Importance, morbidity, and mortality of pneumonia in the surgical intensive care unit.

abstract：:Gaucher's disease is an inherited metabolic disorder caused by the defective activity of acid beta-glucosidase and the resultant accumulation of glucosyl ceramide-laden macrophages in the liver, bone, and spleen. Splenectomy is the preferred treatment for patients with Gaucher's disease who develop massive splenomegal...

journal_title：American journal of surgery

authors： Fleshner PR,Aufses AH Jr,Grabowski GA,Elias R

更新日期：1991-01-01 00:00:00

abstract：:Infections that involve the attention of the surgeon include those that require operations for cure as well as those that complicate emergency and elective surgical procedures. Mechanical correction is of paramount importance in the eradication of such infections with antibiotics serving an adjuvant role, primarily to...

journal_title：American journal of surgery

authors： Cheadle WG

更新日期：1992-10-01 00:00:00

abstract：:The management of the failing myocardium was primarily empirical for centuries, until Withering introduced foxglove (digitalis) in 1785 as an effective medication. Gradually, the medical treatment included, besides digitalis preparations, the use of diuretics to reduce excessive sodium and water retention; limiting sa...

journal_title：American journal of surgery

authors： Brewer LA 3rd

更新日期：1984-06-01 00:00:00

abstract：BACKGROUND:Surgery is considered the treatment of choice for postoperative biliary strictures. Recently, endoscopic stent placement has been proposed as an alternative to surgical management in selected patients. METHODS:In this retrospective study, 157 patients with postoperative biliary strictures were included. Eig...

journal_title：American journal of surgery

authors： De Palma GD,Persico G,Sottile R,Puzziello A,Iuliano G,Salvati V,Donisi M,Persico F,Mastantuono L,Persico M,Masone S

更新日期：2003-06-01 00:00:00

abstract：:Tube pancreatostomy for complete external drainage of pancreatic juice following pancreatoduodenectomy and a subsequent second-stage pancreatojejunostomy were carried out in four high-risk patients without morbidity. This procedure avoids the fatal outcome associated with pancreatojejunal anastomotic leakage following...

journal_title：American journal of surgery

authors： Miyagawa S,Makuuchi M,Kawasaki S,Ogiwara M

更新日期：1994-07-01 00:00:00

abstract：INTRODUCTION:We describe an institutional program (INR- Interval NSQIP Review), to augment NSQIP utility through structured, multidisciplinary review of surgical outcomes in order to create near 'real-time' adverse event (AE) monitoring and improve surgeon awareness. METHODS:INR is a monthly meeting of quality analyst...

journal_title：American journal of surgery

authors： Cunningham AJ,Howell B,Polites S,Krishnaswami S,Hughey E,Terry S,Fox J,Azarow K

更新日期：2020-05-01 00:00:00

abstract：BACKGROUND:The Emergency Surgery Score (ESS) is an accurate mortality risk calculator for emergency general surgery (EGS). We sought to assess whether ESS can accurately predict 30-day morbidity, mortality, and requirement for postoperative Intensive Care Unit (ICU) care in patients with missing data variables. METHOD...

journal_title：American journal of surgery

authors： Naar L,El Hechi M,Kokoroskos N,Parks J,Fawley J,Mendoza AE,Saillant N,Velmahos GC,Kaafarani HMA

更新日期：2020-12-01 00:00:00

abstract：:Percutaneous transluminal laser angioplasty is a new method for treating atherosclerotic disease previously not amenable to routine percutaneous transluminal angioplasty techniques. Our results compared favorably with other clinical trials. Patient selection criteria include lesions in the superficial femoral or popli...

journal_title：American journal of surgery

authors： Fleisher HL 3rd,Thompson BW,McCowan TC,Ferris EJ,Reifsteck JE,Barnes RW

更新日期：1987-12-01 00:00:00

abstract：BACKGROUND:This study analyzed presentation and management of hemorrhage after pancreaticoduodenectomy (PD) to determine the respective role of surgery and embolization. METHODS:From January 1992 to March 2005, 411 patients underwent PD and were analyzed with regard to postoperative hemorrhage. RESULTS:Hemorrhage occ...

journal_title：American journal of surgery

authors： Blanc T,Cortes A,Goere D,Sibert A,Pessaux P,Belghiti J,Sauvanet A

更新日期：2007-07-01 00:00:00

abstract：:Since 1972, 17 patients have been surgically treated for double aortic arch at our institution. The procedure became necessary before 12 months of age in 11 patients and before 24 months in 16 patients. The major symptoms were respiratory distress, noisy breathing, and respiratory infections; four patients also had dy...

journal_title：American journal of surgery

authors： Han MT,Hall DG,Manché A,Rittenhouse EA

更新日期：1993-05-01 00:00:00

abstract：BACKGROUND:Axillary lymph node status is still considered the most significant prognostic factor for breast cancer outcome, and treatment decisions are based on the presence or absence of nodal disease. Intramammary lymph nodes (IMLNs) can be a site of regional spread. Is this a marker for more aggressive disease? MET...

journal_title：American journal of surgery

authors： Guth AA,Mercado C,Roses DF,Hiotis K,Skinner K,Diflo T,Cangiarella J

更新日期：2006-10-01 00:00:00

abstract：BACKGROUND:Blood loss during liver resection constitutes the primary determinant of the postoperative outcome. Various techniques of vascular control and maintenance of a low central vein pressure (CVP) have been used in order to prevent intraoperative blood loss and postoperative complications. Our study aims at asses...

journal_title：American journal of surgery

authors： Smyrniotis V,Kostopanagiotou G,Theodoraki K,Tsantoulas D,Contis JC

更新日期：2004-03-01 00:00:00

abstract：BACKGROUND:Thyroglossal duct cysts (TGDCs) are common in children but also present in adults. This study evaluates the preoperative management and postoperative outcomes in patients with a resected TGDC. METHODS:A retrospective analysis was performed on patients with a surgically treated TGDC. Clinicopathologic variab...

journal_title：American journal of surgery

authors： Bhama AR,Smith RJ,Robinson RA,Weigel RJ,Sugg SL,Howe JR,Lal G

更新日期：2014-06-01 00:00:00

abstract：BACKGROUND:Chest wall recurrence (CWR) in the setting of previous mastectomy and breast reconstruction can pose complex management dilemmas for clinicians. We examined the impact of breast reconstruction on the treatment and outcomes of patients who subsequently developed a CWR. METHODS:Between 1988 and 1998, 155 brea...

journal_title：American journal of surgery

authors： Chagpar A,Langstein HN,Kronowitz SJ,Singletary SE,Ross MI,Buchholz TA,Hunt KK,Kuerer HM

更新日期：2004-02-01 00:00:00

abstract：BACKGROUND:Previous research suggests an ostomy worsens health-related quality of life (HR-QOL), but comorbidities also can affect HR-QOL. METHODS:Eligible patients had abdominal operation with ostomy (cases) or similar procedure without ostomy (controls). Patients were recruited for this case-control study from 3 Vet...

journal_title：American journal of surgery

authors： Jain S,McGory ML,Ko CY,Sverdlik A,Tomlinson JS,Wendel CS,Coons SJ,Rawl SM,Schmidt CM,Grant M,McCorkle R,Mohler MJ,Baldwin CM,Krouse RS

更新日期：2007-12-01 00:00:00

abstract：BACKGROUND:Venous thromboembolism is a common cause of morbidity. Guidelines recommend perioperative thromboprophylaxis, but clinicians remain cautious of bleeding after major oncologic resections. METHODS:Retrospective analysis of a single institution's prospective hepatopancreatobiliary database was performed for pa...

journal_title：American journal of surgery

authors： Doughtie CA,Priddy EE,Philips P,Martin RC,McMasters KM,Scoggins CR

更新日期：2014-12-01 00:00:00

abstract：:This laboratory study compared the biomechanical and biochemical healing of microvascular free skin flaps in irradiated and nonirradiated recipient areas. In the adult rat, the skin of the right groin region was exposed to a single fraction dose of 20 Gy, using a linear megavoltage accelerator. The left groin was shie...

journal_title：American journal of surgery

authors： Aitasalo K,Aro HT,Virolainen P,Virolainen E

更新日期：1992-12-01 00:00:00

abstract：BACKGROUND:Training surgeons in vital decision-making skills remains unstructured. We aimed to map a process of care from the perspective of surgical decision making and test whether it could be deconstructed into an accessible format for trainees. METHODS:Semistructured interviews were conducted with 10 experienced s...

journal_title：American journal of surgery

authors： Jacklin R,Sevdalis N,Darzi A,Vincent C

更新日期：2008-05-01 00:00:00

abstract：:Curettage of lymph nodes in 36 patients with cancer of the thoracic esophagus was performed in the bilateral supraclavicular, right intrathoracic and abdominal regions. The overall metastatic ratio in lymph nodes was 52.8 percent (19 of 36). It was particularly high in the right supraclavicular nodes (26.7 percent), t...

journal_title：American journal of surgery

authors： Sannohe Y,Hiratsuka R,Doki K

更新日期：1981-02-01 00:00:00

abstract：BACKGROUND:Few studies have assessed the impact of pre-existing medical comorbidities on long-term survival after major trauma. This study investigated the influence of comorbidities as measured by the Charlson Comorbidity Index (CCI) on the 1-year mortality after major traumatic injury. METHODS:Adult patients who sur...

journal_title：American journal of surgery

authors： Niven DJ,Kirkpatrick AW,Ball CG,Laupland KB

更新日期：2012-08-01 00:00:00

abstract：BACKGROUND:Hemoperfusion with PMX-F (polymyxin B covalently immobilized on fibers) has been reported to be safe and effective for patients with septic shock. However, the molecular mechanism of this usefulness is not yet clear. The purpose of this study was to evaluate whether the expression of CD14, human leukocyte an...

journal_title：American journal of surgery

authors： Ono S,Tsujimoto H,Matsumoto A,Ikuta S,Kinoshita M,Mochizuki H

更新日期：2004-08-01 00:00:00

abstract：BACKGROUND:Laparoscopic rectal cancer surgery involving rectal division with intracorporeal stapling devices is technically difficult. This study aimed to identify risk factors for anastomotic leakage associated with laparoscopic anterior resection for rectal cancer. METHODS:We studied 363 patients who underwent lapar...

journal_title：American journal of surgery

authors： Akiyoshi T,Ueno M,Fukunaga Y,Nagayama S,Fujimoto Y,Konishi T,Kuroyanagi H,Yamaguchi T

更新日期：2011-09-01 00:00:00

abstract：PURPOSE:The goal of this study was to evaluate the efficacy, morbidity and safety of local parastomal hernia repair using biological mesh. PATIENTS AND METHODS:A retrospective analysis of a prospectively maintained database was performed for parastomal hernia repairs. All patients who underwent local parastomal hernia...

journal_title：American journal of surgery

authors： Hufford T,Tremblay JF,Mustafa Sheikh MT,Marecik S,Park J,Zamfirova I,Kochar K

更新日期：2018-01-01 00:00:00

abstract：:Pretreatment staging and posttreatment follow-up of the breast cancer patient consists of physical examination of the breasts and regional node-bearing areas, routine laboratory studies, chest radiography, and bilateral mammography. For palpable tumors, mammography is used to determine tumor size and to identify nonpa...

journal_title：American journal of surgery

authors： Bassett LW,Giuliano AE,Gold RH

更新日期：1989-02-01 00:00:00

abstract：:Reoperation to remove an aortic graft was performed in 18 patients. The need for removal was infection in the majority. A changing flora was seen in aortic graft infection with gram-negative organisms predominating. Despite a standardized approach with total graft removal, aortic closure, and extraanatomic reconstruct...

journal_title：American journal of surgery

authors： Martin-Paredero V,Busuttil RW,Dixon SM,Baker JD,Machleder H,Moore WS

更新日期：1983-08-01 00:00:00

abstract：BACKGROUND:The incidence of hernia accident for inguinal hernias in men who are minimally symptomatic is sufficiently low that watchful waiting is an acceptable alternative to routine repair. Our aim was to determine whether a delay in hernia surgery affects short- and long-term outcomes. METHODS:Patients from a multi...

journal_title：American journal of surgery

authors： Thompson JS,Gibbs JO,Reda DJ,McCarthy M Jr,Wei Y,Giobbie-Hurder A,Fitzgibbons RJ Jr

更新日期：2008-01-01 00:00:00

abstract：BACKGROUND:Laparoscopic colorectal surgery remains one of the most challenging techniques to learn. METHODS:The authors collected studies that have compared hand-assisted laparoscopic surgery (HALS) and open surgery for the treatment of colorectal disease over the past 17 years. Data of interest for HALS and open surg...

journal_title：American journal of surgery

authors： Ding J,Xia Y,Liao GQ,Zhang ZM,Liu S,Zhang Y,Yan ZS

更新日期：2014-01-01 00:00:00

abstract：BACKGROUND:Incisional hernias are common. Optimal repair is one of the most analyzed and debated topics; however, there is no consensus as to the appropriate surgical technique. METHODS:An Institutional Review Board-approved protocol was designed using an Internet-based survey site (www.surveymonkey.com) to assess pra...

journal_title：American journal of surgery

authors： Alder AC,Alder SC,Livingston EH,Bellows CF

更新日期：2007-11-01 00:00:00

abstract：INTRODUCTION:The Affordable Care Act (ACA) expanded Medicaid eligibility to persons with income up to 138% of the federal poverty line. We investigated how Medicaid expansion (ME) impacted the access to cancer-specific surgical care in the US. METHODS:We used a nationwide population-based database (SEER) to identify p...

journal_title：American journal of surgery

authors： Mesquita-Neto JWB,Cmorej P,Mouzaihem H,Weaver D,Kim S,Macedo FI

更新日期：2020-01-01 00:00:00

abstract：:Stapling instruments have been used for gastrointestinal anastomoses and reconstruction with increasing regularity. A technique for loop colostomy closure employing a stapling device is described. This approach provides a secure closure while avoiding major contaimination. ...

journal_title：American journal of surgery

authors： Schwesinger WH,Levine BA,McFee AS

更新日期：1979-08-01 00:00:00