Use the journals feature with a free QxMD account.
Use Read by QxMD to access full text via your institution or open access sources.
Read also provides personalized recommendations to keep you up to date in your field.
Existing User
Sign InNew to Read
Sign Up#1
JOURNAL ARTICLE
Guillaume Levenson, Maxime Coutrot, Thibault Voron, Caroline Gronnier, Pierre Cattan, Christian Hobeika, Xavier Benoît D'Journo, Damien Bergeat, Olivier Glehen, Muriel Mathonnet, Guillaume Piessen, Diane Goéré
BACKGROUND: Esophagectomy is associated with significant mortality. A better understanding of the causes leading to death may help to reduce mortality. A root cause analysis of mortality after esophagectomy was performed. METHODS: Root cause analysis was retrospectively applied by an independent expert panel of 4 upper gastrointestinal surgeons and 1 anesthesiologist-intensivist to patients included in the French national multicenter prospective cohort FREGAT between August 2014 and September 2019 who underwent an esophagectomy for cancer and died within 90 days of surgery...
April 18, 2024: Surgery
#2
JOURNAL ARTICLE
Nam Yong Cho, Nguyen K Le, Shineui Kim, Ayesha Ng, Saad Mallick, Nikhil Chervu, Hanjoo Lee, Peyman Benharash
BACKGROUND: Acute complicated diverticulitis poses a substantial burden to individual patients and the health care system. A significant proportion of the cases necessitate emergency operations. The choice between Hartmann's procedure and primary anastomosis with diverting loop ileostomy remains controversial. METHODS: Using American College of Surgeons National Surgical Quality Improvement Program patient user file data from 2012 to 2020, patients undergoing Hartmann's procedure and primary anastomosis with diverting loop ileostomy for nonelective sigmoidectomy for complicated diverticulitis were identified...
April 18, 2024: Surgery
#3
JOURNAL ARTICLE
Nir Horesh, Sameh Hany Emile, Zoe Garoufalia, Rachel Gefen, Peige Zhou, Steven D Wexner
BACKGROUND: It is unclear whether conversion from minimally invasive surgery to laparotomy in patients with colon cancer contributes to worse outcomes compared with those operated by laparotomy. In this study, we aimed to assess the implications of transitioning from minimally invasive surgery to laparotomy in patients with colon cancer compared with patients undergoing upfront laparotomy. METHODS: A retrospective analysis of the National Cancer Database, including patients with stages I to III colon cancer (2010-2019)...
April 18, 2024: Surgery
#4
JOURNAL ARTICLE
Vyacheslav Lenkov, Lucas R A Beffa, Benjamin T Miller, Sara M Maskal, Ryan C Ellis, Chao Tu, David M Krpata, Michael J Rosen, Ajita S Prabhu, Clayton C Petro
BACKGROUND: Abdominal wall reconstruction requires extensive dissection of the abdominal wall, exposure of the retroperitoneum, and aggressive chemoprophylaxis to reduce the risk of thromboembolic complications. The need for early anticoagulation puts patients at risk for bleeding. We aimed to quantify postoperative blood loss, incidence of transfusion and reoperation, and associated risk factors in patients undergoing complex abdominal wall reconstruction. METHODS: All patients underwent a posterior component separation with transversus abdominis release and placement of retromuscular mesh for ventral hernias <20 cm wide and were enrolled in a clinical trial assessing the utility of trans-fascial mesh fixation...
April 18, 2024: Surgery
#5
EDITORIAL
Antony Haddad, Jean-Nicolas Vauthey, Timothy E Newhook
No abstract text is available yet for this article.
April 16, 2024: Surgery
#6
EDITORIAL
Michael G House
No abstract text is available yet for this article.
April 15, 2024: Surgery
#7
JOURNAL ARTICLE
Amber C Kiser, Jianlin Shi, Brian T Bucher
BACKGROUND: Currently, surgical site infection surveillance relies on labor-intensive manual chart review. Recently suggested solutions involve machine learning to identify surgical site infections directly from the medical record. Deep learning is a form of machine learning that has historically performed better than traditional methods while being harder to interpret. We propose a deep learning model, a long short-term memory network, for the identification of surgical site infection from the medical record with an attention layer for explainability...
April 13, 2024: Surgery
#8
JOURNAL ARTICLE
Nam Yong Cho, Amulya Vadlakonda, Joanna Curry, Zachary Tran, Areti Tillou, Christian de Virgilio, Peyman Benharash
BACKGROUND: Peripheral vascular trauma is a major contributing factor to long-term disability and mortality among patients with traumatic injuries. However, an analysis focusing on individuals at a high risk of experiencing limb loss due to rural and urban peripheral vascular trauma is lacking. METHOD: This was a retrospective analysis of the 2016 to 2020 Nationwide Readmissions Database. Patients (≥18 years) undergoing open or endovascular procedures after admission for peripheral vascular trauma were identified using the 2016 to 2020 Nationwide Readmissions Database...
April 12, 2024: Surgery
#9
EDITORIAL
Gregory Sigler, Daniel E Abbott
No abstract text is available yet for this article.
April 12, 2024: Surgery
#10
JOURNAL ARTICLE
Jason Friesen, Ramu Kharel, Peter G Delaney
A majority of emergency response in low and middle-income countries (LMICs) without formal emergency medical services (EMS) rely on uncoordinated layperson first responders (LFRs) to respond to emergencies using readily available mobile phones and private transport. Although formally trained LFRs are an important foundation for nascent emergency medical services (EMS) development, without coordination by standardized emergency medical dispatch (EMD) systems, LFR response is limited to witnessed emergencies, which provides significant but incomplete coverage...
April 11, 2024: Surgery
#11
JOURNAL ARTICLE
Zachary J Eisner, Ken Diango, Jared H Sun
Prehospital emergency medical services play a vital role in providing essential emergency medical and trauma care. However, in many low- and middle-income countries, there is a significant lack of adequate emergency medical services coverage, a problem compounded by a profound deficit of first responder training programs. The African Federation of Emergency Medicine classifies prehospital emergency care into 2 categories: tier-1, which includes laypersons, and tier-2, consisting of professionals equipped with dispatch capabilities...
April 11, 2024: Surgery
#12
JOURNAL ARTICLE
Yutaka Endo, Diamantis I Tsilimigras, Mujtaba Khalil, Jason Yang, Selamawit Woldesenbet, Kazunari Sasaki, Ashley Limkemann, Austin Schenk, Timothy M Pawlik
BACKGROUND: The impact of county-level food access on mortality associated with steatotic liver disease, as well as post-liver transplant outcomes among individuals with steatotic liver disease, have not been characterized. METHODS: Data on steatotic liver disease-related mortality and outcomes of liver transplant recipients with steatotic liver disease between 2010 and 2020 were obtained from the Centers for Disease Control Prevention mortality as well as the Scientific Registry of Transplant Recipients databases...
April 11, 2024: Surgery
#13
JOURNAL ARTICLE
Camille Godet, Charles Sabbagh, Laura Beyer-Berjot, Mehdi Ouaissi, Philippe Zerbib, Bridoux Valérie, Gilles Manceau, Yves Panis, Etienne Buscail, Aurélien Venara, Iman Khaoudy, Martin Gaillard, Manon Viennet, Alexandre Thobie, Benjamin Menahem, Clarisse Eveno, Catherine Bonnel, Jean-Yves Mabrut, Bogdan Badic, Julien Chautard, Yassine Eid, Emilie Duchalais, Zaher Lakkis, Eddy Cotte, Anaïs Laforest, Véronique Desfourneaux-Denis, Léon Maggiori, Lionel Rebibo, Christou Niki, Ali Talal, Diane Mege, Cécile Bonnamy, Adeline Germain, François Mauvais, Christophe Tresallet, Jean Roudie, Alexis Laurent, Bertrand Trilling, Martin Bertrand, Damien Massalou, Benoit Romain, Hadrien Tranchart, Alexandra Pellegrin, Olivier Dejardin, Arnaud Alves
BACKGROUND: The observed increase in the incidence of complicated diverticulitis may lead to the performance of more emergency surgeries. This study aimed to assess the rate and risk factors of emergency surgery for sigmoid diverticulitis. METHOD: The primary outcomes were the rate of emergency surgery for sigmoid diverticulitis and its associated risk factors. The urgent or elective nature of the surgical intervention was provided by the surgeon and in accordance with the indication for surgical treatment...
April 11, 2024: Surgery
#14
JOURNAL ARTICLE
George Yang, Abebe Bekele, Sanjay Krishnaswami, Emmanuel Ameh, Ziad Sifri, Oseremen Aisuodionoe-Shadrach, Mamta Swaroop, Susan Orloff, Fizan Abdullah, Benedict Nwomeh, Mike Chen, Anthony Charles, Constantine Ezeme, Catherine Juillard, Catarina Menezes, Mubanga Chitalu, Fiemu Nwariaku, Randeep S Jawa
BACKGROUND: There are an increasing number of global surgery activities worldwide. With such tremendous growth, there is a potential risk for untoward interactions between high-income country members and low-middle income country members, leading to programmatic failure, poor results, and/or low impact. METHODS: Key concepts for cultural competency and ethical behavior were generated by the Academic Global Surgery Committee of the Society for University Surgeons in collaboration with the Association for Academic Global Surgery...
April 11, 2024: Surgery
#15
JOURNAL ARTICLE
Jared H Sun, Shaheem de Vries, Nee-Kofi Mould-Millman
The World Health Organization recognized timely healthcare as a human right and called for the expansion of two-tiered prehospital and out-of-hospital emergency care systems in low- and middle-income countries. Tier-1 systems involve community-based first responder care, and Tier-2 systems involve more formalized emergency medical services designed as a sustainable system of services, including dedicated ambulances, personnel, and equipment. Tier-2 systems can play a crucial role in reducing mortality and disability due to emergency medical and surgical conditions worldwide...
April 10, 2024: Surgery
#16
JOURNAL ARTICLE
Sameh Hany Emile, Nir Horesh, Zoe Garoufalia, Rachel Gefen, Ebram Salama, Steven D Wexner
BACKGROUND: Colon cancer prognosis is primarily dependent on the stage at diagnosis, but tumor size and location may also impact prognosis. This study aimed to assess the characteristics and outcomes of patients with ≥5 cm colonic adenocarcinomas and compare outcomes of open and minimally invasive surgery for stage I to III large colonic adenocarcinomas. METHODS: The National Cancer Database (2010-2019) was searched for patients with colonic adenocarcinomas ≥5 cm...
April 9, 2024: Surgery
#17
JOURNAL ARTICLE
Peter G Delaney, Jon Moussally, Benjamin W Wachira
The lack of prehospital care access in low- and middle-income countries is one of the greatest unmet needs and, therefore, one of the most urgent priorities in global health. Establishing emergency medical services in low- and middle-income countries poses significant challenges and complexities, requiring solutions tailored to prevailing conditions, informed by needs assessments, and adapted to meet local demands in a culturally appropriate and sustainable manner. In areas without existing emergency medical services, patients must rely on informal networks of untrained bystanders and community members to provide first aid and transport to definitive care...
April 9, 2024: Surgery
#18
JOURNAL ARTICLE
Shin-Chen Pan, Yu-Feng Wu, Yu-Chen Lin, Chao-Min Cheng
BACKGROUND: Infections are commonly seen in wounds. The overall infection rate is 1.8% to 4.2%. Improper infection management can lead to serious conditions and may progress to life-threatening sepsis. Because there is a need for assistance in predicting wound infection before obvious clinical symptoms, the measurement of cytokines in wound tissue fluids has attracted our attention for determining the overall status of wound infection. Our intent was to assess the potential biomarkers in the diagnosis of wound infection...
April 9, 2024: Surgery
#19
REVIEW
Ming Duan, J Calvin Coffey, Yi Li
Postoperative anastomotic recurrence of Crohn's disease is challenging and can lead to symptom recurrence and further surgery. The mesenteric pole of the intestine is the initial site of macroscopic anastomotic recurrence, and the mesentery may play an important role in recurrence after surgical resection. Therefore, "mesenteric-based surgery" has gained increasing attention by clinicians. However, the role of mesentery in the postoperative recurrence remains controversial. This review will examine mesenteric changes in Crohn's disease, proposed roles for mesentery in disease progression, and the potential for mesenteric-based surgery in the surgical management of Crohn disease...
April 8, 2024: Surgery
#20
JOURNAL ARTICLE
Carlo Alberto Schena, Marcello Covino, Vito Laterza, Giuseppe Quero, Antonio La Greca, Caterina Cina, Nicola de'Angelis, Francesco Marchegiani, Gabriele Sganga, Antonio Gasbarrini, Francesco Franceschi, Fabio Longo, Sergio Alfieri, Fausto Rosa
BACKGROUND: Imaging-based classifications do not always reflect the clinical severity and prognosis of acute left-sided colonic diverticulitis. This study aims to investigate the role of an early procalcitonin assessment in the emergency department as a risk stratification tool for severity, prognosis, and need for surgery in patients with acute left-sided colonic diverticulitis. METHODS: In this retrospective cohort study, all adult patients consecutively admitted from January 2015 to September 2020 for acute left-sided colonic diverticulitis and having a procalcitonin determination at admission were enrolled...
April 8, 2024: Surgery
Make the most of Read.
Download the mobile app.
Download the mobile app.
Fetching more papers... 
