Quality Improvement in Melanoma Care: Multidisciplinary Quality Program Development and Comparison of Care Before and After Implementation
ConclusionsA comprehensive melanoma quality program has produced significantly improved guideline-based multidisciplinary care. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 18, 2018 Category: Surgery Source Type: research

Comparison of Cost and Outcomes in Patients Receiving Thoracic Epidural versus Liposomal Bupivacaine for Video-Assisted Thoracoscopic Pulmonary Resection.
This study compares liposomal bupivacaine (LB) as an alternative method for pain control and compares it to the standard.MethodsLB was compared to thoracic epidural bupivacaine hydrochloride (TE BH) in 387 patients who underwent video-assisted thoracoscopic pulmonary resection (VATS-R) at our institution. Patients received either continuous TE BH or intraoperative LB at a predetermined dose. A total of 237 patients received TE BH from April 2010 to March 2014 and 143 patients received LB from April 2014 to March 2016. After propensity matching, 95 patients in each group had similar demographics and clinical characteristics...
Source: The American Journal of Surgery - October 18, 2018 Category: Surgery Source Type: research

Prospective Evaluation of Frailty and Functional Independence in Older Adult Trauma Patients
ConclusionFrail patients were less likely to recover to their baseline functional status compared with non-frail patients. Early focused intervention in frail elderly patients is warranted to improve functional status in this population. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 17, 2018 Category: Surgery Source Type: research

Association between acute phase perioperative glucose parameters and postoperative outcomes in diabetic and non-diabetic patients undergoing non-cardiac surgery
ConclusionsPoor acute phase perioperative glycemic control is associated with poor outcome, but differently in diabetic and non-diabetic patients suggesting different glycemic management strategies for the two patient groups. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 17, 2018 Category: Surgery Source Type: research

Surgery for Patients with Alpha 1 Antitrypsin Deficiency: A Review
ConclusionsLung and liver transplantation in AATD patients are associated with very good long-term survival rates that are comparable to, and sometimes superior to, other transplant indications. Although not currently recommended in AATD, LVRS may have a role in a minority of patients. The value of Alpha 1 Antitrypsin (AAT) augmentation therapy following lung transplantation requires further study. Wherever possible, AAT therapy should be continued in the period around elective surgeries.SummaryAlthough AATD is a widely discussed and researched topic in the literature, surgical intervention for AATD, in addition to the man...
Source: The American Journal of Surgery - October 17, 2018 Category: Surgery Source Type: research

American College of surgeons /Association for Surgical Education Medical Student Simulation-based Surgical Skills Curriculum: Alignment with Entrustable Professional Activities
ConclusionsThe ACS/ASE Curriculum lays the framework for implementing select EPAs into medical student education. Experts recommended increased time for skills training with incorporation of the modules into the first three years of medical education, with assessments planned in the third to fourth years. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 16, 2018 Category: Surgery Source Type: research

Parenchyma-Sparing, Local Pancreatic Head Resection for Premalignant and Low-Malignant Neoplasms – A Systematic Review and Meta-Analysis
ConclusionDPPHR is associated with oncologically complete tumor resection for patients suffering premalignant IPMN, MCN, or SPN and for low-risk cancer. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 16, 2018 Category: Surgery Source Type: research

Hernia Repair in Patients with Chronic Liver Disease - a 15-year single-center experience
Publication date: Available online 16 October 2018Source: The American Journal of SurgeryAuthor(s): Clayton C. Petro, Ivy N. Haskins, Arielle J. Perez, Luciano Tastaldi, Andrew T. Strong, Ramona N. Ilie, Chao Tu, David M. Krpata, Ajita S. Prabhu, Bijan Eghtesad, Michael J. RosenAbstractBackgroundElective hernia repairs in chronic liver disease (CLD) patients are often avoided due to the fear of hepatic decompensation and mortality, leaving the patient susceptible to an emergent presentation.MethodsCLD patients undergoing ventral or inguinal hernia repair in emergent and non-emergent settings at our institution (2001-2015) ...
Source: The American Journal of Surgery - October 16, 2018 Category: Surgery Source Type: research

Does Routine Use of Indocyanine Green Fluorescence Angiography Prevent Anastomotic Leaks? A Retrospective Cohort Analysis
This study aims to evaluate whether routine use of fluorescence angiography alters the incidence of anastomotic leaks after colorectal surgery.MethodsThis was a retrospective study of 554 colorectal resections with and without the use of intraoperative fluorescence angiography. Anastomotic leak rates and whether angiography altered surgical management were the main outcomes measured.ResultsThe anastomotic leak rate was found to be 1.3% both with and without use of ICG-FA (p> 0.05). Significantly more alterations were made to planned anastomotic site in FA group (n=13, 5.6%) as compared to the group prior to use of FA in...
Source: The American Journal of Surgery - October 16, 2018 Category: Surgery Source Type: research

Regional Therapies for the Treatment of Primary and Metastatic Hepatic Tumors: A Disease-Based Review of Techniques and Critical Appraisal of Current Evidence
Publication date: Available online 16 October 2018Source: The American Journal of SurgeryAuthor(s): Benjamin W. Johnson, G. Paul WrightAbstractThe practice of hepatic surgery has become increasingly complex as additional therapeutic options emerge to treat both primary and metastatic tumors of the liver. Liver-directed therapy options include selective internal radiation therapy (SIRT), stereotactic body radiation therapy, chemoembolization, bland embolization, hepatic artery infusion chemotherapy (HAIC), and ablative techniques such as microwave or radiofrequency ablation. Hepatocellular carcinoma has been treated with ma...
Source: The American Journal of Surgery - October 16, 2018 Category: Surgery Source Type: research

International Surgery: How to be involved while maintaining a surgical practice
ConclusionsSurgeons from diverse clinical practices are able to participate in international surgery. Early involvement sets up expectations and allows one to build their practice and lives around their international work instead of the other way around. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 16, 2018 Category: Surgery Source Type: research

The Effect of Wound Complications Following Mastectomy with Immediate Reconstruction on Breast Cancer Recurrence
Publication date: Available online 16 October 2018Source: The American Journal of SurgeryAuthor(s): Stephanie A. Valente, Yitian Liu, Siddhi Upadhyaya, Chao Tu, Debra A. PrattAbstractIntroductionThe aim of this study was to determine whether complications following mastectomy with immediate breast reconstruction (IBR) were associated with breast cancer recurrence.MethodsA retrospective review was performed of women diagnosed with stage I-III breast cancer who underwent mastectomy with IBR between 2005 and 2010. Patient demographics, tumor data, surgical wound complications, treatment details and timing were recorded and an...
Source: The American Journal of Surgery - October 16, 2018 Category: Surgery Source Type: research

Cervical Seatbelt Sign is not Associated with Blunt Cerebrovascular Injury in Children: A Review of the National Trauma Databank
Publication date: Available online 15 October 2018Source: The American Journal of SurgeryAuthor(s): Harold J. Leraas, Maragatha Kuchibhatla, Uttara P. Nag, Jina Kim, Brian Ezekian, Christopher R. Reed, Henry E. Rice, Elisabeth T. Tracy, Obinna O. AdibeAbstractBackgroundBlunt cerebrovascular injury (BCVI) is a rare consequence of blunt trauma. There appears to be benefit to an aggressive approach to screening for BCVI due to catastrophic sequelae of unrecognized injury. However, screening for BCVI carries extensive cost and oncologic risk to young patients. Foundational BCVI studies examined adults primarily, leaving questi...
Source: The American Journal of Surgery - October 15, 2018 Category: Surgery Source Type: research

The impact of advanced practice providers on the surgical resident experience: Agree to disagree?
ConclusionAPPs and resident/fellows agree that APPs impact resident workload, continuity of care and patient-coordination education. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 15, 2018 Category: Surgery Source Type: research

Surgeons see anatomical structures faster and more accurately compared to novices: development of a pattern recognition skill assessment platform
ConclusionsAttendings identified anatomical structures faster, more accurately, and with less effort than students or residents. This platform may be valuable for the assessment and teaching of pattern recognition skill to novice surgeons.Short SummaryAccurate anatomical recognition is paramount to proceeding safely in surgery. The assessment platform used in this study differenciated recognition skill among individuals with varing surgical experience. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 15, 2018 Category: Surgery Source Type: research

Safety of Implementing a Sleep Protocol in Hospitalized Patients
ConclusionAn intervention to decrease sleep disturbances can be safely executed in a post-operative population while maintaining adequate symptom management. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 15, 2018 Category: Surgery Source Type: research

The Risk of Delayed Intracranial Hemorrhage with Direct Acting Oral Anticoagulants After Trauma: A Two-Center Study
CONCLUSIONFor patients at risk for a TBI who are on DOACs, repeat cross-sectional imaging of the brain when the initial imaging is negative is not necessary. A period of clinical observation may be warranted. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 15, 2018 Category: Surgery Source Type: research

Evaluating a Novel Surgical Risk Assessment Curriculum for Medical Students
Publication date: Available online 14 October 2018Source: The American Journal of SurgeryAuthor(s): Samantha L. Ahle, Alexander S. Chiu, Raymond A. Jean, Kevin Y. PeiABSTRACTPurposePredicting surgical risk is challenging. There is no curriculum to teach risk assessment to students. We hypothesize that a risk assessment curriculum will improve medical students’ confidence in and familiarity with assessing risk, and help identify barriers to assessing risk.MethodsThird year surgery clerkship students participated in a risk-assessment workshop. Students completed pre- and post-intervention surveys assessing their famili...
Source: The American Journal of Surgery - October 15, 2018 Category: Surgery Source Type: research

Equivalent Outcomes with Once versus Thrice Weekly Dressing Changes in Midline Laparotomy Wounds Treated with Negative Pressure Wound Therapy
ConclusionThere is no difference in time to wound closure or complications with NPWT dressing changes once a week compared to the standard three times a week. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 15, 2018 Category: Surgery Source Type: research

A Decade of Experience with Laparoscopic Ventral Hernia Repairs
Publication date: Available online 12 October 2018Source: The American Journal of SurgeryAuthor(s): Sarah Lund, David FarleyAbstractBackgroundFew studies have evaluated surgical outcomes in long-term follow-up for patients undergoing Laparoscopic Ventral Hernia Repair (LVHR).MethodsA retrospective review of long-term follow-up of LVHR patients (2002 – 2005) at a single institution.ResultsSixty-three patients (37 males; mean age = 63, mean BMI = 33, 41% for recurrence) underwent LVHR. Mean operative time was 164 minutes. Mean hospital stay was 3.7 days. Short- and long-term complications occurred in 19% and 44% of pat...
Source: The American Journal of Surgery - October 13, 2018 Category: Surgery Source Type: research

Letter to the Editor Re: “Predictors of medical student success on the surgery clerkship”
Publication date: Available online 13 October 2018Source: The American Journal of SurgeryAuthor(s): Lauren Okafor, Miriam Nathan (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 13, 2018 Category: Surgery Source Type: research

The Danger Zone: Injuries and Conditions Associated with Immediately Fatal Motorcycle Crashes in the State of Michigan
ConclusionsThis study provides a catalogue of the injuries sustained in immediately fatal motorcycle crashes and the associated conditions. Advocacy efforts that highlight the risks associated with motorcycle riding and that promote safe riding practices are warranted. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 12, 2018 Category: Surgery Source Type: research

Early Ambulation After Colorectal Oncologic Resection with Perineal Reconstruction is Safe and Effective
Publication date: Available online 10 October 2018Source: The American Journal of SurgeryAuthor(s): Nicholas A. Calotta, Devin Coon, Tobias J. Bos, Benjamin T. Ostrander, Andrew V. Scott, Michael C. Grant, Jonathan E. Efron, Justin M. SacksAbstractBackgroundPost-operative bedrest is common following perineal reconstruction despite little supporting data. We sought to determine the safety of early ambulation following colorectal oncologic resection and flap-based perineal reconstruction.MethodsA retrospective cohort study was conducted with two cohorts: standard bedrest (BC) and early ambulation (EAC). Ambulation capacity w...
Source: The American Journal of Surgery - October 11, 2018 Category: Surgery Source Type: research

The efficacy of antibiotic treatment versus surgical treatment of uncomplicated acute appendicitis: Systematic review and network meta-analysis of randomized controlled trial
ConclusionsAppendectomy is still the most effective treatment in uncomplicated appendicitis but it carries complications. Beta-lactamase, might be an alternative treatment if there are any contraindications for operation. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 10, 2018 Category: Surgery Source Type: research

The Effect of Hispanic Ethnicity on Surgical Outcomes: An Analysis of the NSQIP Database
Publication date: Available online 10 October 2018Source: The American Journal of SurgeryAuthor(s): Monica M. Betancourt-Garcia, Kristina Vatcheva, Prateek K. Gupta, Ricardo D. Martinez, Joseph B. McCormick, Susan P. Fisher-Hoch, R. Armour ForseAbstractBackgroundExisting literature has shown racial/ethnic disparities between white and black surgical populations, however, surgical outcomes for Hispanic patients are limited in both scope and quantity.MethodsData from the American College of Surgeons’ National Surgical Quality Improvement Program from 2007-2015 was used to analyze surgical outcomes in approximately 3.5 ...
Source: The American Journal of Surgery - October 10, 2018 Category: Surgery Source Type: research

Commentary: A timely statement - Reducing the impact of violence on the health status of African-Americans: Literature review and recommendations from the Society of Black Academic Surgeons
Publication date: Available online 3 October 2018Source: The American Journal of SurgeryAuthor(s): Paris D. Butler (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 9, 2018 Category: Surgery Source Type: research

Editorial Board
Publication date: October 2018Source: The American Journal of Surgery, Volume 216, Issue 4Author(s): (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 6, 2018 Category: Surgery Source Type: research

Table of Contents (3 pgs)
Publication date: October 2018Source: The American Journal of Surgery, Volume 216, Issue 4Author(s): (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 6, 2018 Category: Surgery Source Type: research

The emergency surgical airway: Bridging the gap from quality outcome to performance improvement through a novel simulation based curriculum
ConclusionsIn the age of increased patient safety concerns, QAPI initiatives can serve as a driver for simulation-based training curricula, with particular focus on individualized, active learning. This may be particularly useful in high risk, low frequency scenarios in which the traditional method of “See one, Do one, Teach one,” is not feasible. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 5, 2018 Category: Surgery Source Type: research

Variation of surgery clerkship grades in US medical schools
ConclusionsSignificant variation exists in core surgery clerkship grading between schools. Similarly, a sizeable difference exists in how grades are calculated and the reporting systems used. Standardizing grading schemes across medical schools would be beneficial. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 5, 2018 Category: Surgery Source Type: research

No survival advantage exists for patients undergoing loop ileostomy for clostridium difficile colitis
Publication date: Available online 22 September 2018Source: The American Journal of SurgeryAuthor(s): Bradley R. Hall, Jennifer A. Leinicke, Priscila R. Armijo, Lynette M. Smith, Sean J. Langenfeld, Dmitry OleynikovAbstractBackgroundWe aim to compare outcomes between loop ileostomy (LI) and total abdominal colectomy (TAC) for clostridium difficile infection (CDI) and hypothesize that LI is associated with fewer complications.MethodsThe 2011–2016 ACS-NSQIP database was queried for patients undergoing LI or TAC for CDI. Patients with high outlying age, LOS, and operative time were excluded. Statistics were performed us...
Source: The American Journal of Surgery - October 5, 2018 Category: Surgery Source Type: research

Does a fracture liaison service program minimize recurrent fragility fractures in the elderly with osteoporotic vertebral compression fractures?
ConclusionFLS program benefited patients with fragility fractures by decreasing the incidence of all refracture rates. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 5, 2018 Category: Surgery Source Type: research

The role of academic achievements and psychometric measures in the ranking process
Publication date: Available online 22 September 2018Source: The American Journal of SurgeryAuthor(s): Saad Shebrain, Mohamed Arafeh, Gitonga Munene, Cynthia Shattuck, Lisa Miller, Steven Lu, David SchutterAbstractIntroductionRanking candidates for residency positions is challenging. We hypothesize that applicant academic achievements and performance during the interview are equally important in the ranking process.MethodsThis is a retrospective study. Of 53 candidates interviewed during 2016–2017 cycle, 44 (83%) were ranked for 3 PGY1 positions. Each candidate was interviewed and scored in each of the following: USML...
Source: The American Journal of Surgery - October 5, 2018 Category: Surgery Source Type: research

Evidence-based medicine in trauma/acute care surgery- what does that look like?
Publication date: Available online 25 September 2018Source: The American Journal of SurgeryAuthor(s): Walter L. Biffl (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 5, 2018 Category: Surgery Source Type: research

Is oncoplastic breast surgery truly associated with a lower rate of surgical site complications compared to standard breast conserving surgery?
Publication date: Available online 26 September 2018Source: The American Journal of SurgeryAuthor(s): Mona P. Tan (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 5, 2018 Category: Surgery Source Type: research

Stop the Bleed Training empowers learners to act to prevent unnecessary hemorrhagic death
Publication date: Available online 26 September 2018Source: The American Journal of SurgeryAuthor(s): Roy Lei, Michael D. Swartz, John A. Harvin, Bryan A. Cotton, John B. Holcomb, Charles E. Wade, Sasha D. AdamsAbstractBackgroundUncontrolled bleeding is a leading cause of preventable death from trauma. With the rise in mass casualty events, training of laypersons can be life-saving. “Stop the Bleed” is a campaign to teach the public techniques of bleeding control. We believe that training in these techniques will increase participants' willingness and preparedness to intervene and increase knowledge of trauma/h...
Source: The American Journal of Surgery - October 5, 2018 Category: Surgery Source Type: research

Preoperative Endoscopic Retrograde Cholangio-Pancreatography (ERCP) is a Risk Factor for Surgical Site Infections after Laparoscopic Cholecystectomy.
Publication date: Available online 29 September 2018Source: The American Journal of SurgeryAuthor(s): Thomas Peponis, Nikhil Panda, Trine G. Eskesen, David G. Forcione, Dante D. Yeh, Noelle Saillant, Haytham M.A. Kaafarani, David R. King, Marc A. de Moya, George C. Velmahos, Peter J. FagenholzAbstractBackgroundWe sought to examine whether preoperative endoscopic retrograde cholangio-pancreatography (ERCP) increases the risk of surgical site infections (SSI) after laparoscopic cholecystectomy.MethodsPatients admitted to an academic hospital from 2010 to 2016, who were older than 18 and had a laparoscopic or a laparoscopic c...
Source: The American Journal of Surgery - October 5, 2018 Category: Surgery Source Type: research

Applicant Perceptions of New Selection Systems are a Function of their Performance in the Selection Procedure
This study explored applicant perceptions to an untraditional selection process.MethodsFellowship applicants completed an online assessment containing 26 situational judgment test (SJT) items and a 108-item personality profile. High-performing candidates participated in on-site structured interviews and skills testing. Upon completion of all interviews, but before match results were available, an anonymous, online survey was sent to all applicants. The survey asked about perceptions of the selection system along dimensions of procedural justice theory on a 1 (strongly disagree) to 5 (strongly agree) scale.ResultsTwenty-one...
Source: The American Journal of Surgery - October 5, 2018 Category: Surgery Source Type: research

Use of non-technical skills can predict medical student performance in acute care simulated scenarios
This study aims to investigate the relationship of medical student NT skills and clinical performance during acute care team simulation (ACTS).MethodsForty-one medical students participated in ACTS. A nurse confederate facilitated and evaluated clinical performance. Two raters assessed participants’ NT skills using an adapted NT assessment tool and overall NT skills score was calculated. Regressions predicting clinical performance using NT constructs were conducted.ResultsOverall NT skills score significantly predicted students’ clinical performance (r2=0.178, p=0.006). Individual NT constructs also significant...
Source: The American Journal of Surgery - October 5, 2018 Category: Surgery Source Type: research

What do Quantitative Ratings and Qualitative Comments Tell Us About General Surgery Residents’ Progress toward Independent Practice? Evidence from a 5-Year Longitudinal Cohort
This study examines the alignment of quantitative and qualitative assessment data in end-of-rotation evaluations using longitudinal cohorts of residents progressing throughout the five-year general surgery residency.MethodsRotation evaluation data were extracted for 171 residents who trained between July 2011 and July 2016. Data included 6,069 rotation evaluations forms completed by 38 faculty members and 164 peer-residents. Qualitative comments mapped to general surgery milestones were coded for positive/negative feedback and relevance.ResultsQuantitative evaluation scores were significantly correlated with positive/negat...
Source: The American Journal of Surgery - October 5, 2018 Category: Surgery Source Type: research

Assessing Gender Bias in Qualitative Evaluations of Surgical Residents
ConclusionsThe more positive evaluations of men may handicap women if they are seen as less likely to perform well based on these evaluations. These differences suggest that implicit bias may play a role in the qualitative evaluation of surgical residents. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 5, 2018 Category: Surgery Source Type: research

Letter to Prospective validation of the Parkland Grading Scale for Cholecystitis
Publication date: Available online 29 September 2018Source: The American Journal of SurgeryAuthor(s): Sabri Özden, Sadettin Er, Barış Saylam, Mesut Tez (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 5, 2018 Category: Surgery Source Type: research

Feeding jejunostomy after esophagectomy cannot be routinely recommended. analysis of nutritional benefits and catheter-related complications.
ConclusionsFeeding jejunostomies are associated with a great number of complications although most are not life-threatening. Since its nutritional benefit is not proven FJ cannot routinely recommended after esophagectomy. However, the optimal pathway for EN reintroduction, including direct oral intake, is still a matter of debate. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 5, 2018 Category: Surgery Source Type: research

Educational Interventions Aimed At The Transition From Surgical Training To Surgical Practice
Publication date: Available online 3 October 2018Source: The American Journal of SurgeryAuthor(s): Ajit K. SachdevaAbstractThe transition from surgical training to surgical practice is a critical juncture in the career progression of surgeons. This period is associated with myriad challenges that need to be addressed through specific educational interventions to ensure delivery of safe care to patients and to support the career aspirations of junior surgeons entering the practice environment. These interventions should be based on principles of contemporary surgical education and training, and focus on the needs of surgery...
Source: The American Journal of Surgery - October 5, 2018 Category: Surgery Source Type: research

Reducing the Impact of Violence on the Health Status of African-Americans: Literature Review and Recommendations from the Society of Black Academic Surgeons
Publication date: Available online 3 October 2018Source: The American Journal of SurgeryAuthor(s): David Hoyt (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 5, 2018 Category: Surgery Source Type: research

Guest Editorial on "Reducing the Impact of Violence on the Health Status of African-Americans: Literature Review and Recommendations from the Society of Black Academic Surgeons"
Publication date: Available online 3 October 2018Source: The American Journal of SurgeryAuthor(s): Paris D. Butler (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - October 5, 2018 Category: Surgery Source Type: research

The urban injury severity score (uiss) better predicts mortality following penetrating gunshot wounds (gsw)
This study assesses the Urban ISS (UISS), which incorporates all injuries.MethodsComplete trauma program registry (TPR) data and chart analyses were performed on 585 patients (pts) over 28 months. Factors analyzed included age, gender, ISS, NISS, UISS, time of admission, intent of injury, race, number GSW, weapon, and outcome.ResultsThe 585 patients could be categorized within three groups. The first group included 98 pts with low ISS (1-2), no organ injuries, and early discharge; the second group included 47 patients with severe shock who died during operation; the third group of 442 pts were admitted after operation. All...
Source: The American Journal of Surgery - September 22, 2018 Category: Surgery Source Type: research

Telehealth provides a comprehensive approach to the surgical patient
ConclusionsOur results demonstrate a single institution's successful experience in offering telehealth to surgical patients in an urban setting. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - September 22, 2018 Category: Surgery Source Type: research

Publication Patterns and the Impact of Self-Citation Among Minimally Invasive Surgery Fellowships
ConclusionSelf-citation is infrequent and has a minimal impact on the academic profile of program directors of MIS fellowships. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - September 22, 2018 Category: Surgery Source Type: research

How can we measure quality of D2 lymphadenectomy?
Publication date: Available online 21 September 2018Source: The American Journal of SurgeryAuthor(s): Sadettin Er, Mesut Tez (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - September 22, 2018 Category: Surgery Source Type: research