abstract：BACKGROUND:A new proprietary negative pressure wound device has been developed to apply negative pressure therapy to closed wounds (closed-NPWT). We postulated that closed-NPWT management of contaminated and dirty wounds would lead to faster wound healing and no significant difference in wound complications. STUDY DES...

journal_title：Journal of the American College of Surgeons

authors： Frazee R,Manning A,Abernathy S,Isbell C,Isbell T,Kurek S,Regner J,Smith R,Papaconstantinou H

更新日期：2018-04-01 00:00:00

abstract：BACKGROUND:Several national initiatives are aimed at training citizens to assist bleeding victims. The purpose of this study was to evaluate an effort to quickly and efficiently teach basic bleeding control techniques to a clinical and nonclinical workforce. STUDY DESIGN:The research study was conducted at 4 hospitals...

journal_title：Journal of the American College of Surgeons

authors： Sidwell RA,Spilman SK,Huntsman RS,Pelaez CA

更新日期：2018-02-01 00:00:00

abstract：BACKGROUND:Triage decision correctness for children in motor vehicle crashes can be affected by occult injuries. There is a need to develop a transfer score (TS) metric for children that can help quantify the likelihood that an injury is present that would require transfer to a trauma center (TC) from a non-TC, and imp...

journal_title：Journal of the American College of Surgeons

authors： Doud AN,Schoell SL,Talton JW,Barnard RT,Petty JK,Meredith JW,Martin RS,Stitzel JD,Weaver AA

更新日期：2018-01-01 00:00:00

abstract：BACKGROUND:Previous studies have documented significant differences between administrative data and registry data in the determination of postoperative MI. The goal of this study was to characterize discordance between administrative and registry data in the determination of postoperative myocardial infarction (MI). S...

journal_title：Journal of the American College of Surgeons

authors： Etzioni DA,Lessow C,Bordeianou LG,Kunitake H,Deery SE,Carchman E,Papageorge CM,Fuhrman G,Seiler RL,Ogilvie J,Habermann EB,Chang YH,Money SR

更新日期：2018-01-01 00:00:00

abstract：BACKGROUND:The prediction of postoperative liver function remains a largely subjective practice based on CT volumetric analysis. However, future liver volume after a hepatectomy is not the only factor that contributes to postoperative liver function and outcomes. STUDY DESIGN:In this prospective trial, 185 consecutive...

journal_title：Journal of the American College of Surgeons

authors： Okabayashi T,Shima Y,Morita S,Shimada Y,Sumiyoshi T,Sui K,Iwata J,Iiyama T

更新日期：2017-12-01 00:00:00

abstract：BACKGROUND:Emergency general surgery (EGS) contributes to half of all surgical mortality nationwide, is associated with a 50% complication rate, and has a 15% readmission rate within 30 days. We assessed associations between surgeon and hospital EGS volume with these outcomes. STUDY DESIGN:Using Maryland's Health Serv...

journal_title：Journal of the American College of Surgeons

authors： Mehta A,Efron DT,Canner JK,Dultz L,Xu T,Jones C,Haut ER,Higgins RSD,Sakran JV

更新日期：2017-11-01 00:00:00

abstract：BACKGROUND:Vascularized lymph node transfer (VLNT) is a surgical treatment for lymphedema. Multiple donor sites have been described and each has significant disadvantages. We propose the jejunal mesentery as a novel donor site for VLNT. STUDY DESIGN:We performed a cadaveric anatomic study analyzing jejunal lymph nodes...

journal_title：Journal of the American College of Surgeons

authors： Coriddi M,Wee C,Meyerson J,Eiferman D,Skoracki R

更新日期：2017-11-01 00:00:00

abstract：BACKGROUND:The laparoscopic adjustable gastric band (LAGB) was approved for use in the US in 2001 and has been found to be a safe and effective surgical treatment for morbid obesity. However, there is a recent trend toward reduced use of LAGB nationwide. The objective of this study was to examine the prevalence and out...

journal_title：Journal of the American College of Surgeons

authors： Koh CY,Inaba CS,Sujatha-Bhaskar S,Hohmann S,Ponce J,Nguyen NT

更新日期：2017-10-01 00:00:00

abstract：BACKGROUND:Mental health disorders are prevalent before and after burn injury. However, the impact of burn injury on risk of subsequent mental health disorders is unknown. STUDY DESIGN:We conducted a population-based, self-matched longitudinal cohort study using administrative data in Ontario, Canada between 2003 and ...

journal_title：Journal of the American College of Surgeons

authors： Mason SA,Nathens AB,Byrne JP,Ellis J,Fowler RA,Gonzalez A,Karanicolas PJ,Moineddin R,Jeschke MG

更新日期：2017-10-01 00:00:00

abstract：BACKGROUND:Delayed gastric emptying (DGE) is a common serious problem after pancreaticoduodenectomy (PD). Flange gastrojejunostomy (FL-GE) is a previously described technique that creates an internal flange in a hand-sewn gastroenterostomy. Results of FL-GE on incidence and severity of DGE after PD are presented. STUD...

journal_title：Journal of the American College of Surgeons

authors： Khan AS,Williams G,Woolsey C,Liu J,Fields RC,Doyle MMB,Hawkins WG,Strasberg SM

更新日期：2017-10-01 00:00:00

abstract：BACKGROUND:Transversus abdominis plane (TAP) block has been used as a component of multimodal analgesia after abdominal operation. We introduced a new laparoscope-assisted TAP (LTAP) block technique using intraperitoneal injection and compared its analgesic effect with that of an ultrasound-guided TAP (UTAP) block in t...

journal_title：Journal of the American College of Surgeons

authors： Park SY,Park JS,Choi GS,Kim HJ,Moon S,Yeo J

更新日期：2017-09-01 00:00:00

abstract：BACKGROUND:Neoadjuvant locoregional therapies (LRTs) have been widely used to reduce tumor burden or to downstage hepatocellular carcinoma (HCC) before orthotopic liver transplantation (OLT). We examined the impact of LRT response on HCC recurrence after OLT. STUDY DESIGN:We performed a retrospective study of 384 pati...

journal_title：Journal of the American College of Surgeons

authors： Xu M,Doyle MM,Banan B,Vachharajani N,Wang X,Saad N,Fowler K,Brunt EM,Lin Y,Chapman WC

更新日期：2017-07-01 00:00:00

abstract：BACKGROUND:An intraoperative adverse event (iAE) is often directly attributable to the surgeon's technical error and/or suboptimal intraoperative judgment. We aimed to examine the psychological impact of iAEs on surgeons as well as the surgeons' attitude about iAE reporting. STUDY DESIGN:We conducted a web-based cross...

journal_title：Journal of the American College of Surgeons

authors： Han K,Bohnen JD,Peponis T,Martinez M,Nandan A,Yeh DD,Lee J,Demoya M,Velmahos G,Kaafarani HMA

更新日期：2017-06-01 00:00:00

abstract：BACKGROUND:Computed tomography is commonly used to rule out intra-abdominal injury (IAI) in children, despite associated cost and radiation exposure. Our purpose was to derive a prediction rule to identify children at very low risk for IAI after blunt abdominal trauma (BAT) for whom a CT scan of the abdomen would be un...

journal_title：Journal of the American College of Surgeons

authors： Streck CJ,Vogel AM,Zhang J,Huang EY,Santore MT,Tsao K,Falcone RA,Dassinger MS,Russell RT,Blakely ML,Pediatric Surgery Research Collaborative.

更新日期：2017-04-01 00:00:00

abstract：BACKGROUND:To identify patients with a high risk of 30-day mortality after elective surgery, who may benefit from referral for tertiary care, an institution-specific process using the Veterans Affairs Surgical Quality Improvement Program (VASQIP) Risk Calculator was developed. The goal was to develop and validate the m...

journal_title：Journal of the American College of Surgeons

authors： Keller DS,Kroll D,Papaconstantinou HT,Ellis CN

更新日期：2017-04-01 00:00:00

abstract：BACKGROUND:Accountable care organizations (ACOs) attempt to provide the most efficient and effective care to patients within a region. We hypothesized that patients who undergo surgery closer to home have improved survival due to proximity of preoperative and post-discharge care. STUDY DESIGN:All (17,582) institutiona...

journal_title：Journal of the American College of Surgeons

authors： Mehaffey JH,Hawkins RB,Mullen MG,Meneveau MO,Schirmer B,Kron IL,Jones RS,Hallowell PT

更新日期：2017-04-01 00:00:00

abstract：BACKGROUND:In December 2014, a new kidney allocation system (KAS) was implemented nationwide with the goal of improving longevity matching, increasing access to sensitized patients, and improving racial/ethnic disparities. STUDY DESIGN:National cohort study of US kidney transplantation programs, analyzing hospital-lev...

journal_title：Journal of the American College of Surgeons

authors： Taber DJ,DuBay D,McGillicuddy JW,Nadig S,Bratton CF,Chavin KD,Baliga PK

更新日期：2017-04-01 00:00:00

abstract：BACKGROUND:Laparoscopic antireflux surgery (LARS) has proven to be as effective as open antireflux surgery (OARS), but it is associated with a shorter hospital stay and a faster recover. The aims of this study were to assess the national use of LARS in the US and to compare the perioperative outcomes between laparoscop...

journal_title：Journal of the American College of Surgeons

authors： Schlottmann F,Strassle PD,Patti MG

更新日期：2017-03-01 00:00:00

abstract：:THE SECOND JOAN L AND JULIUS H JACOBSON PROMISING INVESTIGATOR AWARDEE, EDITH TZENG MD, FACS: In 2005, the Surgical Research Committee of the American College of Surgeons was tasked with selecting the recipient of a newly established award, "The Joan L and Julius H Jacobson Promising Investigator Award." According to ...

journal_title：Journal of the American College of Surgeons

authors： Tzeng E

更新日期：2017-01-01 00:00:00

abstract：BACKGROUND:Neoadjuvant treatment improves survival in resectable esophageal adenocarcinoma, but the optimal regimen has not been defined. Neoadjuvant chemoradiation (nCRT) is associated with higher pathologic complete response (pCR) relative to chemotherapy (nCTX), but has not been shown to improve survival; however, p...

journal_title：Journal of the American College of Surgeons

authors： Al-Sukhni E,Gabriel E,Attwood K,Kukar M,Nurkin SJ,Hochwald SN

更新日期：2016-12-01 00:00:00

abstract：BACKGROUND:Day case surgery (DCS) for uncomplicated acute appendicitis (NCAA) is evaluated. The objective of this prospective, single-center, descriptive, nonrandomized, intention-to-treat cohort study was to assess the feasibility of DCS for NCAA with a critical analysis of the reasons for exclusion and treatment fail...

journal_title：Journal of the American College of Surgeons

authors： Grelpois G,Sabbagh C,Cosse C,Robert B,Chapuis-Roux E,Ntouba A,Lion T,Regimbeau JM

更新日期：2016-11-01 00:00:00

abstract：BACKGROUND:Earlier work suggested that telephone follow-up could be used in lieu of in-person follow-up after surgery, saving patients time and travel and maximizing use of scarce surgeon and facility resources. We report our experience implementing and evaluating telephone postoperative follow-up within an integrated ...

journal_title：Journal of the American College of Surgeons

authors： Kummerow Broman K,Roumie CL,Stewart MK,Castellanos JA,Tarpley JL,Dittus RS,Pierce RA

更新日期：2016-10-01 00:00:00

abstract：BACKGROUND:Immediate reconstruction of perineal defects secondary to abdominoperineal resection (APR) or pelvic exenteration with pedicled flaps decreases postoperative wound complications when compared with direct closure in high-risk patients. Although some authors have been proponents of abdominal-based flaps, here ...

journal_title：Journal of the American College of Surgeons

authors： Singh M,Kinsley S,Huang A,Ricci JA,Clancy TE,Irani J,Goldberg J,Breen E,Bleday R,Talbot SG

更新日期：2016-10-01 00:00:00

abstract：BACKGROUND:In transrectal rigid-hybrid natural orifice translumenal endoscopic sigmoidectomy (trNS), extraction-site laparotomy is avoided, which reduces postoperative pain and improves recovery time. However, current research evaluating anorectal function after trNS is limited. This study aims to evaluate clinical con...

journal_title：Journal of the American College of Surgeons

authors： Steinemann DC,Zerz A,Germann S,Lamm SH

更新日期：2016-08-01 00:00:00

abstract：BACKGROUND:The robotic platform has been used increasingly to perform colorectal surgery. The benefits of robotic colectomy when compared with laparoscopic colectomy have not been definitively established. STUDY DESIGN:A retrospective review of the NSQIP database was performed on patients undergoing elective laparosco...

journal_title：Journal of the American College of Surgeons

authors： Miller PE,Dao H,Paluvoi N,Bailey M,Margolin D,Shah N,Vargas HD

更新日期：2016-08-01 00:00:00

abstract：BACKGROUND:Uninsured patients have poor access to screening colonoscopy and subsequently present with advanced stages of colorectal cancer (CRC) that beget worse outcomes and higher total costs. Providing pro bono colonoscopies to uninsured patients at high risk for CRC can detect early stage disease and be cost-effect...

journal_title：Journal of the American College of Surgeons

authors： Sutton ER,Walling S,Kimbrough C,Borkhetaria N,Jones W,Sutton B

更新日期：2016-07-01 00:00:00

abstract：BACKGROUND:Advanced Automatic Crash Notification algorithms use vehicle telemetry measurements to predict risk of serious motor vehicle crash injury. The objective of the study was to develop an Advanced Automatic Crash Notification algorithm to reduce response time, increase triage efficiency, and improve patient outc...

journal_title：Journal of the American College of Surgeons

authors： Stitzel JD,Weaver AA,Talton JW,Barnard RT,Schoell SL,Doud AN,Martin RS,Meredith JW

更新日期：2016-06-01 00:00:00

abstract：BACKGROUND:Closed-suction drains, implants, and acellular dermal matrix (ADM) are routinely used in tissue expander-based immediate breast reconstruction (TE-IBR). Each of these factors is thought to increase the potential for surgical site infection (SSI). Although CDC guidelines recommend only 24 hours of antibiotic ...

journal_title：Journal of the American College of Surgeons

authors： Phillips BT,Fourman MS,Bishawi M,Zegers M,O'Hea BJ,Ganz JC,Huston TL,Dagum AB,Khan SU,Bui DT

更新日期：2016-06-01 00:00:00

abstract：BACKGROUND:Use of Enhanced Recovery After Surgery (ERAS) pathways have evidenced improved outcomes in several surgical specialties. The effectiveness of ERAS pathways specific to hernia surgery, however, has not yet been investigated. We hypothesized that our ERAS pathway would accelerate functional recovery and shorte...

journal_title：Journal of the American College of Surgeons

authors： Majumder A,Fayezizadeh M,Neupane R,Elliott HL,Novitsky YW

更新日期：2016-06-01 00:00:00

abstract：BACKGROUND:Molecular staging of sentinel lymph nodes (SLNs) may identify patients who are node-negative by standard microscopic staging but are at increased risk for regional nodal recurrence; such patients may benefit from completion lymph node dissection (CLND). STUDY DESIGN:In a multicenter, randomized clinical tri...

journal_title：Journal of the American College of Surgeons

authors： Kimbrough CW,Egger ME,McMasters KM,Stromberg AJ,Martin RC,Philips P,Scoggins CR

更新日期：2016-04-01 00:00:00

abstract：BACKGROUND:Laparoscopic appendectomy is typically associated with inpatient hospitalization averaging between 1 and 2 days. In July 2010, a prospective protocol for outpatient laparoscopic appendectomy was adopted at our institution. Patients were dismissed from the post-anesthesia recovery room or day surgery if they ...

journal_title：Journal of the American College of Surgeons

authors： Frazee RC,Abernathy SW,Isbell CL,Isbell T,Regner JL,Smith RD

更新日期：2016-04-01 00:00:00

abstract：BACKGROUND:Appendiceal cancer (AC) patients treated with cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) often demonstrate an unpredictable variability in their survival outcomes. Biomarkers predictive of CRS/HIPEC efficacy could better guide treatment decisions. We hypothesized that v...

journal_title：Journal of the American College of Surgeons

authors： Levine EA,Votanopoulos KI,Qasem SA,Philip J,Cummins KA,Chou JW,Ruiz J,D'Agostino R,Shen P,Miller LD

更新日期：2016-04-01 00:00:00

abstract：BACKGROUND:Neoadjuvant chemoradiotherapy (nCRT) has demonstrated proven benefit in tumor regression and improved long-term local control for patients with locally advanced rectal cancer. However, precise analysis of the optimal waiting time that maximizes oncologic benefits of nCRT has not been established. STUDY DESI...

journal_title：Journal of the American College of Surgeons

authors： Sun Z,Adam MA,Kim J,Shenoi M,Migaly J,Mantyh CR

更新日期：2016-04-01 00:00:00

abstract：BACKGROUND:There is increasing interest in implementing comprehensive perioperative protocols, including preoperative optimization and education, perioperative goal-directed fluid management, and postoperative fast tracking, to enhance recovery after surgery. Data on the outcomes of these protocols in pancreatic surger...

journal_title：Journal of the American College of Surgeons

authors： Morgan KA,Lancaster WP,Walters ML,Owczarski SM,Clark CA,McSwain JR,Adams DB

更新日期：2016-04-01 00:00:00

abstract：BACKGROUND:Led by the American College of Surgeons Trauma Quality Improvement Program, performance improvement efforts have expanded to regional and national levels. The American College of Surgeons Trauma Quality Improvement Program recommends 5 audit filters to identify records with erroneous data, and the Georgia Co...

journal_title：Journal of the American College of Surgeons

authors： Dente CJ,Ashley DW,Dunne JR,Henderson V,Ferdinand C,Renz B,Massoud R,Adamski J,Hawke T,Gravlee M,Cascone J,Paynter S,Medeiros R,Atkins E,Nicholas JM,GRIT Study Group.

更新日期：2016-03-01 00:00:00

abstract：BACKGROUND:We sought to examine our institutional experience (1998 to 2014) with minimally invasive repairs of pectus excavatum (MIRPE). STUDY DESIGN:We conducted a retrospective review and a mailed survey (quality of life assessment). Associations with reoperation due to bar migration and recurrence after bar removal...

journal_title：Journal of the American College of Surgeons

authors： Gibreel W,Zendejas B,Joyce D,Moir CR,Zarroug AE

更新日期：2016-03-01 00:00:00

abstract：BACKGROUND:Abdominal wall reconstruction for complex ventral and incisional hernias is associated with significant complications. Commonly, the peritoneal cavity is opened and adhesiolysis is performed with the potential for enterotomy. A totally extraperitoneal (TE) approach to abdominal wall reconstruction is feasibl...

journal_title：Journal of the American College of Surgeons

authors： Johnson KC,Miller MT,Plymale MA,Levy S,Davenport DL,Roth JS

更新日期：2016-02-01 00:00:00

abstract：BACKGROUND:Recent literature suggests that focus in health care should shift from reducing costs to improving quality; where quality of health care improves, cost reduction will follow. Our primary aim was to investigate whether improving the quality of surgical colorectal cancer care, by using a national quality impro...

journal_title：Journal of the American College of Surgeons

authors： Govaert JA,van Dijk WA,Fiocco M,Scheffer AC,Gietelink L,Wouters MW,Tollenaar RA

更新日期：2016-01-01 00:00:00

abstract：BACKGROUND:Many patients seek greater accessibility to health care. Meanwhile, surgeons face increasing time constraints due to workforce shortages and elevated performance demands. Online postoperative care may improve patient access while increasing surgeon efficiency. We aimed to evaluate patient and surgeon accepta...

journal_title：Journal of the American College of Surgeons

authors： Kummerow Broman K,Oyefule OO,Phillips SE,Baucom RB,Holzman MD,Sharp KW,Pierce RA,Nealon WH,Poulose BK

更新日期：2015-12-01 00:00:00

abstract：BACKGROUND:The National Surgical Quality Improvement Program-Pediatrics (NSQIP-P) collects data for institutional quality benchmarking of surgery performed on children using a sampling algorithm. The Pediatric and Infant Case Log and Outcomes (PICaLO) is a database of all general and thoracic pediatric surgery (GTPS) p...

journal_title：Journal of the American College of Surgeons

authors： Gross ER,Christensen M,Schultz JA,Cassidy LD,Anderson Y,Arca MJ

更新日期：2015-10-01 00:00:00