Descriptive Analysis of Outcomes After Onlay Ventral Hernia Repair in Obese Patients
CONCLUSION: Obesity is a risk factor for poor outcomes after VHR. We developed a protocol for obese patients with large defects involving a modified onlay technique which demonstrates comparable results to other VHR techniques in obese patients.PMID:38676337 | DOI:10.1177/00031348241241706 (Source: The American Surgeon)
Source: The American Surgeon - April 27, 2024 Category: Surgery Authors: Carolyn P Smullin Rivfka S Shenoy Kevin J Blair Charles F Chandler Source Type: research
Prognostic Factors Affecting Survival of Patients With Single Primary Breast Cancer vs Patients With Multiple Primary Cancers in Lifetime, One of Which is Breast Cancer
CONCLUSION: Although patients with SPBC have worse prognostic tumor characteristics, OS and CSS rates are better than patients with MPC.PMID:38676386 | DOI:10.1177/00031348241248695 (Source: The American Surgeon)
Source: The American Surgeon - April 27, 2024 Category: Surgery Authors: Ahmet Necati Sanli Deniz Esin Tekcan Sanli M Kadri Altundag Fatih Aydogan Source Type: research
Factors Predicting Readmission and Mortality in Patients Admitted for Malignant Bowel Obstruction
CONCLUSION: Patient age, primary language, and PC consult were predictors for MBO readmission, which may impact 90-day mortality. Given the palliative nature of MBO, modifiable factors such as PC consultation and multidisciplinary goals of care discussions should be prioritized in order to reduce readmissions and focus on quality of life (QOL) for this patient population.PMID:38676624 | DOI:10.1177/00031348241250045 (Source: The American Surgeon)
Source: The American Surgeon - April 27, 2024 Category: Surgery Authors: Nova Xu Beatrice J Sun Tiffany M Yue Byrne Lee Source Type: research
Blunt Abdominal Trauma in Pregnancy: Higher Rates of Severe Abdominal Injuries
DISCUSSION: BSOI occurred at a lower rate in PTPs compared to non-PTPs; however, contrary to the "cushion effect" observed in obese populations, pregnant women had a higher rate of severe abdominal injuries. These data support comprehensive evaluations for PTPs presenting after a MVC.LEVEL OF EVIDENCE: IV (therapeutic).PMID:38676625 | DOI:10.1177/00031348241248790 (Source: The American Surgeon)
Source: The American Surgeon - April 27, 2024 Category: Surgery Authors: Shannon Skochko Jeffry Nahmias Michael Lekawa Allen Kong Sebastian Schubl Lourdes Swentek Areg Grigorian Source Type: research
Neoadjuvant Chemotherapy and Radiation Improves Recurrence-free and Overall Survival in Resectable and Borderline Resectable Pancreatic Ductal Adenocarcinoma
CONCLUSION: Patients with resectable/borderline resectable PDAC who receive neoadjuvant therapy have longer OS and RFS relative to those who receive upfront surgery.PMID:38676648 | DOI:10.1177/00031348241250043 (Source: The American Surgeon)
Source: The American Surgeon - April 27, 2024 Category: Surgery Authors: Jesse K Kelley Hordur Kolbeinsson Sreenivasa Chandana Benjamin Eastburg Austin Frisch Jessica Parker G Paul Wright M Mura Assifi Mathew Chung Source Type: research
Evaluating Clinical Reasoning in Undergraduate Medical Education: The Value of a Virtual Oral Assessment
CONCLUSIONS: Virtual oral assessments of clinical reasoning can be incorporated in undergraduate medical education to identify students struggling with components of clinical reasoning, while also allowing maximum flexibility for the clinician educator workforce as examiners. Longitudinal use of these exams would be valuable to track the development of clinical reasoning across the medical school curriculum.PMID:38676698 | DOI:10.1177/00031348241250049 (Source: The American Surgeon)
Source: The American Surgeon - April 27, 2024 Category: Surgery Authors: Michelle Jeffery A Reema Kar Archana Pradhan Samantha Brannigan Carol Terregino Hanin Rashid Rick Salisbury Conrad Johnson Sugeet Jagpal Source Type: research
From Bytes to Best Practices: Tracing ChatGPT-3.5's Evolution and Alignment With the National Comprehensive Cancer Network ® Guidelines in Pancreatic Adenocarcinoma Management
CONCLUSION: ChatGPT-3.5 represents an interesting but limited tool for assistance in clinical decision-making. We demonstrate that the platform evolved, and its responses to our standardized questions improved over a relatively short period (3-months). Future research is needed to determine the validity of this tool for this clinical application.PMID:38666297 | DOI:10.1177/00031348241248801 (Source: The American Surgeon)
Source: The American Surgeon - April 26, 2024 Category: Surgery Authors: Tamir E Bresler Shivam Pandya Ryan Meyer Zin Htway Manabu Fujita Source Type: research
Bile Duct Injuries During Urgent Cholecystectomy at a Safety Net Teaching Hospital: Attending Experience and Time of Day May Matter
Conclusion: Most BDI occurred in procedures attended by first-year faculty during after hours cholecystectomies, suggesting a role for increased proctorship in early career attendings in addition to in-hours cholecystectomy for acute cholecystitis. The timely return to baseline function experienced by these patients emphasizes the favorable outcomes associated with early recognition of BDI and involvement of hepatobiliary surgery. Further examination with multicenter evaluation would be beneficial to validate these study findings.PMID:38669047 | DOI:10.1177/00031348241248805 (Source: The American Surgeon)
Source: The American Surgeon - April 26, 2024 Category: Surgery Authors: Chaiss Ugarte Shannon Zielsdorf Ramsey Ugarte Odeya Kagan Ryan Murphy Matthew J Martin Kenji Inaba Morgan Schellenberg Source Type: research
Risk Factors for Skin Flap and Nipple-Areolar Necrosis in Patients Undergoing Nipple-Sparing Mastectomy With Deep Inferior Epigastric Perforator Flap Reconstruction
CONCLUSION: In patients receiving NSM with DIEP flap reconstruction, those with hypoperfusion on SPY angiography and longer smoking history had higher necrosis rates. This supports the continued used of SPY angiography and the role of pre-operative counseling in former smokers with increased pack years on their risk of necrosis and the role of preventative measures in the perioperative setting.PMID:38671547 | DOI:10.1177/00031348241250039 (Source: The American Surgeon)
Source: The American Surgeon - April 26, 2024 Category: Surgery Authors: Hannah R Ray Erin L Doren Karri Adamson Amanda L Kong Chandler S Cortina Source Type: research
From Bytes to Best Practices: Tracing ChatGPT-3.5's Evolution and Alignment With the National Comprehensive Cancer Network ® Guidelines in Pancreatic Adenocarcinoma Management
CONCLUSION: ChatGPT-3.5 represents an interesting but limited tool for assistance in clinical decision-making. We demonstrate that the platform evolved, and its responses to our standardized questions improved over a relatively short period (3-months). Future research is needed to determine the validity of this tool for this clinical application.PMID:38666297 | DOI:10.1177/00031348241248801 (Source: The American Surgeon)
Source: The American Surgeon - April 26, 2024 Category: Surgery Authors: Tamir E Bresler Shivam Pandya Ryan Meyer Zin Htway Manabu Fujita Source Type: research
Bile Duct Injuries During Urgent Cholecystectomy at a Safety Net Teaching Hospital: Attending Experience and Time of Day May Matter
Conclusion: Most BDI occurred in procedures attended by first-year faculty during after hours cholecystectomies, suggesting a role for increased proctorship in early career attendings in addition to in-hours cholecystectomy for acute cholecystitis. The timely return to baseline function experienced by these patients emphasizes the favorable outcomes associated with early recognition of BDI and involvement of hepatobiliary surgery. Further examination with multicenter evaluation would be beneficial to validate these study findings.PMID:38669047 | DOI:10.1177/00031348241248805 (Source: The American Surgeon)
Source: The American Surgeon - April 26, 2024 Category: Surgery Authors: Chaiss Ugarte Shannon Zielsdorf Ramsey Ugarte Odeya Kagan Ryan Murphy Matthew J Martin Kenji Inaba Morgan Schellenberg Source Type: research
Hospital Quality Mediates Impact of Care Fragmentation Following Elective Colectomy
CONCLUSIONS: Care fragmentation was associated with greater morbidity and resource utilization at readmission following elective colectomy. Further, rehospitalization at non-index LQH conferred significantly inferior outcomes. Novel efforts are needed to improve continuity of care.PMID:38659168 | DOI:10.1177/00031348241248795 (Source: The American Surgeon)
Source: The American Surgeon - April 25, 2024 Category: Surgery Authors: Sara Sakowitz Syed Shahyan Bakhtiyar Saad Mallick Nam Yong Cho Shineui Kim Nguyen K Le Hanjoo Lee Peyman Benharash Source Type: research
Contemporary Outcomes and Patterns of Injury Associated With Parachuting Accidents
DISCUSSION: Although the 30-day mortality rate for patient who presented to our trauma center is low, it can bear significant risks including major injury. The most common injuries were lower extremity and spinal in origin with a third of patients overall requiring at least one operation.PMID:38661105 | DOI:10.1177/00031348241248809 (Source: The American Surgeon)
Source: The American Surgeon - April 25, 2024 Category: Surgery Authors: Ramsey S Elsayed Avian Pham Nikilish Chitibomma Macey Yates Kaylene Barrera Marvin J Atchison Titio F Gorski Source Type: research
The USCENTCOM Walking Blood Bank Performance Benchmark and Anticipated Benefit of Universal Low Titer Type O Screening
Am Surg. 2024 Apr 25:31348241248798. doi: 10.1177/00031348241248798. Online ahead of print.ABSTRACTThe walking blood bank (WBB) is a system for emergency blood acquisition from nearby donors if a patient's blood needs exceed the immediate supply. USCENTCOM medical units will perform a walking blood bank if immediate blood requirements exceed the local supply. A benchmark WBB performance time was needed to provide a training goal for military WBB exercises. An expeditionary WBB performance time benchmark was created from prospective measurements of USCENTCOM medical unit performance times over 9 months. The mean total time,...
Source: The American Surgeon - April 25, 2024 Category: Surgery Authors: Andrew Hall Alexander Alba Cara Olsen Nicholas Greene Kasey Hales Darienne DeWalt Brendon Drew Ryan Comes Matthew Hanson Source Type: research
Hospital Quality Mediates Impact of Care Fragmentation Following Elective Colectomy
CONCLUSIONS: Care fragmentation was associated with greater morbidity and resource utilization at readmission following elective colectomy. Further, rehospitalization at non-index LQH conferred significantly inferior outcomes. Novel efforts are needed to improve continuity of care.PMID:38659168 | DOI:10.1177/00031348241248795 (Source: The American Surgeon)
Source: The American Surgeon - April 25, 2024 Category: Surgery Authors: Sara Sakowitz Syed Shahyan Bakhtiyar Saad Mallick Nam Yong Cho Shineui Kim Nguyen K Le Hanjoo Lee Peyman Benharash Source Type: research
