Clinical Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the Management of Hemorrhage Control: Where Are We Now?
AbstractPurpose of ReviewHemorrhagic shock remains the leading cause of potentially preventable death following traumatic injuries. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) has demonstrated promising results in the control of non-compressible torso hemorrhage. The purpose of this review is to summarize the indications, procedural techniques, and complications of REBOA in order to help define practice management guidelines.Recent FindingsRecent studies suggest that REBOA is advantageous in aiding hemodynamic stabilization as a bridge to definitive hemorrhage control. REBOA is a feasible option for n...
Source: Current Surgery Reports - February 2, 2021 Category: Surgery Source Type: research
Current Management of Acute Calculous Cholecystitis
AbstractPurposeof ReviewProvide a comprehensive review of the latest reports on management of acute calculous cholecystitis and our current practicesRecent FindingsThe diagnosis of acute calculous cholecystitis (ACC) should be driven by a combination of clinical, laboratory, and imaging findings. The use of grading scales to classify the severity of ACC has successfully predicted the morbidity of surgical management of this disease. Surgical management has shifted from open cholecystectomy or delayed laparoscopic cholecystectomy to early laparoscopic cholecystectomy. If the critical view of safety (CVS) cannot safely be ob...
Source: Current Surgery Reports - January 30, 2021 Category: Surgery Source Type: research
Financial Reimbursement and Enteral Access
AbstractPurpose of ReviewEnteral access procedures can represent a significant proportion of many surgical and gastroenterologist ’s practices (Reference) and a fundamental understanding of coding and reimbursement practices can assist in ensuring compensation for time, energy, and expertise devoted to these efforts.Recent FindingsThere is minimal medical literature and training available to clinicians to allow for some rudimentary comprehension of this very complex system.SummaryThis review will discuss the basics of coding terminology and focus specifically on factors relevant to enteral access. (Source: Current Surgery Reports)
Source: Current Surgery Reports - January 27, 2021 Category: Surgery Source Type: research
Advances in Autologous Breast Reconstruction
This article reviews recent advances in ABR, which have refined existing techniques, broadened the array of donor site options available to reconstructive surgeons, and streamlined the management of patients undergoing these procedures. (Source: Current Surgery Reports)
Source: Current Surgery Reports - January 18, 2021 Category: Surgery Source Type: research
Appendicitis in the Pregnant Patient: Risk, Diagnosis, Management, and Outcomes
AbstractPurpose of ReviewTo evaluate outcomes related to operative and non-operative management of appendicitis during pregnancyRecent FindingsSeveral studies have evaluated preoperative laboratory values to improve the accuracy of diagnosis of appendicitis in the pregnant patient. Further, the Alvarado score appears to be accurate in the pregnant patient. Operative management continues to prevail in comparison to non-operative management consisting of antibiotics alone. Risks of preterm labor, fetal loss, and appendiceal perforation appear to be higher. Despite this, several recent studies have utilized MRI imaging to bet...
Source: Current Surgery Reports - January 7, 2021 Category: Surgery Source Type: research
The Role of Robotics in Bariatric Surgery
This article will review the current evidence supporting the use of robotic platforms in bariatric surgery and discuss the technical aspects of robotic platforms in the current bariatric procedures performed.Recent FindingsThe use of robotic platforms for minimally invasive bariatric surgery continues to increase. This can be attributed to the perceived advantages of robotic platforms including three-dimensional high-definition visualization, tremor filtration, direct camera control by the primary surgeon, multi-quadrant access, and wristed instruments which make complex and redo surgery potentially easier to perform. Ro...
Source: Current Surgery Reports - October 19, 2020 Category: Surgery Source Type: research
Robotic Adrenalectomy: Updates on Lateral Transperitoneal Approach
AbstractPurpose of ReviewAdrenal tumor surgery is routinely performed by minimal invasive surgery.Our aim to overview of updates on lateral approach for robotic adrenalectomy. Through online research we obtained more than 30 articles in this review.Recent FindingIn the era of robotic surgery with the feasibility and the ability to provide the surgeon of three-dimensional view which allows maximum range of motion and precision with the different approaches in adrenalectomy the lateral robotic approach was the most frequently performed.SummaryRobotic system is safe and effective approach that can be used for adrenalectomy an...
Source: Current Surgery Reports - October 15, 2020 Category: Surgery Source Type: research
Diversity and Inclusion in Surgery: The Role of Implicit Bias on Patient Care
AbstractPurpose of ReviewImplicit bias is a fundamental contributor to widespread healthcare inequalities. This review aims to shed light on known healthcare disparities in the surgical field, to discuss the role of implicit bias in both patient care and the development of a diverse surgical workforce, and to generate discussion on how surgeons can mitigate implicit biases in order to improve patient outcomes and the future of academic surgery.Recent FindingsNational reports consistently demonstrate that patients in minority groups have worse care as judged by multiple quality measures when compared to non-minority peers. ...
Source: Current Surgery Reports - October 10, 2020 Category: Surgery Source Type: research
Implant-Based Breast Reconstruction Cutting Edge and Controversies
AbstractPurpose of ReviewIn recent years, the field of breast reconstruction has undergone dramatic changes that have given reconstructive plastic surgeons tools to rebuild more natural breastsRecent findingsImproved outcomes are in part attributable to improved mastectomy techniques with nipple preservation and efforts to preserve well-perfused mastectomy skin flaps. There have also been tremendous advancements in technology and supplemental fat grafting which have greatly enhanced cosmetic results.SummaryThe present review provides data from the authors ’ experience and outlines important components of successful impla...
Source: Current Surgery Reports - September 7, 2020 Category: Surgery Source Type: research
Nutritional Implications in Preparing Patients for Total Gastrectomy
AbstractPurpose of ReviewProphylactic total gastrectomy is recommended to prolong life in individuals who carry the CDH1 variants associated with early diffuse gastric cancer. Loss of the stomach requires life-long changes in diet and poses a risk for select vitamin and mineral deficiencies that require supplementation and monitoring. This review covers the physiology of the stomach and the pathobiology and management of individuals post-gastrectomy with altered small bowel anatomy.Recent FindingsEnhanced recovery after surgery guidelines (ERAS) for total gastrectomy reduces complication rates, enhances healing, and lessen...
Source: Current Surgery Reports - August 31, 2020 Category: Surgery Source Type: research
Post-Oncologic Abdominal Wall Reconstruction: Mesh Versus Autologous Tissue
AbstractPurpose of ReviewThe aim of this review is to summarize and sum up the recent evidence on the topic of abdominal wall reconstruction post oncologic resection, comparing the use of mesh versus autologous reconstruction.Recent FindingsRecent findings show a more accepting approach towards more complex reconstructions that aim at a dynamic and robust abdominal wall reconstruction. Musculocutaneous free flaps using the anterolateral thigh flap, with a vastus lateralis, or the latissimus dorsi flap are being used more for replacing musculo-fascial and full-thickness defects to restore abdominal domain. Those autologous ...
Source: Current Surgery Reports - August 3, 2020 Category: Surgery Source Type: research
Current Surgical Management of the Acutely Incarcerated Ventral Hernia
AbstractPurpose of ReviewAcutely incarcerated ventral hernias represent a complex disease process in an increasing complex population. Acute incarceration can lead to strangulation and worsen morbidity and mortality. Identifying best practices based upon available evidence is paramount to optimize patient outcomes. The following is a review of the most recent literature in the management of acutely incarcerated ventral hernias.Recent FindingsEvidence suggests early intervention (< 24 h) following incarceration mitigates the risk of strangulation and improves outcomes. The presence of ascites, an acute hernia angle, ...
Source: Current Surgery Reports - August 3, 2020 Category: Surgery Source Type: research
Recurrent Diabetes Following Bariatric Surgery: Incidence and Management
AbstractPurposeWhile bariatric surgery has been shown to be the most effective treatment for type-2 diabetes (T2D), recurrence following an initial period of remission is a known phenomenon. The purpose of this review is to better characterize the incidence and management of recurrent diabetes following bariatric surgery.Recent FindingsThe durability of T2D remission is heavily influenced on the severity of baseline disease, adherence to prescribed life-style modifications, and to a lesser extent, procedure type.SummaryRecurrent diabetes following bariatric surgery is significant and challenging to manage. Therapeutic opti...
Source: Current Surgery Reports - July 22, 2020 Category: Surgery Source Type: research
Targeted Muscle Reinnervation in the Oncologic Population: A Literature Review and Current Practice
AbstractPurposeThe goal of this review is to discuss the surgical technique of Targeted Muscle Reinnervation (TMR) in the oncologic population. The technique not only improves myoelectric prosthetic control, but is a method to relieve post-amputation chronic residual and phantom limb pain.Recent FindingsTMR is a surgical procedure that effectively amplifies neural control signals on surface musculature. Fortuitously, TMR has also been shown to also reduce chronic residual and phantom limb pain when performed in a delayed or immediate manner. While most data exists in traumatic or orthopedic amputees, TMR is an emerging tec...
Source: Current Surgery Reports - July 20, 2020 Category: Surgery Source Type: research
Commentary on Targeted Muscle Reinnervation in the Oncologic Population: A Literature Review and Current Practice
(Source: Current Surgery Reports)
Source: Current Surgery Reports - July 20, 2020 Category: Surgery Source Type: research
