Risk Factors for Empyema Following Penetrating Diaphragmatic Injuries
Am Surg. 2024 Apr 20:31348241248700. doi: 10.1177/00031348241248700. Online ahead of print.ABSTRACTEmpyema resulting as a complication of penetrating diaphragmatic injuries is a subject that requires further investigation, and the aim of this study was to determine the risk factors associated with empyema in patients with penetrating trauma. Consecutive adult trauma patients from a level 1 trauma center were searched for penetrating diaphragm injuries. Data were collected on patient demographics, pre-existing conditions, injury type and severity, hospital interventions, in-hospital complications, and outcomes. Patients wer...
Source: The American Surgeon - April 20, 2024 Category: Surgery Authors: Lydia C Rewerts Lance E Stuke John P Hunt Alan B Marr Jonathan E Schoen Patrick Greiffenstein Alison A Smith Source Type: research
Rates and Risk Factors for 30-Day Morbidity After One-Stage Vertical Banded Gastroplasty Conversions: A Retrospective Analysis
Discussion: One-stage VBG conversions to traditional bariatric anatomy are beset with higher 30-day morbidity relative to primary procedures. Additional MBSAQIP data will be required for aggregation, to better characterize the risk factors inherent in these operations.PMID:38641431 | DOI:10.1177/00031348241248817 (Source: The American Surgeon)
Source: The American Surgeon - April 19, 2024 Category: Surgery Authors: Adam W Scott Stuart K Amateau Daniel B Leslie Sayeed Ikramuddin Eric S Wise Source Type: research
Identifying Pregnant Patients With Suspected Intimate Partner Violence
CONCLUSIONS: Our results suggest that there are significant racial and socioeconomic disparities in potential risk for IPV during pregnancy.PMID:38634425 | DOI:10.1177/00031348241248799 (Source: The American Surgeon)
Source: The American Surgeon - April 18, 2024 Category: Surgery Authors: Maggie McGing Matthew Ashbrook Vincent Cheng Koji Matsuo Morgan Schellenberg Matthew Martin Kenji Inaba Kazuhide Matsushima Source Type: research
Association of Interhospital Transfer With Outcomes of Extracorporeal Membrane Oxygenation: A Contemporary Analysis
CONCLUSION: Despite increasing transfer volume and utilization of ECMO, IHT was associated with significant mortality and hospital complication risks. Further work to reduce adverse outcomes, resource burden, and socioeconomic differences within IHT may improve accessibility to this life-saving modality.PMID:38634485 | DOI:10.1177/00031348241248699 (Source: The American Surgeon)
Source: The American Surgeon - April 18, 2024 Category: Surgery Authors: Jeffrey Balian Saad Mallick Nguyen Le Giselle Porter Amulya Vadlakonda Konmal Ali Elsa Kronen Peyman Benharash Source Type: research
The Impact of Redosing Antibiotics for Pediatric Patients Undergoing Appendectomy for Complicated Appendicitis
Am Surg. 2024 Apr 18:31348241248815. doi: 10.1177/00031348241248815. Online ahead of print.ABSTRACTCurrently, there is no universally accepted, standardized protocol for pre-operative antibiotic administration in the setting of appendectomy for complicated appendicitis among pediatric patients. Strategies to mitigate surgical site infections (SSIs) must be balanced with optimal antibiotic use and exposure. We conducted a retrospective chart review to compare outcomes between patients treated pre-operatively with a single pre-operative dose of antibiotics with those who received additional antibiotics prior to laparoscopic ...
Source: The American Surgeon - April 18, 2024 Category: Surgery Authors: Monique Motta Nikitha Garapaty Margaret Savage Joann Segarra Shenae Samuels Joshua P Parreco Tamar Levene Source Type: research
The Oncological Stress Test of Neoadjuvant Therapy: A Systematic Review in Outcomes of Neoadjuvant Therapy Compared to Upfront Resection Approach for Borderline Resectable Pancreatic Adenocarcinoma
This study scrutinizes current literature on oncological outcomes post-resection of borderline resectable pancreatic cancer. A MEDLINE/PubMed search was conducted to systematically compare oncological outcomes of patients treated with either neoadjuvant therapy with intent of curative resection or an "upfront resection" approach. A total of 1293 studies were initially screened and 30 were included (n = 1714) in this analysis. All studies included data on outcomes of patients with borderline resectable pancreatic adenocarcinoma being treated with neoadjuvant therapy (n = 1387) or a resection-first approach (n = 356). Patien...
Source: The American Surgeon - April 18, 2024 Category: Surgery Authors: Sharona B Ross Jesse Popover Iswanto Sucandy Maria Christodoulou Tara M Pattilachan Alexander S Rosemurgy Source Type: research
Number of Healthy Teeth Can Predict the Response of Rectal Cancer to Chemoradiotherapy: A Retrospective Study
This study is the first to identify a correlation between the number of healthy teeth, which is an oral health indicator, and the efficacy of preoperative chemotherapy for rectal cancer.METHODS: This retrospective single-center study included 30 patients who underwent radical surgery after preoperative chemoradiotherapy (CRT) between December 2013 and June 2021. The relationship between number of teeth before CRT and the efficacy of CRT, CRT-related adverse events, postoperative complications, and long-term postoperative outcomes was examined.RESULTS: The number of healthy teeth was significantly greater in patients with d...
Source: The American Surgeon - April 18, 2024 Category: Surgery Authors: Toshihiro Nakao Mitsuo Shimada Kozo Yoshikawa Takuya Tokunaga Masaaki Nishi Hideya Kashihara Chie Takasu Yuma Wada Toshiaki Yoshimoto Source Type: research
Laparoscopic Cholecystectomy vs Endoscopic Retrograde Cholangiopancreatography With Sphincterotomy in Elderly Patients With Acute Gallstone Pancreatitis
CONCLUSION: Laparoscopic cholecystectomy represents the gold standard for elderly patients with GSP.PMID:38636538 | DOI:10.1177/00031348241248564 (Source: The American Surgeon)
Source: The American Surgeon - April 18, 2024 Category: Surgery Authors: Irena Stefanova Ewan Kyle Iain Wilson Mohammed Tobbal Darmarajah Veeramootoo Henry D De'Ath Source Type: research
Iliac Vein Stenting and Thrombectomy Result in Limb Salvage in Phlegmasia Caerulea Dolens as a Result of Heavy Fibroid Burden
Am Surg. 2024 Apr 18:31348241248692. doi: 10.1177/00031348241248692. Online ahead of print.ABSTRACTPhlegmasia cerulea dolens is a devastating sequelae of propagating deep vein thrombosis causing total venous outflow obstruction of an extremity. It is characterized by significant pain, edema, cyanosis, and critical limb ischemia and may progress toward venous gangrene. Morbidity and mortality rates associated with this phenomenon are high. Treatment options are limited and consist of early and aggressive therapeutic anticoagulation and fluid resuscitation, followed by thrombectomy or thrombolysis if the patient fails to res...
Source: The American Surgeon - April 18, 2024 Category: Surgery Authors: Syed A Zamin Marc Mitchell Source Type: research
Identifying Pregnant Patients With Suspected Intimate Partner Violence
CONCLUSIONS: Our results suggest that there are significant racial and socioeconomic disparities in potential risk for IPV during pregnancy.PMID:38634425 | DOI:10.1177/00031348241248799 (Source: The American Surgeon)
Source: The American Surgeon - April 18, 2024 Category: Surgery Authors: Maggie McGing Matthew Ashbrook Vincent Cheng Koji Matsuo Morgan Schellenberg Matthew Martin Kenji Inaba Kazuhide Matsushima Source Type: research
Association of Interhospital Transfer With Outcomes of Extracorporeal Membrane Oxygenation: A Contemporary Analysis
CONCLUSION: Despite increasing transfer volume and utilization of ECMO, IHT was associated with significant mortality and hospital complication risks. Further work to reduce adverse outcomes, resource burden, and socioeconomic differences within IHT may improve accessibility to this life-saving modality.PMID:38634485 | DOI:10.1177/00031348241248699 (Source: The American Surgeon)
Source: The American Surgeon - April 18, 2024 Category: Surgery Authors: Jeffrey Balian Saad Mallick Nguyen Le Giselle Porter Amulya Vadlakonda Konmal Ali Elsa Kronen Peyman Benharash Source Type: research
The Impact of Redosing Antibiotics for Pediatric Patients Undergoing Appendectomy for Complicated Appendicitis
Am Surg. 2024 Apr 18:31348241248815. doi: 10.1177/00031348241248815. Online ahead of print.ABSTRACTCurrently, there is no universally accepted, standardized protocol for pre-operative antibiotic administration in the setting of appendectomy for complicated appendicitis among pediatric patients. Strategies to mitigate surgical site infections (SSIs) must be balanced with optimal antibiotic use and exposure. We conducted a retrospective chart review to compare outcomes between patients treated pre-operatively with a single pre-operative dose of antibiotics with those who received additional antibiotics prior to laparoscopic ...
Source: The American Surgeon - April 18, 2024 Category: Surgery Authors: Monique Motta Nikitha Garapaty Margaret Savage Joann Segarra Shenae Samuels Joshua P Parreco Tamar Levene Source Type: research
The Oncological Stress Test of Neoadjuvant Therapy: A Systematic Review in Outcomes of Neoadjuvant Therapy Compared to Upfront Resection Approach for Borderline Resectable Pancreatic Adenocarcinoma
This study scrutinizes current literature on oncological outcomes post-resection of borderline resectable pancreatic cancer. A MEDLINE/PubMed search was conducted to systematically compare oncological outcomes of patients treated with either neoadjuvant therapy with intent of curative resection or an "upfront resection" approach. A total of 1293 studies were initially screened and 30 were included (n = 1714) in this analysis. All studies included data on outcomes of patients with borderline resectable pancreatic adenocarcinoma being treated with neoadjuvant therapy (n = 1387) or a resection-first approach (n = 356). Patien...
Source: The American Surgeon - April 18, 2024 Category: Surgery Authors: Sharona B Ross Jesse Popover Iswanto Sucandy Maria Christodoulou Tara M Pattilachan Alexander S Rosemurgy Source Type: research
National Trends and Outcomes in the Operative Management of Thyroid Storm
DISCUSSION: The incidence of thyroid storm and associated mortality increased during the study period. Thyroidectomy is rarely performed during the same admission, with an overall perioperative complication rate of 30% and no effect on mortality. Patients with acute decompensated heart failure and renal failure were more likely to receive an operative intervention.PMID:38629320 | DOI:10.1177/00031348241248704 (Source: The American Surgeon)
Source: The American Surgeon - April 17, 2024 Category: Surgery Authors: Young-Ji Seo Nikhil Chervu Peyman Benharash James X Wu Source Type: research
Increasing Underrepresented Minority Representation in a General Surgery Residency Program Utilizing a 3-Phase Strategy
DISCUSSION: This structured approach successfully increased URM representation in a surgical residency program, affirming the success of targeted recruitment strategies. By promoting a diverse and inclusive environment, the program better reflects the community it serves, with aims at improved patient care and patient satisfaction.PMID:38631332 | DOI:10.1177/00031348241248687 (Source: The American Surgeon)
Source: The American Surgeon - April 17, 2024 Category: Surgery Authors: Connor M Magura Matthew S Rubino Toba Bolaji Michael B Goldberg Source Type: research
