journal
https://read.qxmd.com/read/38016902/postoperative-pulmonary-complications-with-high-versus-standard-fio-2-in-adult-patients-undergoing-major-abdominal-surgery-a-noninferiority-trial
#1
JOURNAL ARTICLE
Jose Cyriac Kochupurackal, Sulagna Bhattacharjee, Dalim K Baidya, Rajesh Panwar, Kelika Prakash, Vimi Rewari, Souvik Maitra
BACKGROUND: Despite the possible clinical benefit of high intraoperative oxygen therapy on surgical site infection, the effect on postoperative respiratory function is debatable. However, it remains yet to be elucidated whether hyperoxia due to a high fraction of inspired oxygen used in conjunction with lung protective ventilation can lead to increased incidence of postoperative pulmonary complications. METHODS: In this noninferiority randomized trial, an intraoperative high fraction of inspired oxygen of 0...
November 27, 2023: Surgery
https://read.qxmd.com/read/38016901/characterizing-re-triage-guidelines-a-scoping-review-of-states-rules-and-regulations
#2
JOURNAL ARTICLE
Conor T Broderick, John D Slocum, Michael Visenio, David Jelke, Joseph Albanese, Mary Beth Voights, Richard J Fantus, Evert A Eriksson, Sarah Lombardo, Stephanie L Bonne, George C Velmahos, Elinore Kaufman, Robert C Mackersie, Anne M Stey
BACKGROUND: State guidelines for re-triage, or emergency inter-facility transfer, have never been characterized across the United States. METHODS: All 50 states' Department of Health and/or Trauma System websites were reviewed for publicly available re-triage guidelines within their rules and regulations. Communication was made via phone or email to state agencies or trauma advisory committees to obtain or confirm the absence of guidelines where public data was unavailable...
November 27, 2023: Surgery
https://read.qxmd.com/read/38016900/recorder-s-note
#3
JOURNAL ARTICLE
Jon C Gould
No abstract text is available yet for this article.
November 27, 2023: Surgery
https://read.qxmd.com/read/38016899/remote-triage-practices-in-general-surgery-patients-from-freestanding-emergency-departments-a-6-year-analysis
#4
JOURNAL ARTICLE
Stephanie Jensen, Maria Baimas-George, Hongmei Yang, Lauren Paton, Selwan Barbat, Brent Matthews, Caroline Reinke, Lynnette Schiffern
BACKGROUND: Freestanding emergency departments have risen in popularity as a means to expand access to care. Although some evaluation of freestanding emergency department utility in specific patient populations exists, management of surgical patients via remote triage and disposition has not been previously described. We report our experience with remote triage to discharge home, level I trauma center, or community hospital admission for general surgery patients who present to an affiliated freestanding emergency department...
November 27, 2023: Surgery
https://read.qxmd.com/read/38016898/association-of-social-vulnerability-with-receipt-of-hernia-repair-in-texas
#5
JOURNAL ARTICLE
Reagan A Collins, Habib Abla, Chathurika S Dhanasekara, Kripa Shrestha, Sharmila Dissanaike
BACKGROUND: The effect of social health determinants on hernia surgery receipt is unclear. We aimed to assess the association of the social vulnerability index with the likelihood of undergoing elective and emergency hernia repair in Texas. METHODS: This is a retrospective cohort analysis of the Texas Hospital Inpatient Discharge Public Use Data File and Texas Outpatient Surgical and Radiological Procedure Public Use Data File from 2016 to 2019. Patients ≥18 years old with inguinal or umbilical hernia were included...
November 27, 2023: Surgery
https://read.qxmd.com/read/38012899/comparison-of-indocyanine-green-near-infrared-fluorescence-guided-and-traditional-mediastinal-lymphadenectomy-during-radical-esophagectomy-a-randomized-controlled-trial
#6
JOURNAL ARTICLE
Jianting Du, Taidui Zeng, Shuliang Zhang, Maohui Chen, Guanglei Huang, Chi Xu, Guobing Xu, Chenhui Ni, Ruopeng Hong, Wei Zheng, Chun Chen, Bin Zheng
BACKGROUND: The extent of lymph node dissection during radical esophagectomy remains a controversial topic. Thus, this study mainly aimed to explore the location of sentinel lymph nodes in esophageal squamous cell carcinoma and the application value of the indocyanine green-near-infrared fluorescence system in lymphadenectomy. METHODS: This randomized controlled clinical trial (ClinicalTrials.gov, NCT04615806) included 42 participants without neoadjuvant therapy who were lymph node negative based on positron emission tomography/computed tomography findings...
November 26, 2023: Surgery
https://read.qxmd.com/read/38008606/prognostic-factors-for-critically-ill-surgical-patients-with-unplanned-intensive-care-unit-readmission-developing-a-novel-predictive-scoring-model-for-predicting-readmission
#7
JOURNAL ARTICLE
Ting-Lung Lin, I-Ling Chen, Wei-Hung Lai, Ying-Ju Chen, Po-Hsun Chang, Kuan-Han Wu, Yu-Chen Wang, Wei-Feng Li, Yueh-Wei Liu, Chih-Chi Wang, Ing-Kit Lee
BACKGROUND: Unplanned readmission to the surgical intensive care unit has been demonstrated to worsen patient outcomes. Our objective was to identify risk factors and outcomes associated with unplanned surgical intensive care unit readmission and to develop a predictive scoring model to identify patients at high risk of readmission. METHODS: We retrospectively analyzed patients admitted to the surgical intensive care unit (2020-2021) and categorized them as either with or without unplanned readmission...
November 25, 2023: Surgery
https://read.qxmd.com/read/38008605/rates-and-risk-factors-for-persistent-opioid-use-after-cardiothoracic-surgery-a-cohort-study
#8
JOURNAL ARTICLE
Siyana Kurteva, Makena Pook, Julio Flavio Fiore Junior, Robyn Tamblyn
BACKGROUND: This study's aim was to estimate potential risk factors for persistent opioid use after cardiothoracic surgery. METHODS: This study included participants in the McGill University Health Centre clinical trial (2014 to 2016). Provincial medical services, prescription claims, and medical charts data were linked. Persistent opioid use was defined as an initial peri-operative opioid dispensation followed by an opioid dispensation between 91 and 180 days postdischarge...
November 25, 2023: Surgery
https://read.qxmd.com/read/38008604/letter-to-the-editor-comment-on-a-novel-nomogram-based-on-preoperative-parameters-to-predict-posthepatectomy-liver-failure-in-patients-with-hepatocellular-carcinoma
#9
LETTER
Shuirong Lin, Zimin Song, Shunli Shen
No abstract text is available yet for this article.
November 25, 2023: Surgery
https://read.qxmd.com/read/38007385/indocyanine-green-fluorescent-cholangiography-the-new-standard-practice-to-perform-laparoscopic-cholecystectomy-in-pediatric-patients-a-comparative-study-with-conventional-laparoscopic-technique
#10
JOURNAL ARTICLE
Ciro Esposito, Kirtikumar J Rathod, Mariapina Cerulo, Fulvia Del Conte, Rahul Saxena, Vincenzo Coppola, Arvind Sinha, Giovanni Esposito, Maria Escolino
BACKGROUND: This study aimed to compare outcomes of standard laparoscopic cholecystectomy and indocyanine green fluorescent cholangiography laparoscopic cholecystectomy over a 10-year period. METHODS: From 2013 to 2023, 173 laparoscopic cholecystectomies were performed in 2 pediatric surgery units: 83 using standard technique (G1) and 90 using indocyanine green fluorescent cholangiography (G2). Patients included 96 girls and 77 boys, with a median age of 12.3 years (range 4-17) and a median weight of 51 kg (range 19-114)...
November 24, 2023: Surgery
https://read.qxmd.com/read/38001013/postoperative-morbidity-after-simultaneous-versus-staged-resection-of-synchronous-colorectal-liver-metastases-impact-of-hepatic-tumor-burden
#11
JOURNAL ARTICLE
Yutaka Endo, Laura Alaimo, Zorays Moazzam, Selamawit Woldesenbet, Henrique A Lima, Muhammad Musaab Munir, Chanza F Shaikh, Jason Yang, Lovette Azap, Erryk Katayama, Alfredo Guglielmi, Andrea Ruzzenente, Luca Aldrighetti, Sorin Alexandrescu, Minoru Kitago, George Poultsides, Kazunari Sasaki, Federico Aucejo, Timothy M Pawlik
BACKGROUND: We sought to characterize the risk of postoperative complications relative to the surgical approach and overall synchronous colorectal liver metastases tumor burden score. METHODS: Patients with synchronous colorectal liver metastases who underwent curative-intent resection between 2000 and 2020 were identified from an international multi-institutional database. Propensity score matching was employed to control for heterogeneity between the 2 groups...
November 23, 2023: Surgery
https://read.qxmd.com/read/38001012/a-novel-imaging-technology-to-assess-tissue-oxygen-saturation-and-its-correlation-with-indocyanine-green-in-the-gastric-conduit-during-thoracic-esophagectomy
#12
JOURNAL ARTICLE
Takeo Fujita, Kazuma Sato, Naoto Fujiwara, Daisuke Kajiyama, Takashi Shigeno, Hiroyuki Daiko
BACKGROUND: Anastomotic leakage in esophagectomy is a serious complication, and assessing blood perfusion in the conduit can help minimize this risk. Indocyanine green is the most widely used method to assess tissue blood flow; however, this technique has disadvantages. Evaluating tissue oxygen saturation in the gastric conduit during thoracic esophagectomy compared with indocyanine green blood perfusion assessment addresses these disadvantages and can be performed easily and repeatedly...
November 23, 2023: Surgery
https://read.qxmd.com/read/38001011/outcomes-of-transanal-total-mesorectal-excision-compared-to-laparoscopic-total-mesorectal-excision-a-meta-analysis-of-randomized-controlled-trials
#13
REVIEW
Sameh Hany Emile, Anjelli Wignakumar, Nir Horesh, Zoe Garoufalia, Peter Rogers, Peige Zhou, Victor Strassmann, Steven D Wexner
BACKGROUND: Transanal dissection is increasingly used in laparoscopic surgery for total mesorectal excision of lower rectal cancers. Several studies compared outcomes of laparoscopic total mesorectal excision with and without transanal dissection, yet there is a paucity of high-quality evidence. This meta-analysis aimed to provide a pooled comparative analysis of outcomes of laparoscopic total mesorectal excision with and without transanal dissection based on evidence from randomized controlled trials...
November 23, 2023: Surgery
https://read.qxmd.com/read/37996343/sepsis-in-cardiothoracic-surgery
#14
JOURNAL ARTICLE
Federico Napoli, Rene Aleman, Nikita Zadneulitca, Jose Navia, Nicolas A Brozzi
Sepsis is a life-changing condition that can occur in patients undergoing cardiothoracic surgery. It is characterized by a dysregulated inflammatory response to infection, often leading to higher rates of organ dysfunction and mortality. The importance of early recognition and prompt intervention in managing sepsis-related complications in cardiothoracic surgery is pivotal to adequate surgical practice. Due to the multiple subsections that construct the broad spectrum of cardiothoracic surgery, it is important to address the presence of sepsis in elective cardiothoracic surgery, urgent/emergency cardiothoracic surgery, solid organ transplantation, and both temporary and permanent mechanical circulatory support (ie, left ventricular assist devices, extracorporeal membrane oxygenation, and percutaneous temporary devices [eg, Impella series])...
November 22, 2023: Surgery
https://read.qxmd.com/read/37996342/building-clinic-programs-that-drive-a-department-of-surgery-s-strategic-plan
#15
JOURNAL ARTICLE
Bryan K Richmond
Effectively navigating and executing change within a medical organization, particularly a large health care enterprise, such as a department of surgery within a major hospital system, can present a major challenge to both departmental and institutional leadership. In developing projects designed to bring about desired change, it is essential to be mindful of the strategic plan of the institution and department and to design change initiatives to create models that align with and serve to enhance both the institutional and departmental missions...
November 22, 2023: Surgery
https://read.qxmd.com/read/37996341/preoperative-radiation-therapy-increases-adherence-in-patients-with-high-risk-extremity-soft-tissue-sarcoma
#16
JOURNAL ARTICLE
Hayley M Dunlop, T J Atchison, Ryan Zeh, David J Konieczkowski, Alex Kim, Valerie P Grignol, Carlo M Contreras, Samilia Obeng-Gyasi, Timothy M Pawlik, Raphael E Pollock, Joal D Beane
BACKGROUND: Surgery and radiation therapy remain the standard of care for patients with high-grade extremity soft tissue sarcoma that are >5 cm. Radiation therapy is time and labor-intensive for patients, and social determinants of health may affect adherence. The aim of this study was to define demographic, clinical, and treatment factors associated with the completion of radiation therapy and determine if preoperative radiation therapy improved adherence compared to postoperative radiation therapy...
November 22, 2023: Surgery
https://read.qxmd.com/read/37993290/discussion
#17
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
November 21, 2023: Surgery
https://read.qxmd.com/read/37993289/is-there-a-role-for-liquid-biopsy-in-the-surveillance-of-parathyroid-carcinoma
#18
JOURNAL ARTICLE
Thomas Szabo Yamashita, Aditya S Shirali, Salyna Meas, Vanessa Sarli, Uriel E Clemente-Gutierrez, Yi-Ju Chiang, Angelica Silva-Figueroa, Danica M Vodopivec, Michelle Williams, Sarah B Fisher, Paul H Graham, Elizabeth G Grubbs, Anthony Lucci, Naifa Busaidy, Nancy D Perrier
BACKGROUND: Parathyroid carcinoma is a rare malignancy with high recurrence rates. Liquid biopsy is a stratifying tool in disease recurrence/progression in other malignant processes. This study sought to assess the feasibility and application of liquid biopsy in parathyroid carcinoma and its impact on surveillance. METHODS: Retrospective review of a prospectively maintained database of adults treated for parathyroid carcinoma at a tertiary care center (2017-2023)...
November 21, 2023: Surgery
https://read.qxmd.com/read/37989635/the-use-and-costs-of-same-day-surgery-versus-overnight-admission-for-total-thyroidectomy-a-multi-state-all-payer-analysis
#19
JOURNAL ARTICLE
Caitlin B Finn, James E Sharpe, Lauren N Krumeich, Sara P Ginzberg, Jacqueline M Soegaard Ballester, Jason K Tong, Heather Wachtel, Douglas L Fraker, Rachel R Kelz
BACKGROUND: Outpatient thyroidectomy is increasingly favored, given evidence of safety and convenience for selected patients. However, the prevalence of same-day discharge is unclear. We aimed to evaluate temporal trends, hospital characteristics, and costs associated with same-day discharge after total thyroidectomy in an all-payer, multi-state cohort. METHODS: We included patients aged ≥18 years who underwent a total thyroidectomy (2013-2019) using Healthcare Cost and Utilization Project data...
November 20, 2023: Surgery
https://read.qxmd.com/read/37989634/liver-remnant-volume-to-body-weight-ratio-of-0-65-as-a-lower-limit-in-right-hepatic-trisectionectomy-with-bile-duct-resection
#20
JOURNAL ARTICLE
Daisuke Hayashi, Takashi Mizuno, Shoji Kawakatsu, Taisuke Baba, Masanori Sando, Junpei Yamaguchi, Shunsuke Onoe, Nobuyuki Watanabe, Masaki Sunagawa, Tomoki Ebata
BACKGROUND: Previous studies have suggested the utility of an indocyanine green plasma clearance rate of the future liver remnant (FLR) (ICGK-F) ≥0.05 in hepatobiliary resection to reduce the surgical risk. The present study aimed to verify whether future liver remnant size rather than ICGK-F matters in extended hepatobiliary resection. METHODS: Between 2004 and 2021, patients who underwent right hepatic trisectionectomy with bile duct resection were included...
November 20, 2023: Surgery
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