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

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