Closure of a Gastropleural Fistula Using Advanced Endoscopy
Am Surg. 2024 Apr 17:31348241248697. doi: 10.1177/00031348241248697. Online ahead of print.ABSTRACTGastropleural fistulas are rare complications with significant mortality and morbidity. There are limited reports on the successful management of gastropleural fistulas with advanced endoscopic procedures. The following case of a 75-year-old woman with a history of recurrent pseudomyxoma peritonei secondary to ruptured low-grade appendiceal mucinous neoplasm status post cytoreductive surgery highlights the successful treatment of a gastropleural fistula with endoscopic suturing.PMID:38631338 | DOI:10.1177/00031348241248697 (S...
Source: The American Surgeon - April 17, 2024 Category: Surgery Authors: Deep P Vakil Jennifer Palacio Monique Motta Zaineb N Shatawi Juliana L Colvin Omar H Llaguna Source Type: research
Management of Multiple Ducts at the Transected Pancreatic Neck in a Whipple Procedure
Am Surg. 2024 Apr 14:31348241246177. doi: 10.1177/00031348241246177. Online ahead of print.NO ABSTRACTPMID:38616621 | DOI:10.1177/00031348241246177 (Source: The American Surgeon)
Source: The American Surgeon - April 15, 2024 Category: Surgery Authors: Mohamed Abdelgawad Diana Wu Omar Kamel Sally Abdelgawad Hishaam Ismael Source Type: research
Comparison of Contralateral vs Ipsilateral Vein Graft for Traumatic Vascular Injury Repair: A Cohort From PROOVIT
Am Surg. 2024 Apr 15:31348241246167. doi: 10.1177/00031348241246167. Online ahead of print.ABSTRACTTraumatic injury leading to arterial damage has traditionally been repaired using autologous vein graft from the contralateral limb. This often requires a secondary surgical site and the potential of prolonged operative time for patients. We sought to assess the use of ipsilateral vs contralateral vein grafts in patients who experienced traumatic extremity vascular injury. A multicenter database was queried to identify arterial injuries requiring operative intervention with vein grafting. The primary outcome of interest was n...
Source: The American Surgeon - April 15, 2024 Category: Surgery Authors: Noreen Siddiqi Daniel Lammers Parker Hu David Stonko Joseph DuBose Stuart Hurst Zain Hashmi Jonathan Morrison Richard Betzold Source Type: research
Management of Multiple Ducts at the Transected Pancreatic Neck in a Whipple Procedure
Am Surg. 2024 Apr 14:31348241246177. doi: 10.1177/00031348241246177. Online ahead of print.NO ABSTRACTPMID:38616621 | DOI:10.1177/00031348241246177 (Source: The American Surgeon)
Source: The American Surgeon - April 15, 2024 Category: Surgery Authors: Mohamed Abdelgawad Diana Wu Omar Kamel Sally Abdelgawad Hishaam Ismael Source Type: research
Comparison of Contralateral vs Ipsilateral Vein Graft for Traumatic Vascular Injury Repair: A Cohort From PROOVIT
Am Surg. 2024 Apr 15:31348241246167. doi: 10.1177/00031348241246167. Online ahead of print.ABSTRACTTraumatic injury leading to arterial damage has traditionally been repaired using autologous vein graft from the contralateral limb. This often requires a secondary surgical site and the potential of prolonged operative time for patients. We sought to assess the use of ipsilateral vs contralateral vein grafts in patients who experienced traumatic extremity vascular injury. A multicenter database was queried to identify arterial injuries requiring operative intervention with vein grafting. The primary outcome of interest was n...
Source: The American Surgeon - April 15, 2024 Category: Surgery Authors: Noreen Siddiqi Daniel Lammers Parker Hu David Stonko Joseph DuBose Stuart Hurst Zain Hashmi Jonathan Morrison Richard Betzold Source Type: research
Management of Multiple Ducts at the Transected Pancreatic Neck in a Whipple Procedure
Am Surg. 2024 Apr 14:31348241246177. doi: 10.1177/00031348241246177. Online ahead of print.NO ABSTRACTPMID:38616621 | DOI:10.1177/00031348241246177 (Source: The American Surgeon)
Source: The American Surgeon - April 15, 2024 Category: Surgery Authors: Mohamed Abdelgawad Diana Wu Omar Kamel Sally Abdelgawad Hishaam Ismael Source Type: research
Analyzing the Impact of Concomitant COVID-19 Infection on Outcomes in Trauma Patients
CONCLUSIONS: Trauma patients with concomitant COVID-19 infection have higher mortality and morbidity in the matched population. Focused interventions aimed at recognizing this high-risk group and preventing COVID-19 infection within it should be undertaken.PMID:38613452 | DOI:10.1177/00031348241246176 (Source: The American Surgeon)
Source: The American Surgeon - April 13, 2024 Category: Surgery Authors: Wardah Rafaqat May Abiad Emanuele Lagazzi Dias Argandykov Jefferson A Proa ño-Zamudio George C Velmahos John O Hwabejire Jonathan J Parks Casey M Luckhurst Michael P DeWane Source Type: research
Clinical Implications of Over- and Under-Triage Using Need for Trauma Intervention and Cribari Indices
CONCLUSIONS: Current prehospital triage criteria have poor sensitivity for identifying severely injured trauma patients by both NFTI and CM. UT increases as age of the patient increases. Further studies are needed to improve triage.PMID:38613475 | DOI:10.1177/00031348241246181 (Source: The American Surgeon)
Source: The American Surgeon - April 13, 2024 Category: Surgery Authors: Emily K Lenart Saskya E Byerly Megan G Gross Yasmin M Ali Cory R Evans Thomas S Easterday Isaac W Howley Andy J Kerwin Peter E Fischer Dina M Filiberto Source Type: research
Analyzing the Impact of Concomitant COVID-19 Infection on Outcomes in Trauma Patients
CONCLUSIONS: Trauma patients with concomitant COVID-19 infection have higher mortality and morbidity in the matched population. Focused interventions aimed at recognizing this high-risk group and preventing COVID-19 infection within it should be undertaken.PMID:38613452 | DOI:10.1177/00031348241246176 (Source: The American Surgeon)
Source: The American Surgeon - April 13, 2024 Category: Surgery Authors: Wardah Rafaqat May Abiad Emanuele Lagazzi Dias Argandykov Jefferson A Proa ño-Zamudio George C Velmahos John O Hwabejire Jonathan J Parks Casey M Luckhurst Michael P DeWane Source Type: research
Clinical Implications of Over- and Under-Triage Using Need for Trauma Intervention and Cribari Indices
CONCLUSIONS: Current prehospital triage criteria have poor sensitivity for identifying severely injured trauma patients by both NFTI and CM. UT increases as age of the patient increases. Further studies are needed to improve triage.PMID:38613475 | DOI:10.1177/00031348241246181 (Source: The American Surgeon)
Source: The American Surgeon - April 13, 2024 Category: Surgery Authors: Emily K Lenart Saskya E Byerly Megan G Gross Yasmin M Ali Cory R Evans Thomas S Easterday Isaac W Howley Andy J Kerwin Peter E Fischer Dina M Filiberto Source Type: research
Nipple-Sparing Mastectomy and Adequate Margins for Patients With Ductal Carcinoma In Situ
DISCUSSION: No specific margin status was found to correlate with recurrence for patients with DCIS or DCIS + MI undergoing NSM, with an altogether low recurrence risk. Overall, this suggests that recommended DCIS margins in BCS doesn't necessarily apply in NSM, where margins of <2 mm may be acceptable.PMID:38605446 | DOI:10.1177/00031348241246179 (Source: The American Surgeon)
Source: The American Surgeon - April 12, 2024 Category: Surgery Authors: Kristina Shaffer Lilian Harris Stephanie Ng Judy A Tjoe Source Type: research
Outcomes and Predictors of Delayed Intervention After Renal Trauma
CONCLUSIONS: The most common delayed interventions after renal trauma were renal embolization and ureteral stent. Penetrating mechanism was not a predictor of delayed renal intervention in a trauma center that manages zone II retroperitoneal hematomas similarly regardless of mechanism.PMID:38605637 | DOI:10.1177/00031348241246164 (Source: The American Surgeon)
Source: The American Surgeon - April 12, 2024 Category: Surgery Authors: Megan G Gross Dina M Filiberto Benjamin H Lehrman Emily K Lenart Thomas S Easterday Andrew J Kerwin Saskya E Byerly Source Type: research
Nipple-Sparing Mastectomy and Adequate Margins for Patients With Ductal Carcinoma In Situ
DISCUSSION: No specific margin status was found to correlate with recurrence for patients with DCIS or DCIS + MI undergoing NSM, with an altogether low recurrence risk. Overall, this suggests that recommended DCIS margins in BCS doesn't necessarily apply in NSM, where margins of <2 mm may be acceptable.PMID:38605446 | DOI:10.1177/00031348241246179 (Source: The American Surgeon)
Source: The American Surgeon - April 12, 2024 Category: Surgery Authors: Kristina Shaffer Lilian Harris Stephanie Ng Judy A Tjoe Source Type: research
Outcomes and Predictors of Delayed Intervention After Renal Trauma
CONCLUSIONS: The most common delayed interventions after renal trauma were renal embolization and ureteral stent. Penetrating mechanism was not a predictor of delayed renal intervention in a trauma center that manages zone II retroperitoneal hematomas similarly regardless of mechanism.PMID:38605637 | DOI:10.1177/00031348241246164 (Source: The American Surgeon)
Source: The American Surgeon - April 12, 2024 Category: Surgery Authors: Megan G Gross Dina M Filiberto Benjamin H Lehrman Emily K Lenart Thomas S Easterday Andrew J Kerwin Saskya E Byerly Source Type: research
Large Penetrating Wounds to the Chest Managed With Immediate Chest Wall Reconstruction Using Biologic Mesh, Titanium Plates, and Rotational Tissue Flaps
We describe our initial management followed by prompt surgical repair using biologic mesh, titanium rib spanning plates, and rotational tissue flaps with Z-plasty of the skin for definite closure. All patients did well post-operatively without complications or wound infections. With the appropriate management, we suspect there may be an advantage in performing immediate reconstruction and closure in large open thoracic injuries utilizing biologic mesh and titanium rib spanning plates with a lower risk of infection than previously believed.PMID:38596898 | DOI:10.1177/00031348241244649 (Source: The American Surgeon)
Source: The American Surgeon - April 10, 2024 Category: Surgery Authors: John P Shillinglaw Cory J Nonnemacher Dudley B Christie Source Type: research
