From Bytes to Best Practices: Tracing ChatGPT-3.5's Evolution and Alignment With the National Comprehensive Cancer Network ® Guidelines in Pancreatic Adenocarcinoma Management
CONCLUSION: ChatGPT-3.5 represents an interesting but limited tool for assistance in clinical decision-making. We demonstrate that the platform evolved, and its responses to our standardized questions improved over a relatively short period (3-months). Future research is needed to determine the validity of this tool for this clinical application.PMID:38666297 | DOI:10.1177/00031348241248801 (Source: The American Surgeon)
Source: The American Surgeon - April 26, 2024 Category: Surgery Authors: Tamir E Bresler Shivam Pandya Ryan Meyer Zin Htway Manabu Fujita Source Type: research

Medical Malpractice Cases Involving Medical Students
CONCLUSIONS: Medical malpractice claims involving medical students are rare but commonly relate to medical decision-making, procedural complication, and poor communication, with a lack of supervision being frequently cited. These results can be used to guide students and supervising physicians on how to avoid scenarios that may increase vulnerability to medical malpractice lawsuits.PMID:38669133 | DOI:10.1097/ACM.0000000000005746 (Source: Pain Physician)
Source: Pain Physician - April 26, 2024 Category: Anesthesiology Authors: Jordan R Pollock Eric Shappell Benjamin J Sandefur M Lane Moore Rachel A Lindor Source Type: research

Decompression and collagen wrapping of a fibrolipomatous hamartoma of the median nerve: a new approach for a rare and difficult problem
We present a case of FLH of the median nerve in a 59-year-old female treated with decompression and collagen nerve wrapping.PMID:38665769 | PMC:PMC11044751 | DOI:10.1080/23320885.2024.2344262 (Source: Hand Surgery)
Source: Hand Surgery - April 26, 2024 Category: Surgery Authors: Joseph Meter Taylor Anthony John P Walsh Ajit Amesur Carl N Williams Source Type: research

A case report of a distal radius fracture treated with a dorsal spanning plate augmented with fragment specific fixation
We present a 43-year-old man who fell 5 ft onto his outstretched right hand. On examination, there was gross swelling and tenderness of the right wrist with no neurovascular deficit. Radiographs confirmed a comminuted intra-articular displaced distal radius fracture. He was treated with a dorsal spanning plate fixation combined with radiostyloid and volar buttress plates. Follow-up at 2 months showcased intact hardware with good fracture healing. The dorsal spanning plate was removed 4 months after the procedure with radiographs demonstrating adequate alignment and healing without failure. The patient reported no complaint...
Source: Hand Surgery - April 26, 2024 Category: Surgery Authors: Andrew L Chen Evan J Hernandez Brendan J MacKay Source Type: research

Impact of blood salvage therapy during oncologic liver surgeries on allogenic transfusion events, survival, and recurrence, an ambidirectional cohort study
CONCLUSION: The use of Cell Saver® should not be avoided in oncologic surgeries of the liver. Use of Cell Saver® for major hepatectomies might be more beneficial as OS was significantly lower for the Cell Saver® group for patients who underwent minor hepactomies. Further research is needed to explain this conflicting result. Nonetheless, the use of Cell Saver® in autologous blood transfusions can reduce the use of valuable resources and the risks associated with allogenic blood transfusions.PMID:38666789 | DOI:10.1097/JS9.0000000000001458 (Source: Hand Surgery)
Source: Hand Surgery - April 26, 2024 Category: Surgery Authors: Liav Lugassy Samuel Marion Fr édéric Balthazar Sonia Gabriela Cheng Oviedo Yves Collin Source Type: research

The Influence of Radiographic Parameter on the S2 Alar-Iliac Screw Virtual Trajectory in Degenerative Lumbar Scoliosis Patients: A Computed Tomography Study
CONCLUSIONS: For DLS patients with lumbar kyphosis, spine surgeons should avoid both excessive Tsv and Sag angles for S2AI screw insertion, especially when using free-hand technique.PMID:38664914 | DOI:10.1111/os.14057 (Source: Hand Surgery)
Source: Hand Surgery - April 26, 2024 Category: Surgery Authors: Jun Jiang Chenyu Song Han Wang Yong Qiu Bin Wang Zezhang Zhu Yang Yu Source Type: research

From Bytes to Best Practices: Tracing ChatGPT-3.5's Evolution and Alignment With the National Comprehensive Cancer Network ® Guidelines in Pancreatic Adenocarcinoma Management
CONCLUSION: ChatGPT-3.5 represents an interesting but limited tool for assistance in clinical decision-making. We demonstrate that the platform evolved, and its responses to our standardized questions improved over a relatively short period (3-months). Future research is needed to determine the validity of this tool for this clinical application.PMID:38666297 | DOI:10.1177/00031348241248801 (Source: The American Surgeon)
Source: The American Surgeon - April 26, 2024 Category: Surgery Authors: Tamir E Bresler Shivam Pandya Ryan Meyer Zin Htway Manabu Fujita Source Type: research

Bile Duct Injuries During Urgent Cholecystectomy at a Safety Net Teaching Hospital: Attending Experience and Time of Day May Matter
Conclusion: Most BDI occurred in procedures attended by first-year faculty during after hours cholecystectomies, suggesting a role for increased proctorship in early career attendings in addition to in-hours cholecystectomy for acute cholecystitis. The timely return to baseline function experienced by these patients emphasizes the favorable outcomes associated with early recognition of BDI and involvement of hepatobiliary surgery. Further examination with multicenter evaluation would be beneficial to validate these study findings.PMID:38669047 | DOI:10.1177/00031348241248805 (Source: The American Surgeon)
Source: The American Surgeon - April 26, 2024 Category: Surgery Authors: Chaiss Ugarte Shannon Zielsdorf Ramsey Ugarte Odeya Kagan Ryan Murphy Matthew J Martin Kenji Inaba Morgan Schellenberg Source Type: research

Renal artery occlusion in a young woman - a tale of mysterious thrombosis
CONCLUSION: Renal artery thrombosis in young people is extremely rare and presents a diagnostic and management challenge requiring input from multiple teams including nephrology, rheumatology, paediatrics and vascular surgery. Systemic coagulopathy and vasculitis are differentials against anatomical aetiologies such as fibromuscular dysplasia. Our case adds to the limited literature regarding this in the young population. Renal artery thrombosis with occlusion in young people is very rare and is most often associated with a systemic coagulopathic disorder, such as antiphospholipid syndrome or structural pathology of the re...
Source: Vascular - April 26, 2024 Category: Surgery Authors: Ned Farley Joseph Faraj Malindu Fernando Tejas Singh Aaron Powell Senthil Kumar Source Type: research

Isolated superior mesenteric artery dissection with concomitant vascular aberrancy: Extremely rare cases and clinical implications
CONCLUSION: Vascular aberrancy may be a new identified risk factor for ISMAD. Even in ISMAD cases with vascular aberrancy, conservative treatment still can be used as first line therapy.PMID:38664953 | DOI:10.1177/17085381241251426 (Source: Vascular)
Source: Vascular - April 26, 2024 Category: Surgery Authors: Lei Dou Bin Zhang Hao Tang Huiyuan Yang Lei Liu Source Type: research

Clinician perspectives regarding CYP2C19 genotype testing in patients with critical limb ischemia: A Delphi approach
CONCLUSIONS: PAD interventionalists practicing at an academic health system recognize the heterogenous response of their patients to clopidogrel therapy but are unsure when to leverage genetic testing to improve outcomes for their patients. Our study identified gaps regarding PAD interventionalists' knowledge, perceived barriers, and attitudes toward CYP2C19 testing in PAD. This information highlights the need for randomized data on genetic testing for clopidogrel responsiveness in peripheral vascular disease following intervention to help guide antiplatelet management.PMID:38669051 | DOI:10.1177/17085381241246318 (Source: Vascular)
Source: Vascular - April 26, 2024 Category: Surgery Authors: Christopher Regan Lindsey E Scierka Alan Dardik Britt Tonnessen Cassius Iyad Ochoa Chaar Costin Ionescu Edouard Aboian Jonathan Cardella Naiem Nassiri Raul Guzman Robert Attaran Sameer Nagpal Samit Shah Kim G Smolderen Carlos Mena-Hurtado Source Type: research

Contributors
RONALD F. MARTIN, MD, FACS (Source: Surgical Clinics of North America)
Source: Surgical Clinics of North America - April 26, 2024 Category: Surgery Source Type: research

Contents
Ronald F. Martin (Source: Surgical Clinics of North America)
Source: Surgical Clinics of North America - April 26, 2024 Category: Surgery Source Type: research

Forthcoming Issues
Endocrine Surgery (Source: Surgical Clinics of North America)
Source: Surgical Clinics of North America - April 26, 2024 Category: Surgery Source Type: research

Colorectal Surgery
SURGICAL CLINICS OF NORTH AMERICA (Source: Surgical Clinics of North America)
Source: Surgical Clinics of North America - April 26, 2024 Category: Surgery Authors: Quinton M. Hatch Source Type: research