Awake Colostomy Under Regional Anesthesia in Frail Patients
Am Surg. 2022 Sep 26:31348221129507. doi: 10.1177/00031348221129507. Online ahead of print.NO ABSTRACTPMID:36164724 | DOI:10.1177/00031348221129507 (Source: The American Surgeon)
Source: The American Surgeon - September 27, 2022 Category: Surgery Authors: Alexa J Hughe Marc M Mankarious Michael J Deutsch Jeffrey S Scow Source Type: research

Letter re: "Mindfulness-Based Interventions for Surgical Patients and Impact on Postoperative Outcomes, Patient Wellbeing, and Satisfaction"
Am Surg. 2022 Sep 27:31348221129521. doi: 10.1177/00031348221129521. Online ahead of print.NO ABSTRACTPMID:36165279 | DOI:10.1177/00031348221129521 (Source: The American Surgeon)
Source: The American Surgeon - September 27, 2022 Category: Surgery Authors: Maryn A Yokoyama Benjamin K P Woo Source Type: research

The ASA Classification System as a Predictive Factor to Stay at the Virtual Hybrid Care Hotel
CONCLUSION: Patients with ASA PS Classes 1-2 are almost twice as likely to elect to stay at the Care Hotel compared to those with ASA PS Classes 3-4. This finding may help care teams focus their Care hotel recruitment efforts.PMID:36154300 | DOI:10.1177/00031348221129524 (Source: The American Surgeon)
Source: The American Surgeon - September 26, 2022 Category: Surgery Authors: Ryan M Chadha Margaret R Paulson Francisco R Avila Ricardo A Torres-Guzman Karla C Maita John P Garcia Antonio J Forte Gautam V Matcha Ricardo J Pagan Michael J Maniaci Source Type: research

Bleeding After Hemorrhoidectomy in Patients on Anticoagulation Medications
CONCLUSION: Post-hemorrhoidectomy bleeding is more likely to occur with patients on anticoagulation. Later restart times within the first week after surgery was not associated with a decrease in bleeding.PMID:36154315 | DOI:10.1177/00031348221129512 (Source: The American Surgeon)
Source: The American Surgeon - September 26, 2022 Category: Surgery Authors: Hordur M Kolbeinsson Maxwell Otto Benjamin Kogelschatz Usman Virk Martin A Luchtefeld James W Ogilvie Source Type: research

Scapulothoracic Dissociation-A Guide for Trauma Surgeons
Am Surg. 2022 Sep 26:31348221129545. doi: 10.1177/00031348221129545. Online ahead of print.NO ABSTRACTPMID:36154499 | DOI:10.1177/00031348221129545 (Source: The American Surgeon)
Source: The American Surgeon - September 26, 2022 Category: Surgery Authors: Karishma Kodia Carlos T Huerta Gireesh B Reddy Fernando E Vilella Paul J Wetstein Source Type: research

Impact of a High-Resolution Anoscopy Clinic on Management of Anal Dysplasia in Women Living With HIV
CONCLUSIONS: Anal dysplasia is common among women living with HIV. The establishment of a HRA program was associated with increased identification and treatment of HSIL among women living with HIV, which may prevent the progression to aSCC.PMID:36154713 | DOI:10.1177/00031348221129508 (Source: The American Surgeon)
Source: The American Surgeon - September 26, 2022 Category: Surgery Authors: Gabriella C Squeo Maria C Geba William J Kane Tania A Thomas Yvonne Newberry Xin-Qun Wang Traci L Hedrick Charles M Friel Sook C Hoang Source Type: research

Racial Disparities in Administration of Venous Thromboembolism Prophylaxis After Severe Traumatic Injuries
DISCUSSION: While black patients had the highest incidence of DVT and PE, they had higher administration rates and earlier initiation of VTE prophylaxis. Further work can elucidate modifiable causes of these differences.PMID:36151753 | DOI:10.1177/00031348221129519 (Source: The American Surgeon)
Source: The American Surgeon - September 24, 2022 Category: Surgery Authors: James A Zebley Jordan M Estroff Maximilian Peter Forssten Gary Alan Bass Yang Cao Megan T Quintana Babak Sarani Shahin Mohseni Source Type: research

Racial Disparities in Administration of Venous Thromboembolism Prophylaxis After Severe Traumatic Injuries
DISCUSSION: While black patients had the highest incidence of DVT and PE, they had higher administration rates and earlier initiation of VTE prophylaxis. Further work can elucidate modifiable causes of these differences.PMID:36151753 | DOI:10.1177/00031348221129519 (Source: The American Surgeon)
Source: The American Surgeon - September 24, 2022 Category: Surgery Authors: James A Zebley Jordan M Estroff Maximilian Peter Forssten Gary Alan Bass Yang Cao Megan T Quintana Babak Sarani Shahin Mohseni Source Type: research

Racial Disparities in Administration of Venous Thromboembolism Prophylaxis After Severe Traumatic Injuries
DISCUSSION: While black patients had the highest incidence of DVT and PE, they had higher administration rates and earlier initiation of VTE prophylaxis. Further work can elucidate modifiable causes of these differences.PMID:36151753 | DOI:10.1177/00031348221129519 (Source: The American Surgeon)
Source: The American Surgeon - September 24, 2022 Category: Surgery Authors: James A Zebley Jordan M Estroff Maximilian Peter Forssten Gary Alan Bass Yang Cao Megan T Quintana Babak Sarani Shahin Mohseni Source Type: research

Thurgood Marshall, Hero of American Medicine
Am Surg. 2022 Sep 23:31348221129503. doi: 10.1177/00031348221129503. Online ahead of print.ABSTRACTOne of the heroes in American history, Associate Supreme Court Justice Thurgood Marshall (1908-1993) sought legal remedies against racial discrimination in education and health care. As director of the Legal Defense Fund (LDF) of NAACP from 1940 to 1961, his success in integrating law schools in Texas led to the first black medical student admitted to a state medical school in the South. Representing doctors and dentists needing a facility to perform surgery, the LDF brought cases before the courts in North Carolina that move...
Source: The American Surgeon - September 23, 2022 Category: Surgery Authors: Don K Nakayama Source Type: research

The Christmas Miracle of Emil von Behring
Am Surg. 2022 Sep 23:31348221129515. doi: 10.1177/00031348221129515. Online ahead of print.ABSTRACTThe foundation story of immunology is the Christmas miracle of Emil von Behring, whose diphtheria antitoxin was first used to save the life of a child on Christmas Day 1891. Modern scholarship has dismissed it as historically and scientifically implausible: Behring's lab did not have enough antitoxin serum for use in humans, and Ernst von Bergmann had prohibited its use at the Charité.But antitoxin was tried that December by their assistants, Erich Wernicke, who processed injected rams and horses and harvested the serum for ...
Source: The American Surgeon - September 23, 2022 Category: Surgery Authors: Don K Nakayama Source Type: research

Thurgood Marshall, Hero of American Medicine
Am Surg. 2022 Sep 23:31348221129503. doi: 10.1177/00031348221129503. Online ahead of print.ABSTRACTOne of the heroes in American history, Associate Supreme Court Justice Thurgood Marshall (1908-1993) sought legal remedies against racial discrimination in education and health care. As director of the Legal Defense Fund (LDF) of NAACP from 1940 to 1961, his success in integrating law schools in Texas led to the first black medical student admitted to a state medical school in the South. Representing doctors and dentists needing a facility to perform surgery, the LDF brought cases before the courts in North Carolina that move...
Source: The American Surgeon - September 23, 2022 Category: Surgery Authors: Don K Nakayama Source Type: research

The Christmas Miracle of Emil von Behring
Am Surg. 2022 Sep 23:31348221129515. doi: 10.1177/00031348221129515. Online ahead of print.ABSTRACTThe foundation story of immunology is the Christmas miracle of Emil von Behring, whose diphtheria antitoxin was first used to save the life of a child on Christmas Day 1891. Modern scholarship has dismissed it as historically and scientifically implausible: Behring's lab did not have enough antitoxin serum for use in humans, and Ernst von Bergmann had prohibited its use at the Charité.But antitoxin was tried that December by their assistants, Erich Wernicke, who processed injected rams and horses and harvested the serum for ...
Source: The American Surgeon - September 23, 2022 Category: Surgery Authors: Don K Nakayama Source Type: research

Surgical Professionalism, the White Owl, and Tar Heel Basketball
Am Surg. 2022 Sep 22:31348221129523. doi: 10.1177/00031348221129523. Online ahead of print.ABSTRACTThe University of North Carolina (UNC) has storied traditions beyond its champion Tar Heel basketball teams. One of its best-and least known off campus-is the white owl, today a lapel pin given to chief residents in surgery at Memorial Hospital in Chapel Hill. Former residents in anesthesia and surgery at the San Francisco General Hospital (SFGH) remember it as a stuffed owl that anesthesia residents brought into the operating room whenever there was an appendectomy for appendicitis and the appendix was normal, an operation f...
Source: The American Surgeon - September 22, 2022 Category: Surgery Authors: Don K Nakayama Source Type: research

Avascular Necrosis of Femur as a Complication of Cushing's Syndrome Due to Adrenocortical Carcinoma
We present the case of a 47-year-old male who presented to us with severe low backache, hypertension, uncontrolled diabetes, and other signs and symptoms of Cushing's syndrome. Hormonal evaluation confirmed hypercortisolism, and a contrast-enhanced computed tomography of the abdomen localized the lesion in the left adrenal gland. Assessment of the severe low back ache-the main symptom for which the patient came to us-by magnetic resonance imaging of the spine and pelvis revealed avascular necrosis of bilateral femoral heads. Resection of the left adrenal gland revealed an adrenocortical carcinoma. To the best of our knowle...
Source: The American Surgeon - September 22, 2022 Category: Surgery Authors: Atul Anand Chandan K Jha Prashant K Singh Upasana Sinha Abhirami Ganesh Punam P Bhadani Source Type: research