Temporary Mechanical Circulatory Support During Bariatric Surgery: A Novel Bridge to Durable Left Ventricular Assist Device and Cardiac Transplantation
We present three patients with severe obesity and advanced heart failure (HF) who underwent successful bariatric surgery while supported by Impella 5.5 (Abiomed, Inc., Danvers, MA).PMID:38578069 | DOI:10.1177/00031348241244637 (Source: The American Surgeon)
Source: The American Surgeon - April 5, 2024 Category: Surgery Authors: Theo Sher Madison Noom Samer Ganam Joseph Sujka Debbie Rinde-Hoffman Christopher DuCoin Source Type: research
Prehospital Needle Decompression of Suspected Tension Pneumothorax: Outcomes and Consequences
This study aimed to evaluate complications from PHND when it was performed without meeting clinical criteria. A retrospective review was performed of patients undergoing (PHND) from 2016 through 2022 at a level 1 trauma center. Patient data who received PHND were reviewed. Of 115 patients, 85 did not meet at least one clinical criterion for PHND. The majority of patients in this cohort 76 (89%) required a chest tube and 22 (25%) had an iatrogenic pneumothorax from PHND. 5 patients (6%) were admitted due to iatrogenic PHND. Two vascular injuries in this population were directly due to PHND and required emergency operative r...
Source: The American Surgeon - April 5, 2024 Category: Surgery Authors: Harrison J Travis Gilbert V Andry Colin C Rutner Elizabeth Lacy Kaleb J Derouen Michael Maristany Alison A Smith Patrick P Greiffenstein Source Type: research
"The Prognostic Role of Aspartate Transaminase to Platelet Ratio Index (APRI) on Outcomes Following Non-emergent Minor Hepatectomy"
CONCLUSIONS: APRI ≥0.7 is associated with perioperative transfusion, overall morbidity, and 30-day mortality. APRI may serve as a noninvasive tool to risk stratify patients prior to elective minor hepatectomy.PMID:38579287 | DOI:10.1177/00031348241244645 (Source: The American Surgeon)
Source: The American Surgeon - April 5, 2024 Category: Surgery Authors: Dhruv J Patel Michael T LeCompte Hong Jin Kim Elizabeth M Gleeson Source Type: research
Washington State Assault Weapon Firearm Violence Before and After Firearm Legislation Reform
This study aimed to evaluate the effects of WA-1639 on firearm-related incidents involving AWs by those <21 years-old in WA, hypothesizing a decrease in incidents after WA-1639.METHODS: Retrospective (2016-2021) data on firearm violence (FV) events were gathered from the Gun Violence Archive. The rate of FV was weighted per 100,000 people. Total monthly incidents, injuries, and deaths were compared pre-law (January 2016-December 2018) vs post-law (January 2019-December 2021) implementation. Mann-Whitney U tests and Poisson's regression were used for analysis.RESULTS: From 4091 FV incidents (2210 (54.02%) pre-law vs 1881...
Source: The American Surgeon - April 5, 2024 Category: Surgery Authors: Avneet Bhullar Jonathan Shipley Leonardo Alaniz Areg Grigorian Sigrid Burruss Lourdes Swentek Catherine Kuza Jeffry Nahmias Source Type: research
Clinical Longevity of Preoperative Injection of Superparamagnetic Iron Oxide Nanoparticles for Delayed Sentinel Lymph Node Biopsy
We present our experience with a patient who due to complications from surgery could not complete her d-SLNB for 165 days. The SPIO tracer remained active in the lymph node and remained clinically useful for this five and a half month gap from time of injection. Further study is needed to determine the clinical longevity of SPIO in a lymph node.PMID:38576134 | DOI:10.1177/00031348241244634 (Source: The American Surgeon)
Source: The American Surgeon - April 5, 2024 Category: Surgery Authors: Gael Muanamputu Brian K Sparkman Raphael J Louie Kandace P McGuire Source Type: research
Temporary Mechanical Circulatory Support During Bariatric Surgery: A Novel Bridge to Durable Left Ventricular Assist Device and Cardiac Transplantation
We present three patients with severe obesity and advanced heart failure (HF) who underwent successful bariatric surgery while supported by Impella 5.5 (Abiomed, Inc., Danvers, MA).PMID:38578069 | DOI:10.1177/00031348241244637 (Source: The American Surgeon)
Source: The American Surgeon - April 5, 2024 Category: Surgery Authors: Theo Sher Madison Noom Samer Ganam Joseph Sujka Debbie Rinde-Hoffman Christopher DuCoin Source Type: research
Prehospital Needle Decompression of Suspected Tension Pneumothorax: Outcomes and Consequences
This study aimed to evaluate complications from PHND when it was performed without meeting clinical criteria. A retrospective review was performed of patients undergoing (PHND) from 2016 through 2022 at a level 1 trauma center. Patient data who received PHND were reviewed. Of 115 patients, 85 did not meet at least one clinical criterion for PHND. The majority of patients in this cohort 76 (89%) required a chest tube and 22 (25%) had an iatrogenic pneumothorax from PHND. 5 patients (6%) were admitted due to iatrogenic PHND. Two vascular injuries in this population were directly due to PHND and required emergency operative r...
Source: The American Surgeon - April 5, 2024 Category: Surgery Authors: Harrison J Travis Gilbert V Andry Colin C Rutner Elizabeth Lacy Kaleb J Derouen Michael Maristany Alison A Smith Patrick P Greiffenstein Source Type: research
"The Prognostic Role of Aspartate Transaminase to Platelet Ratio Index (APRI) on Outcomes Following Non-emergent Minor Hepatectomy"
CONCLUSIONS: APRI ≥0.7 is associated with perioperative transfusion, overall morbidity, and 30-day mortality. APRI may serve as a noninvasive tool to risk stratify patients prior to elective minor hepatectomy.PMID:38579287 | DOI:10.1177/00031348241244645 (Source: The American Surgeon)
Source: The American Surgeon - April 5, 2024 Category: Surgery Authors: Dhruv J Patel Michael T LeCompte Hong Jin Kim Elizabeth M Gleeson Source Type: research
"Should We Phenobarb-it-All?" A Phenobarbital-Based Protocol for Non-Intensive Care Unit Trauma Patients at High Risk of or Experiencing Alcohol Withdrawal
The objective was to evaluate the effectiveness and safety of a phenobarbital-based protocol for the treatment of AWS in non-intensive care unit (ICU) trauma patients.METHODS: Adult non-ICU trauma patients at high risk of or experiencing AWS PRE and POST implementation of a phenobarbital-based protocol were included. Outcomes were AWS-related complications (AWS-RC), benzodiazepine use, adjunctive medication use, hospital length of stay (HLOS), and medication-related AEs. Subgroup analyses were performed on patients with traumatic brain injury (TBI), rib fractures, and at high risk of severe AWS.RESULTS: Overall, 110 patien...
Source: The American Surgeon - April 4, 2024 Category: Surgery Authors: Michelle Wang Carolyne Falank Vincent Simboli Julianne B Ontengco Brandi Spurling Joseph Rappold Bruce Chung Kathryn E Smith Source Type: research
Not So Vats: How Early Is Too Early in the Operative Management of Patients with Traumatic Hemothorax?
In this study, we investigated the ideal VATS timing using cost analysis.METHODS: 617 cases of unilateral traumatic hemothorax from 2012 to 2022 were identified in our trauma database. We extracted encounter cost, length of stay (LOS), and operative cost information. Using Kruskal-Walli's test, we compared the cost and LOS for patients who underwent VATS or continued nonoperative management in the first 7 days of admission. Additionally, we computed the daily proportion of patients initially managed nonoperatively but ultimately underwent VATS. P-values <.05 were considered significant.RESULTS: The median encounter cost...
Source: The American Surgeon - April 4, 2024 Category: Surgery Authors: Chinweotuto V Uma William B Risinger Suhail Nath Samuel J Pera Jason W Smith Source Type: research
Time to Mobility Is Associated With Pulmonary Complications in Patients With Spine Fractures
CONCLUSION: Time to mobility is independently associated with pulmonary complications in patients with spine fractures.PMID:38566605 | DOI:10.1177/00031348241241702 (Source: The American Surgeon)
Source: The American Surgeon - April 3, 2024 Category: Surgery Authors: Michael L Jackson Samuel C Thomas Matthew R Joyner Mengjie Hu Yann-Leei Larry Lee Thomas Capasso Nathan M Polite Christopher M Kinnard Maryann I Mbaka Ashley Williams Jon D Simmons Charles C Butts Source Type: research
Rarely Seen Compartment Syndrome of the Shoulder and Back: Diagnosis and Management
We present a patient who fell off his bicycle and sustained cervical spine fractures causing near complete quadriplegia. He was found by the road over 12 hours later, so his creatine phosphokinase (CPK) was trended and serial examinations were performed. We identified tight deltoid, trapezius, and latissimus compartments and brought him to the operating room for fasciotomies. Although lab values and compartment pressures can be helpful, they should not guide treatment. It is important to consider atypical sites for CS and complete a head to toe physical examination. Patients should proceed to the operating room if clinical...
Source: The American Surgeon - April 3, 2024 Category: Surgery Authors: Jamesa Fabien Ciara Burgess Douglas Taylor Raven Hill Andreya Antoine Samantha Woolery Archibald Agyekum-Yamoah Courtney Meyer Stacy Dougherty Jonathan Nguyen Randi Smith Jason Sciarretta S Rob Todd Christine Castater Source Type: research
Vitamin C and Thiamin Deficiencies in Patients Undergoing Laparoscopic and Robotic Gastric Band Removal
Am Surg. 2024 Apr 3:31348241244630. doi: 10.1177/00031348241244630. Online ahead of print.ABSTRACTOutcomes after adjustable gastric banding (AGB) were unsatisfactory and many devices need to be removed for dysphagia. Vitamin C and thiamin deficiency are rare conditions in industrialized countries. Patients undergoing AGB removal (90% for dysphagia) from 2021 to 2023 (laparoscopic 15 and robotic 5) were tested for vitamin C and thiamin levels. Twenty patients (8 m/12 f median aged 56 (range 33.6-79.4) were included. BMI at AGB removal was 39.7 (range 24.4-50.1) kg/m2. Only 20% of patients had normal thiamin levels, 30% had ...
Source: The American Surgeon - April 3, 2024 Category: Surgery Authors: Hugo Jr Bonatti Cheryl Frushour Aaron George Source Type: research
The Role of Procalcitonin in Predicting Failure of Non-operative Management in Bowel Obstructions
This study examined the role of procalcitonin in predicting failure of non-operative management (NOM) in bowel obstructions. Patients with bowel obstructions at a single center from August 2022 to January 2023 were prospectively enrolled (n = 79). Lactic acid (LA) and procalcitonin were collected after surgical consultation. The primary outcome was success or failure of NOM. Univariate analysis, multivariable logistic regression, and performance measures of procalcitonin and LA in predicting bowel ischemia was performed. Of 79 patients included, 48 (61%) required operative intervention during index admission. There were no...
Source: The American Surgeon - April 3, 2024 Category: Surgery Authors: Kaylan N Gee Devin J Clegg Brett J Salomon Anthony Shaun Rowe Lindsay C McKnight Source Type: research
Outcomes of Simultaneous Versus Staged Resection for Stage IV Colorectal Cancer with Synchronous Liver Metastases
CONCLUSIONS: Practice patterns within Southern California KP hospitals favor minor colorectal and liver resections. However, there were no significant differences in demographics, treatment rates, or outcomes between simultaneous and staged resection. While not statistically significant, our findings of a 11.9% higher major liver resection rate and 7.5-month longer median disease-free survival in the staged resection group may benefit from further study with higher power datasets.PMID:38567700 | DOI:10.1177/00031348241244632 (Source: The American Surgeon)
Source: The American Surgeon - April 3, 2024 Category: Surgery Authors: Harry H Kim Nghiem H Nguyen Claire J Yang Michael S Tam Anna M Leung Vikram Attaluri Source Type: research
