Failing in the system or systemic failure? The inherent tension within surgical trainee underperformance and remediation
Surgical training organisations have an obligation to ensure they graduate safe, competent surgeons, which includes remediating trainees when their performance deviates from accepted standards of practice. Yet, as McLeod et al. describe in this issue of The American Journal of Surgery, the experience of remediation can frequently be isolating, confusing, and overly punitive for surgical trainees.1 The need for remediation almost always results in negative emotions, particularly shame, anxiety, and guilt. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 28, 2024 Category: Surgery Authors: Alison Zhu, Sarah Joy Aitken Tags: Invited Commentary Source Type: research
Sequential surgeries following transversus abdominis release for abdominal wall reconstruction: Insights from a single-center analysis
This study aims to reveal the incidence and outcomes of post-TAR non-hernia-related abdominal surgeries of any kind. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 27, 2024 Category: Surgery Authors: Nir Messer, Ryan C. Ellis, Sara M. Maskal, Jenny H. Chang, Ajita S. Prabhu, Benjamin T. Miller, Lucas RA. Beffa, Clayton C. Petro, Serrgio Mazzola Poli de Figueiredo, Aldo Fafaj, Varisha Essani, Michael J. Rosen Tags: Original Research Article Source Type: research
Improved outcomes following gastrointestinal surgery among people living with HIV in the HAART-era: A scoping review
This study aimed to review the varied (Rose et al., 1998; Akbari et al., 2018; Madiba et al., 2009; Sobnach et al., 2019) 1 –4 gastrointestinal (GI) system surgical outcomes among people living with Human Immunodeficiency Virus (PLWH) in the HAART-era. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 26, 2024 Category: Surgery Authors: Victoria H. Chen, Keiko M. Patterson, Julio Montaner, Sam M. Wiseman Tags: Original Research Article Source Type: research
Two-center analysis of cannabis on venous thromboembolism risk after traumatic injury: A matched analysis
Conflicting evidence exists evaluating associations between cannabis (THC) and post-traumatic DVT. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 26, 2024 Category: Surgery Authors: Casey R. Erwin, Todd W. Costantini, Andrea Krzyzaniak, Matthew J. Martin, Jayraan Badiee, Alexandra S. Rooney, Laura N. Haines, Allison E. Berndtson, Vishal Bansal, C. Beth Sise, Richard Y. Calvo, Michael J. Sise Tags: Original Research Article Source Type: research
Surgical stabilization of rib fractures: The impact of volume and the need for standardized indications
We aimed to examine impact of trauma center (TC) surgical stabilization of rib fracture (SSRF) volume on outcomes of patients undergoing SSRF. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 25, 2024 Category: Surgery Authors: Sai Krishna Bhogadi, Omar Hejazi, Adam Nelson, Collin Stewart, Hamidreza Hosseinpour, Audrey L. Spencer, Tanya Anand, Michael Ditillo, Louis J. Magnotti, Bellal Joseph Tags: Original Research Article Source Type: research
High-grade liver injuries with contrast extravasation managed initially with interventional radiology versus observation: A secondary analysis of a WTA multicenter study
High-grade liver injuries with extravasation (HGLI + Extrav) are associated with morbidity/mortality. For low-grade injuries, an observation (OBS) first-strategy is beneficial over initial angiography (IR), however, it is unclear if OBS is safe for HGLI + Extrav. Therefore, we evaluated the management of HGLI + Extrav patients, hypothesizing IR patients will have decreased rates of operation and mortality. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 23, 2024 Category: Surgery Authors: Negaar Aryan, Areg Grigorian, Erika Tay-Lasso, Michael Cripps, Heather Carmichael, Robert McIntyre, Shane Urban, Catherine Velopulos, Clay Cothren Burlew, Shana Ballow, Rachel C. Dirks, Aimee LaRiccia, Michael S. Farrell, Deborah M. Stein, Michael S. Trui Tags: Original Research Article Source Type: research
O blood type is not associated with worse coagulopathy or outcome in exsanguinating trauma
Despite improving understanding of trauma-induced coagulopathy (TIC), mortality and morbidity due to exsanguinating trauma remain high. Increased complications due to hemorrhage have been reported in blood group O, possibly due to reduced levels of von Willebrand factor (vWF). (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 23, 2024 Category: Surgery Authors: J. Cole Gwin, Niyati Rangnekar, Glenn P. Murray, Saskya Bylerly, Andrew M. Fleming, Thomas S. Easterday, Andrew J. Kerwin, Isaac W. Howley Tags: Original Research Article Source Type: research
Tumour size predicts risk of recurrence in tall cell subtype papillary thyroid carcinoma
The tall cell subtype of papillary thyroid cancer (TCPTC) is the most common aggressive subtype and often treated aggressively. This approach may not be necessary in smaller tumours without adverse histological characteristics. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 23, 2024 Category: Surgery Authors: David Leong, Connull Leslie, Brodie Laurie, Lachlan Hou, Jo Keyser, Ming Khoon Yew, Simon Ryan, Hieu Nguyen, Dean Lisewski Tags: Review Article Source Type: research
Who's keeping score? Risk assessment models should be built for the clinicians using them
In their manuscript, “Risk Factors for Post-Operative VTE following Colorectal Surgery: Is Caprini score enough?1”, Dr. Almanzar and colleagues present a retrospective review of patients undergoing colorectal surgery at their healthcare system over a 12 month period, in which they identify 15 patients who sustained VTE. Their analysis and discussion that follows identifies that only 4 (27%) of the 15 patients would have been considered “high risk” based on Caprini scores>7, leading to the suggestion that this scoring system is deficient for the needs of their colorectal surgery population. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 21, 2024 Category: Surgery Authors: Eli Mlaver, Virginia O. Shaffer Tags: Invited Commentary Source Type: research
Editorial Board
(Source: American Journal of Surgery)
Source: American Journal of Surgery - March 19, 2024 Category: Surgery Source Type: research
Table of Contents (3 pgs)
(Source: American Journal of Surgery)
Source: American Journal of Surgery - March 19, 2024 Category: Surgery Source Type: research
Paget ’s disease of the breast: Insights from imaging to guide surgical management
Paget ’s disease (PD) of the breast is a rare condition accounting for only 1–3% of breast cancers, as evident by the paucity of published data and small cohort analyses.1 Due to its multifocal variation and the unreliability of mammography and ultrasound to detect underlying breast cancer in PD, mast ectomy had long been the standard of care for adequate disease control.1,2 However, further studies comparing mastectomy to breast-conserving surgery (BCS) followed by adjuvant radiation have shown no statistical difference in overall survival. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 18, 2024 Category: Surgery Authors: Juliet C. Dalton, Jennifer K. Plichta Tags: Invited Commentary Source Type: research
Hospital readmissions after robotic hepatectomy for neoplastic disease: Analysis of risk factors, survival, and economical impact. A logistical regression and propensity score matched study
As the first comprehensive investigation into hospital readmissions following robotic hepatectomy for neoplastic disease, this study aims to fill a critical knowledge gap by evaluating risk factors associated with readmission and their impact on survival and the financial burden. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 18, 2024 Category: Surgery Authors: Michelle M. Dugan, Sharona Ross, Maria Christodoulou, Tara M. Pattilachan, Jeilianis Adorno Flores, Alexander Rosemurgy, Iswanto Sucandy Tags: Original Research Article Source Type: research
Teaching cultural dexterity in surgical care: As essential to a surgeon's skill set as tying a knot
The United States is becoming increasingly diverse, though the surgical workforce has been slow to follow; in 2021, only 6% of general surgeons identified as Black or African American and 7% identified as Hispanic.1 For patients of racial or ethnic minorities, most of their healthcare interactions will be cross-cultural, and provider-level factors such as poor patient-clinical communication leads to lower quality of care and inferior outcomes.2,3 While it is imperative that we actively promote diversity, equity, and inclusion in surgery, we also need to act now by training our surgical workforce to care for patients of div...
Source: American Journal of Surgery - March 11, 2024 Category: Surgery Authors: Gezzer Ortega, Brittany M. Dacier, Jorge Z árate Rodriguez, Maria B.J. Chun, N. Rhea Udyavar, Benjamin G. Allar, Alexander R. Green, Adil H. Haider, Douglas S. Smink, the PACTS Trial Group Tags: My Thoughts / My Surgical Practice Source Type: research
Survival disparities in rural versus urban patients with pancreatic neuroendocrine tumor: A multi-institutional study from the US neuroendocrine tumor study group
This study assesses disparities in outcomes between PNET patients who live in urban (UA) and rural areas (RA). (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 11, 2024 Category: Surgery Authors: Muhammad Bilal Mirza, Jordan J. Baechle, Paula Marincola Smith, Mary Dillhoff, George Poultsides, Flavio G. Rocha, Clifford S. Cho, Emily R. Winslow, Ryan C. Fields, Shishir K. Maithel, Kamran Idrees Tags: Original Research Article Source Type: research
