Emphysematous Cholecystitis: A Brief Report Demonstrating the Pertinence of Timely Diagnosis.
PMID: 32735449 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - July 31, 2020 Category: Surgery Authors: Slama EM, Bankhead-Kendall B, Robinson RB Tags: Am Surg Source Type: research

Cecal Volvulus Within a Left Inguinal Hernia : An Uncommon Problem Resulting in a Closed Loop Obstruction and Loss of Domain.
PMID: 32735450 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - July 31, 2020 Category: Surgery Authors: NeMoyer RE, Hanna JS, To J, LaFonte M, Butts CA Tags: Am Surg Source Type: research

A Rare Case of Neisseria Meningitidis Pneumonia in a Polytrauma Patient.
PMID: 32735451 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - July 31, 2020 Category: Surgery Authors: Centanni AV, Harris C, Taghavi S Tags: Am Surg Source Type: research

Evaluation of Minimally Invasive Surgical Therapies for Ulcerative Colitis.
Abstract INTRODUCTION: Ulcerative colitis (UC) is a chronic inflammatory intestinal disorder that can be managed surgically with a proctocolectomy. Minimally invasive techniques such as laparoscopic or robotic-assisted surgery are available based on the surgeon's preference and familiarity. To date, there is a paucity of literature evaluating the safety of these techniques in comparison to the open approach in patients with UC. METHODS: We surveyed the National Surgical Quality Improvement Program (NSQIP) database to select patients with the diagnosis of UC who underwent either robotic, laparoscopic, or open ...
Source: The American Surgeon - July 31, 2020 Category: Surgery Authors: Hota S, Parascandola S, Amdur R, Obias V Tags: Am Surg Source Type: research

Mucinous Adenocarcinoma Arising From Extramammary Perianal Paget's Disease Treated With Wide Local Excision.
PMID: 32729720 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - July 30, 2020 Category: Surgery Authors: Kim TG, Ford AT, Fang RC, Shaffer VO Tags: Am Surg Source Type: research

The Impact of Anticoagulation on Trauma Outcomes : An National Trauma Data Bank Study.
Abstract BACKGROUND: Increased prevalence of patients on anticoagulants and the advent of new therapies raise concern over how these patients fare if they sustain a traumatic injury. We investigated the role of prehospitalization anticoagulation therapy in trauma-related mortality and postacute disposition. METHODS: A retrospective analysis was performed on patients who sustained traumatic injury identified in the 2017 National Trauma Data Bank (NTDB). Patients with and without anticoagulation therapy were analyzed to identify differences in demographics, injury type, Injury Severity Score (ISS), and trauma o...
Source: The American Surgeon - July 30, 2020 Category: Surgery Authors: Nguyen RK, Rizor JH, Damiani MP, Powers AJ, Fagnani JT, Monie DL, Cooper SS, Griffiths AD, Hellenthal NJ Tags: Am Surg Source Type: research

Unusual Complication of Ventriculoperitoneal Shunt Placement.
PMID: 32730710 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - July 30, 2020 Category: Surgery Authors: Cockrell HC, Maready MW, Shiflett JM, Morris MW Tags: Am Surg Source Type: research

Operating Microscope Skin Burn During Arteriovenous Fistula Creation in a Pediatric Patient.
PMID: 32731739 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - July 30, 2020 Category: Surgery Authors: Tingen JS, Carsten CG Tags: Am Surg Source Type: research

Does Human Amnion Membrane Prevent Postoperative Abdominal Adhesions?
CONCLUSION: Overall, HAMPS showed an observational decrease in adhesions in TGs although not statistically significant. There was a trend toward significance in the 12.5 mg group. Additional studies will have to be performed to further evaluate this subgroup. PMID: 32731742 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - July 30, 2020 Category: Surgery Authors: Nemec HM, Atalah H, Kling M, Nichols L, Powers B, Montgomery A, Ashley DW Tags: Am Surg Source Type: research

Management of a Penetrating Retrohepatic Vena Cava Injury.
PMID: 32731743 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - July 30, 2020 Category: Surgery Authors: Han D, Mishra A, Batson S, Koller F, Iwuchukwu C Tags: Am Surg Source Type: research

Neuroendocrine Tumors of the Ampulla of Vater Treated With Local Resection.
PMID: 32731745 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - July 30, 2020 Category: Surgery Authors: Jeha GM, Philip Boudreaux J, Woltering EA, Bren-Mattison Y, Thiagarajan R Tags: Am Surg Source Type: research

Different Perceptions Exist Between Health Care Providers and the General Population Regarding the Importance of Findings on Additional Imaging for Trauma Consults.
DISCUSSION: Differences in perception exist regarding the significance of additional injuries between HCPs and the general population. Perceptions of the general population also change with age. Decisions to pursue additional imaging in trauma patients should include consideration of these differences in perception to help support quality patient-centered care. PMID: 32731746 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - July 30, 2020 Category: Surgery Authors: Plaster AL, Faulks ER, Gillen JN, Tegge AN, Matos MA, Lollar DI, Bower KL, Nussbaum MS, Collier BR, Hamill ME Tags: Am Surg Source Type: research

Acute Appendicitis With Abscess in the Setting of a Ventriculoperitoneal Shunt, Requiring Shunt Explanation Due to Meningitis.
PMID: 32723172 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - July 29, 2020 Category: Surgery Authors: Chambers JG Tags: Am Surg Source Type: research

Pancreatic Lymphatic Malformation : An Unusual Cause of Abdominal Pain.
PMID: 32723173 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - July 29, 2020 Category: Surgery Authors: Grenn EE, Ma BM, Anderson CD, Mark Earl T, Shannon Orr W Tags: Am Surg Source Type: research

Methamphetamine Granuloma Presenting as a Gastric Mass.
PMID: 32723175 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - July 29, 2020 Category: Surgery Authors: Peterman DE, Rezeanu L, Bolton W, Stephenson J, Ben-Or S Tags: Am Surg Source Type: research

Primary Hepatic Neuroendocrine Carcinoma : Amphicrine Type.
PMID: 32723176 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - July 29, 2020 Category: Surgery Authors: Grenn EE, Shannon Orr W, Mark Earl T Tags: Am Surg Source Type: research

Triage of Patients With Rib Fractures : Patient's Age and Number Don't Tell the Whole Story.
DISCUSSION: A revised rib fracture triage guideline with less emphasis on the patient's age and the number of fractured ribs safely lowered ICU admission rates. Poor functional status rather than age and anatomy was the strongest predictor of complications and prolonged hospital stay. PMID: 32723178 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - July 29, 2020 Category: Surgery Authors: Leichtle SW, Pendleton A, Wang S, Torres B, Collins R, Aboutanos MB Tags: Am Surg Source Type: research

Early Chemoprophylaxis in Severely Injured Trauma Patients Reduces Risk of Venous Thromboembolism.
Abstract BACKGROUND: Venous thromboembolism (VTE) remains a serious complication for trauma patients. While early VTE prophylaxis has gained traction, the timing of prophylaxis remains uncertain. We hypothesized that VTE prophylaxis within 24 hours of admission would have lower VTE rates and similar rates of adverse events in seriously injured patients. METHODS: Trauma patients were included from 32 American College of Surgeons verified Level 1 and 2 trauma centers over a 10-year period. Patients with injury severity score (ISS)
Source: The American Surgeon - July 29, 2020 Category: Surgery Authors: Hecht JP, Han EJ, Brandt MM, Wahl WL Tags: Am Surg Source Type: research

High-Performance Trauma Centers in a Single-State Trauma System : Big Saves or Marginal Gains?
Abstract BACKGROUND: Trauma centers with low observed:expected (O:E) mortality ratios are considered high performers; however, it is unknown whether improvements in this ratio are due to a small number of unexpected survivors with high mortality risk (big saves) or a larger number of unexpected survivors with moderate mortality risk (marginal gains). We hypothesized that the highest-performing centers achieve that status via larger numbers of unexpected survivors with moderate mortality risk. METHODS: We calculated O:E ratios for trauma centers in Pennsylvania for 2016 using a risk-adjusted mortality model. W...
Source: The American Surgeon - July 29, 2020 Category: Surgery Authors: Hatchimonji JS, Kaufman EJ, Young AJ, Smith BP, Xiong R, Reilly PM, Holena DN Tags: Am Surg Source Type: research

The Impact of a Colorectal Care Bundle for Surgical Site Infections at an Academic Disproportionate Share Hospital With a Level I Trauma Center.
DISCUSSION: While the CRCB-SSI was effective in decreasing the postoperative SSI rate for elective cases, its effect on the overall patient population was limited. CRCB-SSIs are not enough to bring SSI rates to accepted rates in high-risk patients such as those seen at ADSH. PMID: 32726131 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - July 29, 2020 Category: Surgery Authors: Hajirawala LN, Legare TB, Tiu SPT, DeKerlegand AM, Barton JS, Davis KG, Orangio GR Tags: Am Surg Source Type: research

Giant Gastrointestinal Stromal Tumor of the Stomach.
PMID: 32726137 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - July 29, 2020 Category: Surgery Authors: Nemec HM, Smith AM, Benjamin Christie D Tags: Am Surg Source Type: research

A Comparison of Prehospital Nonphysician and Hospital Physician Placed Tube Thoracostomy.
This report is one of the first to compare demographics and outcomes in patients undergoing prehospital chest decompression by trained aeromedical nonphysician personnel to hospital chest decompression by physicians. METHODS: Prehospital tube thoracostomy (PTT) patients were identified from January 2014 to January 2019 and were matched in a 1:2 ratio based on age, Injury Severity Score (ISS), and chest Abbreviated Injury Score (AIS) to patients who underwent hospital tube thoracostomy (HTT) within 24 hours of admission. RESULTS: Forty-nine PTT patients were matched to 98 HTT patients. PTT patients had lower admis...
Source: The American Surgeon - July 28, 2020 Category: Surgery Authors: Harrell KN, Brooks DE, Palm PH, Cowart JT, Maxwell R, Barker D Tags: Am Surg Source Type: research

The Evolving Landscape of Hepatocellular Carcinoma : A US Safety Net Collaborative Analysis of Etiology of Cirrhosis.
Abstract BACKGROUND: Hepatitis C virus (HCV) has historically been the most common cause of cirrhosis and hepatocellular carcinoma (HCC) in the United States. With improved HCV treatment, cirrhosis secondary to other etiologies is increasing. Given this changing epidemiology, our aim was to determine the impact of cirrhosis etiology on overall survival (OS) in patients with HCC. METHODS: All patients with cirrhosis and primary HCC from the US Safety Net Collaborative (2012-2014) database were included. Patients were grouped into "safety net" and "academic" based on where they received thei...
Source: The American Surgeon - July 28, 2020 Category: Surgery Authors: Lee RM, Gamboa AC, Turgeon MK, Yopp A, Ryon EL, Kronenfeld JP, Goel N, Wang A, Lee AY, Luu S, Hsu C, Silberfein E, Maithel SK, Russell MC Tags: Am Surg Source Type: research

Savi Scout Radar Localization Versus Wire Localization for Breast Biopsy Regarding Positive Margin, Complication, and Reoperation Rates.
DISCUSSION: In our series, the Savi Scout localization system resulted in a lower rate of positive margins, reoperation, and surgical site occurrence. These data suggest that Savi Scout localization is a reasonable replacement to wire localization for breast lesions and might produce superior results. PMID: 32721172 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - July 28, 2020 Category: Surgery Authors: Tingen JS, McKinley BP, Rinkliff JM, Cornett WR, Lucas C Tags: Am Surg Source Type: research

A Technique to Minimize Aerosolization During Percutaneous Tracheostomy in COVID-19 Patients.
CONCLUSIONS: The procedure described was successful in our patient population. We believe that this approach is safe for patients with coronavirus disease 2019 and limits aerosolization during the operation. LEVEL OF EVIDENCE: Level IV, case series. PMID: 32722924 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - July 28, 2020 Category: Surgery Authors: Betancourt-Ramirez A, Yelon JA, Boland P, Amaturo M Tags: Am Surg Source Type: research

Pelvic Binder Utlization in Combat Casualties: Does It Matter?
Abstract INTRODUCTION: The purpose of this study was to evaluate the utilization of pelvic binders, the proper placement of binders, and to determine any differences in blood product transfusions between combat casualties with and without a pelvic binder identified on initial imaging immediately after the injury. METHODS: We conducted a retrospective review of all combat-injured patients who arrived at our military treatment hospital between 2010 and 2012 with a documented pelvic fracture. Initial imaging (X-ray or computed tomography) immediately after injury were evaluated by 2 independent radiologists. You...
Source: The American Surgeon - July 28, 2020 Category: Surgery Authors: Parker WJ, Despain RW, Delgado A, Rodriguez CJ, Baird D, Elster EA, Bradley MJ Tags: Am Surg Source Type: research

A National Analysis of Traumatic Thoracic Aortic Repair: Does Insurance Status Matter?
Abstract BACKGROUND: Traumatic thoracic aortic injuries (TAIs) carry a substantial mortality. Our study aim was to evaluate the impact of insurance status on outcomes in severely injured trauma patients after either thoracic endovascular aortic repair (TEVAR) or open repair using the National Trauma Data Bank Research Data Set (NTDB-RDS). METHODS: The NTDB-RDS was reviewed for outcomes in severely injured patients and TAI repair method (TEVAR vs open). Patients were divided into insured (Medicaid, Medicare, private insurance) and uninsured (self-pay) status groups. Patients were further divided by injury seve...
Source: The American Surgeon - July 27, 2020 Category: Surgery Authors: Elkbuli A, Dowd B, Narvel RI, Smith Z, McKenney M, Boneva D Tags: Am Surg Source Type: research

The Effects of Fasting Status on the Relative Risk of Pulmonary Aspiration in Acute Care Surgery Patients.
Abstract BACKGROUND: Acute care surgery patients are often unfasted at the time of surgery, presenting a unique opportunity to study the effects of fasting on the risk of pulmonary aspiration. We aimed to determine the relative risk of aspiration in patients who were fasted at the time of surgery according to guidelines versus those in an unfasted state. METHODS: A retrospective chart review of 100 patients who underwent appendectomy (n = 76) or exploratory laparotomy (n = 24) was conducted at a single institution in 2016-2017. Using the American Society of Anesthesiologists (ASA) Practice Guidelines for Preo...
Source: The American Surgeon - July 24, 2020 Category: Surgery Authors: Reed LaSala V, Morgan ME, Bradburn EH, Vernon TM, Maish GO Tags: Am Surg Source Type: research

"Am Surg"[ta]; +104 new citations
104 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results: "Am Surg"[ta] These pubmed results were generated on 2020/07/22PubMed comprises more than millions of citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites. (Source: The American Surgeon)
Source: The American Surgeon - July 22, 2020 Category: Surgery Tags: Report Source Type: research

Why Halsted Went into Medicine.
PMID: 32391750 [PubMed - in process] (Source: The American Surgeon)
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Nakayama DK Tags: Am Surg Source Type: research

Cancer Immunotherapy for the General Surgeon.
Abstract Progress in the arena of cancer immunotherapy has been immense in recent years. The fact remains that most of the cancer resections in the United States are performed by general surgeons and not oncologic specialists. A busy practice in general surgery will invariably make it difficult to keep pace with such rapid advancement. This review offers a concise summary of the major concepts and trials that have driven the immunotherapy revolution and their implications for surgeons who deliver cancer care. PMID: 32391751 [PubMed - in process] (Source: The American Surgeon)
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Fromer MW, Scoggins CR Tags: Am Surg Source Type: research

Advancing the Time to the Initiation of Adjuvant Chemotherapy and Improving Postoperative Outcome: Enhanced Recovery after Surgery in Pancreaticoduodenectomy.
Abstract Early initiation of chemotherapy could improve overall survival after pancreaticoduodenectomy (PD). The concept of enhanced recovery after surgery (ERAS), which aims to reduce the stress response to surgery and accelerate recovery, is relatively limited in PD. The aim of the study was to retrospectively analyze the relationships of ERAS with the time of initiation of postoperative chemotherapy and recovery in PD patients. Between January 1, 2008 and December 31, 2017, all patients who underwent open PD for malignant tumor at our unit were studied retrospectively. Patients were divided into ERAS and conven...
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Li M, Wang X, Shen R, Wang S, Zhu D Tags: Am Surg Source Type: research

A Single-Center Experience with Minimally Invasive Transgastric ERCP in Patients with Previous Gastric Bypass: Lessons Learned and Technical Considerations.
We describe a stepwise, reproducible technique because it is an essential tool for the shared armamentarium of endoscopists and surgeons. PMID: 32391753 [PubMed - in process] (Source: The American Surgeon)
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Baimas-George M, Passeri MJ, Lyman WB, Dries A, Narang T, Deal S, Lewis J, Chauhan S, Martinie J, Vrochides D, Baker E, Iannitti D Tags: Am Surg Source Type: research

Operative Surgery Is Rarely Required in the Acute Management of Diverticulitis in the Modern Era.
Abstract Acute diverticulitis is an emergency surgical condition that is commonly managed via an acute surgical unit model. Operative surgery is indicated in selected situations including generalized peritonitis or fistulous disease; however, limited data exist on how borderline patients potentially needing surgery may be salvaged by close clinical management with modern interventional techniques. The aims of the study were to identify the operative surgery rates in acute diverticulitis and predictors for identifying patients with complicated diverticulitis. Retrospective data collection was performed on a prospec...
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Dissanayake B, Burstow MJ, Jeyakumar A, Yuide PJ, Gundara J, Chua TC Tags: Am Surg Source Type: research

Is It Rational to Perform Liver Resection for Patients with Intermediate and Advanced Stages of Hepatocellular Carcinoma?
This study aimed to investigate clinical characteristics of hepatocellular carcinoma and the outcome of our aggressive treatment policy which follows the Barcelona Clinic Liver Cancer (BCLC) guidance. In this study, we retrospectively analyzed data of 102 patients who were treated for hepatocellular carcinoma between January 2007 and October 2016. Male predominance (81.4%) and a median age of 61 years were observed. Cirrhosis was evident in 88.2 per cent of patients. Viral hepatitis (77.5%) was the most common underlying etiology. The majority of our patients (71.6%) were in BCLC B and C stages. Liver resection was perform...
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Tomas K, Oguz S, Topaloglu S, Calik A, Arslan M, Dinç H, Ozdemir F, Kucukaslan H, Cobanoglu U, Karabulut E, Öztürk MH Tags: Am Surg Source Type: research

Use of CT Scans for Abdominal Pain in the ED: Factors in Choice.
This study sought to understand factors that influence ED providers' decision regarding CT use in the evaluation of abdominal pain. After evaluating a patient for acute abdominal pain, ED providers filled in a form in which the primary diagnosis and index of suspicion were recorded. Bivariate and multivariate analyses were used to identify predictors of outcomes. The CT scan utilization rate was 54.82 per cent. Whereas 34.11 per cent of CT scans were normal, 30 per cent yielded an acute abdominal pathology. Tenderness and rebound tenderness were positive predictors of high index of suspicion [odds ratio (OR) 2.09 and 2.54,...
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Mwinyogle AA, Bhatt A, Ogbuagu OU, Dhillon N, Sill A, Kowdley GC Tags: Am Surg Source Type: research

Significance of Amylase Monitoring in Peritoneal Drainage Fluid after Splenectomy: A Clinical Analysis of Splenectomy in 167 Patients with Hepatolenticular Degeneration.
Abstract Different kinds of complications after splenectomy in hepatolenticular degeneration patients with hypersplenism have been reported in the past decades, but studies on pancreatic fistula and the corresponding targeted prevention and treatment after splenectomy still remain much unexplored. The present work investigated the pathogenic factors of pancreatic fistula after splenectomy and the variation tendency of amylase in drainage fluid, aiming to verify the significance of monitoring amylase in the abdominal drainage fluid in the early diagnosis of pancreatic fistula after splenectomy. One hundred sixty-se...
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Shen Y, Guo B, Wang L, Peng H, Pan J, Zhang Q, Huang L, Zhou F, Yu Q Tags: Am Surg Source Type: research

A Potential Role for Robotic Cholecystectomy in Patients with Advanced Liver Disease: Analysis of the NSQIP Database.
Abstract Robotic surgery has been widely adopted by many specialties, including hepatobiliary surgery. However, robotic procedures generally require longer operative times and are costlier than their laparoscopic counterparts. The role for robotic cholecystectomy (RC), particularly in patients with advanced liver disease, has not been established. A retrospective analysis of the NSQIP database was performed, focusing on patients with chronic liver disease who underwent cholecystectomy. Patients were categorized based on their model for end-stage liver disease (MELD) score and the type of surgical procedure: open, ...
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Aziz H, Zeeshan M, Kaur N, Emamaullee J, Ahearn A, Kulkarni S, Genyk Y, Selby RR, Sheikh MR Tags: Am Surg Source Type: research

Early Active Irrigation-Suction Drainage among Enterocutaneous Fistulas Patients with Chronic Critical Illness: A Retrospective Cohort Study.
Abstract Enterocutaneous fistulas (ECFs) requiring admission to ICU is a serious surgical complication. A growing number of patients survive ECFs but remain chronically critically ill. The aim of our study was to investigate the risk factors of hospital death in patients with chronic critical illness attributed to ECFs. A retrospective single-center study was conducted in 163 ECF patients between 2013 and 2017. Patient-specific baseline characteristics, outcomes, and process of care variables were collected. Risk factors for hospital mortality were determined using univariate and multivariate analyses. Patients we...
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Jiang Z, Ren J, Ren H, Hong Z, Wang G, Gu G, Wu X Tags: Am Surg Source Type: research

Blunt Cardiac Injury: A Single-Center 15-Year Experience.
This study aimed to explore early diagnosis and therapy to increase survival. All patients with BCI during the past 15 years were analyzed retrospectively regarding the mechanism of injury, diagnostic and therapeutic methods, and outcome. The patients were divided into two groups according to the needs of their condition-nonoperative (Group A) and operative (Group B). Comparisons of the groups were performed. A total of 348 patients with BCI accounted for 18.3 per cent of 1903 patients with blunt thoracic injury. The main cause of injury was traffic accidents, with an incidence of 48.3 per cent. In Group A (n = 305), most ...
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Gao JM, Li H, Wei GB, Liu CP, Du DY, Kong LW, Li CH, Yang J, Yang Q Tags: Am Surg Source Type: research

Chemoprophylaxis and Venous Thromboembolism in Traumatic Brain Injury at Different Trauma Centers.
Abstract Patients with severe traumatic brain injury (TBI) are at an increased risk of venous thromboembolism (VTE). Because of concerns of worsening intracranial hemorrhage, clinicians are hesitant to start VTE chemoprophylaxis in this population. We hypothesized that ACS Level I trauma centers would be more aggressive with VTE chemoprophylaxis in adults with severe TBI than Level II centers. We also predicted that Level I centers would have a lower risk of VTE. We queried the Trauma Quality Improvement Program (2010-2016) database for patients with Abbreviated Injury Scale scores of 4 and 5 of the head and compa...
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Yeates EO, Grigorian A, Schubl SD, Kuza CM, Joe V, Lekawa M, Borazjani B, Nahmias J Tags: Am Surg Source Type: research

Early Anti-Xa Assay-Guided Low Molecular Weight Heparin Chemoprophylaxis Is Safe in Adult Patients with Acute Traumatic Brain Injury.
This study evaluated the safety of early anti-factor Xa assay-guided enoxaparin dosing for chemoprophylaxis in patients with TBI. We hypothesized that assay-guided chemoprophylaxis would be comparable in the risk of intracranial hemorrhage (ICH) progression to fixed dosing. An observational analysis of adult patients with blunt traumatic brain injury (TBI) was performed at a Level I trauma center from August 2016 to September 2017. Patients in the assay-guided group were treated with an initial enoxaparin dose of 0.5 mg/kg, with peak anti-factor Xa activity measured four hours after the third dose. Prophylactic range was d...
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Rodier SG, Kim M, Moore S, Frangos SG, Tandon M, Klein MJ, Berry CD, Huang PP, DiMaggio CJ, Bukur M Tags: Am Surg Source Type: research

Postmastectomy Radiotherapy: Barriers to Implementation in a Disparate Population.
Abstract Appalachian Kentucky (AK) has a disproportionally high breast cancer mortality rate. Postmastectomy radiotherapy (PMRT) in N2/N3 nodal disease improves survival and locoregional recurrence. We evaluated Kentucky patient compliance to the quality measure of PMRT received within one year of diagnosis. A population-based retrospective review of patients who received mastectomy with N2/N3 nodal disease from 2006 to 2015 was obtained through the Kentucky Cancer Registry. A total of 1489 patients met the inclusion criteria. Of these, 1104 (66.6%) received PMRT. AK patients were less likely to receive PMRT (58.3...
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Gan T, Huang B, Chen Q, McGrath PC, Evers BM, Marcinkowski EF Tags: Am Surg Source Type: research

Oxidized Regenerated Cellulose during Laparoscopic Cholecystectomy Increases the Risk of Rehospitalization.
PMID: 32391764 [PubMed - in process] (Source: The American Surgeon)
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Arisheh MA, Venturero M, Froom P Tags: Am Surg Source Type: research

Robotic Partial Right Hepatectomy for Intrahepatic Cholangiocarcinoma: How We Do It.
PMID: 32391765 [PubMed - in process] (Source: The American Surgeon)
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Sucandy I, Giovannetti A, Spence J, Ross S, Rosemurgy A Tags: Am Surg Source Type: research

Robotic Partial Right Hepatectomy with Pretransection Microwave Coagulation: How We Approach It.
PMID: 32391766 [PubMed - in process] (Source: The American Surgeon)
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Sucandy I, Giovannetti A, Spence J, Ross S, Rosemurgy A Tags: Am Surg Source Type: research

Duodenal Injury in the Dakotas: A 15-Year Review of Duodenal Injury in the Level II Trauma Centers of North and South Dakota.
PMID: 32391767 [PubMed - in process] (Source: The American Surgeon)
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Velez DR, Hustad L, Aaland MO, Maki CJ, Zreik K Tags: Am Surg Source Type: research

Transhiatal Herniation of the Pancreas: An Extremely Rare Situation.
PMID: 32391768 [PubMed - in process] (Source: The American Surgeon)
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Tomara N, Michalinos A, Vergadis C, Schizas D Tags: Am Surg Source Type: research

Hybrid Surgical Management for Massive Splenomegaly in a Septuagenarian for Chronic Myelofibrosis.
PMID: 32391769 [PubMed - in process] (Source: The American Surgeon)
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Choi J, Gogna S, Rozenblit G, Latifi R Tags: Am Surg Source Type: research

Overweight Patients with Chronic Mesenteric Ischemia Undergo more Diagnostic Studies: A Retrospective Analysis.
PMID: 32391770 [PubMed - in process] (Source: The American Surgeon)
Source: The American Surgeon - April 1, 2020 Category: Surgery Authors: Cullen JM, Hassinger TE, Mehaffey JH, Shannon AH, Tracci MC, Kern JA, Upchurch GR Tags: Am Surg Source Type: research