The Barthel Index Predicts Surgical Textbook Outcomes Following Hepatectomy for Elderly Patients with Hepatocellular Carcinoma: A Multicenter Cohort Study
The burgeoning demand for hepatectomy in elderly patients with hepatocellular carcinoma (HCC) necessitates improved perioperative care. Geriatric populations frequently experience functional decline and frailty, predisposing them to adverse postoperative outcomes. The Barthel Index serves as a reliable measure for assessing functional capacity, and this study evaluates its impact on surgical textbook outcomes (TOs) in elderly HCC patients. (Source: American Journal of Surgery)
Source: American Journal of Surgery - May 8, 2024 Category: Surgery Authors: Tian Yang, Da-Qun Liu, Wei Qiu, Zhong-Qi Fan, Li-Yang Sun, Nan-Ya Wang, Hong Wang, Yi-Fan Yang, Jie Li, Ya-Hao Zhou, Ting-Hao Chen, Xian-Ming Wang, Wei-Min Gu, Ying-Jian Liang, Li-Hui Gu, Jia-Hao Xu, Ming-Da Wang, Xiao-Dong Sun, Guo-Yue Lv Source Type: research

An Organized Approach to Attract a Diverse Pool of Applicants Within a Surgery Residency Program
Diversity, equity, and inclusion (DEI) in medicine have been acknowledged as important requirements for the modern medical landscape to reflect the current diverse patient population. The benefits of having a diverse healthcare workforce have been heavily catalogued in the literature, from improving health care access to yielding positive financial returns.1,2 However, disparities in the proportion of those underrepresented by race and gender in medicine continue to prevail, especially in surgery. (Source: American Journal of Surgery)
Source: American Journal of Surgery - May 5, 2024 Category: Surgery Authors: Roselle Bea P. Almazan, Rodrigo Gerardo, Casey Walk, Adrienne Stolfi, Randy Woods, Priti Parikh Tags: My Thoughts / My Surgical Practice Source Type: research

A Nomogram for Preoperative Prediction of Vessels Encapsulating Tumor Clusters (VETC) Pattern and Prognosis of Hepatocellular Carcinoma
This study aimed to establish a nomogram model to predict VETC patterns based on preoperative CT imaging features. (Source: American Journal of Surgery)
Source: American Journal of Surgery - May 4, 2024 Category: Surgery Authors: Yinzhong Wang, Miaomiao Wang, Liang Cao, Hongliang Huang, Shi Cao, Xiaoxue Tian, Junqiang Lei Source Type: research

Global Health Experience among General Surgery Residents ’: Experiences, Attitudes, and Barriers
Globally, approximately five billion people lack access to safe surgical and anesthetic care.1 Interest in global medical work to address this deficit has increased among both medical students and residents over the past several years. Increasingly, medical students are participating in such global health experiences (GHEs).2 –4 Residency training offer a unique opportunity for additional GHE participation within a specific medical field, allowing residents to build global health practice into their long-term careers. (Source: American Journal of Surgery)
Source: American Journal of Surgery - May 2, 2024 Category: Surgery Authors: Taylor Fitzpatrick-Schmidt, Claudia Leonardi, Casey Norlin, Kaylin Beiter, Lance E. Stuke, Tommy Brown, Alan Marr, Patrick Greiffenstein, Jonathan Schoen, John P. Hunt, Alison Smith Source Type: research

Are There Any Benefits to Hospital Consolidation?
The hospital industry has expanded exponentially during the last three decades, leading to unprecedented acquisitions and mergers. Much of hospital leadership will cite increased bargaining power with insurance companies to control costs. However, when many citizens in the United States are experiencing bankruptcy due to medical expenses, there should be further investigation into who the mergers benefit in terms of cost and quality. Many studies have investigated changes in the quality of care following hospital mergers. (Source: American Journal of Surgery)
Source: American Journal of Surgery - May 1, 2024 Category: Surgery Authors: James P. Waters, Jessica Collier, Young Ki Hong Source Type: research

The Pediatric Surgeon-Scientist: An Evolving Breed or Endangered Phenotype?
National Institute of Health (NIH) funding is a “gold-standard” of achievement; we examined trends in NIH-funded pediatric surgeons. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 29, 2024 Category: Surgery Authors: Nikhil R. Shah, Keerthi Burgi, Dimitra M. Lotakis, Niki Matusko, Erika A. Newman, Samir K. Gadepalli Source Type: research

Enhancing Patient Safety in Trauma: Understanding Adverse Events, Assessment Tools, and the Role of Trauma Video Review
This study aimed to investigate adverse events (AEs) in trauma resuscitation, evaluate contributing factors, and assess methods, such as trauma video review (TVR), to mitigate AEs. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 27, 2024 Category: Surgery Authors: Anisa Nazir, Charlie Keown-Stoneman, Elaine Shore, Teodor Grantcharov, Brodie Nolan Source Type: research

A randomized phase 2 study of the 5-HT4 receptor agonist felcisetrag for postoperative gastrointestinal dysfunction after bowel surgery
Felcisetrag (5-hydroxytryptamine-4 receptor [5-HT4] agonist) is under investigation as prophylaxis or active treatment for accelerating resolution of gastrointestinal function post-surgery. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 27, 2024 Category: Surgery Authors: Guy Boeckxstaens, Sabry Ayad, George Dukes, Michael Essandoh, Ryan Gryder, Pravin Kamble, Jason Tackett, Paresh Thakker, James Williams, Yanwei Zhang, Paul R. Wade Source Type: research

The Multidisciplinary Landscape of Gender Affirmation Surgical Training
In the United States, 0.52% of adults and 1.43% of youth identify as transgender, signaling the demand for gender affirming healthcare to more than double within the next decade.1Transgender and gender diverse (TGGD) patients already experience increased barriers to healthcare, including a general lack of providers, discrimination, and financial barriers.2-4 As the TGGD population grows, surgical training must be prepared to meet the needs of the systemically disadvantaged TGGD community. With only 10 fellowship positions offered in gender affirmation surgery (GAS), residency programs must step up to meet the needs of the ...
Source: American Journal of Surgery - April 26, 2024 Category: Surgery Authors: Alireza Hamidian Jahromi, Jenna Rose Stoehr, Samuel G. Robinson Source Type: research

Resident Perspectives on the Role of Gender in Operative Experience During General Surgery Residency Training: A Mixed-Methods Study
It remains unclear why female general surgery residents perform fewer cases than male peers. This exploratory study investigated possible contributors to gender-based disparities and solutions for improving equity in operative experience. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 26, 2024 Category: Surgery Authors: Leah K. Winer, Nicole Panzica, Kenneth Lynch, Catherine Parker, Rachael Lancaster, Andrea Gillis, Brenessa Lindeman, Herbert Chen, Jessica Fazendin, Alexander R. Cortez, Polina Zmijewski Source Type: research

Results of a Novel Intervention to Increase Rates of Diagnosis and Treatment of Primary Hyperparathyroidism
We report the results of a pilot study to address this problem. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 26, 2024 Category: Surgery Authors: Nicole Lunardi, Jennie Meier, Audrey Stevens, Joseph Milburn, Yin Oo, Sumitha Hathiramani, Kyaw Soe, Courtney Balentine Source Type: research

Long-Term effects of physical activity on weight loss, metabolic parameters and blood pressure in subjects undergoing bariatric surgery: A 5-year follow-up study
bariatric surgery stands as an effective intervention for weight loss and improved metabolic control in obesity, although over time there is a proportion of weight regain and type-2-diabetes (T2D) relapse. Aims: to explore the role of physical activity (PA) after surgery and its impact on metabolic parameters during a 5-year follow-up. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 23, 2024 Category: Surgery Authors: Diego Moriconi, Laura Manca, Eleni Rebelos, Emanuele Guidotti, Linda Bonvicini, Antonio Troilo, Marco Anselmino, Monica Nannipieri Tags: Original Research Article Source Type: research

Long-Term effects of physical activity on weight loss, metabolic parameter and blood pressure in subjects undergoing bariatric surgery: a 5-year follow-up study.
bariatric surgery stands as an effective intervention for weight loss and improved metabolic control in obesity, although over time there is a proportion of weight regain and type-2-diabetes (T2D) relapse. Aims: to explore the role of physical activity (PA) after surgery and its impact on metabolic parameters during a 5-year follow-up. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 23, 2024 Category: Surgery Authors: Diego Moriconi, Laura Manca, Eleni Rebelos, Emanuele Guidotti, Linda Bonvicini, Antonio Troilo, Marco Anselmino, Monica Nannipieri Source Type: research

A Systematic Review of Patient Regret After Surgery- A Common Phenomenon in Many Specialties but Rare Within Gender-Affirmation Surgery
Regret after gender-affirming surgery (GAS) is a complex issue. Comparing regret after GAS to regret after plastic surgery operations and other major life decisions is a novel approach that can provide insight into the magnitude of this issue.A systematic review of three databases was conducted to investigate regret after common plastic surgery operations. Three separate literature reviews on regret after GAS, regret after elective operations, and regret after major life decisions were performed. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 23, 2024 Category: Surgery Authors: Sarah M. Thornton, Armin Edalatpour, Katherine M. Gast Source Type: research

Evaluation of Operating Room inefficiencies and their impact on Operating Room duration using a Surgical App
Efficient utilization of the operating room (OR) is essential. Inefficiencies are thought to cause preventable delays. Our goal was to identify OR incidents causing delays and estimate their impact on the duration of various general surgery procedures. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 23, 2024 Category: Surgery Authors: Dimitrios I. Athanasiadis, Sara Monfared, Lava Timsina, Jake Whiteside, Ambar Banerjee, Annabelle Butler, Dimitrios Stefanidis Source Type: research