Branchial Cleft Excision in the Adult Population
This study sought to describe the population and outcomes of those undergoing branchial cleft excision. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Joseph G. Brungardt, Adam C. Kahle, Kurt P. Schropp Tags: General Surgery Source Type: research

Case Series of Appendicular Diverticulitis Presenting as Acute Appendicitis
Appendicular diverticulitis can be congenital or acquired. It is typically found in elder populations and characterized by inflammation of appendiceal diverticula. Although it mimics acute appendicitis, it carries four times the risk of perforation, thirty times the risk of mortality, and is frequently associated with mucinous adenomas and carcinoid tumors according to literature. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Indraneil Mukherjee, Lorraine Mascarenhas, Karen E. Gibbs Tags: General Surgery Source Type: research

Characteristics Associated with Nodal and Distant Recurrence after Curative Resection of Squamous Cell Carcinoma of the Thoracic Esophagus
Recurrence after complete resection of esophageal squamous cell carcinoma (ESCC) is common; however, little is known about the differences in clinical characteristics, risk factors, and prognostic significance between nodal and distant recurrence of thoracic ESCC. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Mitsuro Kanda, Masahiko Koike, Dai Shimizu, Chie Tanaka, Masamichi Hayashi, Norifumi Hattori, Suguru Yamada, Goro Nakayama, Michitaka Fujiwara, Yasuhiro Kodera Tags: General Surgery Source Type: research

Characterizing Surgeon Well-Being: A Systematic Review and Mixed-Methods Meta-Synthesis
Attention to surgeon wellness has increased significantly given the persistently high rates of burnout among both practicing surgeons and surgical trainees. In this context, we sought to define surgeon well-being in the literature and examine causative factors associated with a lack of well-being. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Duyhoang Q. Dinh, Sara M. Jafri, Lindsay Ma, Christopher Varlamos, Crystal Ann Vitous, Pasithorn A. Suwanabol Tags: General Surgery Source Type: research

Cholecystectomy after Cholecystectomy?
The value of cholecystectomy after cholecystostomy tube placement (CTP) for acute cholecystitis (AC) has not been established. We aimed to describe patient characteristics, outcomes (death and AC recurrence), and biliary-related payments in those who did and did not have cholecystectomy after CTP. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Alex W. Lois, Erin Fennern, Sara B. Cook, David R. Flum, Giana H. Davidson Tags: General Surgery Source Type: research

Clinical Utility of Symptoms and Serum Carbohydrate Antigen (CA) 19-9 for Detection of Recurrence after Curative Intent Resection of Periampullary Carcinoma
Although NCCN guidelines recommend serial imaging and CA19-9 for surveillance after periampullary carcinoma resection, it is unknown whether a symptom-based approach could yield similar results. We sought to characterize the association of recurrence detection by imaging with CA19-9 and symptoms. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Thomas L. Amburn, Madison Ginn, Reema Patel, Prakash Krishnan Pandalai, Joseph Kim, Michael Joseph Cavnar Tags: General Surgery Source Type: research

Comparison of Magnetic Compression Anastomosis and Simple Compression Anastomosis in Rat Model
WITHDRAWN (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Huan Chen, Yi Lyu Tags: General Surgery Source Type: research

Computed Tomography for Acute Appendicitis Diagnosis in Males: Less is More
The classic findings of acute appendicitis –right lower quadrant (RLQ) pain, anorexia, and leukocytosis–have been well known to physicians since the mid twentieth century. However, emergency medicine and surgical providers continue to rely on imaging to confirm the diagnosis. We aimed to evaluate the increase in reliance on computed tomo graphy (CT) scans for diagnosis of acute appendicitis over time. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Kristen M. Westfall, Anthony G. Charles Tags: General Surgery Source Type: research

Congenital Diaphragmatic Hernia: Demographics and 30-Day Outcomes in Adults
Congenital diaphragmatic hernia is a pathology most often affecting the pediatric population, though can go undetected into adulthood. Few studies exist of adults undergoing repair of this defect. Using a national database, we sought to determine demographics and outcomes of this population. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Joseph G. Brungardt, Quinn A. Nix, Kurt P. Schropp Tags: General Surgery Source Type: research

Consequences of a BMI Threshold to Determine Candidacy for Abdominal Wall Hernia Repair
The objective of this study was to examine postoperative outcomes of elective hernia repair compared to emergent hernia repair in patients initially deferred surgery for BMI. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Tayler J. James, Lauren Hawley, Evan T. Alicuben, Tanu A. Patel, Eduardo Martinez, Sneha Paranandi, Kamran Samakar Tags: General Surgery Source Type: research

Countering a Dogma: Using Enhanced Recovery Pathways to Eliminate Opioids from Pain Management after Surgery
Opioids have been a standard part of postoperative pain management but surgeons are rarely trained in utilizing nonopioid pathways to control postoperative pain. We implemented an Enhanced Recovery After Surgery (ERAS) pathway with zero dependence on opioids and assessed its efficacy for postoperative pain. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Clara Blevins, Miriam Moghtader, Alex Johnson Addo, Philip George, Igor Belyansky, Hamid R. Zahiri Tags: General Surgery Source Type: research

Does Biologic Mesh Type Impact Outcomes in Complex Abdominal Wall Reconstruction
With the increased use of acellular dermal matrix (ADM) in abdominal wall reconstruction (AWR), numerous types of ADM-based biologic meshes are now available. However, there is a paucity in the literature with regard to the differences in outcomes among these ADM types. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Malke Asaad, Donald Peter Baumann, Sahil Kuldip Kapur, Alexander F. Mericli, David Matthew Adelman, Jun Liu, Charles E. Butler Tags: General Surgery Source Type: research

Efficacy and Safety of Transanal Hemorrhoidal Deharterialization for Severe Hemorrhoidal Disease: A Single-Institution Case Series
Transanal hemorroidal deharterialization (THD) represents a safe and effective proctosurgical procedure that provides a targeted ligation of hemorrhoidal arteries through a Doppler probe combined with a plication of the prolapsing rectal mucosa, if necessary. This technique should be recommended for 2nd degree, 3rd degree, and 4th degree hemorrhoids providing a complete resolution of symptoms in almost all patients, avoiding life-threatening complications. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Laura Bersigotti, Paolo Triveri, Alessio Lucarini, Amirhossein Haghi, Pier Federico Salvi Tags: General Surgery Source Type: research

Endoscopic Management of Gastrointestinal Tract Defects Associated with Iatrogenic Intraluminal Drains and Tubes
Full-thickness defects of the gastrointestinal tract can be caused by a variety of drains/tubes, including injury during enteral access, drain erosion, and iatrogenic percutaneous misplacement. Here we report our treatment paradigm for the removal of intraluminal devices and endoscopic closure of the resultant defect. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Colin G. DeLong, Alexander T. Liu, Eric M. Pauli Tags: General Surgery Source Type: research

Endoscopic Trans Gastric Assisted Surgery for Gastric Tumors: Experience with a New Surgical Technique
Minimally invasive intragastric surgery [IGS] was first described by Ohashi in 1995 for early gastric cancer, with 3 trocars placed in the gastric lumen. Prior abdominal surgery is not a contraindication to IGS while the abdominal cavity is not explored, always that exist transilumination. But conversion to laparoscopic and open surgery can be challenging owing to the insufflated stomach and/or small bowel, although gas can be easily released via the gastrostomy. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Mauricio Pedraza Ciro, Luis Felipe Cabrera Vargas, Jaime Solano Tags: General Surgery Source Type: research

Experimental Incisional Hernia Model Reveals Superiority of Retrorectus over IPOM Repair in Tension Force, Adhesion Formation and Histologic Fibrogenesis
This study evaluates the induced fibrogenesis between five techniques of treatment in order to determine the superiority of the retrorectus technique in comparison with the others, specifying the tensiometric characteristics and adhesions formation related to the phenomenon of fibroplasia. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Fernando Ponce Leon, Nathalia Barros de Oliveira Santos Tags: General Surgery Source Type: research

Frailty and Emergency Abdominal Surgery: A Systematic Review and Meta-Analysis
At present, patients aged ≥ 65 years account for approximately 55% of all emergent operations and 75% of postoperative mortality. In the emergency setting, there is often no time for the detailed treatment of comorbidities, changes in medication or preoperative rehabilitation. Studies have reported on the use of frailty as a prognostic indicator in patients undergoing elective surgery. The aim of this study was to assess the impact of being frail on postoperative outcomes in the emergency abdominal surgery setting. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Czara Annamaria Kennedy, Michael Kevin Barry Tags: General Surgery Source Type: research

Gastric Resection vs Omental Patch for Perforated Gastric Ulcers: Systematic Review and Meta-Analysis for an Unresolved Debate
There is currently no consensus on the preferred treatment strategy for perforated gastric ulcer. Our study aims to compare the surgical outcomes following gastric resection vs omental patch by performing systematic review and meta-analysis. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Clara Zhu, Andrew Lin, Natasha Mathur, John Gaughan, Young Ki Hong Tags: General Surgery Source Type: research

Health Disparities in Incisional Hernia Repair: An Analysis of HCUP-NIS 2012-2014
Incisional hernia (IH) represent a major surgical complication that burdens the healthcare system and patients. Several studies have investigated disparities in IH diagnosis, but little is known about the health disparities that exist in IH repair. The goal of this study was to utilize a national database to identify health disparities in IH repair outcomes. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Ryan Hoffman, Clairissa Mulloy, Denise Danos, Frank Lau Tags: General Surgery Source Type: research

Immediate Postoperative Outcomes after Elective Outpatient Robotic Assisted Surgery: Early Results from a Community Outpatient Surgery Center
There is a growing impetus for outpatient same day surgery. Some Robotic Assisted Surgical (RAS) procedures that were mainly carried out at major hospitals are now increasingly being performed at ambulatory surgery centers. The worrisome factors in such a setting would be need for conversion to an open procedure and unpleasant post anesthesia recovery resulting in transfer to an inpatient setting/emergency room (ER) for further management. We evaluated the incidence of such above-mentioned outcomes from our early experience with outpatient RAS procedures performed at an ambulatory surgery center. (Source: Journal of the Am...
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Santosh Swaminathan, Suraj J. Panjwani, J. Alexander Palesty Tags: General Surgery Source Type: research

Impact of Elderly Age on Short-Term Outcomes after Major Seven Gastroenterological Surgeries in 327,642 Patients Based on National Clinical Database in Japan
Reports on the impact of advanced age on the postoperative morbidity and mortality after major gastroenterological surgeries are still scarce. The purpose of this study was to assess the association between old age and the short-term outcomes after gastroenterological surgeries, based on the data from a national surgical registry in Japan. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Kiyohiko Omichi, Kiyoshi Hasegawa, Hiraku Kumamaru, Hiroaki Miyata, Hiroyuki Konno, Yasuyuki Seto, Masaki Mori, Norihiro Kokudo Tags: General Surgery Source Type: research

Increased Palliative Care Referrals in Surgical Patients with Implementation of Interdisciplinary Mortality Council of Surgeons and Palliative Care Practitioners
Palliative care benefits patients with life-limiting illness or at the end of life. However, studies describe continued unmet palliative care needs in surgery. In 2012, the Mount Sinai Hospital Department of Surgery established a recurring mortality council of attending surgeons and palliative care practitioners. This conference discusses mortalities on the surgical service or within 30 days of surgery, focusing on decision-making processes, family involvement, and patient quality of life. Our study aims to characterize the impact of this mortality council on palliative care referrals by surgeons. (Source: Journal of the A...
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Alycia Ling So, Prerna Khetan, Reba Miller, Michael L. Marin, Celia Maria Divino Tags: General Surgery Source Type: research

Increased Surgical Morbidity in Patients with Choledocholithiasis and Gallstone Pancreatitis with Concomitant Acute Cholecystitis
Gallstone pancreatitis (GP) or choledocholithiasis (CD) with acute cholecystitis (AC) has been described. Clinical implications of concurrent AC remain poorly defined. We tested the null hypothesis that AC is not associated with increased morbidity during cholecystectomy (CCY) for GP or CD. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Alessia Cioci, Eva Urrechaga, Khaled Abdul Jawad, Lauren Baker, Margo Stapleton, Mark Buzzelli, Daniel Yeh, Rishi Rattan, Nicholas Namias, Kenneth Proctor Tags: General Surgery Source Type: research

Increasing Interpreting Services during Single Surgical Admission Reduce Length of Stay
An increasing proportion of the US population has Limited English Proficiency (LEP) and interpreting services are critical to these patients ’ health outcomes. We hypothesize that the use of interpreting services would decrease surgical LEP patients’ length of stay (LOS). (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Claire de Crescenzo, Ya-Wen Chen, Charles Rickert, David C. Chang, Heidi Yeh Tags: General Surgery Source Type: research

Increasing Preparedness: Development of an Algorithm for Emergency Robotic Surgery Conversions
There is rapidly growing interest in minimally invasive operative strategies using robotic technology. Robotic surgery is increasingly being utilized for major abdominal and thoracic procedures. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Dahlia M. Kenawy, Ruth L. Ackah, Robert E. Merritt, Morgan S. Fitzgerald, Stacy A. Brethauer, Desmond M D'Souza, Peter J. Kneuertz Tags: General Surgery Source Type: research

Initial Report of a Novel Approach: Robotic Single Port (SP) TAPP Inguinal Hernia Repair
The minimally invasive approach to inguinal hernia repairs has undergone significant progress in recent years. While the transabdominal preperitoneal (TAPP) robotic multiport approach has been adopted by many in the surgical community, many are hesitant to use the robotic single site (SS) technology. This may be due to the excessive flexibility and decreased dexterity of the instruments, which can limit reducing the hernia sac and suturing. With the introduction of the new robotic DaVinci SP platform, many of these constraints have been eliminated. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Francesco Bianco, Stephan Gruessner, Yevhen Pavelko, Alberto Mangano, Roberto Esteban Bustos, Pier Cristoforo Giulianotti Tags: General Surgery Source Type: research

Integrating a Mindfulness Course into General Surgery Junior Resident Curriculum
In 2017, the Accreditation Council for Graduate Medical Education formally emphasized physician well-being. Mindfulness training is one wellness tool. We assessed feasibility and effectiveness of a newly-implemented, structured mindfulness program for junior general surgery residents. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Olivia Atari, Muneera R. Kapadia, Lillian M. Erdahl, Beverly Klug, Julia Shelton, Jennifer Hrabe Tags: General Surgery Source Type: research

Is There a Better Way to Treat Pilonidal Disease in the US?
Pilonidal disease affects about 70,000 Americans annually. Wound care and operative treatments are typically used to manage pilonidal disease in the US; however, phenol sclerosis has been successful in other countries. Herein, we report preliminary data from a quality improvement project (QI) evaluating the impact of phenol sclerosis on outcomes compared to other nonoperative treatments. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Cheryl Byrnes, Drew Lilienthal, Colette Galet, Lauren Allan, Patrick McGonagill Tags: General Surgery Source Type: research

Ischemic Colitis with Severe Hematochezia: A Comparison of 30-Day Clinical Outcomes Between Surgical and Non-Surgical Management
WITHDRAWN (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Thongsak Wongpongsalee, Usah Khrucharoen, Dennis Jensen, Rome Jutabha, Gail Thibodeau, Mary Ellen Jensen Tags: General Surgery Source Type: research

Left Transaxillary Gasless Robot-Assisted Zenker Diverticulectomy: Results of the First 18 Cases
Treatment of Zenker ’s diverticulum (ZD) includes many open and endoscopic approaches, depending on clinical presentation and operators’s skills. Left transaxillary gasless robot-assissted Zenker diverticulectomy represents a safe and feasible alternative to open surgery; postoperative complications are significant ly reduced, including mediastinitis, recurrent laryngeal nerve injury, esophageal fistula. The aim of this study is to present a monocentric experience and related promising results. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Francesca Pecchini, Sofia Esposito, Barbara Mullineris, Alice Francescato, Davide Gozzo, Giovanni Colli, Micaela Piccoli Tags: General Surgery Source Type: research

Management of Appendicitis during Pregnancy
Nonoperative management of appendicitis is increasingly common, however its role in pregnancy is unclear. Appendectomy and appendicitis treated with antibiotics can both increase the risk of adverse obstetric outcomes (AOO). We aim to characterize the use of nonoperative management, patient characteristics, and rates of AOO with either treatment. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: David J. Droullard, Mariam N. Hantouli, Sara B. Cook, Lyndsey S. Benson, Erika M. Wolff, Giana H. Davidson, David R. Flum Tags: General Surgery Source Type: research

Mathematical Model for Surgical Site Infection (SSI) Prediction in Patients Underwent to Ventral Hernia Repair (VHR). A Prospective Study in a Level I Hospital in Bogota, Colombia
The objective of this study is to perform a mathematical predictive model for SSI in patients underwent to VHR. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Viviana Orozco-Martin, Jose Orjuela Orjuela, Alberto Enrique Ricaurte Aragon, Enid Ximena Rico Rivera Tags: General Surgery Source Type: research

Meckel ’s: Diverticulectomy and Small Bowel Resection Have Similar Outcomes in Adults
Meckel ’s diverticulum is a congenital abnormality often associated with the pediatric population. When seen in the adult population, management is controversial. We sought to determine differences in the populations and their outcomes of those undergoing diverticulectomy or small bowel resection for Mec kel’s diverticulum. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Joseph G. Brungardt, Brian R. Cummiskey, Kurt P. Schropp Tags: General Surgery Source Type: research

Natural History of Occult Hernias in Adults at a Safety-Net Hospital
Occult hernias, hernias seen on radiologic imaging but not felt on physical exam, are common. Despite their high prevalence, little is known about the natural history of this finding. We hypothesized that when untreated, patients with occult hernias would experience no change in abdominal wall quality of life (AW-QOL) over time. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Alexis Piccoli Rondon, Oscar A. Olavarria, Karla Bernardi, Niharika Neela, Naila Dhanani, Nicole B. Lyons, Julie L. Holihan, Tien C. Ko, Lillian S. Kao, Mike K. Liang Tags: General Surgery Source Type: research

Onlay Technique in Ventral Hernia: Are Superior Results Possible? Results from a Single Surgeon ’s Experience
Ventral hernias significantly impair patient ’s quality of life and are commonly repaired. Optimal technique for repair remains controversial. While the onlay method is a technically easier approach, recent studies have argued that sublay technique has the lowest surgical site (SSI) rate and recurrence rate. We hypothesize that one can achie ve similar, favorable rates of SSI and recurrence while using an onlay technique. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Rivfka Shenoy, Kevin Blair, Charles F. Chandler Tags: General Surgery Source Type: research

Opioid Use and Pain Expectations in a Mixed Herniorrhaphy Cohort
Responsible opioid prescribing after herniorrhaphy is essential. However, it is unclear how much pain patients expect and how long they will require opioids after hernia repair. We aimed to quantify pain expectations and duration of opioid requirements following herniorrhaphy. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Tarin C. Worrest, Melissa L. DeSouza, Jaime Kiff, Elizabeth N. Dewey, Sean B. Orenstein Tags: General Surgery Source Type: research

Outcomes of Using a Laser Diode in the Treatment of Pilonidal Sinus Disease: An Early Experience
WITHDRAWN (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Hossam Ramadan Moussa, Amir fawzy shaban Tags: General Surgery Source Type: research

Pathology is a Better Predictor of Outcomes than Operative Surgeon
Previous literature has shown that surgeons' intraoperative (IO) diagnosis of complicated appendicitis (CA) does not correlate well with histopathological (HP) diagnosis. We sought to determine whether IO or HP classification was a better predictor of complications. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Kali Marie Kuhlenschmidt, Natasha Houshmand, Paul Burdett Comish, Stephen Shang-Yan Luk, Michael William Cripps Tags: General Surgery Source Type: research

Perioperative Outcomes of Patients Treated with Laparoscopic Appendectomy for Complicated Appendicitis
Preoperative and intraoperative risk assessment in order to guide postoperative management for uncomplicated and complicated appendicitis (AA) is lacking. Understanding the differences in surgical outcomes between the two groups in the era of laparoscopic appendectomy (LA) should help inform management recommendations based on disease severity. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Luis Felipe Cabrera Vargas, Gabriel Eduardo Herrera, Sergio Alfonso Valencia, Nathalia Ayala, Maria Daniela Moreno Zambrano Tags: General Surgery Source Type: research

PICC vs Midlines: Comparison of Peripherally Inserted Central Catheters and Midline Catheters with Respect to Incidence of Thromboembolic and Infectious Complications
To decrease the complications related to central catheters there has been an increasing utilization of peripherally inserted central catheters and ultrasound-guided long peripheral intravenous catheters (ie Midlines). While the complications of peripherally inserted central venous catheters are well described, there is less reported data on complications related to midline catheters. Our study aims to compare the incidences of deep venous thrombosis and sepsis related to PICCs and DVTs. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Shaoxu Bing, Carmen Smotherman, David J. Skarupa, Jin Hee Ra, Marie L. Crandall Tags: General Surgery Source Type: research

Prospective Case Series Evaluating a Large Fenestrated Bovine Acellular Dermal Matrix in Patients Undergoing Complex Abdominal Hernia Repair
Large complicated ventral hernias (LCVH) are challenging, with recurrence rates as high as 30%. Despite the widespread use of bioprosthetic meshes, there remains a substantial concern for associated complications, leading to the continued mesh modifications such as the inclusion of fenestrated platforms that allow flow and more rapid tissue integration. However, there is an absence of high-quality prospective studies analyzing such meshes. Our objective was to evaluate the effectiveness of a bovine acellular dermal tissue matrix with perforations for abdominal wall reinforcement in patients with LCVH. (Source: Journal of t...
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Ricardo Alejandro Fonseca, Jose Alejandro Aldana, Melissa Canas, Christina Xinyue Zhang, James Michael McMullen, Javier Enrique Rincon, Rohit Kiran Rasane, Esha Ghosh, Kelly Bochicchio, Grant Vincent Bochicchio Tags: General Surgery Source Type: research

Quality of Life after Laparoscopic Cholecystectomy: Single-Center Experience
Cholelithiasis is one of the most common diseases in developed countries. It affects about 10%-15% of the population. About 80% of the patients present no symptoms of the disease. Standard treatment is laparoscopic cholecystectomy. Main indications for that procedure are clinical symptoms of the disease or its complications. It is believed that asymptomatic patients should not be treated surgically, however there are still many patients that undergo the surgery even though they present no symptoms. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Tomasz Gach, Pawel Bogacki, Beata Markowska, Miroslaw Szura Tags: General Surgery Source Type: research

Quantifying Procedure-Specific Risk in Emergency Surgery to Better Inform Perioperative Risk Discussions
While emergency general surgery (EGS) is known to incur excess risk compared to elective surgery (ES), actual procedure-specific outcomes may be underappreciated by surgeons, potentially leading to less-informed perioperative discussions. We hypothesize that high-risk EGS cases can be identified and should be further advertised in the literature. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Justin Hatchimonji, Claire Rosen, Benjamin M. Braslow, Daniel N. Holena, Niels Douglas Martin Tags: General Surgery Source Type: research

Robotic Single-Port Cholecystectomy: Initial Experience
We present our initial experience on the utilization of this platform to perform cholecystectomies under IRB approval. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Francesco Bianco, Yevhen Pavelko, Stephan Gruessner, Alberto Mangano, Roberto Esteban Bustos, Eduardo Fernandes, Pier Cristoforo Giulianotti Tags: General Surgery Source Type: research

Robotic Surgery at a Safety-Net Hospital
The robotic platform offers potential advantages of improved ability to complete procedures using a minimally invasive approach, recovery, and clinical outcomes. We hypothesized that, compared to laparoscopic and open surgeries, robotic surgeries have fewer postoperative Clavien-Dindo complications. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Naila H. Dhanani, Oscar A. Olavarria, Stefanos G. Millas, Erik P. Askenasy, Tien C. Ko, Mike K. Liang, Julie L. Holihan Tags: General Surgery Source Type: research

Robotic vs Laparoscopic Hernia Repair: Early Outcomes
Early adopters of robotic hernia repair have commonly approached small hernias for repair as comfort increased on the platform. We aim to investigate the early temporal outcomes of the robot assisted hernia repairs. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Yewande Rukayat Alimi, Nayeem Nasher, Alex Lofthus, Parag Bhanot Tags: General Surgery Source Type: research

Serum Albumin and Mortality after Enterocutaneous Fistula Takedown
Reported mortality after surgical management of enterocutaneous fistulae (ECF) ranges from 5%-21%. Patients with fistulae are at high risk of malabsorption and malnutrition, which may in turn increase the risk of postoperative mortality. Preoperative serum albumin has been shown to correlate with mortality in surgical patients, but the relationship between albumin and postoperative mortality after ECF takedown is not well-characterized. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Jessica F. Guzman, Justin Hatchimonji, Bradford Bormann, Dane Scantling, Ruiying Xiong, Elinore Kaufman, Daniel N. Holena Tags: General Surgery Source Type: research

Short-Term Outcomes of Laparoscopic Hiatal Hernia Repair without Mesh in Non-Obese vs Obese Subjects: A Single Institution Experience
This study aims to report our experience in LHHR without mesh and compare the short-term outcomes between non-obese (BMI (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Sinal Patel, Bakhtawar Mushtaq, George Tadros, Roberto Valera, Rene Aleman, Shubham Bhatia, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: General Surgery Source Type: research

Show Me the Money, I ’ll Show You My Complications: Impact of Incentivized Incident Self-Reporting among Surgeons
Promoting patient safety through incentivized self-reporting of adverse events and medical errors may be an effective approach in providing valuable insight into how and why medical errors occur. The purpose of this study is to evaluate the impact of financially incentivized incident self-reporting on provider engagement, workplace attitudes, and effects on patient-related incident reports. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Alex Johnson Addo, Jesse Cotton, Sara Dinnell Parmiter, Rashel Moscoso-Morales, Adrian E. Park Tags: General Surgery Source Type: research

Socioeconomic Status and English Language Proficiency Alter Outcomes after Appendectomy
We aimed to determine the effect of race, and socioeconomic factors on delivery of care and postoperative outcomes after appendectomy. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Jose L. Cataneo, Mohamad Minhem, Jaime M O'Rear, Rochelle Gaudet, Francisco Quinteros, William O. Richards, Rami Lutfi Tags: General Surgery Source Type: research