"Emergency Room Incision and Drainage of Perirectal Abscess is Equivalent to Incision and Drainage in the Operating Room"
In this study, for patients presenting to the ED, bedside drainage was found to be an adequate management strategy to achieve complete drainage without a significant increase in the rate of complications when compared to operative drainage.PMID:38684322 | DOI:10.1177/00031348241248785 (Source: The American Surgeon)
Source: The American Surgeon - April 29, 2024 Category: Surgery Authors: Seija A Maniskas Mallory I Jebbia Dena Nasir Gabriel Akopian Howard S Kaufman Juliane Y Golan Source Type: research
Open Versus Minimally Invasive Emergent Colectomy for Diverticulitis
DISCUSSION: Compared to planned open colectomy, MIS resection was associated with improved clinical and financial outcomes, even in cases of CTO. Our findings suggest that whenever possible, MIS should be attempted first in emergent colectomy for diverticulitis. Nevertheless, future prospective studies are likely needed to further elucidate specific patient and clinical factors.PMID:38682325 | DOI:10.1177/00031348241248701 (Source: The American Surgeon)
Source: The American Surgeon - April 29, 2024 Category: Surgery Authors: Nguyen K Le Nam Yong Cho Saad Mallick Nikhil Chervu Shineui Kim Sara Sakowitz Peyman Benharash Hanjoo Lee Source Type: research
Level III Trauma Centers Achieve Comparable Outcomes in Blunt Splenic Injury as Level I Centers
CONCLUSION: Level III centers effectively managed BSI achieving comparable outcomes to the level 1 center. Transfers commonly occurred in pediatric and multisystem trauma patients, though high-grade splenic injuries were not predictive of transfer. High-grade BSI can be safely managed at level III centers without need for transfer.PMID:38679964 | DOI:10.1177/00031348241241729 (Source: The American Surgeon)
Source: The American Surgeon - April 29, 2024 Category: Surgery Authors: Stephanie Jensen Chiung Wu Camille Simmons John Green Ronald Sing Bradley Thomas Rafael Torres Fajardo Source Type: research
A Standardized Post-gastrostomy Feeding Protocol for Pediatric Patients Reduces Time to Postoperative Goal Feeding Volume
DISCUSSION: These findings demonstrate that our accelerated post-gastrostomy feeding protocol was effective in achieving goal enteral nutrition earlier without increasing postoperative adverse outcomes. This protocol may be used by other centers to safely expedite time to goal enteral feeds in children postoperatively.PMID:38684325 | DOI:10.1177/00031348241248789 (Source: The American Surgeon)
Source: The American Surgeon - April 29, 2024 Category: Surgery Authors: MaKayla L O'Guinn Olivia A Keane William G Lee Christopher P Gayer Michael J Zobel Source Type: research
Letter re: "What Operations Should a Modern Rural Surgeon Do?"
Am Surg. 2024 Apr 29:31348241248702. doi: 10.1177/00031348241248702. Online ahead of print.NO ABSTRACTPMID:38680065 | DOI:10.1177/00031348241248702 (Source: The American Surgeon)
Source: The American Surgeon - April 29, 2024 Category: Surgery Authors: Michael James Ozu Zolfievnov Suleymanova Source Type: research
Management of Injuries to the Parenchymal Abdominal Organs
Zentralbl Chir. 2024 Apr 29. doi: 10.1055/a-2301-7951. Online ahead of print.ABSTRACTThe most common organs affected by abdominal trauma are the spleen and the liver, often in combination. Pancreatic injuries are rare. In the case of blunt abdominal trauma, which is much more common, a clinical and laboratory examination as well as sonography should be performed. In the initial assessment, the circulatory situation must be screened. If there is haemodynamic instability and presentation of free fluid, an emergency laparotomy is indicated. If the situation is stable or stabilised and a pathological sonography is present, it ...
Source: Zentralblatt fur Chirurgie - April 29, 2024 Category: Surgery Authors: Stina Schild-Suhren Elif Yilmaz Lorenz Biggemann Ali Seif Giovanni Federico Torsello Annemarie Uhlig Michael Ghadimi Florian B ösch Source Type: research
A novel means of capitate distraction lengthening for end-stage Kienb öck's disease
We present a patient with Kienböck's disease treated with a novel technique of capitate distraction lengthening using two wires in the proximal capitate and two in the ulna.PMID:38684212 | DOI:10.1177/17531934241249018 (Source: Hand Surgery)
Source: Hand Surgery - April 29, 2024 Category: Surgery Authors: Yaqiang Zhang Yun Xue Xiaowen Deng Qiuming Gao Source Type: research
Giant thigh lipomas: from a case report to a guide for the surgical approach
This study argues for the need of contextualisation of the immigrant paradox as evidence thereof varies dependent on specific outcomes and communities. The importance of other associated social determinants of wellbeing is also highlighted since gender, race, age, class, education, relationship status, location, and behavioural factors were found to be significantly associated with wellbeing. Policies should thus be aimed at reducing structural inequalities in broad whilst also introducing social programmes that reduce behavioural or lifestyle activities that have negative implications on wellbeing.PMID:38682001 | PMC:PMC1...
Source: Hand Surgery - April 29, 2024 Category: Surgery Authors: Federico De Maria Caterina Marra Claudio Gio Francesco Blessent Marta Starnoni Marco Pappalardo Giorgio De Santis Source Type: research
Direct Variable Cost Comparison of Endoscopic Versus Open Carpal Tunnel Release: A Time-Driven Activity-Based Costing Analysis
This study used TDABC to compare the facility costs of open carpal tunnel release (OCTR) and endoscopic carpal tunnel release (ECTR).METHODS: We identified 845 consecutive, unilateral carpal tunnel release (516 open, 329 endoscopic) surgeries performed at an orthopaedic specialty hospital between 2015 and 2021. Itemized facility costs were calculated using a TDABC algorithm. Patient demographics, comorbidities, surgical characteristics, and itemized costs were compared between OCTR and ECTR. Multivariate regression was used to determine the independent effect of endoscopic surgery on true facility costs.RESULTS: Total faci...
Source: Hand Surgery - April 29, 2024 Category: Surgery Authors: Terence L Thomas Graham S Goh Pedro K Beredjiklian Source Type: research
Re: Herren DB, Boeckstyns M, Chung KC et al. Diagnostic and treatment recommendations for recurrent or persistent symptoms after trapeziectomy: a Delphi study. J Hand Surg Eur Vol. 2024. doi: 10.1177/17531934241227386
J Hand Surg Eur Vol. 2024 Apr 29:17531934241248567. doi: 10.1177/17531934241248567. Online ahead of print.NO ABSTRACTPMID:38684448 | DOI:10.1177/17531934241248567 (Source: Hand Surgery)
Source: Hand Surgery - April 29, 2024 Category: Surgery Authors: Rocco De Vitis Giuseppe Taccardo Marco Passiatore Michel Boekstyns Miriam Marks Daniel B Herren FaiTh study group Source Type: research
Complications After Ankle Fracture Surgery in Finland Between 1998 and 2020
CONCLUSIONS: Although postoperative complications are relatively rare, their treatment can lead to considerable morbidity. The findings of this study allow us to identify patients who are prone to complications or reoperations after undergoing operative treatment for ankle fracture.LEVEL OF EVIDENCE: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.PMID:38683891 | DOI:10.2106/JBJS.23.00745 (Source: Hand Surgery)
Source: Hand Surgery - April 29, 2024 Category: Surgery Authors: Ville Happonen Heikki Kr öger Reijo Sund Source Type: research
Neural Interconnections of Extracranial Nerves in Headache Surgery: Anatomical Landmarks and Clinical Implications - A Review of Literature
Plast Reconstr Surg. 2024 Apr 29. doi: 10.1097/PRS.0000000000011504. Online ahead of print.ABSTRACTHeadache disorders (HD) remain a nationwide challenge for the US healthcare system affecting nearly 60% of the US population. Surgical deactivation of the peripheral trigger site, also referred to as headache surgery, represents an effective treatment for patients with refractory HD pain or non-response to pharmacological regimes. Research stemming from other surgical specialties has underlined the clinical relevance of neural interconnections in refining diagnostic algorithms, adapting surgical techniques, and improving over...
Source: Hand Surgery - April 29, 2024 Category: Surgery Authors: Samuel Knoedler Konstantin Frank Thomas Muehlberger Ali-Farid Safi Sebastian Cotofana Filippo A G Perozzo Adriana C Panayi Bahman Guyuron Jeffrey E Janis Michael Alfertshofer Source Type: research
The effect of Medicaid expansion on rates of carpal tunnel release: an interrupted time series analysis
CONCLUSIONS: Study results suggest New York's adoption of the ACA was associated with an immediate and steady increase in use of outpatient CTR in Medicaid beneficiaries. Most of this increase represented newly treated patients rather than those who were previously uninsured.PMID:38684024 | DOI:10.1097/PRS.0000000000011502 (Source: Hand Surgery)
Source: Hand Surgery - April 29, 2024 Category: Surgery Authors: Alexander N Khouri Trista M Ben ítez Zhongzhe Ouyang Joseph N Fahmy Lu Wang Kevin C Chung Source Type: research
Managing Severe Postburn Wrist Flexion Contracture by Proximal Row Carpectomy and Abdominal Interpolation Flap
Conclusion Proximal row carpectomy shortens the length of the wrist, resurfaces the wrist joint, and provides a release in tendons and other soft tissues. Together with soft tissue transfer, this technique can be used for severe wrist flexion contractures.PMID:38681246 | PMC:PMC11046275 | DOI:10.1177/22925503221107213 (Source: Hand Surgery)
Source: Hand Surgery - April 29, 2024 Category: Surgery Authors: Berrak Karatan Kamil Yamak Source Type: research
The < em > Green Surgery < /em > report: a guide to reducing the environmental impact of surgical care, but will it be implemented?
Ann R Coll Surg Engl. 2024 Apr 29. doi: 10.1308/rcsann.2024.0005. Online ahead of print.NO ABSTRACTPMID:38683381 | DOI:10.1308/rcsann.2024.0005 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 29, 2024 Category: Surgery Authors: M Bhutta C Rizan Source Type: research
