The incidence and risk factors of marginal ulcers in the short and medium term in symptomatic post-pancreaticoduodenectomy patients –––– single-center experience
Marginal ulcer (MU) is one of the postoperative complications of pancreaticoduodenectomy (PD), which needs particular attention in postoperative treatments. (Source: American Journal of Surgery)
Source: American Journal of Surgery - February 12, 2024 Category: Surgery Authors: Shaoqin Fan, Guosheng Chen, Kai Zhang, Li Zhao, Hao Yuan, Junli Wu, Wentao Gao, Jishu Wei, Chunhua Xi, Feng Guo, Jianmin Chen, Zipeng Lu, Kuirong Jiang, Yi Miao, Bin Xiao Tags: Original Research Article Source Type: research
My thoughts: The rise of social media as a reporting source for firearm violence
The United States (US) continues to grapple with the firearm violence epidemic, a crisis exacerbated during the COVID-19 pandemic.1 Historically, firearm violence reporting has been dominated by traditional media channels like television and newspapers. However, with the rapid growth of social media, news has shifted toward platforms such as Twitter (now known as X), Facebook, Instagram, or Tik Tok, with 61% of Americans using these as their regular news source.2 Twitter particularly has become a source of real-time information, increasingly utilized by first responders and bystanders in mass shootings. (Source: American Journal of Surgery)
Source: American Journal of Surgery - February 12, 2024 Category: Surgery Authors: Shaelyn Choi, Jason Liang, Megan R. Donnelly, Mallory Jebbia, Catherine M. Kuza, Lourdes Swentek, Areg Grigorian, Jeffry Nahmias Tags: My Thoughts / My Surgical Practice Source Type: research
Traumatic lower extremity amputation as a risk factor for venous thromboembolism
This study aimed to evaluate whether lower extremity (LE) amputation among civilian casualties is a risk factor for venous thromboembolism. (Source: American Journal of Surgery)
Source: American Journal of Surgery - February 12, 2024 Category: Surgery Authors: Dias Argandykov, Emanuele Lagazzi, Jefferson A. Proa ño-Zamudio, Wardah Rafaqat, May Abiad, Michael DeWane, Charudutt N. Paranjape, Haytham M.A. Kaafarani, George C. Velmahos, John O. Hwabejire Tags: Original Research Article Source Type: research
Are we measuring what matters most? ACP completion among patients undergoing gastrostomy tube placement
An alleged benefit of Advance Care Planning (ACP) is the facilitation of goal-concurrent care for patients facing serious and life-limiting illness. In this edition of The American Journal of Surgery, Williams et al. retrospectively examine the prevalence of advanced care planning (ACP) documentation among a diverse cohort of 877 patients undergoing endoscopic, fluoroscopic, laparoscopic, or open surgical gastrostomy tube (GT) procedures at an academic, tertiary-care safety-net hospital.1 The authors report that only 10.6% of included patients had accessible ACP documents available within the electronic medical record (EMR...
Source: American Journal of Surgery - February 10, 2024 Category: Surgery Authors: R. Ekaireb, K.E. Kopecky Tags: Invited Commentary Source Type: research
Some thoughts on surgery for primary hyperparathyroidism
Parathyroid surgery is an endless exercise of intelligence, enjoyment and … frustration. Even well-trained endocrine surgeons acknowledge that although straightforward parathyroidectomy (PTX) is the rule in, let's say, 90% of the cases, the remaining 10% can be a real challenge, not only from a technical point of view but also from the diagnostic, localization, genetics and postoperative aspects. I am pleased and honored to have been invited to write this introduction editorial and provide the reader with personal insights regarding some of the issues addressed in this comprehensive volume of the AJS on controversies and...
Source: American Journal of Surgery - February 10, 2024 Category: Surgery Authors: Antonio Sitges-Serra Tags: My Thoughts / My Surgical Practice Source Type: research
Patient reported outcomes of emergency general surgery procedures
Emergency general surgery (EGS) involves care of a patient's often previously unknown disease in the setting of an unplanned interaction with the healthcare system. This leads to challenges collecting and interpreting patient reported outcome measures (PROMs). (Source: American Journal of Surgery)
Source: American Journal of Surgery - February 10, 2024 Category: Surgery Authors: Pawan J. Mathew, Yasmin M. Ali, Rick O'Connor, Rachel Levinson, Ahmed Khan, Kevin M. Schuster Tags: Original Research Article Source Type: research
Standardizing the standards
The authors have performed a review of registries reporting complications by Canadian Trauma Centers.1 This review is timely as there is a push for better standardization and reporting throughout trauma registries in North America and more broadly in quality improvement efforts throughout surgery. They have shown that there is tremendous variability in what is reported and the definitions of complications.1 (Source: American Journal of Surgery)
Source: American Journal of Surgery - February 10, 2024 Category: Surgery Authors: Lindsey Loss, Luis Tinoco Garcia, Martin Schreiber Tags: Invited Commentary Source Type: research
Beyond grit and resilience: An association of Women Surgeon's series on surgical culture change
Angela Duckworth has popularized the terms grit and resilience, defined as the power of passion, perseverance, and stamina needed to achieve long term goals.1 Traditional surgical culture has emphasized and elevated these ideals, and has taught us that great surgeons should cultivate grit, embody a mentality of resilience, and forge ahead despite the obstacles. While a certain degree of resilience and grit are necessary to be a successful surgeon, this mentality is often times accompanied by the belief that surgeons should be strong pillars that say little in the face of difficulties. (Source: American Journal of Surgery)
Source: American Journal of Surgery - February 9, 2024 Category: Surgery Authors: Jenny M. Shao, Morgan Hopp, Lauren Nosanov, Chantal Reyna, Lisa K. Cannada, the Association of Women Surgeons Publication Committee Tags: My Thoughts / My Surgical Practice Source Type: research
Bilateral exploration in primary hyperparathyroidism: Double adenoma distribution and biochemical patterns over two decades
We investigated if anatomic patterns of abnormal parathyroid glands have ch anged for primary hyperparathyroidism (pHPT) as atypical biochemical presentation (normohormonal and normocalcemic) has increased. (Source: American Journal of Surgery)
Source: American Journal of Surgery - February 9, 2024 Category: Surgery Authors: Tim Beck, Gustavo Romero-Velez, Salem I. Noureldine, Gilman Plitt, Sarah Wang, Judy Jin Tags: Original Research Article Source Type: research
The Operating and Anesthetic Reference Assistant (OARA): A fine-tuned large language model for resident teaching
This study aimed to fine-tune a large language model (LLM) for domain-specific text generation in surgical and anesthesia residency education. (Source: American Journal of Surgery)
Source: American Journal of Surgery - February 9, 2024 Category: Surgery Authors: Estefania Guthrie, Dominique Levy, Gabriel del Carmen Tags: Featured Article Source Type: research
Hazards of surgical smoke from electrocautery: A critical review of the data
Concerns have been voiced regarding the possibility of health risks to the operating room personnel from exposure to surgical smoke generated from electrocautery. (Source: American Journal of Surgery)
Source: American Journal of Surgery - February 8, 2024 Category: Surgery Authors: Roger D. Hurst, Camille L. Stewart Tags: Review Article Source Type: research
Preoperative depression and anxiety associated with younger age and receipt of immediate breast reconstruction
As survivorship for breast cancer continues to improve, emphasis of care falls upon improving patients ’ quality of life. Understanding physical and mental health in the preoperative period is needed to aid surgical decision making and improve patient experience. (Source: American Journal of Surgery)
Source: American Journal of Surgery - February 7, 2024 Category: Surgery Authors: Katelynn Tang, Jason M. Sutherland, Guiping Liu, Trafford Crump, Amy Bazzarelli, Carol Dingee, Jin-Si Pao, Rebecca Warburton, Elaine McKevitt Tags: Original Research Article Source Type: research
An examination of rectal prolapse surgery patients ’ quality of life and symptoms using patient-reported outcome instruments: A prospective cohort study
We measured changes in self-reported health and symptoms attributable to rectal prolapse surgery using patient-reported outcome (PRO) measures. (Source: American Journal of Surgery)
Source: American Journal of Surgery - February 7, 2024 Category: Surgery Authors: Rajan Bola, Michael Guo, Ahmer Karimuddin, Guiping Liu, P. Terry Phang, Trafford Crump, Jason M. Sutherland Tags: Original Research Article Source Type: research
Pain and opioid use after colorectal resection for benign versus malignant disease: A single institution analysis
Studies comparing opioid needs between benign and malignant colorectal diseases are inconclusive. (Source: American Journal of Surgery)
Source: American Journal of Surgery - February 7, 2024 Category: Surgery Authors: Sarah Diaz, Kara K. Brockhaus, Matthew C. Bobel, Sara M. Colom, Carole Ramm, Robert K. Cleary Tags: Original Research Article Source Type: research
Sex differences and racial/ethnic disparities in the presentation and treatment of medullary thyroid cancer
This study assessed for disparities in the presentation and management of medullary thyroid cancer (MTC). (Source: American Journal of Surgery)
Source: American Journal of Surgery - February 7, 2024 Category: Surgery Authors: Saiesh Kalva, Sara P. Ginzberg, Jesse E. Passman, Jacqueline M. Soegaard Ballester, Caitlin B. Finn, Douglas L. Fraker, Rachel R. Kelz, Heather Wachtel Tags: Featured Article Source Type: research
