Long time consequences after STARR procedure: Report of 15 years experience and medico-legal perspective
Stapled transanal rectal resection is the most surgical procedure used for obstructed defecation syndrome, rectal prolapse, rectocele and rectal intussusception worldwide.The aim of this study is to report our experience and long time consequences and to offer a new medico-legal perspective. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 21, 2023 Category: Surgery Authors: Remo Andreoli, Nicola Zampieri, Simone Orlandi, Andrea Geccherle, Roberto L. Castellani Tags: Original Research Article Source Type: research
Unconscious bias in speaker introductions at a national vascular surgery meeting: The impact of rank, race and gender
We examined speaker introductions at the Society of Vascular Surgeons Annual Meeting to determine factors associated with non-professional address. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 18, 2023 Category: Surgery Authors: Ashley K. Vavra, Courtney L. Furlough, Andres Guerra, Katherine E. Hekman, Taehwan Yoo, Narjust Duma, Camille L. Stewart, Jeniann A. Yi Tags: Original Research Article Source Type: research
Analysis of artificial intelligence in thyroid diagnostics and surgery: A scoping review
Artificial Intelligence provides numerous applications in the healthcare sector. The main aim of this study is to evaluate the extent of the current application of artificial intelligence in thyroid diagnostics. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 17, 2023 Category: Surgery Authors: Anas Taha, Baraa Saad, Stephanie Taha-Mehlitz, Vincent Ochs, Joelle El-Awar, Mohammed M. Mourad, Katerina Neumann, Christine Glaser, Robert Rosenberg, Philippe C. Cattin Tags: Review Article Source Type: research
Prolonged travel time to transplantation center is associated with poor outcomes following heart transplantation
This study aims to examine the impact of home-to-transplantation center travel time as a potential barrier to healthcare accessibility. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 16, 2023 Category: Surgery Authors: Alejandro Suarez-Pierre, Jack Zakrzewski, Chiagoziem Anigbogu, John P. Iguidbashian, Ioannis A. Ziogas, Laura L. Peters, Amrut V. Ambardekar, Jordan RH. Hoffman, T Brett Reece, Joseph C. Cleveland, Jessica Y. Rove Tags: Original Research Article Source Type: research
Live to fight another day: Combining parenchymal sparing resection and ablative therapy in neuroendocrine tumor liver metastases
The past two decades have seen a dramatic increase in the treatment options for Neuroendocrine Tumor Liver Metastases (NETLM) with improving patient outcomes and expanding indications. For the management of this rare and heterogenous group of tumors to be informed by an extensive body of literature is a testament of the work and collaboration of high-volume centers across the globe, as well the value of international organizations such as the North American Neuroendocrine Tumor Society's (NANETS) and the European Neuroendocrine Tumor Society (ENETS). (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 16, 2023 Category: Surgery Authors: Ricardo J. Bello, Callisia N. Clarke Tags: Invited Commentary Source Type: research
Moving from scores to solutions: Lessons learned from the social vulnerability index and disparities in surgical outcomes
Social vulnerability index (SVI) is a composite measure of 16 census tract-level variables from the American Community Survey that are categorized into four domains: socioeconomic status, household composition, language and minority status, and housing and transportation.1 SVI was developed by the U.S. Centers for Disease Control and Prevention in 2011 for resource allocation in response to natural or human disasters.2 The vulnerability of a neighborhood is scored on a scale that ranges from 0 to 100, representing low to high vulnerability. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 15, 2023 Category: Surgery Authors: Dawda Jawara, Luke M. Funk Tags: Invited Commentary Source Type: research
The importance of faculty mentorship: Evaluation of a departmental junior faculty mentorship program
Mentorship has been well studied in the field of academic medicine and demonstrates a correlation with job satisfaction, retention, and success. It has the potential to play an important role in career advancement of the mentee, with the mentor supporting selection and pursuit of the appropriate career choices and fostering and providing opportunities for career advancement.1,2 The transition surgeons make from residency or fellowship to independent practice is a pivotal moment in their career. A nationwide survey was conducted in 2019 to assess challenges of young surgeons and their mentorship needs, and nearly one-third ...
Source: American Journal of Surgery - November 15, 2023 Category: Surgery Authors: Lauren Curwick, Polina Zmijewski, Elizabeth Beierle, Herbert Chen Tags: My Thoughts / My Surgical Practice Source Type: research
A renewed call to expand coverage for gender-affirming facial surgeries
Some 1.4 million adults in the U.S. identify as transgender.1 A variety of treatment options exist for individuals experiencing gender dysphoria, including psychotherapy, hormone therapy, and surgery to alter the face, chest, and/or genitalia. Though significant advances have been made in the available interventions, insurance coverage for these procedures has yet to keep pace, particularly for gender-affirming facial surgeries (GFS). The U.S. Department of Health and Human Services (HHS) recently proposed updates to Section 1557 Section 1557 of the Affordable Care Act (ACA) to strengthen nondiscrimination protections for ...
Source: American Journal of Surgery - November 15, 2023 Category: Surgery Authors: Tarika Srinivasan, Matthew Q. Parsons, Amitai S. Miller, Elliana Kirsch DeVore, Sean R. Cahill Tags: My Thoughts / My Surgical Practice Source Type: research
Negative pressure wound therapy for emergency laparotomy incisions: A national database propensity matched study
Surgical site infections (SSI) are a common complication of laparotomy incisions. The role of Negative Pressure Wound Therapy (NPWT) in preventing SSIs has not yet been explored in a nationwide analysis. We aimed to evaluate the association of the prophylactic use of NPWT with SSIs in patients undergoing an emergency laparotomy procedure. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 13, 2023 Category: Surgery Authors: Wardah Rafaqat, Jefferson P. Zamudio, May Abiad, Emanuele Lagazzi, Dias Argandykov, Casey M. Luckhurst, George C. Velmahos, Michael P. DeWane, Haytham M. Kaafarani, John O. Hwabejire Tags: Original Research Article Source Type: research
Aphorisms that I have come to live by
I am truly honoured, yet humbled by the presence of each of you here today, celebrating my upcoming retirement at this Festschrift. It has been a wonderful day filled with good science, a few tears and great laughter. I want to thank the Program Committee James Lee, Sally Carty, Cord Sturgeon and Tracy Wang for a wonderful day. I was so proud to see former residents and fellows present their own work as established physician/surgeons in their scope of expertise. I am sure all of you present would agree that I have had the distinct pleasure of collaborating with a remarkable group of colleagues in Calgary and throughout the...
Source: American Journal of Surgery - November 13, 2023 Category: Surgery Authors: Janice L. Pasieka Tags: My Thoughts / My Surgical Practice Source Type: research
Optimizing ergonomics during open, laparoscopic, and robotic-assisted surgery: A review of surgical ergonomics literature and development of educational illustrations
The surgical profession is plagued with a high prevalence of work-related musculoskeletal disorders. While numerous interventions have been tested over the years, surgical ergonomics education is still uncommon. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 10, 2023 Category: Surgery Authors: Emmanuel Tetteh, Tianke Wang, Joseph Kim, Tianqi Smith, Hamid Norasi, Meegan Van Straten, Geeta Lal, Kristin Chrouser, Jenny M. Shao, M. Susan Hallbeck Tags: Review Article Source Type: research
Primary Hyperparathyroidism and the PAS Score
Primary hyperparathyroidism (PHPT), defined as an elevated serum calcium, adjusted for albumin, in conjunction with an elevated or inappropriately normal parathyroid hormone (PTH) level, is increasingly being diagnosed in patients with mild biochemical abnormalities, mostly secondary to the increased use of automated biochemical testing. The causal relationship between PHPT and neurobehavioral symptoms, including depression, anxiety, impaired cognition and memory, sleep disturbances, and reduced quality of life, has long been studied. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 10, 2023 Category: Surgery Authors: Tracy S. Wang Tags: My Thoughts / My Surgical Practice Source Type: research
Epidural analgesia and post-operative ileus after incisional hernia repair with transversus abdominis release: Results of a 5-year quality improvement initiative
The optimal pain management strategy after open ventral hernia repair (VHR) with transversus abdominus release (TAR) is unknown. Opioids are known to have an inhibitory effect on the GI tract and cause postoperative ileus. Epidural analgesia is associated with lower postoperative ileus rates but may contribute to other postoperative complications. A propensity-matched retrospective review published by our group in 2018 found that epidural analgesia was associated with an increased length of stay and any postoperative complication after VHR. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 10, 2023 Category: Surgery Authors: Megan Melland-Smith, Xinyan Zheng, Nir Messer, Lucas Beffa, Clayton Petro, Ajita Prabhu, David Krpata, Michael Rosen, Benjamin Miller Tags: Original Research Article Source Type: research
The role of telemedicine in building trust: An evolution of the patient-surgeon relationship
At the heart of medicine is the patient-doctor relationship. Trust is a key factor in this alliance as it fosters effective communication, shared decision-making, and positive clinical outcomes. In surgery, patient trust in the surgeon's skill set and clinical acumen is a critical component of the patient-doctor relationship. Trust is not easy to establish or maintain, and several factors can erode it, such as communication without regard to patient health literacy levels, and lack of access to care. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 10, 2023 Category: Surgery Authors: Meghna H. Katta, Connie C. Shao, Bayley Jones, Ariel Nehemiah, Robert Krouse, Clifford Ko, Daniel I. Chu Tags: My Thoughts / My Surgical Practice Source Type: research
Trailblazing Women: Female Nobel laureates in medicine as role models
When I started working as a young surgeon in Sweden in the eighties, 15% of my colleagues were women. This number was somewhat higher among breast and endocrine surgeons and slightly lower among vascular and upper GI surgeons. As I started engaging in clinical research, I also faced the tremendous underrepresentation of women in higher academic positions. A telling fact in this context is that the first female full professor in surgery in Sweden was appointed as late as 2013. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 8, 2023 Category: Surgery Authors: Jan Zedenius Tags: Original Research Article Source Type: research
