Using a flipped classroom model to enhance learning for the millennial surgical resident
De Virgilio1 first described a traditional teaching model (TTM) of classroom podium-style didactic lectures, assigned reading, and proctored quizzes to optimally educate surgical residents for the American Board of Surgery In Training Examination (ABSITE). However, millennial learners have been shown to be difficult to engage through a TTM.2 They learn better with small group interactive sessions3 and real-time constructive criticism. With this in mind, Salman Kahn pioneered the flipped classroom model (FCM), which reverses the TTM structure, to educate students in schools across the United States. (Source: American Journal of Surgery)
Source: American Journal of Surgery - August 13, 2020 Category: Surgery Authors: Natasha Leigh, Michael Passeri, Grace J. Kim Source Type: research

Aptitude tests: Do they have a role in the training of the modern surgeon?
Our generation poses new challenges for the modern surgeon, which must be addressed in order to offer the best possible outcome for patients. With rising demand for surgical procedures, increased costs and a greater emphasis on safety, there is a necessity for surgical training to be improved by any means possible. In addition, modern legislation in the form of the European Working Time Directive has led to a reduction in the number of hours spent during surgical training making efficient learning a requirement. (Source: American Journal of Surgery)
Source: American Journal of Surgery - August 13, 2020 Category: Surgery Authors: Renuka Chintapalli Source Type: research

Influence of fellowship educational experience on practice patterns for adrenalectomy: A survey of recent AAES fellowship graduates
Current practice patterns for adrenalectomy among endocrine surgeons is a limited area of study. Here we survey relatively junior endocrine surgeons regarding educational experiences in adrenalectomy and correlate these with current practice. (Source: American Journal of Surgery)
Source: American Journal of Surgery - August 12, 2020 Category: Surgery Authors: Jessica M. Fazendin, Herbert Chen, Brenessa Lindeman Source Type: research

Preoperative cholangitis is an independent risk factor for mortality in patients after pancreatoduodenectomy for pancreatic cancer
Preoperative biliary stenting is required for patients with obstructive jaundice from pancreatic adenocarcinoma who are receiving neoadjuvant chemotherapy. While in most patients this approach results in durable biliary drainage, some patients develop cholangitis during neoadjuvant treatment. Further, several studies have shown that preoperative cholangitis in patients with hepatobiliary malignancies can result in substantially unfavorable outcomes. The aim of this study was to evaluate the impact of preoperative cholangitis in patients who underwent pancreaticoduodenectomy after completing neoadjuvant chemotherapy. (Sourc...
Source: American Journal of Surgery - August 11, 2020 Category: Surgery Authors: Eli P. Darnell, Thomas J. Wang, Melissa A. Lumish, Yasmin G. Hernandez-Barco, Maximilian Weniger, Brenna W. Casey, Motaz Qadan, Keith D. Lillemoe, Cristina R. Ferrone, C. Fernandez-Del Castillo, Kumar Krishnan Source Type: research

Novel oxygenation technique for hypothermic machine perfusion of liver grafts: Validation in porcine Donation after Cardiac Death (DCD) liver model
Hypothermic oxygenated machine perfusion improves outcomes in Liver Transplantation, but application is limited as O2 is supplied by a stationary circuit. A novel technique of O2 “pre-charge” in a portable pump would broaden use and further mitigate ischemia damage from organ transport. (Source: American Journal of Surgery)
Source: American Journal of Surgery - August 8, 2020 Category: Surgery Authors: Guergana G. Panayotova, Jesus Rosado, Flavio Paterno, Dayanand Deo, George Dikdan, Matthew A. McCarty, Ben Arrington, Anthony Giudice, Adam Fano, Nehal Dhaduk, Keri E. Lunsford, Prakash Rao, James V. Guarrera Source Type: research

Invited commentary. Simply speaking: The importance of health literacy for patient outcomes
Health literacy is “the degree to which an individual has the capacity to obtain, communicate, process, and understand basic health information and services to make appropriate health decisions,” as defined by the Patient Protection and Affordable Care Act of 2010.1 Health literacy can include a variety of skills, including understanding prescription labels on medications, reading and appropriately filling out medical forms in doctors’ offices, and actively participating in the informed consent process for medical and surgical procedures. (Source: American Journal of Surgery)
Source: American Journal of Surgery - August 7, 2020 Category: Surgery Authors: Ariel Nehemiah, Caroline E. Reinke Source Type: research

An early introduction to surgical skills: Validating a low-cost laparoscopic skill training program purpose built for undergraduate medical education
Medical student exposure to laparoscopy is limited to observation despite the prevalence of minimally invasive techniques in practice. The high cost of laparoscopic simulation equipment, commonly called “box trainers”, limits undergraduate exposure to skill training. (Source: American Journal of Surgery)
Source: American Journal of Surgery - August 6, 2020 Category: Surgery Authors: Taylor Sellers, Moleca Ghannam, Kojo Asantey, Jennifer Klei, Elizabeth Olive, Victoria A. Roach Source Type: research

Lessons Learned at a COVID-19 designated hospital
During early 2020, New York City became an epicenter for coronavirus disease 2019. The University Hospital of Brooklyn, which is the primary teaching hospital for the State University of New York Downstate Health Sciences University, became the only COVID-19 designated hospital in Brooklyn. The Department of Surgery implemented drastic changes to address the hospital's needs while remaining committed to the education of surgical residents. They ensured resident safety, continued surgical education, participation and contribution to the care of COVID-19 patients. (Source: American Journal of Surgery)
Source: American Journal of Surgery - August 4, 2020 Category: Surgery Authors: Jodi-Ann Edwards, Igal Breitman, Irina Kovatch, Lisa Dresner, Teresa Y. Smith, F. Charles Brunicardi, Alexander Schwartzman Source Type: research

Transanal Endoscopic Microsurgery (TEM) for rectal GI stromal tumor
Short Summary: TEM is a safe method for the excision of early rectal GISTs and neoadjuvant imatinib is effective in shrinking tumors. Further multicenter studies are required to evaluate the effectiveness of TEM on this rare tumor. (Source: American Journal of Surgery)
Source: American Journal of Surgery - August 2, 2020 Category: Surgery Authors: S. Punnen, A.A. Karimuddin, M.J. Raval, P.T. Phang, C.J. Brown Source Type: research

Virtual surgery residency selection: Strategies for programs and candidates
In response to the disruption in surgical education that has resulted from the COVID-19 pandemic, the American College of Surgeons (ACS) Division of Education through the ACS Academy of Master Surgeon Educators appointed a Special Committee of national leaders and experts in surgical education and charged the Committee with the responsibility of addressing major educational needs during the pandemic and establishing the foundation for future innovations in surgical training.1 A major area of focus of the Committee was the surgery residency selection process and interviews that needed to be conducted virtually. (Source: Ame...
Source: American Journal of Surgery - July 31, 2020 Category: Surgery Authors: Paris D. Butler, Alisa Nagler, Anthony Atala, L.D. Britt, James Denneny, Brenessa Lindeman, John Mellinger, Ajit K. Sachdeva, Kathryn Spanknebel, Mohsen Shabahang Source Type: research

Cryoablation: A promising non-operative therapy for low-risk breast cancer
The aim of this study was to evaluate the feasibility of cryoablation for early-stage low-risk breast cancer without tumor resection. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 31, 2020 Category: Surgery Authors: Zaina Habrawi, Michael W. Melkus, Sonia Khan, James Henderson, Luis Brandi, Victoria Chu, Rakhshanda Layeequr Rahman Source Type: research

Pulmonary contusions in patients with rib fractures: The need to better classify a common injury
Pulmonary contusions are common injuries. Computed tomography reveals vast contused lung volume spectrum, yet pulmonary contusions are defined dichotomously (unilateral vs bilateral). We assessed whether there is stepwise increased risk of pulmonary complications among patients without, with unilateral, and with bilateral pulmonary contusion. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 30, 2020 Category: Surgery Authors: Jeff Choi, Lakshika Tennakoon, Jonathan G. You, Aydin Kaghazchi, Joseph D. Forrester, David A. Spain Source Type: research

Predictors and consequences of recurrent laryngeal nerve injury during open thyroidectomy: An American college of surgeons national surgical quality improvement project database analysis
Recurrent laryngeal nerve (RLN) injury is a serious complication of thyroidectomy. The purpose of this study is to determine the predictors and consequences of RLN injury during thyroidectomy. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 29, 2020 Category: Surgery Authors: Reid C. Mahoney, John D. Vossler, Kenric M. Murayama, Stacey L. Woodruff Source Type: research

Addressing (over)prescribing of opioids in surgery
Despite numerous efforts to address opioid prescribing, misuse and abuse, the opioid crisis continues to claim around 70,000 American lives per year. In fact, during the COVID-19 pandemic increases in opioid-related mortality have been reported in at least 35 states.1 Surgery is a potential pathway to persistent opioid use, misuse and abuse of opioids and a higher number of opioids prescribed in the perioperative period is associated with prolonged opioid use which increases one's risk of abuse and overdose. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 29, 2020 Category: Surgery Authors: Willemijn L.A. Sch äfer, Jonah J. Stulberg Source Type: research

“Novel method for confirming appropriate nerve integrity monitor (NIM) endotracheal tube positioning”
Surgical injury to the recurrent laryngeal nerve (RLN) is a significant complication of head and neck surgery due to the potential for significant, permanent functional disability. Originally recommended by Lahey in 1938, intraoperative identification and protection of the nerve, remains the gold standard for minimizing RLN injury. Over time however, less invasive mechanisms for monitoring and protecting the RLN during surgical procedures have been developed. One such method is the endotracheal Nerve Integrity Monitoring (NIM) system. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 28, 2020 Category: Surgery Authors: Abigail Engwall, Ian Behr, Andrea Hess, Pam Haan, Michael K. McLeod Source Type: research

Finding a cancer surgeon: How hospital websites make this difficult for their patients
Health care and its delivery has changed dramatically with the advent of the electronic medical record, integration of global research, novel surgical devices, and the accessibility of medical information via the internet. Websites allow patients to research their providers, and in many cases to self-refer to specialists. There is growing research to show that a significant number of patients are beginning to self-refer, even for more serious diseases such as cancer.1 Among providers, there have been drastic changes as well. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 27, 2020 Category: Surgery Authors: Zachary L. Gentry, Herbert Chen, Jessica Fazendin Source Type: research

Glass table injuries: A silent public health problem
Glass table injuries are more common than may be recognized and represent a public health problem that can be mitigated through proper regulatory measures. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 26, 2020 Category: Surgery Authors: Usha Trivedi, Dhaval Chauhan, Christine Villegas, Riza Bueser, David Livingston, Stephanie Bonne Source Type: research

Is the placement of jejunostomy tubes in patients with esophageal cancer undergoing esophagectomy associated with increased inpatient healthcare utilization? An analysis of the National Readmissions Database
Patients undergoing esophagectomy often receive jejunostomy tubes (j-tubes) for nutritional supplementation. We hypothesized that j-tubes are associated with increased post-esophagectomy readmissions. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 25, 2020 Category: Surgery Authors: Richard Zheng, Arturo J. Rios-Diaz, Spencer Liem, Courtney L. Devin, Nathaniel R. Evans, Ernest L. Rosato, Francesco Palazzo, Adam C. Berger Source Type: research

Delays in Surgical Intervention and Temporary Hemostasis Using Resuscitative Endovascular Balloon Occlusion of the aorta (REBOA): Influence of Time to Operating Room on Mortality
The optimal candidates for resuscitative endovascular balloon occlusion of the aorta (REBOA) remain unclear. We hypothesized that patients who experience delays in surgical intervention would benefit from REBOA. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 25, 2020 Category: Surgery Authors: Ryo Yamamoto, Ramon F. Cestero, Mark T. Muir, Donald H. Jenkins, Brian J. Eastridge, Tomohiro Funabiki, Junichi Sasaki Source Type: research

Standing electric scooter injuries: Impact on a community
Table of contents summary: Standing electric scooter injuries present across all age groups in this study from an integrated health system. Use of protective equipment is rare, as are injuries occurring in dedicated bicycle lanes. Substance use may be linked to higher facilities costs. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 25, 2020 Category: Surgery Authors: Matthew B. Bloom, Ali Noorzad, Carol Lin, Milton Little, Ernest Y. Lee, Daniel R. Margulies, Sam S. Torbati Source Type: research

Rural barriers to early lung cancer detection: Exploring access to lung cancer screening programs in New Hampshire and Vermont
Rural populations face many health disadvantages compared to urban areas. There is a critical need to better understand the current lung cancer screening landscape in these communities to identify targeted areas to improve the impact of this proven tool. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 25, 2020 Category: Surgery Authors: Rian M. Hasson, Kayla A. Fay, Joseph D. Phillips, Timothy M. Millington, David J. Finley Source Type: research

The effects of selective beta-adrenergic blockade on bone marrow dysfunction following severe trauma and chronic stress
Propranolol has been shown to improve erythroid progenitor cell growth and anemia following trauma and this study sought to investigate the mechanisms involved by evaluating the effects of selective beta blockade. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 25, 2020 Category: Surgery Authors: Elizabeth S. Miller, Camille G. Apple, Kolenkode B. Kannan, Zackary M. Funk, Philip A. Efron, Alicia M. Mohr Source Type: research

Invited commentary for “The What? How? And Who? Of Video Based Assessment
“The What? How? And Who? of Video Based Assessment” by Dr. Pugh et al. is a timely review which evaluates the current state of video review in assessment of surgical performance and suggests means for implementation and spread of this tool more broadly.1 The possibilities for use of surgical vid eos in didactic education, formative assessment and summative assessment are manifold and yet as with any innovation, new challenges arise. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 25, 2020 Category: Surgery Authors: Mark Lane Welton Source Type: research

Abdominal sepsis patients have a high incidence of chronic critical illness with dismal long-term outcomes
This study used a prospective longitudinal cohort to characterize surgical ICU patients with abdominal sepsis who progress to chronic critical illness (CCI), with prolonged ICU stays and persistent organ dysfunction. While only 6% of patients died early, over 1/3rd of patients progressed to CCI. These CCI patients displayed multiple prolonged biomarker derangements, with dismal 1-year outcomes. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 25, 2020 Category: Surgery Authors: Michael C. Cox, Scott C. Brakenridge, Julie A. Stortz, Russell B. Hawkins, Dijoa D. Darden, Gabriela L. Ghita, Alicia M. Mohr, Lyle L. Moldawer, Philip A. Efron, Frederick A. Moore Source Type: research

Prognostic value of postoperative serum carcinoembryonic antigen levels in colorectal cancer patients with chronic kidney disease
Chronic kidney disease (CKD) can increase serum carcinoembryonic antigen (CEA) levels. We thus aimed to evaluate the impact of CKD on CEA prognostic accuracy in colorectal cancer. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 24, 2020 Category: Surgery Authors: Chih-Sheng Huang, Li-Kuo Huang, Chin-Yau Chen, Wei-Shu Wang, Shung-Haur Yang Source Type: research

Low-cost devices to prevent SARS-CoV-2 infection during open and laparoscopic surgery
During the COVID-19 pandemic, a debate started on the safety of smoke evacuation in the surgical field, due to the hypothesis that the virus can be produced during an aerosol-generating procedure (AGP). An AGP is defined as a medical or surgical procedure that can induce the production of aerosols of any size, either during open or minimally invasive approaches.1 (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 22, 2020 Category: Surgery Authors: Luis Felipe Cabrera Vargas, Lilian Torregrosa, Oscar Guevara, Mauricio Pedraza, Javier A. Carrera, Ricardo A. Villarreal, Eric E Vinck, Laura Cabrera, Paula Ferrada, Herbert Chen Source Type: research

Low-cost devices to prevent SARS-CoV-2 infection during open, laparoscopic and endoscopic surgery
During the COVID-19 pandemic, a debate started on the safety of smoke evacuation in the surgical field, due to the hypothesis that the virus can be produced during an aerosol-generating procedure (AGP). An AGP is defined as a medical or surgical procedure that can induce the production of aerosols of any size, either during open or minimally invasive approaches.1 (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 22, 2020 Category: Surgery Authors: Luis Felipe Cabrera Vargas, Lilian Torregrosa, Oscar Guevara, Mauricio Pedraza, Javier A. Carrera, Ricardo A. Villarreal, Erick Vinck, Laura Cabrera, Paula Ferrada, Herbert Chen Source Type: research

Narrow pulse pressure is independently associated with massive transfusion and emergent surgery in hemodynamically stable trauma patients
Narrow pulse pressure (PP) is a sign of Class-II hemorrhage, but its clinical relevance is unknown. We hypothesized narrow PP is related to significant transfusion and need for emergent surgery. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 19, 2020 Category: Surgery Authors: B. Bankhead-Kendall, Pgr Teixeira, S. Roward, S. Ali, A. Ryder, S. Sahi, T. Cardenas, J. Aydelotte, B. Coopwood, Cvr Brown Source Type: research

Conference cancelled: The equitable flip side of the academic surgery coin
The coronavirus disease 2019 (COVID-19) has converted the world to a “new normal” during which nothing is what it was before. By July 2020, over ten million people had been confirmed with COVID-19 and over 500,000 people have died.1 Understandably, public health measures put a halt on public events at the start of the pandemic. Around the world, mass gatherings a nd academic conferences have been cancelled; others have found innovative means to shift virtually. Previous outbreaks have all resulted in some form of social reform for the better: the bubonic plague improved worker conditions, cholera outbreaks impr...
Source: American Journal of Surgery - July 17, 2020 Category: Surgery Authors: Dominique Vervoort, Xiya Ma, Hloni Bookholane, Tom C. Nguyen Source Type: research

COVID-19 testing processes and patient protections for resumption of elective surgery
The testing of patients for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been proposed as a mechanism for protecting patients and healthcare workers during the current Coronavirus disease 2019 (COVID-19) pandemic.1 However, when detected by nucleic acid amplification using polymerase chain reaction (PCR), there is the possibility of false negative results with these tests.2 In addition, the test only assesses for virus at a single point in time, and if a patient is still early in the incubation phase the presence of virus can be missed. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 17, 2020 Category: Surgery Authors: Michael Schlosser, Heather Signorelli, William Gregg, Kimberly Korwek, Kenneth Sands Source Type: research

An analysis of surgical literature trends over four decades
The impact of surgical research is far reaching, necessitating the importance of ongoing changes in this large and heterogeneous community. Given the intensity and duration of surgical training, surgical investigators may be at a disadvantage given the difficulties of procuring non-clinical time, which may be reflected by the paucity of pinnacle studies (randomized controlled-trials) within the surgical literature.1,2 Surgeons dedicated to advancing the field through research sometimes rely on weaker, albeit more pragmatic, study designs. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 16, 2020 Category: Surgery Authors: Paul B. Comish, Tarik D. Madni, Paul A. Nakonezny, Helen Mayo, Jonathan B. Imran, Kali M. Kuhlenschmidt, Luis R. Taveras, Ryan J. Vela, Ypaul L. Goldenmerry, Audra T. Clark, Holly B. Weis, Michael W. Cripps, Steven E. Wolf Source Type: research

Invited commentary: Postoperative thyroid hormone supplementation rates following thyroid lobectomy
In this issue of the American Journal of Surgery, Fingeret et al. have provided a retrospective single-institution cohort study to evaluate the need for thyroid hormone supplementation after a thyroid lobectomy.1 (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 15, 2020 Category: Surgery Authors: Nikita Machado, Scott Wilhelm Source Type: research

Impact of surgical complications on patient reported outcomes (PROs) following nipple sparing mastectomy
Nipple sparing mastectomy (NSM) is oncologically safe and provides excellent cosmetic outcomes. Complications after surgery may impact patient reported outcomes (PROs). We assessed the impact of complications on PROs after NSM. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 13, 2020 Category: Surgery Authors: Mirelle Lagendijk, Stephen Desantis, Faina Nakhlis, Margaret Duggan, Katherina Zabicki Calvillo, Matthew Carty, Yoon Chun, Stephanie Caterson, Mehra Golshan, Laura S. Dominici Source Type: research

Proximal diversion after colectomy: The debate continues
Anastomotic leak can be one of the most devastating complications after colon surgery. Numerous studies have evaluated ways to prevent or mitigate anastomotic leaks and one of those strategies is to use a diverting ostomy. However, ostomies have their own complications and sometimes significant morbidity. Deciding which patient needs fecal diversion is a decision made with careful preoperative evaluation and intra-operative judgment. Assessing these variables can be extremely challenging, and as the authors highlight, are often made without quality data. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 13, 2020 Category: Surgery Authors: Drew Gunnells, Gregory D. Kennedy Source Type: research

Mentorship strategies to foster inclusivity in surgery during a virtual era
Since the emergence of SARS-COV-2, the virus has percolated insidiously through communities. For several months, it has dismantled social infrastructure globally and transitioned us to an era of relative isolation. This introduces a paradox. In the setting of social distancing, previously established relationships are strengthened. Especially in hospitals, healthcare teams have come together and deepened their interdependence in an effort to address the surge of COVID-19. (see Table 1) (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 13, 2020 Category: Surgery Authors: Natalie Ailene Moreno, Justin B. Dimick, Erika A. Newman Source Type: research

Invited commentary for: Gender differences in urology society award recipients
Dr. Rena Malik and her group at the University of Maryland reported their results of gender trends in urologic society awardees in the past several decades, depending on years of data available from each society.1 They queried public websites for information about awards and awardees. The authors found an increasing trend of women awardees from urology societies, though the frequency and proportions varied markedly by society. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 13, 2020 Category: Surgery Authors: Marie Crandall Source Type: research

The effect of trauma center verification level on traumatic brain injury outcome after implementation of the Orange Book
Previous literature demonstrates mortality discrepancies at Level II vs. Level I centers in patients with isolated Traumatic Brain Injury (TBI). Our hypothesis is that the implementation of the 2014 version of the resources manual ( “the Orange Book”) is associated with an elimination of this outcome disparity. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 13, 2020 Category: Surgery Authors: David S. Plurad, Glenn Geesman, Ahmed Mahmoud, Nicholas Sheets, Bhani Chawla-Kondal, Napatkamon Ayutyanont, Samer Ghostine Tags: American Society of Breast Surgeons Source Type: research

Global surgery in the time of COVID-19: A trainee perspective
We read with great interest a number of recent articles by L Ferrario et al.,1 AN Martin& RT Petroze,2 C Shao3 and Chen et al.4; we would like to thank the authors for sharing their perspectives. We echo the authors ’ concern that the COVID-19 pandemic has presented unprecedented challenges to surgical training at all levels and support their desire to identify opportunities for trainees interested in surgery. Eager to continue the conversation, we provide suggestions for continuing education for trainees int erested in global surgery (GS) during this pandemic (see Table 1). (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 9, 2020 Category: Surgery Authors: Sangrag Ganguli, Betel Yibrehu, Vanessa Niba Source Type: research

The role of the University of Cape Town, South Africa in the training and retention of surgeons in Sub-Saharan Africa
Sub-Saharan Africa (SSA) has a shortage of surgeon specialists. Many SSA countries lack specialty training programs but South Africa, an upper middle-income country, has several post-graduate surgical training programs. The primary objective of this study was to describe the retention rates of non-South African SSA surgical trainees from the University of Cape Town (UCT) on the African sub-continent. The secondary objective was to describe advantages and disadvantages of foreign surgical trainees on the UCT surgical training programs. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 9, 2020 Category: Surgery Authors: Priyanka Naidu, Johannes J. Fagan, Carina Lategan, Liam P. Devenish, Kathryn M. Chu Source Type: research

Postoperative thyroid hormone supplementation rates following thyroid lobectomy
Thyroid lobectomy is performed for symptomatic benign nodules, indeterminate nodules, or low-risk well differentiated thyroid cancer. We aimed to determine factors associated with thyroid stimulating hormone over goal (TH) following lobectomy. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 9, 2020 Category: Surgery Authors: Madeleine Wilson, Anery Patel, Whitney Goldner, John Baker, Zafar Sayed, Abbey L. Fingeret Source Type: research

Feasibility of laparoscopic ovarian tissue cryopreservation after open abdominopelvic tumor surgery
This study evaluates the feasibility of OTC with a laparoscopic approach after open surgery. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 8, 2020 Category: Surgery Authors: Courtney J. Harris, Timothy B. Lautz, Erin E. Rowell Tags: American Society of Breast Surgeons Source Type: research

Laparo-Endoscopic Single Site (LESS) cosmesis: Patients perception of body image distortion after LESS surgery
This study investigated preoperative and postoperative patient perceptions of LESS surgery and what factors may affect those perceptions. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 8, 2020 Category: Surgery Authors: Sharona Ross, Timothy Bourdeau, Kenneth Luberice, Kaitlyn Crespo, Vladamir Faustin, Iswanto Sucandy, Alexander Rosemurgy Source Type: research

Venous thromboembolism prevention compliance: A multidisciplinary educational approach utilizing NSQIP best practice guidelines
Review of our institutional National Surgical Quality Improvement Project (NSQIP) data found higher rate of Venous Thromboembolic Events (VTE) (2.5% vs. 1.1%). Compared to the national benchmark. Our goal was to identify opportunities for quality improvement. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 8, 2020 Category: Surgery Authors: Madeline B. Torres, Heather A. Kendall, Andrew Kerwin, Ziad Awad, Joseph Tepas, Marie Crandall, Jin Ra Source Type: research

Utilization of mental health services in pediatric patients surviving penetrating trauma resulting from interpersonal violence
Violent trauma has lasting psychological impacts. Our institution's Community Violence Response Team (CVRT) offers mental health services to trauma victims. We characterized implementation and determined factors associated with utilization by pediatric survivors of interpersonal violence-related penetrating trauma. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 7, 2020 Category: Surgery Authors: Miriam Y. Neufeld, Megan G. Janeway, Su Yeon Lee, Matthew I. Miller, Erin A. Smith, Bindu Kalesan, Lisa Allee, Tracey Dechert, Sabrina E. Sanchez Source Type: research

Operative management of colonic diverticular disease in the setting of immunosuppression: A systematic review and meta-analysis
Immunosuppressed patients with diverticular disease are at higher risk of postoperative complications, however reported rates have varied. The aim of this study is to compare postoperative outcomes in immunosuppressed and immunocompetent patients undergoing surgery for diverticular disease. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 7, 2020 Category: Surgery Authors: Tyler McKechnie, Yung Lee, Colin Kruse, Yuan Qiu, Jeremy E. Springer, Aristithes G. Doumouras, Dennis Hong, Cagla Eskicioglu Source Type: research

Gender differences in urology society award recipients
Approximately 91% of urologists are male and 9% female. We aim to characterize gender differences amongst urology society awardees over the past six decades (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 7, 2020 Category: Surgery Authors: Netsanet Woldegerima, Alexander Thomopulos, Andrea Bafford, Rena D. Malik Source Type: research

Splenic artery angioembolization for high-grade splenic injury: Are we wasting money?
Non-operative management (NOM) is accepted treatment of splenic injury, but this may fail leading to splenectomy. Splenic artery embolization (SAE) may improve rate of salvage. The purpose is to determine the cost-utility of the addition of SAE for high-grade splenic injuries. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 7, 2020 Category: Surgery Authors: Lara Senekjian, Joseph Cuschieri, Bryce RH. Robinson Source Type: research

The confidence gap: Findings for women in plastic surgery
In a surgical field, where surgeons are, “sometimes wrong, but never in doubt,” lack of confidence can have detrimental effects on career advancement. In other fields there is evidence that a gap exists between women and men in the amount of confidence they display, and that confidence is a proxy for success. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 7, 2020 Category: Surgery Authors: Melody Scheefer Van Boerum, Angela F. Jarman, Jacob Veith, Chelsea McCarty Allen, Kathleen A. Holoyda, Cori Agarwal, Courtney Crombie, Amalia Cochran Source Type: research

Two novel risk factors for postoperative venous thromboembolism: A reconsideration of standard risk assessment and prophylaxis
General surgery patients with emergency operations, multiple operations, and/or perioperative sepsis have a greater likelihood of developing postoperative VTE than do patients without those hazards. Concurrence of any two risk factors confers a greater risk of VTE, even more so when all three risk factors are present. These novel risk factors are not captured in contemporary risk assessment models, representing underestimation of VTE risk and perhaps insufficient prophylaxis for this subset of patients. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 7, 2020 Category: Surgery Authors: Stephanie C. Vaughn, Stephanie D. Talutis, Michael R. Cassidy, Teviah E. Sachs, Frederick T. Drake, Pamela Rosenkranz, Sowmya R. Rao, David McAneny Source Type: research

Patient-reported health literacy scores are associated with readmissions following surgery
Health literacy (HL) impacts medical care. We hypothesized that patients with low HL would have higher readmission rates following surgery. (Source: American Journal of Surgery)
Source: American Journal of Surgery - July 7, 2020 Category: Surgery Authors: Samantha Baker, Emily Malone, Laura Graham, Elise Dasinger, Tyler Wahl, Ashley Titan, Joshua Richman, Laurel Copeland, Edith Burns, Jeffrey Whittle, Mary Hawn, Melanie Morris Source Type: research