Expanding the Spectrum of Surgical Simulation Training
Surgical simulation has evolved over the last decades and now plays an important role in surgical training efforts designed to foster the acquisition of new skills and knowledge outside of the clinical environment. Many factors have led to this fundamental change in educational methods, including concerns over patient safety, limited work hours, and less clinical exposure. In 2008, the Residency Review Committee mandated that all surgical training programs implement skills training curricula in their training programs. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Authors: Susan Miller Briggs Tags: Invited Commentary Source Type: research

Cost Computation and Profitability of Robotic Surgery
I would like to thank Drs Bold and Perry for their letter about our recent publication in the Journal of the American College of Surgeons, “Cost Analysis of Pancreaticoduodenectomy at a High-Volume Robotic Hepatopancreaticobiliary Surgery Program.”1 (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Authors: Alexander S. Rosemurgy Tags: Letter Source Type: research

Nothing Ventured, Nothing Gained: Does This Apply to Obesity in Young People?
The efficacy and safety of bariatric surgery as a treatment for adult obesity and related complications, particularly type 2 diabetes mellitus (T2DM), is well established, with evidence from more than 13 randomized controlled trials demonstrating its superior efficacy compared with conventional medical therapy. As such, bariatric surgery is increasingly being recognized by international governing bodies, physicians, and surgeons as a central element in the treatment algorithm for adults with obesity. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Authors: Alexis C. Sudlow, Carel W. le Roux Tags: Invited Commentary Source Type: research

Minimally Invasive Distal Pancreatectomy: Are There Long-Term Benefits?
Despite promising postoperative outcomes after complex laparoscopic operation, such as colectomy, skepticism exists regarding minimally invasive distal pancreatectomy (MIDP). This is due to the elevated risk from anatomic location, vascular proximity, and perioperative complications, as well as the learning curve and surgeon comfort level. Early data composed of small retrospective reviews found that compared with open distal pancreatectomy, patients undergoing MIDP had significantly improved perioperative outcomes (lower blood loss, decreased length of stay, fewer complications) without compromising margin positivity or i...
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Authors: Natasha Leigh, Chet W Hammill Tags: Invited Commentary Source Type: research

Is It Time to Revisit Biologic Mesh?
The management of ventral hernia in the setting of contamination has persistently led to confusing recommendations involving different types of mesh. For surgeons performing abdominal wall reconstruction (AWR), the main goal is to provide a durable repair in complex situations while minimizing short- and long-term morbidity. A growing body of literature supports the use of retromuscular and/or preperitoneal mid-weight, macroporous polypropylene as a cost-effective combination for use in clean-contaminated and contaminated situations with an acceptable complication profile. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Authors: Benjamin K. Poulose Tags: Invited Commentary Source Type: research

Preventing Retained Surgical Items
Retained surgical items (RSIs) continue to be a serious quality problem facing our healthcare system. In fact, RSIs are the most common sentinel event reported to the Joint Commission.1 Root-cause analyses demonstrated that these sentinel events are caused by human factors, leadership, and communication. Although human failures contribute to 80% to 90% of these errors, we continue to ask people to work harder, more efficiently, and safer. Not surprisingly, the rate of RSIs has remained relatively stable in the past decade. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Authors: Benjamin D. Kozower Tags: Invited Commentary Source Type: research

Surgical Extirpation of the Primary Tumor in Stage IV Breast Cancer: The Debate Continues
In 2019, approximately 6% of the estimated 268,600 women in the US with newly diagnosed breast cancer had metastatic disease at the time of diagnosis.1 Historically, systemic therapy has been the primary treatment option for patients with metastatic disease. Surgical removal of the primary tumor and/or lymph nodes was not believed to contribute to improved outcomes or survival. However, multiple retrospective studies were then published demonstrating improved survival with removal of the primary tumor. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Authors: Irene Israel, Julie A. Margenthaler Tags: Invited Commentary Source Type: research

Understanding the Onset and Mechanism of Occurrence of Post-Pancreatectomy Diabetes
There are 2 issues to resolve regarding glucose tolerance after pancreatectomy; the mechanism of occurrence of new-onset diabetes after pancreatectomy and the difference in postoperative glucose tolerance between pancreaticoduodenectomy (PD) and distal pancreatectomy (DP). Glucose tolerance is determined by the balance between insulin secretion and insulin resistance. Pancreatectomy usually causes deterioration of glucose tolerance because the pancreas is the organ responsible for the hormonal regulation of glucose metabolism by secreting insulin. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Authors: Manabu Kawai Tags: Invited Commentary Source Type: research

Examining Quality Improvement in Medicine and Business
Over the past 20 years, the medical community has been forced to invest in quality assurance programs. Surgery, in particular, has worked to develop a workforce educated in quality improvement methods and to formalize existing efforts in quality and safety in surgery. The article, “Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta-meta-analysis” provides a nice opportunity to consider the general benefits and limitations of quality improvement programs in surgery in the context of the lessons learned in busin ess, where formal efforts in quality as...
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Authors: Rachel R. Kelz, Jason Tong Tags: Invited Commentary Source Type: research

Contents
(Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Source Type: research

Editorial Board
(Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Source Type: research

Message from the Editor: Gratitude for 2021
The reputation of the Journal depends on the contributions of authors. But the standard of the Journal, the level of excellence, is also a consequence of the efforts of expert reviewers who evaluate submitted manuscripts and determine their appropriateness for the Journal of the American College of Surgeons. The Editorial Board members are recognized on the Journal ’s masthead each month. But many others deserve credit for serving on an ad hoc basis, responding to our requests for expert analyses. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - November 22, 2021 Category: Surgery Source Type: research

Assessment of Blood Transfusion Requirement in Patients on Therapeutic Anticoagulation and Vena Caval Filters Following Elective Minimally Invasive Bariatric Surgery: A MBSAQIP Analysis
Bleeding is one of the most common complications in bariatric surgery and has a risk of being catastrophic. As surgeons are encountering more patients on therapeutic anticoagulation and/or vena caval filters preoperatively, it may become an important consideration to identify the risk of blood transfusions postoperatively in patients undergoing elective bariatric surgery. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Santosh Swaminathan, Radu Filipescu, J. Alexander Palesty, Shohan Shetty Tags: Bariatric and Foregut Source Type: research

Cardiovascular Safety of Laparoscopic Roux En Y Gastric Bypass Vs. Laparoscopic Sleeve Gastrectomy: An Analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Data Registry
Patients affected by morbid obesity present several cardiovascular risk factors that can lead to complications after Bariatric Surgery (BaS). Previous research suggests that laparoscopic Roux En Y gastric bypass (LRYGB) may have an advantage over laparoscopic sleeve gastrectomy (LSG) regarding remission of cardiometabolic conditions in patients with severe obesity. We aimed to examine the incidence of major adverse cardiovascular and cerebrovascular events (MACCE) after LRYGB compared to LSG. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Roberto J. Valera, Cristina Botero Fonnegra, Mauricio Sarmiento-Cobos, Carlos E. Rivera, Lisandro Montorfano, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: Bariatric and Foregut Source Type: research

Complications after Single Anastomosis Duodeno-ileal Bypass with Sleeve Gastrectomy (SADI-S) a Retrospective Review of Cases in a High-volume European Center
The Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S) has been introduced in the past few years for the treatment of morbid obesity. This technique has shown good outcomes in terms weight loss and short-term complications. However, there is poor literature concerning about the incidence and management long-term complications. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Arturo Cirera, Ramon Vilallonga, Amador Garcia Ruiz de Gordejuela, Oscar Gonzalez, Enric Caubet, Jos é M. Balibrea, Andreea Ciudin, Ruth Blanco, Laura Vidal, José Manuel Fort Tags: Bariatric and Foregut Source Type: research

Effects of Rapid Weight Loss after Bariatric Surgery on Prevention of Pulmonary Hypertension Measured by the Pulmonary Artery Diameter and Its Ratio to the Ascending Aorta Diameter
The pulmonary artery diameter (PAD) and its ratio with the ascending aorta diameter (PAD/AoD ratio) are predictors of pulmonary hypertension (PH). Severe obesity increases the risk of PH due to its association with left ventricular dysfunction and obstructive sleep apnea. The aim of this study was to identify changes in the PAD and PA/AoD ratio after bariatric surgery (BaS) using chest computed tomography (CT). (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Roberto J. Valera, Mauricio Sarmiento-Cobos, Carlos E. Rivera, Cristina Botero Fonnegra, Lisandro Montorfano, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: Bariatric and Foregut Source Type: research

Patient-Centered Outcomes Associated with Leak after Sleeve Gastrectomy
Sleeve gastrectomy is the most frequently performed bariatric operation in the United States. It is typically well tolerated by patients and yields good results; however, leak after sleeve gastrectomy can be extremely detrimental to a patient ’s health, and their impact on quality of life is unknown. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Christina N. Weed, Emily Chen, Mohan K. Mallipeddi, Lily Chang, Jeffrey A. Hunter, Connie Miller Tags: Bariatric and Foregut Source Type: research

Predictors of In-hospital Mortality in Nonelderly Patients Admitted with Bleeding Gastritis: A Retrospective Cohort of 8,874 Patients
This study aimed to identify independent predictors of in-hospital mortality in nonelderly patients emergently admitted with bleeding gastritis. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Danielle Newbury, Abbas Smiley, Rifat Latifi Tags: Bariatric and Foregut Source Type: research

Safety of Robotic Bariatric Surgery in Older Adults: A 5-year Analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Database
This study evaluated the safety of robotic-assisted bariatric surgery in older adults using a large clinical registry. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Helen Y. Ho, Chiu-Hsieh Hsu, Katherine L. Ho, Marisa A. Bartz-Kurycki, Felipe B. Maegawa, Yazan Ashouri, Iman Ghaderi Tags: Bariatric and Foregut Source Type: research

Sociodemographic Predictors of Internalized Stigma, in Patients Seeking Bariatric Surgery, Using the Weight Self-Stigma Questionnaire (WSSQ)
Internalized-stigma (IS) may negatively impact weight-loss in patients with obesity. However limited information exists on IS in patients seeking surgically- mediated weight-loss. Therefore, we aimed to examine IS in pre-and post-op patients. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Muna M. Tamimi, Lindsay M. Breslin, Kayla Diaz MCR CCRP, Anand Gupta, Keeley Pratt, Sabrena F. Noria Tags: Bariatric and Foregut Source Type: research

The Amount of Preoperative Weight Loss May Predict Weight Regain 4 Years after Bariatric Surgery
Prior to bariatric surgery most insurance providers require the completion of a supervised weight loss (WL) program. The importance of preoperative WL for postoperative WL remains controversial. The purpose of our study was to determine the impact of preoperative WL on postoperative WL and weight regain (WR) 4 years after bariatric surgery. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Edward Hernandez, Dimitrios Athanasiadis, Dimitrios Stefanidis Tags: Bariatric and Foregut Source Type: research

The Reduction of Retroorbital Fat Volume: A Novel Ophthalmologic Benefit of Bariatric Surgery Induced Weight Loss
The association between obesity and high Intraocular pressure (IOP) as a risk factor for the progression of glaucoma remains unclear. One main factor that contributes to high IOP is the physical pressure exerted by the retroorbital fat. Bariatric Surgery (BaS) produces a decrease of several fat deposits in the body; therefore the aim of our study is to assess the behavior of the retroorbital fat after BaS. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Mauricio Sarmiento-Cobos, Carlos E. Rivera, Roberto J. Valera, Cristina Botero Fonnegra, Lisandro Montorfano, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: Bariatric and Foregut Source Type: research

Assessment of Bariatric Surgery Effects on Body Mass Index, Type 2 Diabetes, Hypertension, and Risks for Cardiovascular Diseases in Sudan
In a country like Sudan with limited health resources and high prevalence of tropical diseases, obesity would complicate health challenges even more. However, the field of bariatric surgery in Sudan lacks research due to the fact that until 2018, there were no centers specialized in the surgical management of obesity and its comorbidities in the entire African Horn countries. This research is the first on patients underwent laparoscopic sleeve gastrectomy (LSG) or gastric bypass (LGB) in Sudan. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Mohamed F. ElBashir Tags: Bariatric and Foregut Source Type: research

Correlation of Long-Term Gastric Sleeve Volume with Weight Loss after Laparoscopic Sleeve Gastrectomy
This study was designed to evaluate the long term volume of gastric sleeve using CT volumetry and to analyze its relationship with weight loss after LSG. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Anubhav Vindal, Yashika Gupta, Pawanindra Lal Tags: Bariatric and Foregut Source Type: research

Diagnostic Yield and Clinical Impacts of Routine Complete Preoperative Evaluation in Bariatric Patients
Roux-en-Y gastric bypass (RYGBP) is the preferred procedure for morbidly obese patients with gastroesophageal reflux disease (GERD). Vertical sleeve gastrectomy (VSG) may worsen GERD postoperatively. We assessed the diagnostic yield and clinical impact of routine comprehensive preoperative evaluation. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Jose Antonio N. Almario, Linda Zhang, Mohamad Dbouk, Brett Parker, Gina L. Adrales, Erik B. Wilson, Filippo Filicori, Kevin M. Reavis, Michael Schweitzer, Marcia I. Canto Tags: Bariatric and Foregut Source Type: research

Effect of Bariatric Surgery on the Risk of Psychiatric Illness
Bariatric surgery (BS) can induce significant weight loss and numerous physical health advantages. However, the effect of BS on the risk of psychiatric illness has not been well-characterized, despite mental health diagnoses being prevalent among patients with obesity. We compared the risk of all-cause psychiatric diagnosis among BS patients vs obese controls. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Adan Z. Becerra, Syed I. Khalid, Emilie Rembert, Madeline Carroll, Philip A. Omotosho, Alfonso Torquati Tags: Bariatric and Foregut Source Type: research

Impact of COVID-19 Pandemic on Same Day Discharge Sleeve Gastrectomy, A Retrospective Review of 172 Patients
The COVID-19 pandemic has caused severe disruptions in surgical care delivery. We studied the impact of the pandemic on an already existing same day discharge sleeve gastrectomy workflow. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Vaughn E. Nossaman, Gary G. Grinberg, Panduranga R. Yenumula Tags: Bariatric and Foregut Source Type: research

Independent Predictors of Discontinuation of Diabetic Medications after Sleeve Gastrectomy and Gastric Bypass: Does Procedure Type Matter?
Gastric bypass and sleeve gastrectomy have proven beneficial effects on diabetes. However, deciding which procedure to perform is challenging since diabetes resolution and complication rates can vary depending on patient factors as well as disease severity. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Oliver A. Varban, Aaron J. Bonham, Arthur M. Carlin, Jonathan F. Finks, Amir A. Ghaferi, Anne P. Ehlers Tags: Bariatric and Foregut Source Type: research

Magnetic Lower Esophageal Sphincter Augmentation (LINX) Is Effective and Safe in Patients with Prior Gastric Surgery — Outcomes in Patients with Prior Bariatric Surgery or Partial Gastrectomy
Esophageal sphincter augmentation (ESA) has been shown to significantly improve gastroesophageal reflux disease (GERD) symptoms in patients with moderate-severe GERD. The indication for ESA currently excludes patients with moderate-severe GERD with prior bariatric surgery or partial gastrectomy. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Brandon Peine, Fernando Brea, James Speicher, Carlos Anciano Tags: Bariatric and Foregut Source Type: research

Potential Implications of Rapid Weight Loss after Bariatric Surgery on Obstructive Sleep Apnea Induced by Architectural and Volume Changes of the Tongue and Upper Airway
There is an association between obesity, Obstructive Sleep Apnea, and Upper Airway Volume (UAWV). Measurement of the Tongue Length (TL) and Height (TH) recently emerged as a non-invasive method of evaluation of the UAWV and tinge architecture. We hypothesized that bariatric surgery-induced rapid weight loss determines an increase of Upper Respiratory Airway volume. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Carlos E. Rivera, Mauricio Sarmiento-Cobos, Lisandro Montorfano, Roberto J. Valera, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: Bariatric and Foregut Source Type: research

Racial Disparities in Surgical Outcomes Following Hiatal Hernia Repair: An ACS-NSQIP Analysis
In this study, we will evaluate racial disparities in perioperative outcomes of hiatal hernia repair (HH). (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Adrian E. Park, Sharma Cook-Richardson, Alex J. Addo, Andrew Broda, Paul Kim Tags: Bariatric and Foregut Source Type: research

Rapid Weight Loss after Metabolic Surgery Decreases Hospitalizations for Systolic Heart Failure in High Risk Severely Obese Subjects. Case Control Analysis of the U.S. National Inpatient Sample (NIS) Database
This study aimed to assess whether BaS is associated with a decreased incidence of hospitalizations for SHF and further assess its impact upon SHF hospitalizations among patients with hypertension (HTN) and coronary artery disease (CAD). (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: David Romero Funes, David Gutierrez, Lisandro Montorfano, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: Bariatric and Foregut Source Type: research

Sleeve Gastrectomy Regulates Natural IgM Production Independent of Weight and Altered Microbiome
In this study, we use weight independent and microbiome transplant SG models to determine whether increase in natural IgM requires weight loss or the microbiome. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Renuka Subramaniam, James N. Luo, Tammy Lo, Andrei Moscalu, Ali Tavakkoli, Eric G. Sheu Tags: Bariatric and Foregut Source Type: research

Standardized Multimodal Approach Reduced Opioid Use Following Bariatric Surgery: A Quality Improvement Initiative
Bariatric patients are at increased risk of opioid use disorder. There is a national effort to reduce opioid use after bariatric surgery. We instituted a standardized multimodal pain regimen to address this need. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Charmaine Gentles, Sebastian Choi, Laura Hansen, Hajin Yang, Andrea Bedrosian, Larry E. Gellman, Dominick Gadaleta Tags: Bariatric and Foregut Source Type: research

Surgical Weight Loss Patient Experience with Telehealth During Covid-19: Should Telehealth Remain an Option after the Pandemic?
This study aimed to understand patients ’ experience with telehealth and whether telehealth should be a continued care option after the pandemic. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Anusha Jayaram, Dmitry Nepomnayshy, David M. Brams, Sara Tortorici Tags: Bariatric and Foregut Source Type: research

The Impact of Bariatric Surgery on the Development of Small Intestinal Bacterial Overgrowth (SIBO).
Small intestinal bacterial overgrowth (SIBO) is a common problem after bariatric surgery leading to abdominal pain, bloating, and diarrhea. However, little data exists on the prevalence or presenting symptoms of SIBO after BS. We sought to define the prevalence, risk factors, and outcomes of SIBO in a bariatric population by performing a retrospective cohort study. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Victoria Lyo, Trevor Plescia, Alexis R. Chirco Tags: Bariatric and Foregut Source Type: research

Who Is Referring to Bariatric Surgery?: Understanding Referral Patterns at a Large Academic Healthcare Center
Despite being the most effective treatment for obesity, (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Sarah M. Jabour, Dina Griauzde, Anne P. Ehlers Tags: Bariatric and Foregut Source Type: research

A National Review of Insurance Coverage of Noncancerous Breast Reconstruction
Breast reconstruction is commonly performed for many noncancerous indications, such as correction of congenital deformities, acquired tissue disease, burns, and trauma. However, breast reconstruction for noncancerous indications is often considered cosmetic or not explicitly mentioned in insurance policies. The goal of this study was to assess variability in insurance coverage of breast reconstruction for noncancerous indications. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Marissa Klein, Michael Ha, Annie Yang, Ledibabari M. Ngaage, Sheri Slezak, Yvonne M. Rasko Tags: Breast Source Type: research

Accurately Quantifying Breast Cancer Driven Extracellular Matrix Fiber Alignment in Primary Human Breast Tissue
Breast cancer progression involves increased alignment of extracellular matrix (ECM) fibers, which promotes metastasis and drug resistance. Quantifying fiber alignment is essential to studying ECM dysregulation and potential therapies. However, major technical hurdles exist in quantifying fiber alignment and statistically analyzing fiber alignment data. We developed methods to overcome these hurdles. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Rakesh Gurrala, C. Ethan Byrne, Loren M. Brown, Rafael Felix P. Tiongco, Elizabeth C. Marrin, Frank H. Lau Tags: Breast Source Type: research

Do Lower Lymph Node Counts after Axillary Lymph Node Dissection in Clinically Node Positive Breast Cancer Patients Treated with Neoadjuvant Chemotherapy Affect Survival: A National Cancer Database (NCDB) Analysis
Lower ( (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Jasmin Neal, Kwang Kim, Ashkan Moazzez, Christine Dauphine, Junko J. Ozao-Choy Tags: Breast Source Type: research

Simplified Lymphatic Microsurgical Preventing Healing Approach (SLYMPHA) for the Prevention of Breast Cancer-related Lymphedema after Axillary Lymph Node Dissection
Lymphedema (LE) is a serious complication of axillary lymph node dissection (ALND) with an incidence rate of 16%. Simplified Lymphatic Microsurgical Preventing Healing Approach (SLYMPHA) is a safe and relatively simple method, which decreases incidence of LE dramatically. Our initial study showed an 88% decrease in clinical LE rate. In the initial study, we used arm circumference measurement for the diagnosis of LE and median follow up was 15 months. The aim of this study was to confirm these results after a long-term follow up period and by using bioimpedance spectroscopy (L-Dex) technology in detecting LE. (Source: Journ...
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Tolga Ozmen, Christina Layton, Orli Friedman-Eldar, Siarhei Melnikau, Susan Kesmodel, Eli Avisar Tags: Breast Source Type: research

Single vs Double Drain in Modified Radical Mastectomy: A Randomized Controlled Trial
To test the hypothesis that the use of single drain results in similar morbidity with significantly less pain as in double drain in patients undergoing modified radical mastectomy (MRM). (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Salma Khan Tags: Breast Source Type: research

The Use of DermACELL Acellular Dermal Matrix in Oncologic Breast Reconstruction: A Retrospective Cohort Study and Systematic Review of the Literature
Acellular dermal matrices (ADM) are commonly used in tissue expander and direct-to-implant reconstruction following mastectomy. Few studies have reported outcomes of DermACELL ADM or compared DermACELL to AlloDerm ADM. The purpose of this study was to compare outcomes of DermACELL and AlloDerm in oncologic breast reconstruction and to review the literature reporting outcomes of patients undergoing reconstruction using DermACELL. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Austin R. Swisher, Mark J. Landau, Nikita Kadakia, Stephanie W. Holzmer, Hahns Y. Kim Tags: Breast Source Type: research

Utilizing Breast MRI Blood Flow Data to Improve Clinical Outcomes Following Skin Sparing Mastectomy and Nipple Sparing Mastectomy
This study evaluates breast MRI imaging data to determine if preserving the dominant blood flow can reduce ischemic mastectomy complications. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Mardi R. Karin, Robin Wu, Cara K. Black, Arash Momeni Tags: Breast Source Type: research

Variations in Episode Spending for Breast Cancer Patients Undergoing Mastectomy: Results From a Statewide Value Collaborative
A growing body of literature supports centralizing complex cancer operations, such as pancreatectomy and esophagectomy, as higher volume centers may offer higher value care. Little is known about variation in spending for common cancer operations that remain decentralized, such as mastectomy. To identify opportunities for value enhancement for common operations, we sought to describe variations in episode spending for mastectomy, and potential patient and facility-level drivers of variation. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Tasha M. Hughes, Nicholas L. Berlin, Brandon Ellsworth, Brandy R. Sinco, Ton Wang, Brooke Bredbeck, Lesly A. Dossett Tags: Breast Source Type: research

A Proposed Multimodal Pain Control Regimen for Patients Undergoing Mastectomy with Reconstruction and Its Effect on Minimizing Narcotic Use and Hospital Length of Stay
This study highlights the findings of a novel multimodal ERAS protocol employed by two surgeons at a single institution performing mastectomy with immediate implant-based reconstruction and the data extrapolated demonstrates how it may influence narcotic use and length of stay in the hospital. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Grace A. Lepis, Manpreet Kohli, Gregory A. Greco Tags: Breast Source Type: research

Breast Volume Measurement As a Predictor of Cosmetic Outcome and Patient Satisfaction Following Oncoplastic Breast Surgery for Breast Cancer
Breast volume measurement is necessary to evaluate the cosmetic results more objectively following breast surgery. Objective of study was to assess patient satisfaction with cosmetic outcomes after oncoplastic breast surgery(OBS), and to establish the correlation between patient satisfaction and percentage of breast volume excision (PBVE). (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Hethu Chebrolu, Chintamani Chintamani, Megha Tandon Tags: Breast Source Type: research

Cancer Institute: A Place of Anxiety
Breast imaging can be associated with substantial anxiety due to the impact of abnormal mammography on distress and perceptions of risk for breast cancer. We sought to determine the level of anxiety after notification of abnormal mammography and need for follow up at a cancer institute and whether or not further distress was provoked by the visit to the ‘cancer institute’ for follow up. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Klaudia J. Koziol, Sharika Kaul, Melanie Orlando, Afshin Parsikia, Maria T. Castaldi Tags: Breast Source Type: research

Ethnic and Racial (E/R) Differences in Early-stage Breast Cancer Patients (pts) with Invasive Ductal Carcinoma (IDC) Successfully Treated with Intra-operative Radiation Therapy (IORT) Using Electronic Brachytherapy
Women of Caucasian, Hispanic, Afro-American, Asian, Native American and other E/R who were> 40 years with biopsy-proven IDC (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Barbara S. Schwartzberg Tags: Breast Source Type: research

Examining Local Risk Factors for Late Stage Diagnosis of Breast Cancers: A Single Institution Experience
Prior research suggests sociodemographic factors are associated with a delayed presentation for patients with locally advanced breast cancer (LABC). We sought to identify sociodemographic factors in our regional catchment area which delay a diagnosis of LABC. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Rachel L. Seiler, Alec J. Fitzsimmons, Andrew J. Borgert, Leroy J. Trombetta Tags: Breast Source Type: research