To the point: Utility of laparoscopy for operative management of stabbing abdominal trauma
Algorithms for managing penetrating abdominal trauma are conflicting or vague regarding the role of laparoscopy. We hypothesized that laparoscopy is underutilized among hemodynamically stable patients with abdominal stab wounds. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 30, 2024 Category: Surgery Authors: Bryan R. Campbell, Alexandra S. Rooney, Andrea Krzyzaniak, Joseph J. Lee, Alyssa N. Carroll, Richard Y. Calvo, Kimberly A. Peck, Matthew J. Martin, Vishal Bansal, Michael J. Krzyzaniak, Michael J. Sise Tags: Original Research Article Source Type: research
Effect of PCC on outcomes of severe traumatic brain injury patients on preinjury anticoagulation
This study aims to evaluate effect of 4-factor PCC on outcomes of severe TBI patients on preinjury anticoagulants undergoing craniotomy/craniectomy. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 30, 2024 Category: Surgery Authors: Sai Krishna Bhogadi, Adam Nelson, Hamidreza Hosseinpour, Tanya Anand, Omar Hejazi, Christina Colosimo, Audrey L. Spencer, Michael Ditillo, Louis J. Magnotti, Bellal Joseph Tags: Original Research Article Source Type: research
The risks of failed nonoperative management of appendicitis in older adults
The consequences of failed nonoperative management of appendicitis in older patients have not been described. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 29, 2024 Category: Surgery Authors: Nicole Lunardi, Elisa Marten, Sherene Sharath, Panos Kougias, Thai H. Pham, Courtney J. Balentine Tags: Original Research Article Source Type: research
Locally advanced pancreatic cancer: Is surgical palliation associated with improved clinical outcome relative to medical palliation?
The value of palliative surgery in pancreatic cancer is not well-defined. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 28, 2024 Category: Surgery Authors: Sarah P. Kramer, Celsa Tonelli, Fred A. Luchette, James Swanson, Zaid Abdelsattar, Tyler Cohn, Marshall S. Baker Tags: Original Research Article Source Type: research
The why and how of the minimally invasive pneumoperitoneum in present-day laparoscopic surgery
Technological improvement in laparoscopic surgery has mainly concerned image quality enhancement on one hand and surgical precision provided by robotic surgery on the other. Remarkably, the insufflation process has undergone very few changes over the years. Gas insufflation in the abdominal cavity, i.e., the pneumoperitoneum, generates a suitable workspace for the surgeon. Yet, conventional insufflation greatly impacts peritoneal homeostasis, causing impaired peritoneal blood flow, peritoneal acidosis, oxidative stress, mesothelial alterations, and adhesions. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 27, 2024 Category: Surgery Authors: Guido Mazzinari, Kim I. Albers-Warl é, Lucas Rovira, Michiel C. Warlé, Oscar Diaz−Cambronero, Maria Pilar Argente Navarro Tags: My Thoughts / My Surgical Practice Source Type: research
Health related social needs and social determinants of health: Navigating the convoluted path of health equity in surgery
Evidence demonstrates that social determinants of Health (SDOH) are associated with 70 % of health outcomes.1 Nationally, there is attention on unmet social needs to improve health equity, reduce costs, and impact patient outcomes.1 Coinciding with SDOH, Health-Related Social Needs (HRSNs) are the immediate social needs that affect the health outcomes for individuals, such as incom e instability, housing instability, and food insecurity.3 In 2023, the Joint Commission mandated health-related social needs (HRSN) screening and referral which impact SDOH, and in 2024, the Centers for Medicare and Medicaid Services (CMS) ad...
Source: American Journal of Surgery - January 27, 2024 Category: Surgery Authors: Jillian Timperley, Joy Doll, Yanick Tad é, Waddah Al- Refaie Tags: My Thoughts / My Surgical Practice Source Type: research
Tips for early career academic surgeons
Completion of surgical training and appointment as an attending/consultant represents a transition from supervised to independent practice. While this indicates a formal end to surgical training, it is a profession of life-long learning and continuing professional development. It has been suggested that the first 5 years of practice outside of the formal training environment is one of the most important and formative learning experiences of one's career.1,2 This new stage of practice may come with novel challenges such as building clinics, establishing a clinical, educational and academic portfolio, forming relationships w...
Source: American Journal of Surgery - January 26, 2024 Category: Surgery Authors: Muireann Keating, Paula Ferrada, Philip J. O'Halloran, William Perry, Shirley Potter, Sanjay S. Reddy, Fatima G. Wilder, Ian S. Reynolds, The American Journal of Surgery STARS Delegation Tags: Editorial Source Type: research
Deficiencies in germline genetic testing in young-onset colorectal cancer patients
Young-onset colorectal cancer (YO-CRC) patients have high rates of pathologic genetic variants on germline testing, however it is unclear what factors are associated with genetic testing completion. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 25, 2024 Category: Surgery Authors: Hannah Ficarino, Ben Cage, Jean Paul Osula, Alexis Heatherly, Daniel Chu, Sushanth Reddy, Smita Bhatia, Robert Hollis Tags: Original Research Article Source Type: research
Paget's disease of the breast: Presentation, treatment, and outcomes in a modern cohort
This study aims to assess outcomes of PD patients based on procedure type and determine the reliability of imaging in estimating disease extent. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 24, 2024 Category: Surgery Authors: Dorsa Mousa-Doust, Rebecca Warburton, Jin-Si Pao, Carol Dingee, Amy Bazzarelli, Jieun Newman-Bremang, Elaine McKevitt Tags: Featured Article Source Type: research
Retracting the thyroid matters: Who develops asymptomatic transient thyrotoxicosis after parathyroidectomy
Hyperthyroidism after parathyroidectomy is not a well-understood complication. We sought to determine the incidence and risk factors of hyperthyroidism after parathyroidectomy. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 24, 2024 Category: Surgery Authors: Rongzhi Wang, Gabe Stidham, Kelly Lovell, Jessica Liu McMullin, Andrea Gillis, Jessica Fazendin, Brenessa Lindeman, Herbert Chen Tags: Featured Article Source Type: research
Association of preoperative thyroid hormone replacement with perioperative complications after major abdominal surgery
To determine the association between preoperative thyroid hormone replacement and complications following major abdominal surgery. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 23, 2024 Category: Surgery Authors: Catherine T. Haring, Molly E. Heft Neal, Craig A. Jaffe, Andrew G. Shuman, Andrew J. Rosko, Matthew E. Spector Tags: Original Research Article Source Type: research
Telling my aunt she was dying
I am submitting to you my manuscript entitled “Telling My Aunt She Was Dying”. My intent is that the platform of your esteemed journal will reach a large number of surgeons who deal with emergency surgical decisions every day. I, a surgeon and also a family member, have experienced this situation and wish to communicate the important nuance of sharing bad news and including a patient's lived life and previous decisions in planning ongoing care. I believe you will find my article uplifting and meaningful and a tribute to persons experiencing consideration for emergency surgery. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 22, 2024 Category: Surgery Authors: Eden Nohra Tags: My Thoughts / My Surgical Practice Source Type: research
Effect of Medicaid expansion on inflammatory bowel disease and healthcare utilization
Kentucky was among the first to adopt Medicaid expansion, resulting in reducing uninsured rates from 14.3 % to 6.4 %. We hypothesize that Medicaid expansion resulted in increased elective healthcare utilization and reductions in emergency treatments by patients suffering Inflammatory Bowel Disease (IBD). (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 17, 2024 Category: Surgery Authors: Brittany E. Levy, Anthony A. Mangino, Jennifer T. Castle, Wesley A. Stephens, Hannah G. McDonald, Jitesh A. Patel, Sandra J. Beck, Avinash S. Bhkata Tags: Original Research Article Source Type: research
Optimizing throughput of babies with infantile hypertrophic pyloric stenosis
Definitive surgical care is often delayed in hypertrophic pyloric stenosis (HPS). Our aim is to evaluate the effect modifiable factors in preoperative HPS management have on efficiency of care. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 16, 2024 Category: Surgery Authors: Spencer Wilhelm, Diane Studzinski, Hossam Alslaim, Matthew Major, Brianna Stadsvold, Kaitlin Kehoe, Anthony Iacco, Christian Walters, Nathan Novotny Tags: Original Research Article Source Type: research
Touching with your eyes: Fluorescent intraoperative imaging in the management of Small Bowel Neuroendocrine Tumors
Small bowel neuroendocrine tumors (SB-NETs) are the most common small-bowel malignancy; up to 19 % can secrete bioactive substances and they account for 90 % of carcinoid syndrome cases clinically.1,2 Interestingly, 40–55 % of patients will have multifocal primaries at the time of diagnosis.3 These tumors present an interesting clinical challenge in that current preoperative imaging mo dalities cannot reliably identify tumor burden. Given the high likelihood of multifocality, current guidelines recommend manual palpation at the time of resection. (Source: American Journal of Surgery)
Source: American Journal of Surgery - January 14, 2024 Category: Surgery Authors: Michelle M. Holland, J. Bart Rose Tags: Invited Commentary Source Type: research
