Operative morbidity and risk factor assessment in melanoma patients undergoing inguinal lymph node dissection.


:A series of 168 patients who underwent 177 inguinal lymph node dissections from 1979 to 1989 were retrospectively reviewed to determine the incidence and severity of postoperative complications as well as the perioperative risk factors associated with them. Operative mortality was 0%, whereas the incidence of moderate to severe wound infection was 11%, skin flap problems 0%, seromas 6%, and hemorrhage 3%. The occurrence of a wound complication increased the average hospital stay from 11 to 12 days. Multivariate risk factor analysis revealed age older than 50, male sex, and smoking to be significant risk factors for developing a wound infection. The use of prophylactic antibiotics and the duration of closed suction catheter drainage were not predictive of wound complications. Overall, 44% of patients experienced some postoperative edema, with only 7% of patients having 1+ edema that lasted longer than 6 months. Combined ilioinguinal lymph node dissection increased the chance of developing moderate to severe edema. These risk factors identify patients at high risk for morbidity, which should lead to improved perioperative care.


Am J Surg


Beitsch P,Balch C




Has Abstract


1992-11-01 00:00:00


462-5; discussion 465-6












  • Combined modality therapy utilizing a cisplatin combination for effective chemotherapy in patients with previously untreated head and neck cancer.

    abstract::In patients with locally advanced head and neck cancer, the results of standard definitive treatments of surgery, radiotherapy, or both were disappointing. The local and regional recurrence rates were high, despite adequate surgical resection with negative margins and postoperative radiotherapy to all known or possibl...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Jacobs JR,Kish J,Ensley JF,Ahmad K,Weaver A,Crissman J,Al-Sarraf M

    更新日期:1986-10-01 00:00:00

  • Current opinions about laparoscopic incisional hernia repair: a survey of practicing surgeons.

    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

    pub_type: 杂志文章


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

    更新日期:2007-11-01 00:00:00

  • Liberal use of emergency center thoracotomy.

    abstract::Emergency center thoracotomy is a heroic technique of resuscitation and treatment which was revived in the 1960s to improve the survival of patients presenting with cardiac wounds. With excellent survival rates attained in such patients, the technique was extended to victims of trauma with other mechanisms and locatio...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Feliciano DV,Bitondo CG,Cruse PA,Mattox KL,Burch JM,Beall AC Jr,Jordan GL Jr

    更新日期:1986-12-01 00:00:00

  • Hepatobiliary scanning using 99mTc-pyridoxylideneglutamate.

    abstract::Technetium 99m-pyridoxylideneglutamate (99mTc-PG) administered intravenously is excreted by hepatocytes into the bile canaliculi and enters the gallbladder through the cystic duct and consequently, can be used for scanning the hepatobiliary ductal system. A total of 166 patients representing 27 normal subjects, 84 pat...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Matolo NM,Stadalnik RC,Wolfman EF Jr

    更新日期:1977-01-01 00:00:00

  • Placement of an implantable percutaneous permanent triple-lumen catheter.

    abstract::A new technique has been described for the placement of an implantable percutaneous triple-lumen catheter. This procedure eliminates the need for a large bore introducer. It also provides a mechanism to change these catheters over a wire if necessary. This cannot be accomplished with the Hickman or Broviac catheters. ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Geiss AC,Montefusco PP

    更新日期:1985-03-01 00:00:00

  • The effect of pre-operative diagnosis on patient reported outcomes in patients undergoing colorectal operations: A prospective study.

    abstract:INTRODUCTION:Patient Reported Outcomes (PROs) capture peri-operative fatigue, pain, and quality of life and influence outcomes in gastrointestinal surgery. We compared peri-operative PROs in patients undergoing colorectal operations for neoplastic versus non-neoplastic processes. METHODS:Patients undergoing colectomy ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Yonkus JA,Thiels CA,Skaran P,Mathis KL,Bingener J

    更新日期:2020-12-01 00:00:00

  • Obstructing phytobezoar arising from proximal jejunal diverticulum.

    abstract::The following report illustrates a rare case of small bowel obstruction which occurred when a large phytobezoar, which had formed in a proximal jejunal diverticulum, dislodged and migrated distally. Obstruction and subsequent perforation resulted when the phytobezoar passed into the narrow terminal ileum and lodged ju...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Lough E,Richmond B,Maxwell D,Hayes JD

    更新日期:2008-01-01 00:00:00

  • Chronic pain after mesh repair of inguinal hernia: a systematic review.

    abstract:BACKGROUND:Chronic pain is a severe complication of mesh-based inguinal hernia repair. Its perceived risk varies widely in the literature. The current objectives are to review the incidence, severity, and consequences of chronic pain and its etiologies. DATA SOURCES:A multi-database systematic search was conducted for...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审


    authors: Nienhuijs S,Staal E,Strobbe L,Rosman C,Groenewoud H,Bleichrodt R

    更新日期:2007-09-01 00:00:00

  • Five hundred open taps or lavages in patients with abdominal stab wounds.

    abstract::From 1980 to 1984, 500 asymptomatic patients with anterior abdominal stab wounds found to have penetrated the anterior peritoneal cavity on local wound exploration in the emergency center were evaluated by the technique of open peritoneal tap, quantitative diagnostic peritoneal lavage, or both. The technique was found...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Feliciano DV,Bitondo CG,Steed G,Mattox KL,Burch JM,Jordan GL Jr

    更新日期:1984-12-01 00:00:00

  • Parathyroid localization prior to primary exploration.

    abstract::The success of parathyroid surgery is based on accurate localization of normal and abnormal parathyroid glands, knowledge of the pathologic conditions, and meticulous dissection during removal of the abnormal glands. Although parathyroid localization is essential in cases requiring re-exploration, there is considerabl...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Shaha AR,LaRosa CA,Jaffe BM

    更新日期:1993-09-01 00:00:00

  • Comparison of laparoscopic common bile duct exploration and endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy for choledocholithiasis: a prospective randomized study.

    abstract:BACKGROUND:Endoscopic retrograde cholangiopancreatography and laparoscopic common bile duct exploration are safe and efficient methods that have recently been used for the treatment of bile duct stones. The aim of this study was to compare the efficacy, safety, and surgical outcomes of the laparoscopic common bile duct...

    journal_title:American journal of surgery

    pub_type: 杂志文章,随机对照试验


    authors: Koc B,Karahan S,Adas G,Tutal F,Guven H,Ozsoy A

    更新日期:2013-10-01 00:00:00

  • Surgical management of squamous cell carcinoma of the floor of the mouth.

    abstract::Treatment failure and survival in 209 patients with squamous cell carcinoma of the floor of the mouth treated with surgery as the single curative modality are reported. Fifty percent of the patients had stage III and IV disease. The primary tumor was excised with 1 to 2 cm margins and the mandible was resected in 73 p...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Nason RW,Sako K,Beecroft WA,Razack MS,Bakamjian VY,Shedd DP

    更新日期:1989-10-01 00:00:00

  • The intramandibular sliding myoosseous graft. A simple technique for immediate reconstruction of selected anterior mandibular defects.

    abstract::The intramandibular sliding myoosseous graft provides a new technique for reestablishment of mandibular continuity. It is well suited for immediate or remote reconstruction of midline or unilateral defects. Close attention to constructing smooth, confluent bone margins reduces the probability of mucosal fenestration. ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Browne GA,McQuarrie DG

    更新日期:1985-10-01 00:00:00

  • Better characterization of operation for ulcerative colitis through the National surgical quality improvement program: A 2-year audit of NSQIP-IBD.

    abstract:INTRODUCTION:There is little consensus of quality measurements for restorative proctocolectomy with ileal pouch-anal anastomosis(RPC-IPAA) performed for ulcerative colitis(UC). The National Surgical Quality Improvement Program(NSQIP) cannot accurately classify RPC-IPAA staged approaches. We formed an IBD-surgery regist...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Luo WY,Holubar SD,Bordeianou L,Cosman BC,Hyke R,Lee EC,Messaris E,Saraidaridis J,Scow JS,Shaffer VO,Smith R,Steinhagen RM,Vaida F,Eisenstein S,National Surgical Quality Improvement Program-Inflammatory Bowel Disease (NSQIP-IB

    更新日期:2021-01-01 00:00:00

  • The economic and logistical burden of care for severe work-related injuries in a level 1 tertiary care trauma referral center.

    abstract:BACKGROUND:Work-related injuries (WRIs) represent a significant economic and logistical burden to healthcare systems. METHODS:All patients with severe WRIs (Injury Severity Score [ISS] ≥ 12) (1995 to 2013) were compared with patients with non-WRIs using standard methodology (P < .05). RESULTS:A total of 1,270 (8.5%) ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Robertson-More C,Wells BJ,Nickerson D,Kirkpatrick AW,Ball CG

    更新日期:2015-09-01 00:00:00

  • Exponential decay modeling can define parameters of weight loss trajectory after laparoscopic Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Laparoscopic Roux-en-Y gastric bypass (LRYGB) produces durable and clinically significant weight loss. We aim to characterize the trajectory of weight loss, and demonstrate the predictive ability of three-month performance on final weight loss. METHODS:Retrospective analysis of 1097 consecutive LRYGB patien...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Wise ES,Felton J,Kligman MD

    更新日期:2018-07-01 00:00:00

  • Surgical results and surgical adjuvant therapy for lung cancer.

    abstract::Careful intraoperative surgical staging should be considered routine for all patients undergoing thoracotomy for lung cancer. In addition, conservative resection is indicated for T1N0 lesions. Surgical adjuvant immunotherapy has not proved as effective as originally hoped. However, the advent of more effective combina...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Holmes EC

    更新日期:1982-06-01 00:00:00

  • Mediastinal microdialysis in the diagnosis of early anastomotic leakage after resection for cancer of the esophagus and gastroesophageal junction.

    abstract:BACKGROUND:Anastomotic leakage (AL) after gastroesophageal resection for cancer is a serious complication. The aim was to evaluate mediastinal microdialysis in the detection of AL before clinical symptoms. METHODS:Sixty patients were included. Samples were collected every 4 hours in the 1st 8 postoperative days and an...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章


    authors: Ellebæk M,Qvist N,Fristrup C,Mortensen MB

    更新日期:2014-09-01 00:00:00

  • Inhibition of DNA synthesis by somatostatin in rat hepatocytes stimulated by hepatocyte growth factor or epidermal growth factor.

    abstract::The antiproliferative effects of somatostatin on hepatocytes stimulated by hepatocyte growth factor (HGF) or epidermal growth factor (EGF) were investigated using primary cultures of adult rat hepatocytes. Somatostatin inhibits HGF-induced (at a dose of 10 ng/mL) or EGF-induced (at a dose of 100 ng/mL) 3H-thymidine in...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Kokudo N,Kothary PC,Eckhauser FE,Nakamura T,Raper SE

    更新日期:1992-01-01 00:00:00

  • Routine subclavian vein catheterization in abdominal surgical practice.

    abstract::Ninety-four routine subclavian vein catheterizations in patients with abdominal surgical procedures were performed by the resident surgical staff at the Medical University of South Carolina Hospital over a ten month period. This was done primarily to have ready access to large veins during surgery and to free the pati...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Voegele LD

    更新日期:1976-02-01 00:00:00

  • Middle-preserving pancreatectomy for multicentric body-sparing lesions of the pancreas.

    abstract:BACKGROUND:The appropriate surgical approach of a pancreatic multifocal disease that skips the body of the gland remains unknown. We sought to analyze a parenchyma-sparing surgical technique consisting of a middle-preserving pancreatectomy (MPP) evaluating feasibility, safety, and oncological and functional outcomes. ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Partelli S,Boninsegna L,Salvia R,Bassi C,Pederzoli P,Falconi M

    更新日期:2009-09-01 00:00:00

  • Benefits and safety of hepatic resection for colorectal metastases.

    abstract:BACKGROUND:Metastatic colorectal carcinoma to the liver is a potentially curable disease. The purpose of this study was to determine the safety and efficacy of hepatic resection for metastatic colorectal carcinoma. METHODS:One hundred twenty-one consecutive hepatic resections in 110 patients with metastatic colorectal...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Harmon KE,Ryan JA Jr,Biehl TR,Lee FT

    更新日期:1999-05-01 00:00:00

  • Serologic determinants of survival in patients with squamous cell carcinoma of the head and neck.

    abstract::Specific circulating serum proteins may reflect unique properties governing the growth and progression of head and neck cancers. One hundred three previously untreated patients with squamous cell carcinoma of the head and neck were prospectively evaluated for serum IgA, IgG, and IgM and C1q-binding macromolecules. Imm...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Clayman GL,Savage HE,Ainslie N,Liu FJ,Schantz SP

    更新日期:1990-10-01 00:00:00

  • The effect of sociodemographic factors on outcomes and time to discharge after bariatric operations.

    abstract:INTRODUCTION:Bariatric surgery is an effective treatment for obesity resulting in both sustained weight loss and reduction in obesity-related comorbidities. It is uncertain how sociodemographic factors affect postoperative outcomes. METHODS:The National Inpatient Sample was queried for patients undergoing Roux-en-Y ga...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Guerra ME,Jean RA,Chiu AS,Johnson DC

    更新日期:2020-04-01 00:00:00

  • Role of cortisol in the restitution of blood volume after hemorrhage.

    abstract::The restitution of blood volume and plasma protein after 10 per cent hemorrhage was studied in intact dogs and in dogs subjected to adrenalectomy and infused with cortisol at basal or physiologically increased rates. The results suggest that increased extracellular osmolality, mediated by an increased secretion of cor...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Gann DS,Pirkle JC Jr

    更新日期:1975-11-01 00:00:00

  • National trends in total vs subtotal gastrectomy for middle and distal third gastric cancer.

    abstract:BACKGROUND:To identify trends in total and subtotal gastrectomy for middle and distal third gastric adenocarcinoma in the U.S. METHODS:NCDB was queried for patients with stage 0-III middle or distal gastric adenocarcinoma treated with total or subtotal gastrectomy. Statistical analysis including cox proportional hazar...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Ju T,Rivas L,Kurland K,Chen S,Sparks A,Lin PP,Vaziri K

    更新日期:2020-04-01 00:00:00

  • The efficacy of antibiotic treatment versus surgical treatment of uncomplicated acute appendicitis: Systematic review and network meta-analysis of randomized controlled trial.

    abstract:BACKGROUND:The efficacy of antibiotics in appendicitis remains controversial, and physicians are not confident in prescribing antibiotics as the first line treatment. This network meta-analysis was conducted to assess the efficacy and safety of individual antibiotics in uncomplicated appendicitis. METHODS:Randomized c...

    journal_title:American journal of surgery

    pub_type: 杂志文章,meta分析


    authors: Poprom N,Numthavaj P,Wilasrusmee C,Rattanasiri S,Attia J,McEvoy M,Thakkinstian A

    更新日期:2019-07-01 00:00:00

  • Development and implementation of a national quality improvement skills curriculum for urology residents in the United Kingdom: A prospective multi-method, multi-center study.

    abstract:BACKGROUND:Surgical quality improvement (QI) is a global priority. We report the design and proof-of concept testing of a QI skills curriculum for urology residents. METHODS:'Umbrella review' of QI curricula (Phase-1); development of draft QI curriculum (Phase-2); curriculum review by Steering Committee of urologists ...

    journal_title:American journal of surgery

    pub_type: 杂志文章,多中心研究


    authors: Pallari E,Khadjesari Z,Green JSA,Sevdalis N

    更新日期:2019-02-01 00:00:00

  • Role of intraoperative pancreatography in patients with injury to the pancreas.

    abstract::Over a 10 year period, 54 patients presented with pancreatic trauma. During the first 5 years of the study, when pancreatography was not utilized for the assessment of pancreatic duct injury, 55 percent of the patients had major pancreatic complications. During the subsequent 5 years, suspected proximal duct injury wa...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Berni GA,Bandyk DF,Oreskovich MR,Carrico CJ

    更新日期:1982-05-01 00:00:00

  • Healthcare disparities in Asians and Pacific Islanders with hepatocellular cancer.

    abstract:BACKGROUND:Hawaii has the highest incidence of hepatocellular cancer (HCC) in the United States and the largest proportion of Asians and Pacific Islanders. HCC studies generally combine these groups into 1 ethnicity, and we sought to examine differences between Asian and Pacific Islander subpopulations. METHODS:Demogr...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Wong LL,Hernandez B,Kwee S,Albright CL,Okimoto G,Tsai N

    更新日期:2012-06-01 00:00:00