Management of Multiple Ducts at the Transected Pancreatic Neck in a Whipple Procedure
Am Surg. 2024 Apr 14:31348241246177. doi: 10.1177/00031348241246177. Online ahead of print.NO ABSTRACTPMID:38616621 | DOI:10.1177/00031348241246177 (Source: The American Surgeon)
Source: The American Surgeon - April 15, 2024 Category: Surgery Authors: Mohamed Abdelgawad Diana Wu Omar Kamel Sally Abdelgawad Hishaam Ismael Source Type: research
Analyzing the Impact of Concomitant COVID-19 Infection on Outcomes in Trauma Patients
CONCLUSIONS: Trauma patients with concomitant COVID-19 infection have higher mortality and morbidity in the matched population. Focused interventions aimed at recognizing this high-risk group and preventing COVID-19 infection within it should be undertaken.PMID:38613452 | DOI:10.1177/00031348241246176 (Source: The American Surgeon)
Source: The American Surgeon - April 13, 2024 Category: Surgery Authors: Wardah Rafaqat May Abiad Emanuele Lagazzi Dias Argandykov Jefferson A Proa ño-Zamudio George C Velmahos John O Hwabejire Jonathan J Parks Casey M Luckhurst Michael P DeWane Source Type: research
Clinical Implications of Over- and Under-Triage Using Need for Trauma Intervention and Cribari Indices
CONCLUSIONS: Current prehospital triage criteria have poor sensitivity for identifying severely injured trauma patients by both NFTI and CM. UT increases as age of the patient increases. Further studies are needed to improve triage.PMID:38613475 | DOI:10.1177/00031348241246181 (Source: The American Surgeon)
Source: The American Surgeon - April 13, 2024 Category: Surgery Authors: Emily K Lenart Saskya E Byerly Megan G Gross Yasmin M Ali Cory R Evans Thomas S Easterday Isaac W Howley Andy J Kerwin Peter E Fischer Dina M Filiberto Source Type: research
Analyzing the Impact of Concomitant COVID-19 Infection on Outcomes in Trauma Patients
CONCLUSIONS: Trauma patients with concomitant COVID-19 infection have higher mortality and morbidity in the matched population. Focused interventions aimed at recognizing this high-risk group and preventing COVID-19 infection within it should be undertaken.PMID:38613452 | DOI:10.1177/00031348241246176 (Source: The American Surgeon)
Source: The American Surgeon - April 13, 2024 Category: Surgery Authors: Wardah Rafaqat May Abiad Emanuele Lagazzi Dias Argandykov Jefferson A Proa ño-Zamudio George C Velmahos John O Hwabejire Jonathan J Parks Casey M Luckhurst Michael P DeWane Source Type: research
Clinical Implications of Over- and Under-Triage Using Need for Trauma Intervention and Cribari Indices
CONCLUSIONS: Current prehospital triage criteria have poor sensitivity for identifying severely injured trauma patients by both NFTI and CM. UT increases as age of the patient increases. Further studies are needed to improve triage.PMID:38613475 | DOI:10.1177/00031348241246181 (Source: The American Surgeon)
Source: The American Surgeon - April 13, 2024 Category: Surgery Authors: Emily K Lenart Saskya E Byerly Megan G Gross Yasmin M Ali Cory R Evans Thomas S Easterday Isaac W Howley Andy J Kerwin Peter E Fischer Dina M Filiberto Source Type: research
Nipple-Sparing Mastectomy and Adequate Margins for Patients With Ductal Carcinoma In Situ
DISCUSSION: No specific margin status was found to correlate with recurrence for patients with DCIS or DCIS + MI undergoing NSM, with an altogether low recurrence risk. Overall, this suggests that recommended DCIS margins in BCS doesn't necessarily apply in NSM, where margins of <2 mm may be acceptable.PMID:38605446 | DOI:10.1177/00031348241246179 (Source: The American Surgeon)
Source: The American Surgeon - April 12, 2024 Category: Surgery Authors: Kristina Shaffer Lilian Harris Stephanie Ng Judy A Tjoe Source Type: research
Outcomes and Predictors of Delayed Intervention After Renal Trauma
CONCLUSIONS: The most common delayed interventions after renal trauma were renal embolization and ureteral stent. Penetrating mechanism was not a predictor of delayed renal intervention in a trauma center that manages zone II retroperitoneal hematomas similarly regardless of mechanism.PMID:38605637 | DOI:10.1177/00031348241246164 (Source: The American Surgeon)
Source: The American Surgeon - April 12, 2024 Category: Surgery Authors: Megan G Gross Dina M Filiberto Benjamin H Lehrman Emily K Lenart Thomas S Easterday Andrew J Kerwin Saskya E Byerly Source Type: research
Nipple-Sparing Mastectomy and Adequate Margins for Patients With Ductal Carcinoma In Situ
DISCUSSION: No specific margin status was found to correlate with recurrence for patients with DCIS or DCIS + MI undergoing NSM, with an altogether low recurrence risk. Overall, this suggests that recommended DCIS margins in BCS doesn't necessarily apply in NSM, where margins of <2 mm may be acceptable.PMID:38605446 | DOI:10.1177/00031348241246179 (Source: The American Surgeon)
Source: The American Surgeon - April 12, 2024 Category: Surgery Authors: Kristina Shaffer Lilian Harris Stephanie Ng Judy A Tjoe Source Type: research
Outcomes and Predictors of Delayed Intervention After Renal Trauma
CONCLUSIONS: The most common delayed interventions after renal trauma were renal embolization and ureteral stent. Penetrating mechanism was not a predictor of delayed renal intervention in a trauma center that manages zone II retroperitoneal hematomas similarly regardless of mechanism.PMID:38605637 | DOI:10.1177/00031348241246164 (Source: The American Surgeon)
Source: The American Surgeon - April 12, 2024 Category: Surgery Authors: Megan G Gross Dina M Filiberto Benjamin H Lehrman Emily K Lenart Thomas S Easterday Andrew J Kerwin Saskya E Byerly Source Type: research
Large Penetrating Wounds to the Chest Managed With Immediate Chest Wall Reconstruction Using Biologic Mesh, Titanium Plates, and Rotational Tissue Flaps
We describe our initial management followed by prompt surgical repair using biologic mesh, titanium rib spanning plates, and rotational tissue flaps with Z-plasty of the skin for definite closure. All patients did well post-operatively without complications or wound infections. With the appropriate management, we suspect there may be an advantage in performing immediate reconstruction and closure in large open thoracic injuries utilizing biologic mesh and titanium rib spanning plates with a lower risk of infection than previously believed.PMID:38596898 | DOI:10.1177/00031348241244649 (Source: The American Surgeon)
Source: The American Surgeon - April 10, 2024 Category: Surgery Authors: John P Shillinglaw Cory J Nonnemacher Dudley B Christie Source Type: research
Safety and Efficacy of Inpatient Infliximab Rescue Therapy for Acute Crohn's Disease Flares
CONCLUSION: Inpatient rescue infliximab is safe for treating acute Crohn's disease flare in addition to standard steroid therapy. The majority of patients hospitalized with Crohn's flare requiring rescue infliximab avoided surgery with low postoperative and medication-related complications. More research is needed to clarify the optimal rescue infliximab therapy dosage.PMID:38597300 | DOI:10.1177/00031348241246160 (Source: The American Surgeon)
Source: The American Surgeon - April 10, 2024 Category: Surgery Authors: Ashlyn E Whitlock Kevin R Arndt Iordanis Zakopoulos Daniel J Wong Sumedh Kaul Joseph Feuerstein Kristen T Crowell Evangelos Messaris Source Type: research
A Single Hospital-Wide Antibiogram is Insufficient to Account for Differences in Antibiotic Resistance Patterns Across Multiple ICUs
CONCLUSIONS: The results of this study show that different ICUs do have variability in antibiotic susceptibility patterns within a single hospital. While this only represents a single institution, it shows that the use of hospital-wide antibiograms is inadequate for creating empiric antibiotic protocols within individual ICUs.PMID:38597604 | DOI:10.1177/00031348241241636 (Source: The American Surgeon)
Source: The American Surgeon - April 10, 2024 Category: Surgery Authors: Shem K Blackley Jay Lawrence Addison Blevins Caroline Howell Charles C Butts Nathan M Polite Thomas J Capasso Andrew C Bright Kayla A Hall Andrew N Haiflich Ashley Y Williams Christopher M Kinnard Maryann I Mbaka Jonathon P Audia Jon D Simmons Yannleei L Source Type: research
Successful Management of Ileorectal Anastomotic Disruption With Off-Label Use of Endoscopic Covered Metallic Stent
Am Surg. 2024 Apr 10:31348241241708. doi: 10.1177/00031348241241708. Online ahead of print.ABSTRACTColorectal surgery poses significant risks, with anastomotic disruption being a severe complication. Traditional management involves surgical intervention, contributing to postoperative morbidity and mortality. In this brief report, we present a 54-year-old woman with a history of diverticulitis, multiple surgeries, and anastomotic leak following ileorectal anastomosis. Attempts at managing anastomotic leaks with more minimally invasive approaches have been successful in esophageal surgery with the use of covered metallic ste...
Source: The American Surgeon - April 10, 2024 Category: Surgery Authors: Alex Tran Donald Davis Sowsan Rasheid Source Type: research
Large Penetrating Wounds to the Chest Managed With Immediate Chest Wall Reconstruction Using Biologic Mesh, Titanium Plates, and Rotational Tissue Flaps
We describe our initial management followed by prompt surgical repair using biologic mesh, titanium rib spanning plates, and rotational tissue flaps with Z-plasty of the skin for definite closure. All patients did well post-operatively without complications or wound infections. With the appropriate management, we suspect there may be an advantage in performing immediate reconstruction and closure in large open thoracic injuries utilizing biologic mesh and titanium rib spanning plates with a lower risk of infection than previously believed.PMID:38596898 | DOI:10.1177/00031348241244649 (Source: The American Surgeon)
Source: The American Surgeon - April 10, 2024 Category: Surgery Authors: John P Shillinglaw Cory J Nonnemacher Dudley B Christie Source Type: research
Safety and Efficacy of Inpatient Infliximab Rescue Therapy for Acute Crohn's Disease Flares
CONCLUSION: Inpatient rescue infliximab is safe for treating acute Crohn's disease flare in addition to standard steroid therapy. The majority of patients hospitalized with Crohn's flare requiring rescue infliximab avoided surgery with low postoperative and medication-related complications. More research is needed to clarify the optimal rescue infliximab therapy dosage.PMID:38597300 | DOI:10.1177/00031348241246160 (Source: The American Surgeon)
Source: The American Surgeon - April 10, 2024 Category: Surgery Authors: Ashlyn E Whitlock Kevin R Arndt Iordanis Zakopoulos Daniel J Wong Sumedh Kaul Joseph Feuerstein Kristen T Crowell Evangelos Messaris Source Type: research
