Trends in opioid prescription for craniomaxillofacial trauma in the United States: An 11-year retrospective study of emergency room and office visits
Facial trauma is associated with significant long-term morbidity and pain. These patients are routinely prescribed opioid medication and are at risk for opioid dependence. Rates and trends in opioid prescription in the ambulatory setting for management of craniofacial trauma are unknown. (Source: Surgery)
Source: Surgery - April 16, 2021 Category: Surgery Authors: Jinesh Shah, Robert P. Lesko, Brittany Lala, Joseph Ricci Source Type: research

Non-arbitrary minimum threshold of yearly performed pancreatoduodenectomies: National multicentric study
Annual hospital volume of pancreatoduodenectomies could influence postoperative outcomes. The aim of this study is to establish with a non-arbitrary method the minimum threshold of yearly performed pancreatoduodenectomies in order to improve several postoperative quality outcomes. (Source: Surgery)
Source: Surgery - April 16, 2021 Category: Surgery Authors: Angel Antonio Moya-Herraiz, Dimitri Dorcaratto, Elena Martin-Perez, Javier Escrig-Sos, Ignasi Poves-Prim, Joan Fabregat-Prous, Javier Larrea y Olea, Francisco Sanchez-Bueno, Francisco Botello-Martinez, Luis Sabater, Pancreatoduodenectomy Multicentric Span Source Type: research

Accuracy of the surgical risk preoperative assessment system universal risk calculator in predicting risk for patients undergoing selected operations in 9 specialty areas
The objective of this study was to evaluate the Surgical Risk Preoperative Assessment System in predicting adverse outcomes for selected individual operations. (Source: Surgery)
Source: Surgery - April 15, 2021 Category: Surgery Authors: William G. Henderson, Paul D. Rozeboom, Michael R. Bronsert, Kathryn L. Colborn, Karl E. Hammermeister, Anne Lambert-Kerzner, Robert A. Meguid Source Type: research

Hiatal hernia classification —Way past its shelf life
Why do we classify things? For one, it brings about a certain order and organization to an otherwise seemingly complex, chaotic world. This certainly applies to the world of medicine. In this modern era of evidence-based practice, a classification system serves as a reference point for comparison and collection of data on convoluted diseases. In short, it can improve how clinicians and scientists research and treat a disease process. With a good system, one can standardize and make the diagnosis, treatment, and communication among providers reproducible. (Source: Surgery)
Source: Surgery - April 15, 2021 Category: Surgery Authors: Paul Kim, Justin Turcotte, Adrian Park Source Type: research

Surviving traumatic injury, only to die of acute drug poisoning: Should trauma centers be a path for intervention?
Although death from drug overdose is a leading cause of injury-related death in the United States, its incidence after traumatic incident is unknown. Moreover, little is known about related risk factors. We sought to determine the incidence and characteristics of and risk factors for trauma patients suffering death by acute drug poisoning ( “overdose”) after hospitalization for a traumatic incident. (Source: Surgery)
Source: Surgery - April 15, 2021 Category: Surgery Authors: Tasce Bongiovanni, Sophia Hernandez, Yeranui Ledesma, Rebecca Menza, Elizabeth Wick, Michael Steinman, Robert Mackersie, Deborah M. Stein, Phillip O. Coffin Source Type: research

Stress and resident interdisciplinary team performance: Results of a pilot trauma simulation program
Excessive stress negatively impacts surgical residents ’ technical performance. The effect of stress on trainee nontechnical skills, however, is less well studied. Given that nontechnical skills are known to impact clinical performance, the purpose of this study was to assess the relationship between residents’ perceived stress and nontechnical skil ls during multidisciplinary trauma simulations. (Source: Surgery)
Source: Surgery - April 15, 2021 Category: Surgery Authors: Nicholas E. Anton, Elizabeth M. Huffman, Rami A. Ahmed, Dylan D. Cooper, Dimitrios I. Athanasiadis, Jackie Cha, Dimitrios Stefanidis, Nicole K. Lee Source Type: research

Letter to the editor regarding “Hepatectomy strategy for T2 gallbladder cancer between segment IVb and V resection and wedge resection: A propensity score-matched study”
We read with great interest the article by Chen et  al showing that segment IVb/V resection (S4b5R) had a lower recurrence rate than wedge resection (WR) in gallbladder cancer.1 I would like to congratulate the authors for their well-designed research on a topic that has long been debated; however, I would also like to raise a concern regarding the definition of S4b5R, which was not clearly described in their study. (Source: Surgery)
Source: Surgery - April 14, 2021 Category: Surgery Authors: Kojiro Taura Source Type: research

Further validation of the Wexner Incontinence Score: A note of appreciation and gratitude
I am humbled to be able to author this editorial about the Wexner/Cleveland Clinic Florida Incontinence Score1 to accompany the publication by Essangri et al.2 When my former trainee, Dr. Marcio Jorge, and I first implemented the incontinence score, we did so because we found shortcomings in all of the previously identified scales, grades, and scores. We aimed to create a quantification score based upon the frequency of incontinence to solid stool, liquid stool, and gas. In addition, we sought to recognize the importance of the impact on quality of life as well as measures of quality of life: lifestyle activity limitations...
Source: Surgery - April 13, 2021 Category: Surgery Tags: Editorial Source Type: research

Multidisciplinary simulation-based trauma team training with an emphasis on crisis resource management improves residents ’ non-technical skills
Non-technical skills impact trauma resuscitation time. Crisis resource management teaches non-technical skills required for effective teamwork in a crisis. We developed a simulation-based multidisciplinary trauma team training, with an emphasis on crisis resource management and a goal of improving residents ’ non-technical skills. (Source: Surgery)
Source: Surgery - April 13, 2021 Category: Surgery Authors: Elizabeth M. Huffman, Nick E. Anton, Dimitrios I. Athanasiadis, Rami Ahmed, Dylan Cooper, Dimitrios Stefanidis, Nicole Kissane Lee Source Type: research

Evaluation of opioid prescribing preferences among surgical residents and faculty
This study compared opioid prescribing preferences of surgical residents and faculty against published guidelines and actual practice and assessed perceptions in communication and transparency around these practices. (Source: Surgery)
Source: Surgery - April 12, 2021 Category: Surgery Authors: Victoria Huynh, Kathryn Colborn, Kristin E. Rojas, Nicole Christian, Gretchen Ahrendt, Ethan Cumbler, Richard Schulick, Sarah Tevis Source Type: research

Letter to the Editor
I read with great interest the recent article by Cox et  al1 regarding surgeon electronic health record (EHR) usage. The authors should be commended for their efforts to quantify EHR usage, an important topic in every specialty. (Source: Surgery)
Source: Surgery - April 12, 2021 Category: Surgery Authors: Conrad Krawiec Source Type: research

A comparative study of postoperative outcomes between minimally invasive living donor hepatectomy and open living donor hepatectomy: The Korean organ transplantation registry
This study evaluated the safety and effectiveness of minimally invasive living donor hepatectomy in comparison with the open procedure, using Korean Organ Transplantation Registry data. (Source: Surgery)
Source: Surgery - April 10, 2021 Category: Surgery Authors: Jae Do Yang, Kwang Woong Lee, Jong Man Kim, Myoung Soo Kim, Jae Geun Lee, Koo Jeong Kang, Dong Lak Choi, Bong Wan Kim, Je Ho Ryu, Dong Sik Kim, Shin Hwang, In Seok Choi, Jai Young Cho, Yang Won Nah, Young Kyoung You, Geun Hong, Hee Chul Yu Source Type: research

Impact of hospital volume on resource use after elective cardiac surgery: A contemporary analysis
Institutional experience has been associated with reduced mortality after coronary artery bypass grafting and valve operations. Using a contemporary, national cohort, we examined the impact of hospital volume on hospitalization costs and postdischarge resource utilization after these operations. (Source: Surgery)
Source: Surgery - April 10, 2021 Category: Surgery Authors: Joseph Hadaya, Yas Sanaiha, Roland Hernandez, Zachary Tran, Richard J. Shemin, Peyman Benharash Source Type: research

Gender distribution among surgical journals ’ editorial boards: maintaining momentum of equity
We would like to thank the authors for their inquisitive ardor regarding our recent manuscript entitled “Gender distribution among surgical journals’ editorial boards: Empowering women surgeon scientists”.1 This cross-sectional analysis evaluated the recent state of gender distribution among the top United States surgical journals’ editorial boards. From this, it was discovered that out of the 42 journals included in our study, the mean proportions of female editorial board members, associate editors and editors in chief were all below 20%. (Source: Surgery)
Source: Surgery - April 10, 2021 Category: Surgery Authors: Haley Ehrlich, Mark McKenney, Adel Elkbuli Source Type: research

FISSIT (Fistula Surgery in Italy) study: A retrospective survey on the surgical management of anal fistulas in Italy over the last 15 years
Surgical treatment of anal fistulas is still a challenge. The aims of this study were to evaluate the adoption and healing rates for the different surgical techniques used in Italy over the past 15 years. (Source: Surgery)
Source: Surgery - April 9, 2021 Category: Surgery Authors: Francesco Litta, Salvatore Bracchitta, Gabriele Naldini, Massimiliano Mistrangelo, Nicola Tricomi, Marco La Torre, Donato Francesco Altomare, Marta Mozzon, Alessandro Testa, Daniele Zigiotto, Giuseppe Sica, Roberta Tutino, Giorgio Lisi, Fabio Marino, Gaet Source Type: research

Kinetics of postoperative drain fluid amylase values after pancreatoduodenectomy: New insights to dynamic, data-driven drain management
Clinically relevant postoperative pancreatic fistula (CR-POPF) is the most dreadful complication after pancreatoduodenectomy (PD).1 Postoperative day 1 (POD1) drain fluid amylase (DFA) is a well-established, initial, objective predictor of CR-POPF after surgery, and multiple cutoffs (range:100 –5,000 U/L) have been proposed as outright, seemingly absolute, parameters to inform subsequent drain management.2–5 However, conceptually the appropriateness of dichotomous, yet static POD1 DFA thresholds can be questioned. (Source: Surgery)
Source: Surgery - April 9, 2021 Category: Surgery Authors: Amer H. Zureikat, Fabio Casciani, Sarwat Ahmad, Claudio Bassi, Charles M. Vollmer Source Type: research

Prognostic importance of circumferential resection margin in the era of evolving surgical and multidisciplinary treatment of rectal cancer: A systematic review and meta-analysis
Circumferential resection margin is considered an important prognostic parameter after rectal cancer surgery, but its impact might have changed because of improved surgical quality and tailored multimodality treatment. The aim of this systematic review was to determine the prognostic importance of circumferential resection margin involvement based on the most recent literature. (Source: Surgery)
Source: Surgery - April 8, 2021 Category: Surgery Authors: Robin Detering, Marieke L.W. Rutgers, Willem A. Bemelman, Roel Hompes, Pieter J. Tanis Source Type: research

Surgical site infection risk in cesarean delivery patients with obesity after negative pressure wound therapy: A retrospective cohort study
There are conflicting reports of postoperative efficacy of negative pressure wound therapy in patients with obesity after cesarean delivery. (Source: Surgery)
Source: Surgery - April 8, 2021 Category: Surgery Authors: Sarah Buzhardt, Andrew G. Chapple, Felicia LeMoine, Kelly McCune, Elizabeth F. Sutton Source Type: research

Comparison of immediate hypersensitivity reactions to preoperative antibiotics in patients labeled as penicillin allergic
Cefazolin is routinely recommended as the first-line agent for surgical antibiotic prophylaxis because it prevents more surgical site infections than second-line antibiotics. Clinicians often avoid administering cefazolin to patients who are labeled as penicillin allergic due to concerns of cross-reactivity. The aim of this study was to compare the incidence of hypersensitivity reactions between cefazolin and the second-line antibiotics vancomycin and clindamycin. (Source: Surgery)
Source: Surgery - April 8, 2021 Category: Surgery Authors: Spencer Fosnot, Katelyn Currier, Jay Pendell, Meghan N. Jeffres Source Type: research

Lymph node metastases in pediatric medullary thyroid carcinoma
This study aims to identify which pediatric medullary thyroid carcinoma patients might warrant elective neck dissection. (Source: Surgery)
Source: Surgery - April 8, 2021 Category: Surgery Authors: Jamie R. Oliver, Kepal N. Patel, Clifford M. Chang, Chelsey K. Baldwin, Preneet C. Brar, Luc G.T. Morris, Babak Givi Source Type: research

Surgery, surgical training, surgeons, and the need for social consciousness
The social, political, and health events in the United States in 2020 have resulted in an intense examination of self, community, society, and our profession. The unnecessary loss of life of unarmed African American citizens to the excessive deaths predominantly within minority communities secondary to COVID-19 has magnified the longstanding structural social injustices and systemic health inequities in the United States. There are significant racial and ethnic disparities in health care outcomes. (Source: Surgery)
Source: Surgery - April 7, 2021 Category: Surgery Authors: Anthony Charles Source Type: research

Prognosis of ultrasonographic low-grade pediatric appendicitis treated with supportive care
A previous report proposed ultrasonography-based classification as a promising means of predicting pediatric spontaneously resolving appendicitis. The present study investigated the long-term prognosis of supportive care for low-grade appendicitis identified by ultrasonography, defined as an appendix with a smooth submucosal layer irrespective of blood flow or an appendix with an irregular layer and increased blood flow. (Source: Surgery)
Source: Surgery - April 6, 2021 Category: Surgery Authors: Qianzhi Wang, Yoshihiko Morikawa, Ryo Ueno, Hirofumi Tomita, Takateru Ihara, Yusuke Hagiwara, Satoko Suzuki, Mototoshi Kato, Naoki Shimojima, Hiroshi Hataya Source Type: research

Timing of Gastrografin administration in the management of adhesive small bowel obstruction (ASBO): Does it matter?
This study explores the optimal timing of Gastrografin in the management of adhesive small bowel obstruction by comparing early versus late Gastrografin challenge. (Source: Surgery)
Source: Surgery - April 6, 2021 Category: Surgery Authors: Ryan B. Cohen, Samantha N. Olafson, James Krupp, Afshin Parsikia, Mark J. Kaplan, Benjamin Moran, Pak Shan Leung Source Type: research

Fat grafting: A novel technique for difficult ostomy management
The creation of fecal or urinary stomas are common surgical procedures. However, even when the operation is done technically well, a spectrum of morbidities can result from contour deformities of the peristomal skin. These often result in poor appliance fitting with leakage, skin erosion, pain, discomfort, and embarrassment. Irregularities in parastomal skin contour can be secondary to scarring, wound contraction, and change in body habitus. (Source: Surgery)
Source: Surgery - April 2, 2021 Category: Surgery Authors: Tommy Ivanics, Katherine Zimnicki, Hassan Ahmad, Ihab Saab, Vivian Liu, Donna Tepper, Aamir Siddiqui Source Type: research

An enlarging ischiorectal mass
A 74-year-old man presented with a 6-month history of a slowly enlarging mass in his right gluteal area. His history includes a partial right nephrectomy for renal clear cell carcinoma 13 years before this visit. Colonoscopy performed 6 months earlier did not identify any abnormalities. He appeared well-nourished, and physical examination revealed a 20 cm diameter soft, freely movable, right-sided ischiorectal mass without any obvious communication with the rectum or anus. Magnetic resonance imaging showed a vertically oriented dumbbell-shaped, predominantly T2 hyperintense and T1 hypointense mass measuring 16 cm in length...
Source: Surgery - April 2, 2021 Category: Surgery Authors: Ilan Kent, Samir Agarwal, Michael R. Freund, Steven D. Wexner Source Type: research

Evolution, lessons learned, and contemporary outcomes of esophageal replacement with jejunum for children
We report the evolution of our approach and outcomes. (Source: Surgery)
Source: Surgery - April 1, 2021 Category: Surgery Authors: Kyle Thompson, Benjamin Zendejas, Wendy Jo Svetanoff, Brian Labow, Amir Taghinia, Oren Ganor, Michael Manfredi, Peter Ngo, C. Jason Smithers, Thomas E. Hamilton, Russell W. Jennings Source Type: research

Preoperative serum chromogranin-a is predictive of survival in locoregional jejuno-ileal small bowel neuroendocrine tumors
Small bowel neuroendocrine tumors (SB-NET) frequently metastasize to regional lymphatic or distant sites. Although most prognostication of SB-NET focuses on lymph node involvement, findings from studies of neuroendocrine tumors from other primary sites have suggested that preoperative serum chromogranin-A (CgA) levels may provide a more accurate metric. (Source: Surgery)
Source: Surgery - April 1, 2021 Category: Surgery Authors: Praveen D. Chatani, John G. Aversa, James D. McDonald, Tahsin M. Khan, Xavier M. Keutgen, Naris Nilubol Source Type: research

Sex bias persists in surgical research: A 5-year follow-up study
Federal initiatives have recently addressed the sex bias that exists in biomedical and clinical research. However, improvement to the inclusion of sex as a biological variable remains unknown. (Source: Surgery)
Source: Surgery - April 1, 2021 Category: Surgery Authors: Alexandra Mercel, Emily R. Newton, Kathleen Marulanda, Mia Klein, Irene Helenowski, Melina R. Kibbe Source Type: research

Non-technical skill assessments across levels of US surgical training
We describe normative data on non-technical skill ratings of surgical residents across training levels using the US-adapted Non-Technical Skills for Surgeons (NOTSS-US) assessment tool. (Source: Surgery)
Source: Surgery - April 1, 2021 Category: Surgery Authors: Jason C. Pradarelli, Avni Gupta, Andrea H. Hermosura, Kenric M. Murayama, Keith A. Delman, Mohsen M. Shabahang, Joaquim M. Havens, Stuart Lipsitz, Douglas S. Smink, Steven Yule Source Type: research

Complications after Ravitch versus Nuss repair of pectus excavatum: What if none of these techniques are the right one?
It was with great interest that we read the article by Jawitz et  al.1 However, a close review on our part compelled us to respond. The authors retrospectively compared complications between the Ravitch and the Nuss repair of pectus excavatum (PEX) and reported no statistical difference between these two approaches to thoracic remodeling surgery. (Source: Surgery)
Source: Surgery - March 31, 2021 Category: Surgery Authors: Elise Lupon, J érôme Laloze, Benoit Chaput, Jean-Louis Grolleau, Jean-Pierre Chavoin Source Type: research

Major vascular resection in retroperitoneal sarcoma surgery
Major blood vessels may be invaded either by primary sarcomas arising from the vessel wall or by secondary infiltration of a retroperitoneal sarcoma. The involvement of major blood vessels is not considered to be an absolute contraindication for surgical resection. The main issue when evaluating a possible major vascular resection is to balance the possible surgical morbidity with the expected survival benefit. This is strictly related to the tumor ’s biology and clinical behavior and to the patient’s performance status and comorbidities. (Source: Surgery)
Source: Surgery - March 31, 2021 Category: Surgery Authors: Ferdinando Carlo Maria Cananzi, Laura Ruspi, Marco Fiore, Federico Sicoli, Vittorio Quagliuolo, Alessandro Gronchi Source Type: research

Outcomes of surgical treatment for carcinoid heart disease: A systematic review and meta-analysis
Carcinoid heart disease (CaHD) develops from vasoactive substances released by neuroendocrine tumors, which can cause significant patient morbidity and mortality without surgical intervention. We performed a systematic review and meta-analysis to elucidate granular perioperative details and long-term outcomes in these patients. (Source: Surgery)
Source: Surgery - March 31, 2021 Category: Surgery Authors: Thomas J. O ’Malley, Diana C. Jimenez, Abhiraj Saxena, Matthew P. Weber, Louis E. Samuels, John W. Entwistle, T. Sloane Guy, H. Todd Massey, Rohinton J. Morris, Vakhtang Tchantchaleishvili Source Type: research

Racial differences in renal transplantation: How do we bridge the gap?
In kidney transplantation, racial differences may be greatest long before a recipient receives a call for a potential transplant surgery due to differing referral practices among socioeconomic groups, while other biological differences also occur after transplantation. Chronic kidney disease (CKD) affects approximately 26 million Americans, more than 2% of them progressing to end stage kidney disease (ESKD).1 African Americans (AAs) have almost 4 times higher incidence of ESKD when compared to Whites. (Source: Surgery)
Source: Surgery - March 30, 2021 Category: Surgery Authors: Elzbieta Rybicka-Kozlowska, Kenneth Andreoni, Tomasz Kozlowski Source Type: research

Coping with errors in the operating room: Intraoperative strategies, postoperative strategies, and sex differences
Prior work has identified intraoperative and postoperative coping strategies among surgeons and has demonstrated surgical errors to have a significant impact on patient outcomes and physicians. Little research has considered which coping strategies are most common among surgeons and if there exist coping strategy differences among sex or training level. (Source: Surgery)
Source: Surgery - March 30, 2021 Category: Surgery Authors: Jonathan D. D'Angelo, Sarah Lund, Rebecca A. Busch, Sarah Tevis, Kellie L. Mathis, Scott R. Kelley, Eric J. Dozois, Anne-Lise D. D'Angelo Source Type: research

Parathyroidectomy or cinacalcet: Do we still not know the best option for graft function in kidney-transplanted patients? A meta-analysis
Tertiary hyperparathyroidism occurs in 25% to 50% of kidney-transplanted patients. Indication of parathyroidectomy is now discussed, since the calcimimetic agent, cinacalcet, is an alternate option. The effects of either of these treatments on graft function remain controversial, studied only in small cohorts showing either decrease or absence of modification. We performed a meta-analysis to evaluate the evolution of graft function after surgical or medical treatment. (Source: Surgery)
Source: Surgery - March 30, 2021 Category: Surgery Authors: Samuel Frey, Thomas Goronflot, Clarisse Kerleau, Pierre-Antoine Gourraud, C écile Caillard, Maryvonne Hourmant, Éric Mirallié, Lucile Figueres Source Type: research

Perihilar cholangiocarcinoma: A difficult surgery in a difficult patient where experience matters most
Of all the disciplines under the umbrella of general surgery, hepato-pancreato-biliary (HPB) surgery deals with some of the most complicated diseases and technically demanding operations. Indeed, it has been well documented that many HPB procedures have improved outcomes when performed at high case-volume centers or, even more relevant, when performed by highly specialized single HPB surgeons working in a multidisciplinary manner. In most patients with perihilar cholangiocarcinoma (PHCC), a well-planned and meticulously executed “extended liver resection with extrahepatic bile duct resection ‘en-bloc’ wit...
Source: Surgery - March 30, 2021 Category: Surgery Authors: Deniz Balci, Lucas McCormack Source Type: research

Ninety-day mortality after total gastrectomy for gastric cancer
Total gastrectomy for gastric cancer is associated with significant 30-day mortality, but this endpoint may underestimate the short-term mortality of the procedure. (Source: Surgery)
Source: Surgery - March 28, 2021 Category: Surgery Authors: Adrienne B. Shannon, Richard J. Straker, Douglas L. Fraker, Robert E. Roses, John T. Miura, Giorgos C. Karakousis Source Type: research

Climbing the grants ladder: Funding opportunities for surgeons
Surgeon-scientists provide critical perspectives to academic medicine, both as lead scientists and as collaborators. Successfully applying for and obtaining funding is critical to sustain a research program; however, significant challenges exist. It is imperative to be aware of and consider all funding sources available to surgeons during the evolution of one ’s career. Additionally, a deep understanding of intramural and extramural nonfinancial resources, such as mentorship relationships, grant writing, and career development courses, and research infrastructure are required. (Source: Surgery)
Source: Surgery - March 28, 2021 Category: Surgery Authors: Ankush Gosain, Daniel I. Chu, J. Joshua Smith, Heather B. Neuman, Allan M. Goldstein, Brian S. Zuckerbraun Source Type: research

Corrigendum to Prevalence and extent of industry support for program directors of surgical fellowships in the United States [Surgery Volume 168, Issue 6, December 2020, Pages 1101-1105]
The authors regret that due to an error Andrea N. Riner, MD, MPH was omitted from the author list. Dr Riner assisted with data collection and should have been listed as author  5. (Source: Surgery)
Source: Surgery - March 28, 2021 Category: Surgery Authors: Jeremy A. Balch, Lou Ann Cooper, Amanda C. Filiberto, Patricia E. Chan, Andrea N. Riner, George A. Sarosi, Sanda A. Tan Tags: Corrigendum Source Type: research

Surgical care of incarcerated patients: Doing the right thing, explicit bias, and ethics
“The surgeon doesn’t know how much power they have at that moment, you know, and I think that they should use their power instead of being intimidated by [prison officers].”1 (Source: Surgery)
Source: Surgery - March 27, 2021 Category: Surgery Authors: Sara Scarlet, Elizabeth B. Dreesen Source Type: research

Re: “Colorectal screening: We have not caught up. A surge of colorectal cancer after the coronavirus disease 2019 (COVID-19) pandemic?”
We read with interest the article by Challine et  al (2021)1 comparing the number of colonoscopies during the coronavirus disease 2019 (COVID-19) lockdown and postlockdown periods in France with those from the previous 2 years. The comparison clearly highlighted the decrease in colorectal cancer (CRC) screenings during the lockdown, without any c ompensatory postlockdown increase, predicting a rise in undiagnosed colorectal cancers. Data were collected from a national database with mandatory reporting from both public and private hospitals, allowing for a comprehensive analysis of health data in France. (Source: Surgery)
Source: Surgery - March 27, 2021 Category: Surgery Authors: Victoria P. Mak, Lo ïc Le Marchand Source Type: research

Changes in surgical volume, workforce, and productivity in Sierra Leone between 2012 and 2017
This study aimed to assess the changes in surgical activity, surgical workforce, and surgical productivity between 2012 and  2017. (Source: Surgery)
Source: Surgery - March 27, 2021 Category: Surgery Authors: Barbro Lindheim-Minde, Andreas Gj øra, Juul M. Bakker, Alex J. van Duinen, Daniel van Leerdam, Isaac O. Smalle, Ibrahim Bundu, Håkon A. Bolkan Source Type: research

Gender distribution among surgical journals ’ editorial boards: Empowering women surgeon scientists
This study reported the gender distribution of editorial board members of 42 US surgical journals. Only 420 (14.8%) of the 2,836 editorial board members were women, highlighting the gender disparity in surgical academia. I would like to congratulate the authors for raising the topic of gender disparity within surgical academia. (Source: Surgery)
Source: Surgery - March 27, 2021 Category: Surgery Authors: Marcus Yeow Source Type: research

Instructional methods of attendings as exhibited during intraoperative takeovers: A pilot study
This pilot study examined intraoperative instructional techniques during “takeovers,” defined as the act of an attending taking control of a case from a resident. This work describes what happens during takeovers and identifies possible reasons for takeovers. (Source: Surgery)
Source: Surgery - March 26, 2021 Category: Surgery Authors: Martha Godfrey, Alexandra A. Rosser, Sarah A. Jung, Marie Crandall, Mitchel Nathan, Jacob A. Greenberg Source Type: research

Repeat head computed tomography for anticoagulated patients with an initial negative scan is not cost-effective
Patients on antithrombotic medications presenting with blunt trauma are at risk for delayed intracranial hemorrhage. We hypothesized that clinically significant delayed intracranial hemorrhage is rare in patients presenting on antithrombotic medications and therefore routine, repeat head computed tomography imaging is not a cost-effective practice to monitor for delayed intracranial hemorrhage. (Source: Surgery)
Source: Surgery - March 26, 2021 Category: Surgery Authors: Johanna Borst, Laura N. Godat, Allison E. Berndtson, Leslie Kobayashi, Jay J. Doucet, Todd W. Costantini Source Type: research

Minimal access surgery has its place in the treatment of anastomotic leakage after anterior resection: Suggestion for a modification of the International Study Group of Rectal Cancer (ISREC) classification
Just more than a decade has passed since Surgery published the unique classification specific to anastomotic leakage after anterior resection proposed by the International Study Group of Rectal Cancer (ISREC)1 and validated 3 years later by Kulu et  al.2 (Source: Surgery)
Source: Surgery - March 26, 2021 Category: Surgery Authors: William Tzu-Liang Chen, Abe Fingerhut Source Type: research

Letter to the Editor on: “Gastrointestinal tract reconstruction in adults with ultra-short-bowel syndrome: Surgical and nutritional outcomes”
We read with interest the article by Cruz et  al regarding “Gastrointestinal Tract Reconstruction in Adults With Ultra-Short-Bowel Syndrome: Surgical and Nutritional Outcomes” published in Surgery.1 (Source: Surgery)
Source: Surgery - March 26, 2021 Category: Surgery Authors: Maria Cristina Ripoli, Augusto Lauro Source Type: research

Perceptions of differences in graduated autonomy between male and female surgical residents
The fundamental objective of surgical residency programs is to prepare physicians for certification by the American Board of Surgery and to meet the competency requirements of the Accreditation Council for Graduate Medical Education.1 Whether pursuing a surgical fellowship or going directly into practice, postresidency physicians are expected to competently and independently manage standard surgical cases.2 Graduated autonomy (GA) achieved by the final year of surgical residency training —or operative autonomy upon graduation from residency—is thus paramount in ensuring patient safety and should be carefully mo...
Source: Surgery - March 25, 2021 Category: Surgery Authors: Charlotte B. Smith, Noelle N. Saillant, April E. Mendoza Source Type: research

Failure to rescue after surgical re-exploration in lung resection
Surgical re-exploration after lung resection remains poorly characterized, although institutional series have previously reported its association with greater mortality and complications. The present study sought to examine the impact of institutional lung-resection volume on the incidence of and short-term outcomes after surgical re-exploration. (Source: Surgery)
Source: Surgery - March 25, 2021 Category: Surgery Authors: Zachary Tran, Arjun Verma, Catherine Williamson, Joseph Hadaya, Yas Sanaiha, Matthew Gandjian, Sha ’Shonda Revels, Peyman Benharash Source Type: research

Counting stitches does not save time
We appreciate the interesting comments of Chiranjeevi H and Pankaj Kumar about our article.1 (Source: Surgery)
Source: Surgery - March 25, 2021 Category: Surgery Authors: Jos é Antonio Pereira-Rodríguez, Sara Amador-Gil, Alejandro Bravo-Salva, Blanca Montcusí-Ventura, Joan Sancho-Insenser, Miguel Pera-Román, Manuel López-Cano Source Type: research