Priorities in Surgical Simulation Research: What do the Experts Say?
Utilizing Delphi methodology, experts in surgical simulation research were invited to submit important research questions for the field following an organized framework. Experts were then asked to rate the importance of questions to the field over the course of two rounds. Experts ranked the following question as the top priority for surgical simulation research “Does demonstrated competency in the simulation lab translate to clinical competency (OR etc.)”? (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 12, 2019 Category: Surgery Authors: Nicholas E. Anton, Aimee K. Gardner, Dimitrios Stefanidis Source Type: research

Enhanced recovery after surgery (ERAS) protocol reduces perioperative narcotic requirement and length of stay in patients undergoing mastectomy with implant-based reconstruction
Enhanced Recovery after Surgery (ERAS) protocols have contributed to shortened hospital stays and reduced narcotic use after common surgical procedures. Though ERAS protocols exist for breast surgery, they have not been studied for implant-based reconstruction after mastectomy. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 12, 2019 Category: Surgery Authors: Gregory T. Kennedy, Christine M. Hill, Ye Huang, Alycia So, Joshua Fosnot, Liza Wu, John T. Farrar, Julia Tchou Source Type: research

Vagal Things and Guitar Strings: The Evolution of Ulcer Surgery and the Electric Blues from Chicago ’s South Side
The interweaving of surgery and music was a central theme of the invited lectures at the 2019 annual meeting of the Midwest Surgical Association, most notably in Dr Nicholas Zyromski ’s Presidential Address. I am grateful for Dr Zyromski’s invitation to deliver this year’s William H. Harridge Lecture on the history of Chicago’s South Side, a subject of increasing personal interest since I assumed my current position as Chair of the Department of Surgery at the University of Chicago in 2006. Nick and I share a love of Americana, roots, and blues music (we are both amateur guitarists and songwriters)....
Source: American Journal of Surgery - October 12, 2019 Category: Surgery Authors: Jeffrey B. Matthews Source Type: research

Surgical instrument standardization – a pilot cost consciousness curriculum for surgery residents.
This study describes a core competency based, multidisciplinary curriculum and evaluates resident attitudes towards operating room equipment standardization. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 11, 2019 Category: Surgery Authors: Kevin Y. Pei, Robyn Richmond, Sharmila Dissanaike Source Type: research

The Use of Component Separation During Abdominal Wall Reconstruction in Contaminated Fields: A Case-Control Analysis
This study is a tertiary center, prospective cohort analysis of abdominal wall reconstruction with and without component separation in contaminated cases. The data show no increased wound complications or hernia recurrence when performing component separation. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 11, 2019 Category: Surgery Authors: Sean R. Maloney, Vedra A. Augenstein, Erling Oma, Kathryn A. Schlosser, Tanushree Prasad, Kent W. Kercher, Ronald F. Sing, Paul D. Colavita, B. Todd Heniford Source Type: research

Clinically Resectable Acinar Cell Carcinoma of the Pancreas: Is There a Benefit to Adjuvant Systemic Therapy?
Prior studies of adjuvant systemic therapy in pancreatic acinar cell carcinoma have been underpowered. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 11, 2019 Category: Surgery Authors: Dhruv J. Patel, Waseem Lutfi, Patrick Sweigert, Emanuel Eguia, Gerard Abood, Lawrence Knab, Paul C. Kuo, Marshall S. Baker Source Type: research

Breast Cancer Risk Assessment in Patients Who Test Negative for a Hereditary Cancer Syndrome
The majority of women who undergo genetic testing due to a significant family history of breast cancer will receive a negative result. Using three widely used risk assessment models, we calculated lifetime breast cancer risks of women who had undergone genetic testing and received a negative result. We found that over half of the women included in the study were considered to be high-risk for the development of breast cancer. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 11, 2019 Category: Surgery Authors: Caroline Breit, Elizabeth Ablah, Margaret Ward, Hayrettin Okut, Patty L. Tenofsky Source Type: research

Adjuvant Systemic Therapy For Intermediate And Large Gastric Gastrointestinal Stromal Tumors (GISTs): Is There A Survival Benefit Following Margin Negative Surgical Resection?
The value of adjuvant systemic therapy after margin-negative resection for gastric gastrointestinal stromal tumors (GISTs) remains unclear. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 11, 2019 Category: Surgery Authors: Dhruv J. Patel, Waseem Lutfi, Patrick Sweigert, Emanuel Eguia, Gerard Abood, Lawrence Knab, Paul C. Kuo, Marshall S. Baker Source Type: research

What Predicts Successful Nonoperative Management with Botulinum Toxin for Anal Fissure?
Botulinum toxin has been established as a non-surgical alternative for chronic anal fissures. There is a paucity of data regarding which patients benefit most from this intervention. Methods: We retrospectively collected data from all cases of chronic anal fissures treated with botulinum toxin over seven years to identify predictors of success. Non-responders were defined as any subsequent surgery or reporting satisfaction as poor or fair. Results: Of 91 patients, 60% (n=55) were responders and 26% (n=25) underwent subsequent surgery. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 11, 2019 Category: Surgery Authors: Roxanne Kyriakakis, Kathrine Kelly-Schuette, Rebecca Hoedema, Martin Luchtefeld, James Ogilvie Source Type: research

Opportunity cost of mean 1.7 minutes of tardiness of late first case of the day starts
Hicks et al. estimated opportunity costs of first case delays.1 The authors summarized our study2 as showing “delays in first case start times” can be “an important cause for increased staffing needs and overtime labor costs.” Hicks1 appropriately estimated the “opportunity cost related to first case delays” “using the cost of idle labor and overtime for staffing rooms beyond the scheduled en d times.”1 They did so with “designated eight-hour blocks.”1 They obtained a “total loss of 631 hours” by summing, over cases from 2018, times from the start of t...
Source: American Journal of Surgery - October 11, 2019 Category: Surgery Authors: Franklin Dexter, Richard H. Epstein Tags: Letter to the Editor Source Type: research

Case logging habits among general surgery residents are discordant and inconsistent
This study will evaluate their quantitative and qualitative case log practices. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 10, 2019 Category: Surgery Authors: Brittany Bankhead-Kendall, Carlos VR. Brown, Ruth Gerola, Eliza Slama, Alexa Ryder, John Uecker, John Falcone Source Type: research

The Impact of Medical Student Interest in Surgery on Clerkship Performance and Career Choice
This study aimed to evaluate the impact of one ’s interest in surgery on career choice. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 9, 2019 Category: Surgery Authors: Al-Faraaz Kassam, Alexander R. Cortez, Leah K. Winer, Joshua W. Kuethe, Krishna P. Athota, R. Cutler Quillin Source Type: research

Identification of postoperative complications using electronic health record data and machine learning
Abstract Summary; Using the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) complication status of patients who underwent an operation at the University of Colorado Hospital, we developed a machine learning algorithm for identifying patients with one or more complications using data from the electronic health record (EHR). The model achieved 88% specificity, 83% sensitivity, 97% negative predictive value, 52% positive predictive value, and an area under the curve of 0.93. The model developed could be used for electronic postoperative complication surveillance to supplement manual chart re...
Source: American Journal of Surgery - October 9, 2019 Category: Surgery Authors: Michael Bronsert, Abhinav B. Singh, William G. Henderson, Karl Hammermeister, Robert A. Meguid, Kathryn L. Colborn Source Type: research

Does Tranexamic Acid Really Work in an Urban US Level I Trauma Center? A Single Level 1 Trauma Center ’s Experience
The use of Tranexamic Acid (TXA) in trauma patients remains controversial. The CRASH II trial, while randomized and prospective, did not include patients suffering from major bleeding. We wanted to examine our population of patients who underwent a massive transfusion protocol (MTP) (greater than 10 Units of packed red blood cells in the first 24 hours of admission) to see if those who were undergoing massive transfusion and received TXA had any benefit in mortality. Our hypothesis was that massively transfused patients who received TXA and those that did not had no difference in mortality. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 8, 2019 Category: Surgery Authors: Ashley Dixon, Brent Emigh, Kate Spitz, Pedro Teixeira, Thomas Coopwood, Marc Trust, Mitchell Daley, Sadia Ali, Carlos Brown, Jayson Aydelotte Source Type: research

Who ’s being left behind? uninsured emergency general surgery admissions after the aca
The Affordable Care Act (ACA) increased Medicaid coverage of Emergency General Surgery (EGS). We hypothesized that despite the ACA, racial and geographic disparities persisted for EGS admissions. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 8, 2019 Category: Surgery Authors: Paul T. Albini, Megan R. Cochran-Yu, Laura N. Godat, Todd W. Costantini, Jay J. Doucet Source Type: research

Exploring the Relationship Between Burnout and Grit During General Surgery Residency: A Longitudinal, Single-Institution Analysis
How burnout changes during general surgery residency remains unknown. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 8, 2019 Category: Surgery Authors: Alexander R. Cortez, Leah K. Winer, Al-Faraaz Kassam, Dennis J. Hanseman, Joshua W. Kuethe, Jeffrey J. Sussman, R. Cutler Quillin Source Type: research

Detecting Delayed Intracranial Hemorrhage with Repeat Head Imaging in Trauma Patients on Antithrombotics with No Hemorrhage on the Initial Image: A Retrospective Chart Review and Meta-analysis
There is debate regarding routine repeat head computed tomography (CT) in blunt trauma patients on a pre-injury antithrombotic when the initial CT is negative for intracranial hemorrhage (ICH). (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 8, 2019 Category: Surgery Authors: Gregory S. Huang, C. Michael Dunham, Elisha A. Chance, Barbara M. Hileman Tags: Review Source Type: research

Evaluation of Costs and Outcomes of Physician-Owned Hospitals Across Common Surgical Procedures
The Affordable Care Act introduced restrictions on the creation of new physician-owned hospitals (POH). We sought to define whether POH status was associated with differences in care. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 8, 2019 Category: Surgery Authors: Junu Bae, J. Madison Hyer, Anghela Z. Paredes, Ayesha Farooq, Daniel R. Rice, Susan White, Diamantis I. Tsilimigras, Aslam Ejaz, Timothy M. Pawlik Source Type: research

Antithrombotic prescriptions for many general surgery patients significantly increases the likelihood of post-operative bleeding complications
The investigators hypothesized that despite cessation recommendations for peri-operative antithrombotic management in the elective setting, the use of these drugs is likely associated with increased odds for bleeding complications. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 7, 2019 Category: Surgery Authors: Aaron Lee Wiegmann, Syed I. Khalid, Alison C. Coogan, Thomas Q. Xu, Laura A. DeCesare, Nicholas J. Skertich, Jose Velasco, Jonathan A. Myers Source Type: research

Major Venous Injury and Large Volume Crystalloid Resuscitation: A Limb Threatening Combination
Major venous injury (MVI) affecting the lower extremity can result in subsequent amputation. The contribution of intraoperative resuscitation efforts on the need for amputation is not well defined. We hypothesized that intraoperative large volume crystalloid resuscitation (LVCR) increases the risk of amputation after MVI, while massive transfusion (MT) does not. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 7, 2019 Category: Surgery Authors: Elizabeth Dauer, Seiji Yamaguchi, Daohai Yu, Xiaoning Lu, Kathyrn Kelley, John Sharpe, Nathan Manley, John A. Harvin, Ethan A. Taub, Anna Goldenberg-Sandau, Krishan Patel, Ellen Omi, Hassan Mashbari, Jennifer Hartwell, Jason Brocker Source Type: research

Rates of Hypercalcemia and Hyperparathyroidism among Patients with Porcelain Gallbladder
Porcelain gallbladder is characterized by calcification of the gallbladder wall, possibly associated chronic inflammation from cholelithiasis. It is unknown whether porcelain gallbladder is associated with higher rates of hypercalcemia and/or hyperparathyroidism compared to cholelithiasis without porcelain gallbladder. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 7, 2019 Category: Surgery Authors: Megan Berger, Benzon Dy, Travis McKenzie, Geoffrey Thompson, Robert Wermers, Melanie Lyden Source Type: research

Improved durable responses regardless of age following cytoreduction and “no-tourniquet” hyperthermic isolated limb chemotherapy for in transit melanoma of the extremity.
In-transit metastatic melanoma of the extremity is a clinically aggressive disease. For patients with disease confined to the limb, regional chemotherapy remains an effective option. However, no studies thus far have included cytoreduction or perfusion/infusion without using a limb tourniquet as part of the operative procedure. We hypothesize that combining cytoreduction with no-tourniquet HILP/HILI is safe in patients of all ages and results in durable responses. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 5, 2019 Category: Surgery Authors: Ton Wang, Nicholas Osborne, John Rechtenwald, Alex Kim, Niki Matusko, Rita Mayle, Mark S. Cohen Source Type: research

Predictors of Ileus Following Colorectal Resections
This study aims to evaluate risk factors for postoperative ileus in patients undergoing colorectal surgery. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 5, 2019 Category: Surgery Authors: Ipek Sapci, Irbaz Hameed, Arda Ceylan, Ayda Oktem, Ahmet Rencuzogullari, Tracy L. Hull, David Liska, Conor P. Delaney, Emre Gorgun Source Type: research

Octogenarians Exhibit Quality Of Life Improvement But Increased Morbidity After Paraesophageal Hernia Repair
This study compared quality of life and symptom resolution and morbidity after eLPEHR between octogenarians and younger patients. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 4, 2019 Category: Surgery Authors: Anahita Jalilvand, Edward l. Jones, Sara e. Martin del Campo, Kyle a. Perry Source Type: research

Increasing Trend of Bilateral Neck Exploration in Primary Hyperparathyroidism
This study evaluates the trend in parathyroidectomies for primary hyperparathyroidism. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 3, 2019 Category: Surgery Authors: Amna M. Khokar, Kristine M. Kuchta, Tricia A. Moo-Young, David J. Winchester, Richard A. Prinz Source Type: research

Scott Woods Memorial Lecture
DR. NICHOLAS J. ZYROMSKI: Our next lecture on the program is the Scott Woods Memorial Lecture. A few words about Scott Warner Woods: Dr. Woods was the MSA president in 1986 and salient to this lecture, Dr. Woods played the bagpipes. And for many, many years, the beginning of the Mackinac meeting was heralded by Dr. Woods walking around in a kilt and a hand-tied bowtie and the faint sounds of bagpipes echoing off the lake. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 3, 2019 Category: Surgery Authors: Nicholas J. Zyromski, Greg Markell Source Type: research

Implementation of a Multi-Modal Pain Regimen to Decrease Inpatient Opioid Exposure After Injury
In 2013, we implemented a pill-based, multi-modal pain regimen (MMPR) in order to decrease in-hospital opioid exposure after injury at our trauma center. We hypothesized that the MMPR would decrease inpatient oral morphine milligram equivalents (MME), decrease opioid prescriptions at discharge, and result in similar Numerical Rating Scale (NRS) pain scores. (Source: American Journal of Surgery)
Source: American Journal of Surgery - October 1, 2019 Category: Surgery Authors: Shuyan Wei, Charles Green, Van Thi Thanh Truong, John Howell, Stephanie Martinez Ugarte, Rondel Albarado, Ethan A. Taub, David E. Meyer, Sasha D. Adams, Michelle K. McNutt, Laura J. Moore, Bryan A. Cotton, Lillian S. Kao, Charles E. Wade, John B. Holcomb, Source Type: research

Evaluation of a Water-Soluble Contrast Protocol for Small Bowel Obstruction: A Southwestern Surgical Congress Multicenter Trial
Differentiation between SBO that will resolve with supportive measures and those requiring surgery remains challenging. WSC administration may be diagnostic and therapeutic. The purpose of this study was to evaluate use of a SBO protocol using WSC challenge.A protocol was implemented at five tertiary care centers. Demographics, prior surgical history, time to operation, complications, and LOS were analyzed.283 patients were admitted with SBO; 13% underwent immediate laparotomy; these patients had a median LOS of 7.5 days. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 30, 2019 Category: Surgery Authors: Eliza E. Moskowitz, Robert C. McIntyre, Clay Cothren Burlew, Laura J. Helmkamp, Erik D. Peltz, Julia R. Coleman, Alexandra Kovar, Michael Truitt, Vaidehi Agrawal, Edwin Onkendi, Rushabh Dev, Jose J. Diaz, Barbara Eaton, Eric M. Campion Source Type: research

Nonoperative Management (NOM) of Most Liver Injuries Impairs the Mastery of Intraoperative Hemostasis
This study assesses this void. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 30, 2019 Category: Surgery Authors: Solhee Lee, Joseph R. Buck, Anna M. Ledgerwood, Charles E. Lucas Source Type: research

Changes in Splenic Capsule with Aging; Beliefs and Reality
Background; Research describing the splenic capsule and its effect on non-operative management of splenic injuries is limited. The aim of this study is to identify the current beliefs about the splenic capsule thickness and investigate changes in the splenic capsule with age.Methods; Trauma Medical Directors were surveyed on their beliefs regarding splenic capsule thickness changes with age. Thicknesses of cadaveric splenic capsule samples were measured.Results; The majority of trauma medical directors (59%) believe the capsule thickness decreases with age. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 28, 2019 Category: Surgery Authors: Sara M. Higginson, Nicholas W. Sheets, Lawrence P. Sue, Mary M. Wolfe, Amy M. Kwok, Rachel C. Dirks, Reuben S. Doggett, Venu C. Gopal, James W. Davis Source Type: research

Completeness of operative reports for rectal cancer surgery
Narrative operative reports inconsistently document rectal cancer resection, though adoption of synoptic reporting will improve quality of documentation for rectal cancer surgery. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 28, 2019 Category: Surgery Authors: Arielle E. Kanters, Joceline V. Vu, Ari D. Schuman, Inga Van Wieren, Ashley Duby, Karin M. Hardiman, Samantha K. Hendren Source Type: research

Editorial Board
(Source: American Journal of Surgery)
Source: American Journal of Surgery - September 27, 2019 Category: Surgery Source Type: research

Emeritus Editorial Board
(Source: American Journal of Surgery)
Source: American Journal of Surgery - September 27, 2019 Category: Surgery Source Type: research

Table of Contents
(Source: American Journal of Surgery)
Source: American Journal of Surgery - September 27, 2019 Category: Surgery Source Type: research

Making an Informed Choice: Which Breast Reconstruction Type Has the Lowest Complication Rate?
The aim of this study was to investigate long-term breast reconstruction outcomes at a single institution in order to offer data-driven counseling for patients. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 27, 2019 Category: Surgery Authors: Patrick T. Hangge, Kristen Jogerst, Ahmed Mohsen, Heidi Kosiorek, Patricia A. Cronin, Chee-Chee H. Stucky, Nabil Wasif, Richard J. Gray, Alanna M. Rebecca, William J. Casey, Barbara A. Pockaj Source Type: research

Utilization of Endovascular and Open Surgical Repair in the United States: A 10-Year Analysis of the National Trauma Databank (NTDB)
Endovascular therapy provides a less invasive alternative to open surgery for critically ill patients who have sustained arterial injuries. The purpose of this study was to evaluate recent trends in the management of arterial injuries in the United States with specific reference to the use of endovascular strategies and to examine the outcomes of endovascular vs open therapy for the treatment of civilian arterial traumatic injuries. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 27, 2019 Category: Surgery Authors: Romagnoli AN, Zeeshan M, Joseph B, Brenner ML Source Type: research

Splenic Flexure Mobilization For Sigmoid and Low Anterior Resections in the Minimally Invasive Era: How Often and At What Cost?
Splenic flexure mobilization (SFM) increases left colonic reach for a better vascularized and tension-free anastomosis. Open SFM is challenging due to anatomic position. Minimally invasive SFM improves visualization and minimizes splenic traction. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 26, 2019 Category: Surgery Authors: Erica Pettke, Natasha DeNicola, Abhinit Shah, Vesna Cekic, Xiaohong Yan, H.M.C. Shantha Kumara, Nipa Gandhi, Richard L. Whelan Source Type: research

Disparities in Colorectal Cancer Mortality for Rural Populations in the United States: Does Screening Matter?
Rural compared to urban populations in the US have increased colorectal cancer (CRC) incidence with known disparity in screening rates and mortality. We hypothesize that rural-urban disparities are different at a regional level. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 26, 2019 Category: Surgery Authors: Heather Carmichael, Michelle Cowan, Robert McIntyre, Catherine Velopulos Source Type: research

Development and Implementation of a Sustainable Research Curriculum for General Surgery Residents: A Foundation for Developing a Research Culture
This study reports development of a research curriculum with milestones, a long-term outcome and sustainability, and its impact on the overall departmental research culture. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 26, 2019 Category: Surgery Authors: Lucas Harrison, Randy Woods, Mary McCarthy, Priti Parikh Source Type: research

Microvascular Clamp Technique as a Reversible Simulation of Parathyroid Gland Excision
This study demonstrates the effectiveness of a microvascular clamp to simulate parathyroid adenoma excision with respect to intraoperative parathyroid hormone (ioPTH) changes in vivo. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 25, 2019 Category: Surgery Authors: Noah Syme, Garth Olson, Michael F. Spafford, Nathan Boyd Source Type: research

The Role of the American Society of Anesthesiologists Physical Status Classification in Predicting Trauma Mortality and Outcomes
Trauma prediction scores such as Revised Trauma Score (RTS) and Trauma and Injury Severity Score (TRISS)) are used to predict mortality, but do not include comorbidities. We analyzed the American Society of Anesthesiologists physical status (ASA PS) for predicting mortality in trauma patients undergoing surgery. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 24, 2019 Category: Surgery Authors: Catherine M. Kuza, Kazuhide Matsushima, Wendy J. Mack, Christopher Pham, Talia Hourany, Jessica Lee, Thang D. Tran, Roman Dudaryk, Michelle B. Mulder, Miguel A. Escanelle, Babatunde Ogunnaike, M. Iqbal Ahmed, Xi Luo, Alexander Eastman, Jonathan B. Imran, Source Type: research

Association of Implicit Intensity Values Incorporated into Work RVUs with Objective Measures
The "intensity" of a surgical procedure is supposed to be built into work RVUs to allow higher compensation rates for more complex procedures. However, updates to work RVUs are subjective and it is unclear if these intensity values are correlated to objective measures of a procedure's complexity. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 24, 2019 Category: Surgery Authors: Christopher P. Childers, Amber B. Tang, Melinda Maggard-Gibbons Source Type: research

Early removal of catheters in an Enhanced Recovery Pathway (ERP) with intrathecal opioid injection does not affect postoperative urinary outcomes
This study investigates the effect of early removal of urinary catheters on POUR and CAUTI in patients undergoing an ERP with a preoperative intrathecal injection. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 24, 2019 Category: Surgery Authors: J.G. Wiener, D. Gunnels, L. Wood, D.I. Chu, J. Cannon, G.D. Kennedy, M.S. Morris Source Type: research

Comparing Treatment Patterns of Hepatocellular Carcinoma at Academic Centers and Non-Academic Centers within the Mountain Region
Survival and treatment patterns for hepatocellular carcinoma is improved at academic centers. A laparoscopic approach increases the odds of positive margins. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 23, 2019 Category: Surgery Authors: Daniel Cheng, Chad L. Cross, Gregory Calfee, Daniel Kirgan, Shelley J. Williams, Jennifer Baynosa, Charles St. Hill Source Type: research

Platelet dysfunction on thromboelastogram is associated with severity of blunt traumatic brain injury
Platelet dysfunction associated with isolated traumatic brain injury (TBI) can be measured using thromboelastography-platelet mapping (TEG-PM). We hypothesized that platelet dysfunction can be detected after blunt TBI, and the degree of dysfunction is associated with increased TBI severity and in-hospital mortality. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 23, 2019 Category: Surgery Authors: Annika B. Kay, David S. Morris, Dave S. Collingridge, Sarah Majercik Source Type: research

Prehospital Needle Thoracostomy: What are the indications and is a post-trauma center arrival chest tube required?
This study examined the indications for prehospital needle thoracostomy (pNT), the need for tube thoracostomy (TT) following pNT, and the outcomes of patients who underwent pNT. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 21, 2019 Category: Surgery Authors: B.C. Axtman, K.E. Stewart, J.M. Robbins, T. Garwe, Z. Sarwar, R.A. Gonzalez, T.L. Zander, F.M. Balla, R.M. Albrecht Source Type: research

Effect of Decision-making Resources on Satisfaction with Decision to Undergo Contralateral Prophylactic Mastectomy (CPM)
The most frequently cited resources used by patients to choose CPM included spouse/partner opinion, family opinion, experiences of other cancer patients, and informational websites. Patients who underwent contralateral prophylactic mastectomy were more satisfied with their surgical decision if they incorporated experiences of other cancer patients into their own decision-making process. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 21, 2019 Category: Surgery Authors: Julian Huang, Anees Chagpar Source Type: research

Nephrolithiasis after Bariatric Surgery: A Comparison of Laparoscopic Roux-en-Y Gastric Bypass and Sleeve Gastrectomy
Laparoscopic Roux-en-Y gastric bypass (LRYGB) is known to increase risk for calcium oxalate nephrolithiasis due to hyperoxaluria; however, nephrolithiasis rates after laparoscopic sleeve gastrectomy (LSG) are not well described. Our objective was to determine the rate of nephrolithiasis after LRYGB versus LSG. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 20, 2019 Category: Surgery Authors: Tripurari Mishra, Jacob B. Shapiro, Luis Ramirez, Kara J. Kallies, Shanu N. Kothari, Thomas A. Londergan Source Type: research

Physiologic Stress Among Surgeons Who Take In-House Call
Burnout and depression is higher in trauma surgeons as compared to surgeons in other specialties. Clinical practice for many acute care surgeons (ACS) includes in-house call (IHC). The goal of this study was to quantitate physiologic stress among ACS who take IHC. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 19, 2019 Category: Surgery Authors: Caitlin Robinson, Ryan Lawless, Ben L. Zarzaur, Lava Timsina, David V. Feliciano, Jamie J. Coleman Source Type: research

Emergency Abdominal Surgery in Patients Presenting from Skilled Nursing Facilities: Opportunities for Palliative Care
Residents of skilled nursing facilities (SNF) with acute abdomen present with more comorbidities and frailty than community-dwelling (CD) counterparts. Outcomes in this population are poorly described. (Source: American Journal of Surgery)
Source: American Journal of Surgery - September 19, 2019 Category: Surgery Authors: Brad Chernock, Franchesca Hwang, Ana Berlin, Sri Ram Pentakota, Roshansa Singh, Ranbir Singh, Anne C. Mosenthal Source Type: research