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Delivering Robotic Surgery During the COVID-19 Pandemic
In March 2020, we paused our 6-speciality, multi-disciplinary robotic-assisted surgery (RAS) program in response to the COVID-19 pandemic. Four specialities restarted the program in a COVID-19 safe ‘green zone’ in June 2020. Herein, we report the outcomes of patients who had RAS during the COVID-19 pandemic and compared it to the immediate pre-COVID period. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Louis Boyce, Catrin Sohrabi, Despoina Iakovou, Jayan D. Jayasinghe, Mohamed A. Thaha, PG Cert Hlth Econ, Rajesh Sivaprakasam Tags: General Surgery Source Type: research

Early Initiation of Parenteral Nutrition in Elderly Emergency General Surgery Patients
Due to increased rates of preexisting nutritional deficiencies, decreased baseline functional status, and diminished ability to adapt to metabolic stress, geriatric emergency general surgery (EGS) patients are at high risk for poor outcomes. We sought to evaluate the impact of early vs late initiation of parenteral nutrition (PN) in elderly EGS patients who demonstrated relative short-term contraindications to enteral nutrition. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Anna K. Gergen, Patrick W. Hosokawa, Juan P. Idrovo Tags: General Surgery Source Type: research

Efficacy of Intraperitoneal Bupivacaine on Postoperative Analgesia in Laparoscopic Cholecystectomy
Ambulatory laparoscopic cholecystectomy is becoming the standard of care for gallstone disease. However, despite a significantly improved postoperative course in laparoscopic surgery, postoperative pain is still a major concern, with a 20% in-patient admission rate reported as a consequence of uncontrolled postoperative pain, nausea, and vomiting. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Cecil Kenneth C. de Guzman, Linnelle Stacy T. Lao, francene thea C. chan MD, Maila Rose L. Torillo Tags: General Surgery Source Type: research

Experimental Incisional Hernia Model Reveals Superiority of Retrorectus Over Intraperitoneal Mesh Repair in Tension Force and Cicatrization
Incisional hernia occurs when there is a solution of partial or total continuity of a previously incised fascia. Meta-analyzes demonstrate superiority of the positioning of the mesh in the retromuscular compartment, but without a physiological explanation. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Fernando Ponce Leon, Juliana Rodrigues Tags: General Surgery Source Type: research

Experimental Study on the Establishment of Rat Model of Gastric Flstula by Magnetic Compression Technique
This Paper is to explore the feasibility of using magnetic compression technique to establish a non-invasive model of gastric fistula in rats and to observe the formation of fistula with the naked eye and histological techniques. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Jingci Gai, Miaomiao Zhang, Aihua Shi, Yi Lyu, Xiaopeng Yan Tags: General Surgery Source Type: research

Factors Associated with the Rate of Acute Perforated Appendicitis Among Patients Who Underwent Emergency Appendectomy From January to December 2018: A Retrospective Cohort Study
Acute appendicitis is one of the most common causes of acute abdomen in the young adult population requiring immediate surgical operation. Perforation in the setting of appendicitis was observed to be associated with a higher morbidity rate compared to nonperforated appendicitis. Determination of different factors, both demographic and clinical, associated with acute perforated appendicitis among adult patients is the main objective of the study. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Rivero P. Opano, Luis F. Filarca Tags: General Surgery Source Type: research

High Output Ileostomy: A Retrospective Study On The Predictive Parameters Of 30 Days Readmission From Dehydration
This study is designed to identify potential risk factors for high output and readmission. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Enoch Yeung, Senapathi Sri, Luke Dombert, Cynthia Wung, Jean Miner, Burt Cagir Tags: General Surgery Source Type: research

Incidental Appendiceal Tumors During Appendectomy: A 19-year Retrospective Review at a Municipal Hospital
Appendectomy is the most common emergency surgical procedure. While non-operative management (NOMA) has gained popularity, particularly during the COVID pandemic, there is concern that NOMA might miss appendiceal tumors, including malignant ones. We sought to investigate the incidence and distribution of appendiceal tumors among appendectomy patients to determine its impact on the decision to pursue NOMA. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: David A. Lieb, Shreya Shah, Prabhat Bhattarai, Katie Mitaszka, Augusta Belmonte, Marc K. Wallack, James G. Mariadason Tags: General Surgery Source Type: research

Integrating a Measure of Social Vulnerability Into a Parsimonious Surgical Risk Calculator Does Not Improve Model Performance
We examined whether incorporating SVI into a parsimonious surgical risk calculator would improve the model performance. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Adam R. Dyas, Heather Carmichael, Michael R. Bronsert, William G. Henderson, Helen J. Madsen, Kathryn L. Colborn, Catherine G. Velopulos, Robert A. Meguid Tags: General Surgery Source Type: research

Intraoperative Abdominal Wall Extension - for Giant Ventral Hernia and Laparostoma. a Novel Technique for Two Old Problems
WITHDRAWN (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Dietmar Eucker, Sebastian H Lamm, Robert Rosenberg Tags: General Surgery Source Type: research

Is Elective Laparoscopic Cholecystectomy a Same-Day Procedure?
Laparoscopic cholecystectomy (LC) is a common same-day surgery (SDS). We hypothesized that a significant number of patients presenting for an elective gallbladder (GB) surgery require hospital admission and extended stay, and compared SDS and non-SDS patients. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Saad Shebrain, Kyra Folkert, Robert Sawyer Tags: General Surgery Source Type: research

Is the Surgical Antibiotic Prophylaxis (SAP), an Option in a Developing Country?
The SAP is used to decrease the probability of surgical site infections (SSI) and to avoid the prolonged use of antibiotics reducing its adverse effects and associated bacterial resistance. In our country, even with international and national guidelines, the SAP is not universally used. All due to cultural, education and health education factors. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Jorge M. Hern ández, Gladys Ayala, Roselli C. Rodriguez, Heralba M. Lee Rosario, Maria D Navarro, Anyely N. Castro Mejia, Ramon H. Capellan Cruz Tags: General Surgery Source Type: research

Musculoskeletal Injury and Pain Are Common and Significantly Disrupt Surgeons ’ Practices
Though it is well established that musculoskeletal injuries are common among surgeons, most prior research has focused on risk associated with various surgical specialties, rather than with various operative techniques. We sought to determine the epidemiology and associated burden of musculoskeletal injuries and pain at our institution and hypothesized that injuries and pain would be more common with certain operative techniques than others. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Elizabeth H. Weissler, Cynthia K. Shortell Tags: General Surgery Source Type: research

Optimal Operative Approach for Emergent Inguinal Hernia Repair: A Nationwide Outcomes-based Analysis
Surgical repair is recognized as the gold standard for emergent inguinal hernias, yet the optimal surgical approach is still the subject of debate. The aim of this study is to compare the outcomes of patients who underwent laparoscopic vs. open emergent inguinal hernia repair. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Omar Obaid, Letitia Bible, Muhammad Khurrum, Tanya Anand, Adam Nelson, Ahmad Hammad, Molly Douglas, Michael F. Ditillo, Andrew L. Tang, Bellal Joseph Tags: General Surgery Source Type: research

Postoperative Pneumonia Increases the Risk of Venous Thromboembolism in Patients: A Propensity Score Analysis
Hospital-acquired pneumonia (HAP) is one of the most common nosocomial infections. The risk of venous thromboembolism (VTE) in surgical patients with HAP is not well known. This project aimed to evaluate the risk of VTE in postoperative patients who developed HAP. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Rathnayaka M. Kalpanee D Gunasingha, Scott Grey, Patrick Benoit, Carolyn Gosztyla, Peter Learn, Eric A. Elster, Matthew J. Bradley Tags: General Surgery Source Type: research