abstract：BACKGROUND:We performed an evaluation of antimicrobial guidelines for patients with surgical sepsis. METHODS:The purpose of this study was to validate current empiric antibiotic recommendations in our sepsis protocol based on the suspected site of infection. The primary objective was to assess the appropriateness of e...

journal_title：American journal of surgery

authors： Fitousis K,Moore LJ,Hall J,Moore FA,Pass S

更新日期：2010-12-01 00:00:00

abstract：BACKGROUND:The management of surgical sepsis is challenging because of the complexity of interventions. The authors therefore created a computerized clinical decision support program to facilitate this process, with the goal of improving abdominal sepsis mortality. METHODS:The authors evaluated a prospective database ...

journal_title：American journal of surgery

authors： Moore LJ,Turner KL,Todd SR,McKinley B,Moore FA

更新日期：2010-12-01 00:00:00

abstract：BACKGROUND:The US Department of Veterans Affairs (VA) Office of Quality and Performance's July 2009 report detailed the quality of VA colorectal cancer (CRC) care on the basis of 10 quality indicators (QIs). Of 21 Veterans Integrated Service Networks (VISNs), the authors' VISN ranked last or near last on more than half...

journal_title：American journal of surgery

authors： Hayman AV,Chang ET,Molokie RE,Kahng LS,Prystowsky JB,Bentrem DJ

更新日期：2010-11-01 00:00:00

abstract：BACKGROUND:The purpose of this study was to examine the outcomes of checklist-driven preoperative briefings and postoperative debriefings during the Veterans Health Administration (VHA) medical team training program. METHODS:A briefing score (1, never started; 2, started then discontinued; 3, maintained on original ta...

journal_title：American journal of surgery

authors： Paull DE,Mazzia LM,Wood SD,Theis MS,Robinson LD,Carney B,Neily J,Mills PD,Bagian JP

更新日期：2010-11-01 00:00:00

abstract：BACKGROUND:Professionalism and ethics are Accreditation Council for Graduate Medical Education (ACGME) core competencies, but there is little evidence regarding the effectiveness of ethics education. METHODS:General surgery residents at the University of Pittsburgh completed questionnaires measuring attitudes and know...

journal_title：American journal of surgery

authors： Thirunavukarasu P,Brewster LP,Pecora SM,Hall DE

更新日期：2010-11-01 00:00:00

abstract：BACKGROUND:Historically, tertiary syphilis infection has been the most common cause of thoracic aortic aneurysm, resulting in 5% to 10% of cardiovascular deaths until the era of antibiotics. METHODS:A 49-year-old Caucasian man presented to our institution with progressive dysphagia, weight loss, incomplete bladder emp...

journal_title：American journal of surgery

authors： Cruz RP,Marrone LC,Marrone AC

更新日期：2010-11-01 00:00:00

abstract：:Metastatic malignancies of the hand are rare and usually develop from lung, breast, or kidney tumors. Metastases from tumors and sarcomas of the gastrointestinal system are even more uncommon. The authors report a case of differentiated adenocarcinoma of the colon in a 76-year-old man who presented with distal phalang...

journal_title：American journal of surgery

authors： Anoop TM,George S,Divya KP,Jabbar PK

更新日期：2010-11-01 00:00:00

abstract：BACKGROUND:The aim of this study was to calculate and analyze the cost of treatment for stage IV pressure ulcers. METHODS:A retrospective chart analysis of patients with stage IV pressure ulcers was conducted. Hospital records and treatment outcomes of these patients were followed up for a maximum of 29 months and ana...

journal_title：American journal of surgery

authors： Brem H,Maggi J,Nierman D,Rolnitzky L,Bell D,Rennert R,Golinko M,Yan A,Lyder C,Vladeck B

更新日期：2010-10-01 00:00:00

abstract：BACKGROUND:Rectal cancer treatment has become multimodal as a result of significant advances in imaging, staging, surgery, radiotherapy, and chemotherapy. Multidisciplinary teams can incorporate these developments into tailor-made treatment plans and offer state-of-the-art services for rectal cancer patients. METHODS:...

journal_title：American journal of surgery

authors： Taflampas P,Christodoulakis M,de Bree E,Melissas J,Tsiftsis DD

更新日期：2010-09-01 00:00:00

abstract：BACKGROUND:Among patients with adhesive small bowel obstruction (ASBO) initially managed with a conservative strategy, predicting risk of operation is difficult. METHODS:We investigated ASBO patients at 2 different periods to derive and validate a clinical prediction model for risk of operation. RESULTS:One hundred f...

journal_title：American journal of surgery

authors： Komatsu I,Tokuda Y,Shimada G,Jacobs JL,Onodera H

更新日期：2010-08-01 00:00:00

abstract：BACKGROUND:The objective of this study was to investigate whether the preoperative hematologic markers, the platelet-lymphocyte ratio (PLR), or the neutrophil-lymphocyte ratio (NLR) ratio are significant prognostic indicators in resected pancreatic ductal adenocarcinoma. METHODS:A total of 84 patients undergoing pancr...

journal_title：American journal of surgery

authors： Bhatti I,Peacock O,Lloyd G,Larvin M,Hall RI

更新日期：2010-08-01 00:00:00

abstract：BACKGROUND:Transduodenal sphincterotomy (TS) has fallen into disuse since endoscopists developed techniques to treat sphincter problems nonsurgically. However, some patients experience recurrent sphincter strictures after endoscopic sphincterotomy (ES), with the ampulla endoscopically inaccessible, and pancreas divisum...

journal_title：American journal of surgery

authors： Miccini M,Amore Bonapasta S,Gregori M,Bononi M,Fornasari V,Tocchi A

更新日期：2010-08-01 00:00:00

abstract：BACKGROUND:Extended left hepatectomy including the middle hepatic vein (MHV) may potentially induce right paramedian sector congestion of the remnant liver. METHODS:To prevent venous congestion in the right paramedian sector, we performed extended left hepatectomy including the left hemiliver and anterior segment, whi...

journal_title：American journal of surgery

authors： Cho A,Yamamoto H,Kainuma O,Nagata M,Takiguchi N,Shimada H,Soda H,Gunji H,Miyazaki A,Ikeda A

更新日期：2010-07-01 00:00:00

abstract：BACKGROUND:The aim of this study was to identify patient-related and/or disease-related factors that influence outcomes in patients with vascular prosthetic graft infections. METHODS:Through the hospital patient administration system, between January 1997 and December 2007, a total of 44 patients were diagnosed with c...

journal_title：American journal of surgery

authors： Saleem BR,Meerwaldt R,Tielliu IF,Verhoeven EL,van den Dungen JJ,Zeebregts CJ

更新日期：2010-07-01 00:00:00

abstract：:We the undersigned editors of the member journals of the Surgery Journal Editors Group (SJEG), in the furtherance of integrity in surgical and scientific publication, agree to adopt the guidelines established by the Committee on Publication Ethics (COPE). The COPE guidelines represent a means of addressing a variety o...

journal_title：American journal of surgery

authors： Surgery Journal Editors Group.

更新日期：2010-07-01 00:00:00

abstract：BACKGROUND:Surgical safety and quality initiatives have now moved to the front of the agenda for contemporary surgery. METHODS:Sixty-two surgical specialists began to study quality and cost control in 1998, and those efforts grew into a Centers for Medicare and Medicaid Services-funded pilot study of the Surgical Care...

journal_title：American journal of surgery

authors： Polk HC Jr,Tyson MB,Galandiuk S

更新日期：2010-07-01 00:00:00

abstract：BACKGROUND:Breast-associated morphea (BAM) can mimic benign and malignant inflammatory breast disorders. The aim of the current study was to document our experience with this rare sclerosing dermatologic disorder. METHOD:We conducted a retrospective study at a single institution of all patients who had pathological di...

journal_title：American journal of surgery

authors： Clark CJ,Wechter D

更新日期：2010-07-01 00:00:00

abstract：BACKGROUND:This study aimed to assess the transferability of basic laparoscopic skills between a virtual reality simulator (MIST-VR) and a video trainer box (D-Box). METHODS:Forty-six medical students were randomized into 2 groups, training on MIST-VR or D-Box. After training with one modality, a crossover assessment ...

journal_title：American journal of surgery

authors： Debes AJ,Aggarwal R,Balasundaram I,Jacobsen MB

更新日期：2010-06-01 00:00:00

abstract：BACKGROUND:This study was undertaken to evaluate the accuracy of touch preparation (touch prep) in the evaluation of sentinel lymph nodes (SLNs). METHODS:We performed a retrospective review of 402 breast cancer patients who underwent SLN biopsy. RESULTS:A SLN was identified in 381 patients. Of 61 patients with a true...

journal_title：American journal of surgery

authors： Guidroz JA,Johnson MT,Scott-Conner CE,De Young BR,Weigel RJ

更新日期：2010-06-01 00:00:00

abstract：BACKGROUND:The aim of this study was to evaluate the incidence of severe complications of adult inguinal hernia surgery from 2003 to 2007 using data from the Finnish National Patient Insurance Association. METHODS:All major surgical complications are reported to the association because it handles financial compensatio...

journal_title：American journal of surgery

authors： Paajanen H,Scheinin T,Vironen J

更新日期：2010-06-01 00:00:00

abstract：:Follicular carcinoma of the thyroid usually metastasizes through a hematogenous route to the bone, lung, and central nervous system. Metastasis to subcutaneous tissues and retro-orbital region is unusual. We report an unusual case of follicular thyroid carcinoma with metastasis to subcutaneous tissues in the right tem...

journal_title：American journal of surgery

authors： Anoop TM,Mini PN,Divya KP,Nikhil S,Jabbar PK

更新日期：2010-06-01 00:00:00

abstract：BACKGROUND:Most thymectomies are performed via sternotomy. Minimally invasive thymectomy (MIT) has been described but its potential benefits and drawbacks remain unclear. METHODS:A retrospective chart review comparing thymectomies performed via sternotomy to MIT at a single institution between 2005 and 2009. RESULTS:...

journal_title：American journal of surgery

authors： Youssef SJ,Louie BE,Farivar AS,Blitz M,Aye RW,Vallières E

更新日期：2010-05-01 00:00:00

abstract：BACKGROUND:It was hypothesized that splenectomy following trauma results in hypercoagulability. METHODS:A prospective, nonrandomized, single-center study was performed to evaluate coagulation parameters in trauma patients with splenic injury. RESULTS:Patients with splenectomy (n = 30) and nonoperative management (n =...

journal_title：American journal of surgery

authors： Watters JM,Sambasivan CN,Zink K,Kremenevskiy I,Englehart MS,Underwood SJ,Schreiber MA

更新日期：2010-05-01 00:00:00

abstract：BACKGROUND:Pancreatoduodenectomy is the only effective treatment for cancers of the periampullary region. Because surgeons usually grasp tumors during pancreatoduodenectomy, this procedure may increase the risk of squeezing and shedding the cancer cells into the portal vein, retroperitoneum, and/or peritoneal cavity. I...

journal_title：American journal of surgery

authors： Hirota M,Kanemitsu K,Takamori H,Chikamoto A,Tanaka H,Sugita H,Sand J,Nordback I,Baba H

更新日期：2010-05-01 00:00:00

abstract：BACKGROUND:Despite conventional neuromonitoring, the recurrent laryngeal nerve (RLN) is still at risk for damage during thyroid surgery. The feasibility of continuous RLN monitoring by vagal nerve (VN) stimulation with a new anchor electrode should be shown, and electromyographic signal alterations of stressed RLN were...

journal_title：American journal of surgery

authors： Schneider R,Przybyl J,Pliquett U,Hermann M,Wehner M,Pietsch UC,König F,Hauss J,Jonas S,Leinung S

更新日期：2010-04-01 00:00:00

abstract：BACKGROUND:Prior studies have demonstrated that African-American (AA) donor kidneys are independently associated with an increased risk for graft loss. METHODS:We examined outcomes in comparable groups of AA deceased-donor (DD) kidney transplant patients receiving an AA donor (n=35) versus a Caucasian donor (C group; ...

journal_title：American journal of surgery

authors： Brown KL,Doshi MD,Singh A,Mehta K,Morawski K,Cincotta E,West MS,Gruber SA

更新日期：2010-03-01 00:00:00

abstract：BACKGROUND:The presence of an "open abdomen" after a trauma laparotomy can complicate the nutritional management of injured patients. METHODS:The medical records of patients admitted to an American College of Surgeons-verified level 1 trauma center were evaluated. The timing of nutritional support was noted. The metho...

journal_title：American journal of surgery

authors： Byrnes MC,Reicks P,Irwin E

更新日期：2010-03-01 00:00:00

abstract：BACKGROUND:The purpose of this study was to assess how the practice patterns of breast surgeons affect their income and job satisfaction. METHODS:A 19-question survey regarding practice patterns and income and job satisfaction was mailed to all active US members of the American Society of Breast Surgeons. RESULTS:The...

journal_title：American journal of surgery

authors： Bendorf DC,Helmer SD,Osland JS,Tenofsky PL

更新日期：2010-03-01 00:00:00

abstract：BACKGROUND:An ideal treatment method for the widely prevalent pilonidal sinus disease is not yet available. The most commonly practiced technique is simple closure following resection of the effected tissue. However, high recurrence rates in some series have led to the search for other methods. One of these methods is ...

journal_title：American journal of surgery

authors： Nursal TZ,Ezer A,Calişkan K,Törer N,Belli S,Moray G

更新日期：2010-02-01 00:00:00

abstract：BACKGROUND:Definitive practice guidelines regarding the utility of chest x-ray (CXR) following chest tube removal in trauma patients have not been established. The authors hypothesized that the selective use of CXR following chest tube removal is safe and cost effective. METHODS:A retrospective review of chest tube in...

journal_title：American journal of surgery

authors： Goodman MD,Huber NL,Johannigman JA,Pritts TA

更新日期：2010-02-01 00:00:00

abstract：BACKGROUND:This report describes estimated 4-year tumor bed and ipsilateral breast recurrence-free intervals, event-free survival, disease-specific survival, and overall survival in a cohort of MammoSite brachytherapy (MBT) patients with mature follow-up treated at a single institution over a 6-year period. METHODS AN...

journal_title：American journal of surgery

authors： Harper JL,Watkins JM,Zauls AJ,Wahlquist AE,Garrett-Mayer E,Baker MK,Cole DJ,Dragun AE,Jenrette JM 3rd

更新日期：2010-02-01 00:00:00

abstract：BACKGROUND:On surgical simulators, measures of economy of hand motion have been shown to be reliable, valid, and objective measures of technical competence. Our goal was to validate hand-motion analysis (HMA) as an objective measure of surgical skill on real patients. METHODS:HMA (hand movement frequency, hand travel ...

journal_title：American journal of surgery

authors： Grober ED,Roberts M,Shin EJ,Mahdi M,Bacal V

更新日期：2010-01-01 00:00:00

abstract：BACKGROUND:Current evidence-based guidelines provide recommendations for prophylaxis and treatment of venous thromboembolism (VTE) in a variety of surgical patients. DATA SOURCES:A systematic Ovid Medline search (from 1950 to the present) was conducted for relevant articles using the following search terms: "venous th...

journal_title：American journal of surgery

authors： Muntz JE,Michota FA

更新日期：2010-01-01 00:00:00

abstract：BACKGROUND:It is widely accepted that mastectomy and breast-conserving surgery (BCS) with irradiation yield similar results, yet many women continue to receive mastectomy. This study evaluates factors contributing to surgical decision-making in breast cancer. Registry data were obtained on all patients treated at the S...

journal_title：American journal of surgery

authors： Moreland A,Zhang Y,Dissanaike S,Arya R

更新日期：2009-12-01 00:00:00

abstract：BACKGROUND:The bispectral index (BIS) is a processed electroencephalographic value (awake = 100, isoelectric = 0). The relationship of BIS and brain death (BD) is assessed. METHODS:BIS was evaluated in GCS 3 head-injured patients with BD (no brain function including apnea) or near BD (no apnea or negative ancillary te...

journal_title：American journal of surgery

authors： Dunham CM,Katradis DA,Williams MD

更新日期：2009-12-01 00:00:00

abstract：BACKGROUND:Teletrauma programs allow rural patients access to advanced trauma and emergency medical services that are often limited to urban areas. METHODS:A retrospective analysis of 59 teleconsults between 5 rural hospitals and a level I trauma center was performed. The objectives of this study were to report the in...

journal_title：American journal of surgery

authors： Latifi R,Hadeed GJ,Rhee P,O'Keeffe T,Friese RS,Wynne JL,Ziemba ML,Judkins D

更新日期：2009-12-01 00:00:00

abstract：:The portal-superior mesenteric vein (PV/SMV) is occasionally involved by a microscopic level of cancer invasion from pancreatic cancer even when it seems to be intact by a macroscopic inspection during surgery. Therefore, contact endoscopy, with which a high-magnification image of the methylene blue-stained PV/SMV wal...

journal_title：American journal of surgery

authors： Eguchi H,Ishikawa O,Ohigashi H,Takahashi H,Ohue M,Takenaka A,Tomita Y,Yano M

更新日期：2009-11-01 00:00:00

abstract：BACKGROUND:The relative prognostic impact of intra-aortic balloon pump (IABP) placement before versus after cardiac surgery is not well defined. METHODS:We reviewed data from all cardiac surgical patients who received perioperative IABP support at a veterans' hospital between April 1992 and April 2008. We compared out...

journal_title：American journal of surgery

authors： Dhaliwal AS,Chu D,Huh J,Ghadir M,Sansgiry S,Atluri P,LeMaire SA,Coselli JS,Bakaeen FG

更新日期：2009-11-01 00:00:00

abstract：BACKGROUND:Despite significant advantages to patients, less than 5% of all colorectal surgeries for cancer are performed laparoscopically. A minimally invasive colorectal cancer program was created in our Veterans' Affairs hospital with the intent of increasing access and improving quality of patient care while maintai...

journal_title：American journal of surgery

authors： Wilks JA,Balentine CJ,Berger DH,Anaya D,Awad S,Lee L,Haderxhanaj K,Albo D

更新日期：2009-11-01 00:00:00

abstract：:This article reviews the philosophy and principles of the National Surgical Quality Improvement Program (NSQIP) that the founders of the program had in mind when they developed the program; explains how the philosophy and principles led to the design and statistical methods that were chosen for the program; and review...

journal_title：American journal of surgery

authors： Henderson WG,Daley J

更新日期：2009-11-01 00:00:00