop of drinking in patients who have history of alcohol dependency.1 A conservative estimate of the cost of care of diseases and accidents due to alcohol drinking in the United States was approximately $ 250 billion in the year 2010.2 Similarly, European data report the cost of care of an individual due to alcohol abuse ranging from €1591–€7702 per hospitalization.3 The incidence of AWS in trauma victims has been reported to be less than 1%. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 26, 2021 Category: Surgery Authors: Nasim Ahmed, YenHong Kuo Tags: My Thoughts / My Surgical Practice Source Type: research

Template for a program tailored ACS/APDS phase 1 curriculum: From needs assessment to implementation
The Phase 1 ACS/APDS skills curriculum standardizes intern training. Despite this, institutional implementation varies and is nationally low. We aimed to use Kern's six-steps to tailor this to our program, providing a framework to improve implementation. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 26, 2021 Category: Surgery Authors: Shawn M. Purnell, Barbara L. Bass, Benjamin Benavides, Sylvia Martinez, Sara G. McNeil, Karen J. Dickinson Source Type: research

Repeat hepatectomy for recurrence of colorectal liver metastases: To whom and what to give?
In this issue of the American Journal of Surgery, Wong and colleagues form OHSU report a series of patients from a single institution who underwent a repeat liver resection following recurrence of previously resected colorectal liver metastases (CRLM). Of 338 patients who underwent curative intent surgery (CIS) via resection with or without thermal ablation, 147 recurred and 38 patients (11%) were able to receive a second CIS. This cohort was the focus of the study. Thirty-six of patients received preoperative chemotherapy prior to repeat CIS while 29% had postoperative chemotherapy. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 26, 2021 Category: Surgery Authors: Flavio G. Rocha Source Type: research

Women in surgery: Disparities in speaking roles at surgical society meetings and beyond
Over the past few decades, the percentage of women physicians in the workforce has gradually increased with females recently comprising the majority of medical school applicants at 50.9%.1,2 Despite this increase, women remain underrepresented in surgical specialties and corresponding leadership structures. Research on gender, racial, and other disparities has increased significantly in an effort to document these inequities and implement strategies to achieve parity. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 26, 2021 Category: Surgery Authors: Kathy Bach, Susan C. Pitt Tags: Invited Commentary Source Type: research

Closing the gap: Increasing female representation in surgical leadership
Female medical students outnumber males with increasing representation in the workforce. However, women remain underrepresented in surgical leadership. Suggested reasons for this discrepancy are lack of female role models, mentorship, and gender discrimination. Thus, we set out to examine the change in leadership over time in our Department. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 26, 2021 Category: Surgery Authors: Stephanie L. Rakestraw, Herbert Chen, Britney Corey, Danielle C. Sutzko Source Type: research

Predicting postoperative opioid use with machine learning and insurance claims in opioid-na ïve patients
The clinical impact of postoperative opioid use requires accurate prediction strategies to identify at-risk patients. We utilize preoperative claims data to predict postoperative opioid refill and new persistent use in opioid-na ïve patients. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 26, 2021 Category: Surgery Authors: Jaewon Hur, Shengpu Tang, Vidhya Gunaseelan, Joceline Vu, Chad M. Brummett, Michael Englesbe, Jennifer Waljee, Jenna Wiens Source Type: research

WITHDRAWN: The 25th SBAS Presidential Address: Tools for success in academic surgery
The Publisher regrets that this article is an accidental duplication of an article that has already been published, https://doi.org/10.1016/j.amjsurg.2021.03.012. The duplicate article has therefore been withdrawn.The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 25, 2021 Category: Surgery Authors: Martin S. Karpeh Source Type: research

Thoughts on 2021 –2022 visiting rotation recommendations from current and recent applicants in surgery
The novel COVID-19 pandemic dramatically impacted the 2020 –2021 residency application process. As part of the campaign to stem the spread of the virus within the continental United States, the American Association of Medical Colleges (AAMC) released recommendations immediately suspending in-person away rotations and in-person interviews.1 The resulting t ransition to a virtual application format reduced costs for applicants and preserved some degree of communication between applicants and programs. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 25, 2021 Category: Surgery Authors: Nikhi P. Singh, Hua A. Fang, Raymond Lopez, Andrew DeAtkine, Zachary Burns, Carter J. Boyd Tags: My Thoughts / My Surgical Practice Source Type: research

Attention to detail: A dedicated rib fracture consultation service leads to earlier operation and improved clinical outcomes
Surgical stabilization of rib fractures (SSRF) has been correlated with improved outcomes, including decreased length of stay (LOS). We hypothesized that an SSRF consultation service would increase the frequency of SSRF and improve outcomes. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 25, 2021 Category: Surgery Authors: Christina Riojas, Kyle W. Cunningham, John M. Green, Gaurav Sachdev, Samuel W. Ross, Cynthia W. Lauer, Bradley W. Thomas Source Type: research

Laparoscopic versus open hepatectomy for intrahepatic cholangiocarcinoma: An individual patient data survival meta-analysis
We compared the outcomes of laparoscopic hepatectomy (LH) vs. open hepatectomy (OH) for intrahepatic cholangiocarcinoma (iCCA). (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 25, 2021 Category: Surgery Authors: Ioannis A. Ziogas, Stepan M. Esagian, Dimitrios Giannis, Muhammad H. Hayat, Dimitrios Kosmidis, Lea K. Matsuoka, Martin I. Montenovo, Georgios Tsoulfas, David A. Geller, Sophoclis P. Alexopoulos Source Type: research

The 25th SBAS Presidential Address: Tools for success in academic surgery
It has been my distinct honor to serve you as the 25th President of the Society of Black Academic Surgeons. I can't properly express to you how humbled I am to serve as your President. This is an exceptional honor and a coveted highlight in my academic career. I had planned to address you in person but due to the unprecedented and extraordinary circumstances surrounding the COVID-19 pandemic, the 30th Annual Scientific Assembly of SBAS has been canceled, and so I appreciate your indulgence to accept my Presidential Address by video. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 25, 2021 Category: Surgery Authors: Martin S. Karpeh Source Type: research

Is there a role for REBOA? A system assessment
To analyze our experience to quantify potential need for resuscitative endovascular balloon occlusion of the aorta (REBOA). (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 25, 2021 Category: Surgery Authors: Riyad Karmy-Jones, Allen Friend, David Collins, Mathew J. Martin, William Long Source Type: research

How have women health care adjusted their approach to work-life balance as the world adapts to the “new normal ?
During a pandemic, the responsibility of care is rightly shifted from the individual patient to safeguard the health of the large community. The coronavirus pandemic has reshaped the healthcare landscape, placing a strain on all healthcare workers, especially women in healthcare.During the ongoing COVID-19 Pandemic, the threatening pressure on the healthcare system has forced governments and healthcare systems to formulate complex policies to decide how to allocate limited resources. Women also make up one-third of the majority of frontline healthcare professionals around the world, making them vital to tackle this public ...
Source: American Journal of Surgery - March 24, 2021 Category: Surgery Authors: Shohreh Ghasemi Tags: My Thoughts / My Surgical Practice Source Type: research

Evaluation of the prognosis for N2 status in patients with small bowel neuroendocrine tumors
This study investigates if it is independently prognostic. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 24, 2021 Category: Surgery Authors: Sarah M. Wonn, Anna N. Ratzlaff, SuEllen J. Pommier, Kristen E. Limbach, Solange Bassale, Belinda H. McCully, Rodney F. Pommier Source Type: research

Strategies to optimize management of incidental radiographic findings in the primary care setting: A mixed methods study
Incidental adrenal masses (IAMs) are common. Primary care providers (PCPs) are frequently responsible for incidentaloma evaluations. We evaluated whether PCPs view this paradigm effective, barriers faced, and strategies to optimize care delivery. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 24, 2021 Category: Surgery Authors: Stephanie D. Talutis, Ellen Childs, Anna L. Goldman, Philip E. Knapp, Avneesh Gupta, Cleopatra Ferrao, Tim Feeney, David McAneny, Frederick Thurston Drake Source Type: research

Decreasing contralateral prophylactic mastectomy rates in average-risk women with unilateral breast cancer
.Contralateral prophylactic mastectomy (CPM) is not recommended for average-risk women with breast cancer due to lack of evidence for survival benefit, yet recent studies demonstrate increasing CPM rates. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 24, 2021 Category: Surgery Authors: Hannah Kapur, Rebecca Warburton, Jin-Si Pao, Carol Dingee, Leo Chen, Elaine McKevitt Source Type: research

Measurements using mammography and ultrasonography underestimate the size of high-volume ductal carcinoma in situ
This study aims to determine the accuracy of pre-operative imaging in estimating the size of DCIS. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 23, 2021 Category: Surgery Authors: Rachel Q. Liu, Jessica Que, Leo Chen, Carol K. Dingee, Rebecca Warburton, Elaine C. McKevitt, Urve Kuusk, Jin-Si Pao, Amy Bazzarelli Source Type: research

Public perception on opioids & pain management after major surgery
In the US, opioids are overprescribed after surgery contributing to the opioid epidemic. Patients ’ expectations regarding postoperative opioids remains unclear. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 23, 2021 Category: Surgery Authors: Jackly M. Juprasert, Lama Obeid, Heather L. Yeo Source Type: research

My thoughts: A reflection on collaboration, and the longer journey
About 20 years ago I found myself as a new faculty member charged with educational leadership in a new setting. My chair took me on a field trip to Toronto to witness the workings of the Wilson Center, a multidisciplinary research and educational innovation center founded there by Richard Reznick, who was at that time Chair of Surgery at the University of Toronto. While there I witnessed the creative power and depth of insight gained by viewing surgical education through a multidisciplinary lens, grounded in behavioral as well as surgical science. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 22, 2021 Category: Surgery Authors: John D. Mellinger, James Coverdill Tags: My Thoughts / My Surgical Practice Source Type: research