abstract：BACKGROUND:The multimodality addition of preoperative gabapentin, acetaminophen, and celecoxib (GAC) and postoperative TENS has been recommended to diminish narcotics. We predict that GAC-TENS implementation will reduce recovery room time, improve pain control, reduce narcotic refills, and demonstrate usefulness of TEN...

journal_title：American journal of surgery

authors： Wright R,Wright J,Perry K,Wright D

更新日期：2018-05-01 00:00:00

abstract：INTRODUCTION:Damage control laparotomy with vacuum assisted closure (VAC) is used for selective cases in trauma. In liver transplantation, VAC has also been applied for management of intra-operative hemorrhage. The primary objective was to evaluate peri-operative blood loss and blood product utilization in VAC compared...

journal_title：American journal of surgery

authors： Chan T,Bleszynski MS,Youssef DS,Segedi M,Chung S,Scudamore CH,Buczkowski AK

更新日期：2018-05-01 00:00:00

abstract：:In this study we sought to assess the effect of surgeon volume on outcomes of robotic colorectal operations performed by surgeons with low or high volume across a large health system. We performed a retrospective review of colon or rectal resections performed between January 1, 2013 and January 1, 2017 within the Prov...

journal_title：American journal of surgery

authors： Bastawrous A,Baer C,Rashidi L,Neighorn C

更新日期：2018-05-01 00:00:00

abstract：BACKGROUND:Clostridium difficile infection (CDI) is a common cause of healthcare associated infections contributing to morbidity and mortality. Our objective was to evaluate the impact of the implementation of a CDI bundle along with probiotic utilization. METHODS:A retrospective review of trauma admissions from 2008 ...

journal_title：American journal of surgery

authors： Bommiasamy AK,Connelly C,Moren A,Dodgion C,Bestall K,Cline A,Martindale RG,Schreiber MA,Kiraly LN

更新日期：2018-05-01 00:00:00

abstract：BACKGROUND:Base Deficit (BD) and lactate have been used as indicators of shock and resuscitation. This study was done to determine the association of BD and lactate and to determine if one is superior. METHODS:A retrospective review from 3/2014-12/2016 was performed. Data included demographics, systolic BP, ISS, BD, l...

journal_title：American journal of surgery

authors： Davis JW,Dirks RC,Kaups KL,Tran P

更新日期：2018-04-01 00:00:00

abstract：BACKGROUND:Surgery is a vital component of a comprehensive health system, but there are often personnel limitations in resource constrained areas. Zambia provides post graduate surgical training through two systems to help address this shortage. However, no studies have analyzed surgical trainees' perceptions of these ...

journal_title：American journal of surgery

authors： Freitas DM,Munthali J,Musowoya J,Ismail H,Herbst A,Chikoya L,Dhage S,Hopkins MA

更新日期：2018-04-01 00:00:00

abstract：BACKGROUND:The ability of characteristics to predict first time performance in laparoscopic tasks is not well described. Videogame experience predicts positive performance in laparoscopic experiences but its mechanism and confounding-association with aptitude remains to be elucidated. This study sought to evaluate for ...

journal_title：American journal of surgery

authors： Harrington CM,Bresler R,Ryan D,Dicker P,Traynor O,Kavanagh DO

更新日期：2018-04-01 00:00:00

abstract：BACKGROUND:Medical student mistreatment remains a concern, particularly in the surgery clerkship. This is a single academic institution's report of medical student perceptions of a mistreatment program embedded in the surgery clerkship. METHODS:Students who completed the surgery clerkship and the mistreatment program ...

journal_title：American journal of surgery

authors： Hasty BN,Miller SE,Bereknyei Merrell S,Lin DT,Shipper ES,Lau JN

更新日期：2018-04-01 00:00:00

abstract：INTRODUCTION:The purpose of this study was to determine if there are clinical features that raise suspicion for parathyroid hyperplasia. MATERIALS & METHODS:We retrospectively reviewed patients with primary hyperparathyroidism who underwent parathyroidectomy from 1991 to 2017, analyzing demographics, calcium and PTH, ...

journal_title：American journal of surgery

authors： McHenry CR,Shi HH

更新日期：2018-03-01 00:00:00

abstract：:The objective of our study was to compare length of stay and wound complications after hybrid robotic transversus abdominis release (hrTAR) vs. robotic transversus abdominis release (rTAR) Two cohorts of patients undergoing robotic (rTAR) and hybrid robotic (hrTAR) performed by two surgeons at a single institution wer...

journal_title：American journal of surgery

authors： Halka JT,Vasyluk A,DeMare AM,Janczyk RJ,Iacco AA

更新日期：2018-03-01 00:00:00

abstract：BACKGROUND:Etiologies contributing to failure to wean from mechanical ventilation (MV) are multiple, resulting in morbid and costly outcomes. Diaphragm pacing (DP) is used in spinal cord injury to replace MV. Temporary DP could be utilized in acute respiratory failure to reduce MV. METHODS:A prospective FDA feasibilit...

journal_title：American journal of surgery

authors： Onders RP,Markowitz A,Ho VP,Hardacre J,Novitsky Y,Towe C,Elmo M,Kaplan C,Schilz R

更新日期：2018-03-01 00:00:00

abstract：INTRODUCTION:This study compares NBME surgical clerkship scores of students who completed their medicine clerkship before their surgical clerkship with the performance of those who had not previously completed their medical clerkship. METHODS:The study included 815 New York University School of Medicine students from ...

journal_title：American journal of surgery

authors： Adelsheimer A,Berman RS,Pachter HL,Hochberg MS

更新日期：2018-02-01 00:00:00

abstract：BACKGROUND:In this study, we explore surgical resident communication with simulated patient surrogates (SPs), in an Objective Structured Clinical Examination (OSCE). METHODS:We use discourse analysis (DA), a qualitative approach to analyzing language, to evaluate our residents' interactions with simulated patient surr...

journal_title：American journal of surgery

authors： Branson CF,Chipman JG

更新日期：2018-02-01 00:00:00

abstract：BACKGROUND:Stress can negatively impact surgical performance, but mental skills may help. We hypothesized that a comprehensive mental skills curriculum (MSC) would minimize resident performance deterioration under stress. METHODS:Twenty-four residents were stratified then randomized to receive mental skills and FLS tr...

journal_title：American journal of surgery

authors： Anton NE,Beane J,Yurco AM,Howley LD,Bean E,Myers EM,Stefanidis D

更新日期：2018-02-01 00:00:00

abstract：BACKGROUND:We hypothesized that team communication with unmatched grammatical form and communicative intent (mixed mode communication) would correlate with worse trauma teamwork. METHODS:Interdisciplinary trauma simulations were conducted. Team performance was rated using the TEAM tool. Team communication was coded fo...

journal_title：American journal of surgery

authors： Jung HS,Warner-Hillard C,Thompson R,Haines K,Moungey B,LeGare A,Shaffer DW,Pugh C,Agarwal S,Sullivan S

更新日期：2018-02-01 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：BACKGROUND:The aim of this study was to identify stage II colon cancer patients with a high risk of recurrence. METHODS:All patients who underwent surgery for stage II colon cancer (CC) were retrospectively enrolled and sub-grouped according to TNM staging (IIa-b-c) and stage IIa in high (IIaHR) and low risk (IIaLR) a...

journal_title：American journal of surgery

authors： Santullo F,Biondi A,Cananzi FCM,Fico V,Tirelli F,Ricci R,Rizzo G,Coco C,Mattana C,D'Ugo D,Persiani R

更新日期：2018-01-01 00:00:00

abstract：PURPOSE:Stoma closure has been associated with a high rate of surgical site infection (SSI) and the optimal skin closure method is still controversial. The aim of this study was to compare the short-term and long-term outcomes between the conventional linear closure (CC) and the persestring closure (PC) using propensit...

journal_title：American journal of surgery

authors： Yamamoto M,Tanaka K,Masubuchi S,Ishii M,Hamamoto H,Suzuki S,Ueda Y,Okuda J,Uchiyama K

更新日期：2018-01-01 00:00:00

abstract：BACKGROUND:Laparoscopic adjustable gastric banding (LAGB) is an option for the treatment of severe obesity. Few US studies have reported long-term outcomes. We aimed to present long-term outcomes with LAGB. METHODS:Retrospective study of patients who underwent LAGB at an academic medical center in the US from 1/2005 t...

journal_title：American journal of surgery

authors： Khoraki J,Moraes MG,Neto APF,Funk LM,Greenberg JA,Campos GM

更新日期：2018-01-01 00:00:00

abstract：BACKGROUND:This study attempts to determine if enough pathological abnormalities in gastric remnants from sleeve gastrectomy exist to warrant full pathologic evaluation in all remnants. METHODS:Data was collected on patients undergoing sleeve gastrectomy between 08/01/2011 and 06/30/2014. Significant abnormalities wer...

journal_title：American journal of surgery

authors： Hansen SK,Pottorf BJ,Hollis HW Jr,Rogers JL,Husain FA

更新日期：2017-12-01 00:00:00

abstract：BACKGROUND:Despite the development of several prediction rules to guide head CT imaging, determining whom to screen for head trauma in the geriatric population after a ground level fall remains controversial. The purpose of this study was to assess the impact of head CT on the management of older adult patients who pre...

journal_title：American journal of surgery

authors： Sartin R,Kim C,Dissanaike S

更新日期：2017-12-01 00:00:00

abstract：BACKGROUND:Patients with radiographically-identified traumatic brain injury are often transferred to our regional trauma center for neurosurgical evaluation, yet few injuries require neurosurgical intervention. Transfer is costly, inconvenient, and potentially risky in inclement weather. We propose that previously-publ...

journal_title：American journal of surgery

authors： Capron GK,Voights MB,Moore HR 3rd,Wall DB

更新日期：2017-12-01 00:00:00

abstract：BACKGROUND:The optimal surgery for patients with renal hyperparathyroidism has been controversial, as either subtotal parathyroidectomy (subtotal PTX) or total parathyroidectomy with auto-transplantation (total PTX-AT) may be employed. METHODS:Adult patients having subtotal PTX or total PTX-AT for secondary hyperparat...

journal_title：American journal of surgery

authors： Anderson K Jr,Ruel E,Adam MA,Thomas S,Youngwirth L,Stang MT,Scheri RP,Roman SA,Sosa JA

更新日期：2017-11-01 00:00:00

abstract：INTRODUCTION:Readmissions have become a focus of pay-for-performance programs. Surgical site infections (SSI) are the reason for most readmissions. Readmissions for SSI could be a unique target for quality improvement. METHODS:Readmission risk for SSI were evaluated for patients undergoing colectomies from 2013 to 201...

journal_title：American journal of surgery

authors： Shah R,Pavey E,Ju M,Merkow R,Rajaram R,Wandling MW,Cohen ME,Dahlke A,Yang A,Bilimoria K

更新日期：2017-11-01 00:00:00

abstract：BACKGROUND:Crohn's disease is an aggressive chronic inflammatory disorder, and despite medical advances no cure exists. There is a great risk of requiring an operative intervention, with evidence of recurrence developing in up to 80-90% of cases. Therefore, we sought to systematically review the current status in the p...

journal_title：American journal of surgery

authors： Schlussel AT,Cherng NB,Alavi K

更新日期：2017-11-01 00:00:00

abstract：BACKGROUND:The Limberg flap (LF) procedure is widely performed for the treatment of sacrococcygeal pilonidal sinus (SPS); however, recurrences continues to be observed. The aim of this study was to assess the relationship between LF designs and the risk of SPS recurrence. METHODS:Sixty-one cases with recurrent disease...

journal_title：American journal of surgery

authors： Kaplan M,Ozcan O,Bilgic E,Kaplan ET,Kaplan T,Kaplan FC

更新日期：2017-11-01 00:00:00

abstract：BACKGROUND:The optimal number of sentinel lymph nodes (SLN) that need to be harvested to achieve favorable survival outcome during a SLN biopsy (SLNB) has not yet been established. METHODS:Six hundred and thirteen patients with clinically node-negative breast cancer who underwent SLNB were reviewed. Survival outcomes ...

journal_title：American journal of surgery

authors： Kim MK,Park HS,Kim JY,Kim S,Nam S,Park S,Kim SI

更新日期：2017-10-01 00:00:00

abstract：INTRODUCTION:While women represent approximately half of all medical students, only 38% of general surgery residents are women. The objective of this study is to explore how access to mentors and organizational support affects career choices. METHODS:In June of 2016, a survey was sent to medical students at a single i...

journal_title：American journal of surgery

authors： Faucett EA,McCrary HC,Milinic T,Hassanzadeh T,Roward SG,Neumayer LA

更新日期：2017-10-01 00:00:00

abstract：BACKGROUND:Cognitive skills such as decision-making are critical to developing operative autonomy. We explored resident decision-making using a recollection of specific examples, from the attending surgeon and resident, after laparoscopic cholecystectomy. METHODS:In a separate semi-structured interview, the attending ...

journal_title：American journal of surgery

authors： Hill KA,Dasari M,Littleton EB,Hamad GG

更新日期：2017-10-01 00:00:00

abstract：BACKGROUND:Intestinal failure-associated liver disease (IFALD) can be treated with parenteral fish oil (FO) monotherapy, but practitioners have raised concerns about a potential bleeding risk. This study aims to describe the incidence of clinically significant post-procedural bleeding (CSPPB) in children receiving FO m...

journal_title：American journal of surgery

authors： Nandivada P,Anez-Bustillos L,O'Loughlin AA,Mitchell PD,Baker MA,Dao DT,Fell GL,Potemkin AK,Gura KM,Neufeld EJ,Puder M

更新日期：2017-10-01 00:00:00

abstract：BACKGROUND:Trauma in pregnancy remains an important but understudied public health issue. We aimed to determine the prevalence of interpersonal violence in our pregnant trauma population (including pediatric) over the last 20 years, from our Level I trauma center. METHODS:We conducted a descriptive, retrospective char...

journal_title：American journal of surgery

authors： Zakrison TL,Ruiz X,Namias N,Crandall M

更新日期：2017-10-01 00:00:00

abstract：INTRODUCTION:Native Americans (NA) form a unique cohort of colon cancer (CC) patients among whom the variability in demographics and cancer characteristics remains unclear. METHODS:We abstracted the national estimates for NA with CC using the Surveillance, Epidemiology, and End Result (SEER) database. Trend analysis o...

journal_title：American journal of surgery

authors： Thuraisingam R,Jandova J,Pandit V,Michailidou M,Nfonsam VN

更新日期：2017-08-01 00:00:00

abstract：BACKGROUND:Circumportal pancreas is a rare congenital pancreatic anomaly. The aim of this study was to clarify the clinical characteristics of patients with circumportal pancreases undergoing pancreatectomy. METHODS:The medical records of 508 patients who underwent pancreatectomy were retrospectively reviewed. The pre...

journal_title：American journal of surgery

authors： Ohtsuka T,Mori Y,Ishigami K,Fujimoto T,Miyasaka Y,Nakata K,Ohuchida K,Nagai E,Oda Y,Shimizu S,Nakamura M

更新日期：2017-08-01 00:00:00

abstract：BACKGROUND:Over the past 15 years of war, eligible U.S. military members donated organs overseas in Germany. Our hypothesis was that outcomes at a military treatment facility were comparable to a civilian cohort. METHODS:Military donors were matched 1:3 with a donor cohort from the U.S. United Network for Organ Sharin...

journal_title：American journal of surgery

authors： Oh JS,Malinoski D,Martin KD,De La Cruz JS,Zonies D

更新日期：2017-08-01 00:00:00

abstract：BACKGROUND:The ideal treatment algorithm for suspected choledocholithiasis is not yet well defined. Imaging options include magnetic resonance cholangiopancreatography (MRCP), endoscopic retrograde cholangiopancreatography (ERCP), and intraoperative cholangiogram (IOC). MRCP is diagnostic, while the other two modalitie...

journal_title：American journal of surgery

authors： Badger WR,Borgert AJ,Kallies KJ,Kothari SN

更新日期：2017-08-01 00:00:00

abstract：BACKGROUND:To analyze our experience with laparoscopic right Mesocolectomy in right colonic cancers. METHODS:600 consecutive patients were studied. RESULTS:Mortality was 0.5%; morbidity was 35.5%. Mean mesocolic area was 15339 ± 1639 mm3, specimen length 24.3 ± 3.3 cm, distance from the tumor to high tie was 103 ± 6 ...

journal_title：American journal of surgery

authors： Siani LM,Lucchi A,Berti P,Garulli G

更新日期：2017-08-01 00:00:00

abstract：BACKGROUND:Conventional wisdom teaches that small hernia defects are more likely to incarcerate. We aim to identify radiographic features of ventral hernias associated with increased risk of bowel incarceration. METHODS:We assessed all patients who underwent emergent ventral hernia repair for bowel complications from ...

journal_title：American journal of surgery

authors： Mueck KM,Holihan JL,Mo J,Flores-Gonzales JR,Ko TC,Kao LS,Liang MK

更新日期：2017-07-01 00:00:00

abstract：BACKGROUND:In the surgical management of lower gastrointestinal tract peritonitis (LGTP), drainage of the peritoneal cavity is often recommended. The objective of the study was to evaluate the impact of drainage of the abdominal cavity during management of LGTP. METHODS:From January 2009 to January 2012, patients unde...

journal_title：American journal of surgery

authors： Rebibo L,Ebosse I,Iederan C,Mahjoub Y,Dupont H,Cosse C,Regimbeau JM

更新日期：2017-07-01 00:00:00

abstract：BACKGROUND:Variable results regarding general surgery residency program (GSRP) impact on patient outcomes and charges are reported. The aim of this study was to determine any significant differences in patient outcomes and cost with a new GSRP. METHODS:We analyzed all laparoscopic appendectomies (lap-ap), cholecystect...

journal_title：American journal of surgery

authors： Wexner T,Rosales-Velderrain A,Wexner SD,Rosenthal RJ

更新日期：2017-07-01 00:00:00

abstract：BACKGROUND:Changes in surgical training have raised concerns about residents' operative exposure and preparedness for independent practice. One way of addressing this concern is by optimizing teaching and feedback in the operating room (OR). The objective of this study was to perform a systematic review on perioperativ...

journal_title：American journal of surgery

authors： McKendy KM,Watanabe Y,Lee L,Bilgic E,Enani G,Feldman LS,Fried GM,Vassiliou MC

更新日期：2017-07-01 00:00:00