journal
https://read.qxmd.com/read/38521673/paget-s-disease-of-the-breast-insights-from-imaging-to-guide-surgical-management
#1
EDITORIAL
Juliet C Dalton, Jennifer K Plichta
No abstract text is available yet for this article.
March 18, 2024: American Journal of Surgery
https://read.qxmd.com/read/38519401/hospital-readmissions-after-robotic-hepatectomy-for-neoplastic-disease-analysis-of-risk-factors-survival-and-economical-impact-a-logistical-regression-and-propensity-score-matched-study
#2
JOURNAL ARTICLE
Michelle M Dugan, Sharona Ross, Maria Christodoulou, Tara M Pattilachan, Jeilianis Adorno Flores, Alexander Rosemurgy, Iswanto Sucandy
BACKGROUND: As the first comprehensive investigation into hospital readmissions following robotic hepatectomy for neoplastic disease, this study aims to fill a critical knowledge gap by evaluating risk factors associated with readmission and their impact on survival and the financial burden. METHODS: The study analyzed a database of robotic hepatectomy patients, comparing readmitted and non-readmitted individuals post-operatively using 1:1 propensity score matching...
March 18, 2024: American Journal of Surgery
https://read.qxmd.com/read/38531750/teaching-cultural-dexterity-in-surgical-care-as-essential-to-a-surgeon-s-skill-set-as-tying-a-knot
#3
EDITORIAL
Gezzer Ortega, Brittany M Dacier, Jorge Zárate Rodriguez, Maria B J Chun, N Rhea Udyavar, Benjamin G Allar, Alexander R Green, Adil H Haider, Douglas S Smink
No abstract text is available yet for this article.
March 11, 2024: American Journal of Surgery
https://read.qxmd.com/read/38519404/surgical-journal-clubs-navigating-the-post-pandemic-landscape
#4
REVIEW
Taylor A Brown, Maeve Alterio, Erik C Stiles, Michael Vu, Blair B Washington, Theodore R Chauvin, Anjali S Kumar
Pandemic-related distancing regulations gave medical educators at our college an opportunity to reimagine and expand our evidenced-based medicine curriculum to an asynchronous, virtual format. We share the experience of course directors, faculty, and students with our new surgical journal club format. Our goal was to support learners' critical appraisal skills of the surgical literature through active learning modalities such as visual abstract generation and audio-synopsis creation. We included surgeons whose practice locations and schedules may preclude participation...
March 11, 2024: American Journal of Surgery
https://read.qxmd.com/read/38494359/cardiovascular-disease-risk-scores-in-patients-with-optimal-vs-suboptimal-weight-loss-after-bariatric-surgery-translating-improvements-into-clinical-practice
#5
JOURNAL ARTICLE
Rajaa Mohamed Salih, Juan S Barajas-Gamboa, Gabriel Diaz Del Gobbo, Mohammed Abdallah, Helen Sun, Terrence Lee-St John, Oshin Kanwar, Carlos Abril, Juan Pablo Pantoja, Javed Raza, Hani Sabbour, John Rodriguez, Matthew Kroh, Ricard Corcelles
INTRODUCTION: The aim of this study was to evaluate cardiovascular disease (CVD) risk modification in patients with optimal weight loss (OWL) versus suboptimal weight loss SWL following MBS. METHODS: This was a retrospective analysis. The 10-year risk CVD was estimated before and after one year of surgery using the "Framingham Score". RESULTS: 191 patients were included in our study. Mean baseline Framingham score was 7.2 ​± ​6...
March 11, 2024: American Journal of Surgery
https://read.qxmd.com/read/38492993/survival-disparities-in-rural-versus-urban-patients-with-pancreatic-neuroendocrine-tumor-a-multi-institutional-study-from-the-us-neuroendocrine-tumor-study-group
#6
JOURNAL ARTICLE
Muhammad Bilal Mirza, Jordan J Baechle, Paula Marincola Smith, Mary Dillhoff, George Poultsides, Flavio G Rocha, Clifford S Cho, Emily R Winslow, Ryan C Fields, Shishir K Maithel, Kamran Idrees
BACKGROUND: Pancreatic Neuroendocrine Tumors (PNETs) are indolent malignancies that often have a prolonged clinical course. This study assesses disparities in outcomes between PNET patients who live in urban (UA) and rural areas (RA). METHODS: A retrospective cohort study was performed using the US Neuroendocrine Tumor Study Group database. PNET patients with a home zip code recorded were included and categorized as RA or UA according to the Federal Office of Rural Health Policy...
March 11, 2024: American Journal of Surgery
https://read.qxmd.com/read/38494357/the-association-of-hernia-specific-and-procedural-risk-factors-with-early-complications-in-ventral-hernia-repair-achqc-analysis
#7
JOURNAL ARTICLE
Mazen R Al-Mansour, Delaney D Ding, Celeste G Yergin, Robert Tamer, Li-Ching Huang
BACKGROUND: Many surgical risk assessment tools emphasize patient-specific risk factors. Our objective was to use a hernia-specific database to assess risk factors of complications in ventral hernia repair (VHR) focusing on hernia-specific and procedural factors. METHODS: The ACHQC database was queried for elective VHR in adults from 2012 to 2023. Primary outcome was overall 30-day complications. Multivariable logistic regression was used for analysis. RESULTS: 41,526 VHR were included...
March 8, 2024: American Journal of Surgery
https://read.qxmd.com/read/38490880/multiple-positive-imaging-tests-in-diagnosing-acute-appendicitis-an-analysis-of-more-than-27-000-cases
#8
JOURNAL ARTICLE
Akie Watanabe, Michael Guo, Christina Schweitzer, Sam M Wiseman
No abstract text is available yet for this article.
March 8, 2024: American Journal of Surgery
https://read.qxmd.com/read/38490879/axillary-ultrasonography-for-early-stage-invasive-breast-cancer
#9
JOURNAL ARTICLE
Karen Jiang, Crystal Ma, Yuwei Yang, Elaine McKevitt, Jin-Si Pao, Rebecca Warburton, Carol Dingee, Jieun Newman- Bremang, Melina Deban, Amy Bazzarelli
BACKGROUND: Among women with early invasive breast cancer and 1-2 positive sentinel nodes, sentinel lymph node biopsy (SLNB) is non-inferior to axillary lymph node dissection (ALND).1-3 However, preoperative axillary ultrasonography (AxUS) may not be sensitive enough to discriminate burden of nodal metastasis in these patients, potentially leading to overtreatment.4-6 This study compares axillary operation rates in patients who did and did not receive preoperative AxUS, assessing its utility and risks for overtreatment...
March 8, 2024: American Journal of Surgery
https://read.qxmd.com/read/38490878/clinical-factors-and-outcomes-of-spleen-conserving-surgery-versus-total-splenectomy-in-splenic-injuries-a-nationwide-database-study
#10
JOURNAL ARTICLE
Angela Tang-Tan, Chih Ying Chien, Stephen Park, Morgan Schellenberg, Lydia Lam, Matthew Martin, Kenji Inaba, Kazuhide Matsushima
BACKGROUND: The objective of this study was to identify factors associated with the use of spleen-conserving surgeries, as well as patient outcomes, on a national scale. METHODS: This retrospective cohort study (2010-2015) included patients (age≥16 years) with splenic injury in the National Trauma Data Bank. Patients who received a total splenectomy or a spleen-conserving surgery were compared for demographics and clinical outcomes. RESULTS: During the study period, 18,425 received a total splenectomy and 1,825 received a spleen-conserving surgery...
March 8, 2024: American Journal of Surgery
https://read.qxmd.com/read/38471982/subtotal-cholecystectomy-are-we-describing-thoroughly-our-approaches
#11
EDITORIAL
Luis Adrian Alvarez-Lozada, Ethel Valeria Orta-Guerra, María Fernanda Gutiérrez-Alvarez, Alejandro Quiroga-Garza, Rodrigo E Elizondo-Omaña
No abstract text is available yet for this article.
March 6, 2024: American Journal of Surgery
https://read.qxmd.com/read/38462412/risk-factors-for-post-operative-vte-following-colorectal-surgery-is-caprini-score-enough
#12
JOURNAL ARTICLE
Anyelin Almanzar, Sophia L Dahmani, Sami Shoucair, Zhifei Sun, Jennifer Ayscue, Brian Bello, Sara Berkey
BACKGROUND: Post-operative colorectal venous thromboembolism (VTE) rates range between 1 and 3%. Often, surgeons utilize risk assessment models, like the modified Caprini, to determine need for prophylaxis. However, studies reveal additional unaccounted risk factors like preoperative serum albumin level, perioperative blood transfusion, emergency surgery, and preoperative steroid use. METHODS: This was a multicenter, retrospective study conducted between January 2021-December 2021...
March 6, 2024: American Journal of Surgery
https://read.qxmd.com/read/38494358/surgical-tactics-of-parathyroidectomy-should-we-abandon-the-use-of-iopth
#13
EDITORIAL
Joaquín Gómez-Ramírez, Raquel Arranz Jiménez
No abstract text is available yet for this article.
March 5, 2024: American Journal of Surgery
https://read.qxmd.com/read/38480062/screening-for-asymptomatic-nephrolithiasis-in-primary-hyperparathyroidism-patients-is-warranted
#14
JOURNAL ARTICLE
Taryn Zabolotniuk, Michael Guo, Michelle Kwon, Akie Watanabe, Joel M H Teichman, Sam M Wiseman
BACKGROUND: We aimed to investigate the prevalence, characteristics, and management of nephrolithiasis in primary hyperparathyroidism (PHPT) patients. METHODS: Medical records of patients who underwent parathyroidectomy at a tertiary care hospital in British Columbia from January 2016 to April 2023 were retrospectively reviewed. Demographic data, laboratory results, imaging reports, and urologic consultations were examined. Descriptive statistics and relevant statistical tests, including logistic regressions, were utilized for data analysis...
March 5, 2024: American Journal of Surgery
https://read.qxmd.com/read/38462411/invited-commentary-parental-leave-policies-in-general-surgery-residencies
#15
EDITORIAL
Kimberly M Ramonell
No abstract text is available yet for this article.
March 4, 2024: American Journal of Surgery
https://read.qxmd.com/read/38462410/the-overtreatment-of-papillary-thyroid-microcarcinoma-in-the-community
#16
JOURNAL ARTICLE
Peter J Abraham, Christopher Wu, Rongzhi Wang, Brendon Herring, Polina Zmijewski, Andrea Gillis, Jessica Fazendin, Brenessa Lindeman, Herbert Chen
INTRODUCTION: Total thyroidectomy is the traditional primary approach for papillary thyroid cancer. However, recent evidence supports conservative management for low-risk tumors like papillary thyroid microcarcinomas (PTMCs). This study explores the adoption of these practices in our community, using a cancer database to analyze treatment strategies. METHODS: A retrospective review of a 1433-patient institutional database identified 258 ​PTMC cases. Outcomes, including 30-day mortality, reoperation rate, postoperative hypocalcemia, and recurrent laryngeal nerve (RLN) injury, were assessed...
March 4, 2024: American Journal of Surgery
https://read.qxmd.com/read/38453552/fraudulent-feelings-imposter-syndrome-in-surgery
#17
EDITORIAL
Jessica L Weaver
No abstract text is available yet for this article.
March 3, 2024: American Journal of Surgery
https://read.qxmd.com/read/38458831/beyond-the-headlines-the-impact-of-the-affordable-care-act-on-equitable-access-to-bariatric-surgery
#18
EDITORIAL
Marcus P Sirianno, Margaux N Mustian
No abstract text is available yet for this article.
March 2, 2024: American Journal of Surgery
https://read.qxmd.com/read/38458830/should-breast-surgery-be-considered-for-patients-with-de-novo-metastatic-inflammatory-breast-cancer
#19
JOURNAL ARTICLE
Lauren M Drapalik, Robert Shenk, Lisa Rock, Ashley Simpson, Amanda L Amin, Megan E Miller
INTRODUCTION: We aimed to identify factors predicting surgery for de novo stage IV inflammatory breast cancer (IBC) and determine the association of surgery with overall survival (OS). METHODS: Female patients with unilateral AJCC clinical stage IV IBC treated 2010-2018 in the NCDB were identified. Logistic regression and multivariable proportional Cox hazards regressions determined factors associated with treatment and OS. RESULTS: Of 1049 patients, 29...
March 2, 2024: American Journal of Surgery
https://read.qxmd.com/read/38448319/patient-adherence-to-an-oral-rehydration-solution-intervention-to-prevent-dehydration-following-ileostomy-creation-a-qualitative-study
#20
JOURNAL ARTICLE
Sarah E Bradley, C Ann Vitous, Maedeh Marzoughi, Shukri H A Dualeh, Samantha J Rivard, Ashley Duby, Samantha Hendren, Pasithorn A Suwanabol
BACKGROUND: Patients undergoing surgery for ileostomy creation frequently experience postoperative dehydration and subsequent renal injury. The use of oral rehydration solutions (ORS) has been shown to prevent dehydration, but compliance may be variable. METHODS: Semi-structured qualitative interviews were conducted with 17 patients who received a postoperative hydration kit and dehydration education to assess barriers and facilitators to compliance with ORS kit instructions...
March 1, 2024: American Journal of Surgery
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