Vertebral Artery Injury: An Update on Screening, Diagnosis and Treatment
AbstractPurpose of ReviewThe purpose of this review is to describe the current evidence for screening, diagnosis and treatment options for vertebral artery injuries (VAI).Recent FindingsData on vertebral artery injuries are relatively sparse. The available data on this topic are primarily derived from single institution series. Recent studies have suggested that screening protocols increase detection, CTA is the optimal diagnostic tool, and the most effect treatment strategy is not well established.SummaryGuidelines and data on vertebral artery injury are often based on pooled vertebral and carotid data, termed blunt cereb...
Source: Current Surgery Reports - October 16, 2018 Category: Surgery Source Type: research
Next-Generation Sequencing and Personalized Medicine for Brain Cancer
(Source: Current Surgery Reports)
Source: Current Surgery Reports - October 16, 2018 Category: Surgery Source Type: research
Current and Future Perspectives in Robotic Endovascular Surgery
AbstractPurpose of ReviewEndovascular robotic surgery remains a little known entity in the general medical community shrouded with misconception and intrigue. However, with continued evolution of robotic technology, it will inevitably become an integral part of the future vascular surgery practice.Recent FindingsReceiving 501(k) clearance for use in peripheral vascular interventions from the US Food and Drug Administration in February 2018, the Corindus CorPath® GRX is the latest advancement in endovascular robotics. With seven motors controlled from a remote workstation, its ability to control guidewire and catheter moti...
Source: Current Surgery Reports - October 11, 2018 Category: Surgery Source Type: research
Isolated and Combined Duodenal and Pancreatic Injuries: A Review and Update
AbstractPurpose of ReviewDuodenal and pancreatic injuries are challenging to diagnose and treat. Over the last several decades, appropriate and optimal surgical management of these injuries have been debated. This is a review of the latest literature regarding diagnosis and operative management of these injuries.Recent FindingsIn duodenal injury, primary repair should be pursued for partial or complete transection with little tissue loss and no ampulla involvement. In more complex injuries, where tension-free repair is not possible, Roux-en-Y duodenojejunostomy or pyloric exclusion with diverting gastrojejunostomy can be u...
Source: Current Surgery Reports - September 18, 2018 Category: Surgery Source Type: research
Management of Penetrating Injury to the Left Colon
AbstractPurpose of ReviewDoes management and outcomes of penetrating injuries to the left colon differ?Recent FindingsManagement pendulum has swung from non-operative management during the Civil War era, to mandatory exploration and fecal diversion by WWII. Continuing advancements in medical management, anesthesia, and surgical techniques have led to the transition from mandatory fecal diversion to primary repair. Civilian trauma experience further supported this paradigm shift with identification of risk factors better defining the role of primary repair. Patients with non-destructive injuries benefited from primary repai...
Source: Current Surgery Reports - September 18, 2018 Category: Surgery Source Type: research
Isolated and Combined Duodenal and Pancreatic Injuries: A Review and Update
AbstractPurpose of ReviewDuodenal and pancreatic injuries are challenging to diagnose and treat. Over the last several decades, appropriate and optimal surgical management of these injuries have been debated. This is a review of the latest literature regarding diagnosis and operative management of these injuries.Recent FindingsIn duodenal injury, primary repair should be pursued for partial or complete transection with little tissue loss and no ampulla involvement. In more complex injuries, where tension-free repair is not possible, Roux-en-Y duodenojejunostomy or pyloric exclusion with diverting gastrojejunostomy can be u...
Source: Current Surgery Reports - September 18, 2018 Category: Surgery Source Type: research
Management of Penetrating Injury to the Left Colon
AbstractPurpose of ReviewDoes management and outcomes of penetrating injuries to the left colon differ?Recent FindingsManagement pendulum has swung from non-operative management during the Civil War era, to mandatory exploration and fecal diversion by WWII. Continuing advancements in medical management, anesthesia, and surgical techniques have led to the transition from mandatory fecal diversion to primary repair. Civilian trauma experience further supported this paradigm shift with identification of risk factors better defining the role of primary repair. Patients with non-destructive injuries benefited from primary repai...
Source: Current Surgery Reports - September 18, 2018 Category: Surgery Source Type: research
Disease-Specific Diets in Surgical Diseases
We present data for several common surgical diseases including dietary recommendations post-esophagectomy, post-Nissen fundoplication, and post-colectomy. We will also discuss the evidence in diverticulitis, inflammatory bowel disease, dumping syndrome, and short bowel syndrome.Recent FindingsDietary consistency may make a difference in post-esophageal surgery diets. Other past dietary recommendations in diseases such as diverticulitis may not make as much difference. Dumping syndrome and Short bowel syndrome have some newer interventions in timing of oral intake and some medications.SummaryDiet may make less difference ov...
Source: Current Surgery Reports - August 16, 2018 Category: Surgery Source Type: research
Advocacy for Bariatric and Metabolic Surgery
AbstractPurpose of reviewThe goal of this publication is to review the strengths, weaknesses, opportunities, threats, and history to advocacy in bariatric surgery.Recent findingsBariatric surgery has increased in insurance coverage through recognition of the disease process and safety and efficacy of procedure.SummaryWhile bariatric surgery coverage has increased, patients with obesity still have multiple barriers to care. (Source: Current Surgery Reports)
Source: Current Surgery Reports - August 16, 2018 Category: Surgery Source Type: research
Disease-Specific Diets in Surgical Diseases
We present data for several common surgical diseases including dietary recommendations post-esophagectomy, post-Nissen fundoplication, and post-colectomy. We will also discuss the evidence in diverticulitis, inflammatory bowel disease, dumping syndrome, and short bowel syndrome.Recent FindingsDietary consistency may make a difference in post-esophageal surgery diets. Other past dietary recommendations in diseases such as diverticulitis may not make as much difference. Dumping syndrome and Short bowel syndrome have some newer interventions in timing of oral intake and some medications.SummaryDiet may make less difference ov...
Source: Current Surgery Reports - August 16, 2018 Category: Surgery Source Type: research
Advocacy for Bariatric and Metabolic Surgery
AbstractPurpose of reviewThe goal of this publication is to review the strengths, weaknesses, opportunities, threats, and history to advocacy in bariatric surgery.Recent findingsBariatric surgery has increased in insurance coverage through recognition of the disease process and safety and efficacy of procedure.SummaryWhile bariatric surgery coverage has increased, patients with obesity still have multiple barriers to care. (Source: Current Surgery Reports)
Source: Current Surgery Reports - August 16, 2018 Category: Surgery Source Type: research
How to Teach Surgical Residents during Damage Control Surgery
AbstractPurpose of ReviewDamage control can be difficult to teach. Residents have few operative trauma experiences. During damage control situations, the resident ’s education may be lost in the stressful and fast, paced operating room due to patient care taking priority. Fortunately, there are numerous other opportunities to teach this important concept outside of the operating room.Recent FindingsDamage control can be taught in a three step cycle from war games to intraoperative teaching during a crisis and ending with an after action review. This process is also applicable to other intraoperative crises and acute medi...
Source: Current Surgery Reports - August 10, 2018 Category: Surgery Source Type: research
Update on Feeding the Open Abdomen in the Trauma Patient
AbstractPurpose of ReviewDescribe how and when nutrition for trauma patients should be provided after damage control laparotomy.Recent FindingsEarly enteral nutrition is a requisite component of open abdomen critical care support to achieve optimal outcomes. Providing trophic enteral nutrition is beneficial. Enteral nutrition with an open abdomen complicated by enteroatmospheric fistula is safe and feasible.SummaryEnteral nutrition is initiated with resolution of acidosis, coagulopathy, and hypothermia. Absent intestinal discontinuity, the only absolute contraindication, enteral nutrition is started as soon as possible via...
Source: Current Surgery Reports - July 19, 2018 Category: Surgery Source Type: research
