Prevention of Incisional Hernias by Prophylactic Mesh-augmented Reinforcement of Midline Laparotomies for Abdominal Aortic Aneurysm Treatment: Five-year Follow-up of a Randomized Controlled Trial
Conclusions:
Prophylactic retrorectus mesh reinforcement after midline laparotomy for the treatment of AAAs safely and effectively decreases the rate of IHs. The cumulative incidence of IHs after open AAA repair, when no mesh is used, continues to increase during the first 5 years after surgery, which leads to a substantial rate of hernia repairs. (Source: Annals of Surgery)
Source: Annals of Surgery - September 16, 2022 Category: Surgery Tags: Randomized Controlled Trials Source Type: research
Follow-up Schedule for Patients With Sentinel Node–negative Cutaneous Melanoma (The MELFO Study): An International Phase III Randomized Clinical Trial
Conclusions:
A reduced-intensity, American Joint Committee on Cancer (AJCC) stage-adjusted follow-up schedule for sentinel node–negative melanoma patients is a safe strategy, and patient self-examination is effective for recurrence detection with no evidence of diagnostic delay. Patients’ acceptance is very high. (Source: Annals of Surgery)
Source: Annals of Surgery - September 16, 2022 Category: Surgery Tags: Randomized Controlled Trials Source Type: research
The Disparity Morbidity and Mortality Conference: A Mechanism to Identify and Remedy Health Care Inequity
No abstract available (Source: Annals of Surgery)
Source: Annals of Surgery - September 16, 2022 Category: Surgery Tags: Surgical Perspectives Source Type: research
Shattering Glass Ceilings: Three Black Women Surgeons Ascend to Chairs of Departments of Surgery
No abstract available (Source: Annals of Surgery)
Source: Annals of Surgery - September 16, 2022 Category: Surgery Tags: Surgical Perspectives Source Type: research
Characterization of Humanitarian Trauma Care by US Military Facilities During Combat Operations in Afghanistan and Iraq
Conclusions:
In accordance with International Humanitarian Law, as well as the US military’s medical rules of eligibility, civilians injured in combat zones were provided the same level of care as NNCP. Injured civilians and NNCP had similar mechanisms of injury, injury patterns, transfusion needs, and ISS. This analysis demonstrates resource equipoise in trauma care delivered to civilians and NNCP. Hospitals in combat zones must be prepared to manage large numbers of civilian casualties with significant human and material resources allocated to optimize survival. The provision of humanitarian trauma care is resource...
Source: Annals of Surgery - September 16, 2022 Category: Surgery Tags: Papers of the 141st ASA Annual Meeting Source Type: research
Geographic Proximity of Family Members and Healthcare Utilization After Complex Surgical Procedures
Objective:
We sought to determine the relationship between a patient’s proximal familial social support, defined as the geographic proximity of family members, and healthcare utilization after complex cardiovascular and oncologic procedures.
Background:
Social support mechanisms are increasingly identified as modifiable risk factors for healthcare utilization.
Methods:
We performed a retrospective cohort study of 60,895 patients undergoing complex cardiovascular procedures or oncologic procedures. We defined healthcare utilization outcomes as 30-day all-cause readmission unplanned readmission, nonindex ...
Source: Annals of Surgery - September 16, 2022 Category: Surgery Tags: Papers of the 141st ASA Annual Meeting Source Type: research
Comparative Experience of Short-wavelength Versus Long-wavelength Fluorophores for Intraoperative Molecular Imaging of Lung Cancer
Background:
Intraoperative molecular imaging (IMI) using tumor-targeted optical contrast agents can improve cancer resections. The optimal wavelength of the IMI tracer fluorophore has never been studied in humans and has major implications for the field. To address this question, we investigated 2 spectroscopically distinct fluorophores conjugated to the same targeting ligand.
Methods:
Between December 2011 and November 2021, patients with primary lung cancer were preoperatively infused with 1 of 2 folate receptor-targeted contrast tracers: a short-wavelength folate-fluorescein (EC17; λem=520 nm) or a long-wav...
Source: Annals of Surgery - September 16, 2022 Category: Surgery Tags: Papers of the 141st ASA Annual Meeting Source Type: research
Do Individual Surgeon Preferences Affect Procedural Outcomes?
Objectives:
Surgeon preferences such as instrument and suture selection and idiosyncratic approaches to individual procedure steps have been largely viewed as minor differences in the surgical workflow. We hypothesized that idiosyncratic approaches could be quantified and shown to have measurable effects on procedural outcomes.
Methods:
At the American College of Surgeons (ACS) Clinical Congress, experienced surgeons volunteered to wear motion tracking sensors and be videotaped while evaluating a loop of porcine intestines to identify and repair 2 preconfigured, standardized enterotomies. Video annotation was us...
Source: Annals of Surgery - September 16, 2022 Category: Surgery Tags: Papers of the 141st ASA Annual Meeting Source Type: research
Emotional Distress and Financial Toxicity in Younger Adult Patients Undergoing Oncologic Surgery
Background:
There has been an alarming increase in the number of young adults (YA) diagnosed with cancer. The emotional, psychosocial, and financial distress experienced by newly diagnosed YA undergoing cancer surgery remains largely unknown.
Methods:
A validated biopsychosocial distress screening tool (SupportScreen) was administered to patients diagnosed with cancer before surgery between 2009 and 2017 in a National Cancer Institute Comprehensive Cancer Center. Patients were stratified into YA less than or equal to 45 years and older adults (OA) above 45 years. Descriptive statistics and logistic regression we...
Source: Annals of Surgery - September 16, 2022 Category: Surgery Tags: Papers of the 141st ASA Annual Meeting Source Type: research
Effect of Intraoperative Neuromonitoring on the Risks of Recurrent Laryngeal Nerve Injury During Thyroidectomy: A Doubly Robust Approach
Objective:
To evaluate the relationship between the use intraoperative neuromonitoring (IONM) during thyroidectomy and the risk of recurrent laryngeal nerve (RLN) injury.
Background:
The role of IONM in reducing RLN injury during thyroidectomy remains controversial. Several studies on this topic apply conventional multivariable regression to adjust for confounding. However, estimates from this method may be biased due to model misspecification, especially with a rare outcome such as RLN injury.
Methods:
We used a pooled dataset created by linking the 2016–2019 National Surgical Quality Improvement Proje...
Source: Annals of Surgery - September 16, 2022 Category: Surgery Tags: Papers of the 141st ASA Annual Meeting Source Type: research
High Dimensional Multiomics Reveals Unique Characteristics of Early Plasma Administration in Polytrauma Patients With TBI
Conclusions:
These findings suggest that severely injured patients with TBI process exogenous plasma differently than those without TBI. The beneficial effects of early TP in E2-TBI patients may be the result of improved blood clotting and the effect of brain protective factors independent of coagulation. (Source: Annals of Surgery)
Source: Annals of Surgery - September 16, 2022 Category: Surgery Tags: Papers of the 141st ASA Annual Meeting Source Type: research
A Statewide Approach to Reducing Re-excision Rates for Women With Breast-conserving Surgery
Conclusions:
Benchmarked performance reports and collaborative quality improvement can decrease post-BCS re-excisions, increase quality, and decrease costs. Our study demonstrates the effective use of administrative data as a platform for statewide quality collaboratives. Using existing data requires fewer resources and offers a new paradigm that promotes participation across practice settings. (Source: Annals of Surgery)
Source: Annals of Surgery - September 16, 2022 Category: Surgery Tags: Papers of the 141st ASA Annual Meeting Source Type: research
Magnetic Resonance Imaging Directed Surgical Decision Making for Lateral Pelvic Lymph Node Dissection in Rectal Cancer After Total Neoadjuvant Therapy (TNT)
Conclusions:
For rectal cancer patients with evidence of LPLN metastasis, the appropriate selection of patients for LPLND can be facilitated by a multidisciplinary MRI-directed approach with no significant difference in perioperative or oncologic outcomes. (Source: Annals of Surgery)
Source: Annals of Surgery - September 16, 2022 Category: Surgery Tags: Papers of the 141st ASA Annual Meeting Source Type: research
A Prospective Study on the Safety and Efficacy of Vascularized Lymph Node Transplant
Conclusions:
VLNT is a safe and effective treatment for lymphedema with significant benefits fully manifesting at 2 years postoperatively. Omentum does not have any donor site lymphedema risk making it an attractive first choice. (Source: Annals of Surgery)
Source: Annals of Surgery - September 16, 2022 Category: Surgery Tags: Papers of the 141st ASA Annual Meeting Source Type: research
The Nissen-Hill Hybrid Repair: Experience With the First 500
Conclusion:
The combined Nissen-Hill hybrid repair is safe and effective in achieving excellent symptomatic and objective outcomes and low recurrence rates beyond 5 years. (Source: Annals of Surgery)
Source: Annals of Surgery - September 16, 2022 Category: Surgery Tags: Papers of the 141st ASA Annual Meeting Source Type: research
