Surgery

Article Critical Care Medicine

A new method regulates bone fracture tissue exosome lncRNA-mRNA to promote mesenchymal stem cell proliferation and migration

Dong Wang, Shuo Diao, Xiaobin Zhou, Junlin Zhou, Yang Liu

Summary: This study discussed the role of fracture site tissue exosomes lncRNAs-mRNAs networks on post-injury adaptation (PIA) promoting bone mesenchymal stem cells (BMSCs) proliferation and migration. The results confirmed that PIA accelerated BMSCs proliferation and migration, and identified tissue exosomes as the key factor in this process. By analyzing the tissue exosomes lncRNAs-mRNAs networks, several hub genes, such as Akt1, Actb, and Uba52, were identified, and Kif11 was found to be a key gene in BMSCs regulated by tissue-derived exosomes of PIA treated rats.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

Article Respiratory System

Integrating Advocacy into Your Practice

Keith S. Naunheim, Joseph J. Platz

THORACIC SURGERY CLINICS (2024)

Article Respiratory System

Outside the Operating Room Alternative Pathways for Doctors and Surgeons to Lead

Robert James Cerfolio

THORACIC SURGERY CLINICS (2024)

Article Surgery

Vascular Lesions

Matthew J. Urban, Edwin F. Williams III

Summary: Vascular lesions can have varying impacts on children, ranging from minor skin abnormalities to large masses that affect both form and function. It is important to accurately diagnose these lesions in order to understand their natural history and develop an appropriate treatment plan, which may involve medical, surgical, intralesional, or laser therapy.

FACIAL PLASTIC SURGERY CLINICS OF NORTH AMERICA (2024)

Article Critical Care Medicine

A comparison between ilioinguinal and modified Stoppa approach in anterior column acetabular fractures

M. Scrivano, A. Vadal, G. Fedeli, R. Di Niccolo, D. Topa, S. Porcino, F. Pallotta, A. De Carli

Summary: This study compares the outcomes and complications of Ilioinguinal versus modified Stoppa approach in Open Reduction and Internal Fixation (ORIF) of anterior column acetabulum fractures. The results show that the modified Stoppa approach has a shorter operative time, less intra-operative blood loss, and fewer complications. The ilioinguinal approach achieves better anatomic reduction. However, there were no significant differences in terms of vascular lesions, clinical and functional outcomes between the two groups.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

Article Critical Care Medicine

Analysis of dental traumatic patterns in standing electric scooter-related accidents

Youngmin Kwon, Jihye Lim, Chunui Lee

Summary: This study aims to investigate dental traumatic injuries related to standing electric scooters and compare them with injuries caused by other factors. The results indicate that crown-root fractures and avulsions are more common in electric scooter accidents. Additionally, relatively minor dental injuries, such as concussions and subluxations, are more likely to occur as combined injuries in electric scooter accidents. The study suggests the need for strengthened policies and enforcement of laws to prevent severe dental and craniofacial trauma associated with electric scooter use.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

Article Critical Care Medicine

Operative outcomes and fracture patterns in dysmorphic sacrums

Alejandro Alejandrez, Motasem Refaat, Yeng Vue

Summary: This study aims to assess the rate of operative fixation of sacral fractures in pelvises with dysmorphic and nondysmorphic sacrums, as well as whether a difference exists in fracture morphology between groups. The study found no statistical difference in operative fixation rates between pelvises with dysmorphic and nondysmorphic sacrums, but a difference in fracture patterns was observed.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

Article Surgery

Association for Academic Surgery Search Engines to Capture Missing Deaths From Institutional Data Warehouse

Yash S. Dayal, Dennis G. Foster, Yilun Hao, Sasha G. Bennett, Luke P. Brewster

Summary: This study evaluated the use of online mortality search engines in capturing patient deaths compared to institutional databases. The results showed that incorporating readily available search engines significantly increased the capture of patient deaths, particularly those occurring outside of the index operative admission.

JOURNAL OF SURGICAL RESEARCH (2024)

Article Surgery

A National Analysis of Racial and Sex Disparities Among Interhospital Transfers for Emergency General Surgery Patients and Associated Outcomes

Maveric Abella, Jeffrey Hayashi, Brian Martinez, Marissa Inouye, Abigail Rosander, Lucy Kornblith, Adel Elkbuli

Summary: This study investigates the association of race and sex with outcomes among interhospital transfer patients who underwent emergency general surgery. The results show that interhospital transfer patients have higher odds of readmission, major and minor complications, and reoperation. Furthermore, disparities related to race and sex are identified in different procedures, highlighting the need for specific interventions to address these disparities.

JOURNAL OF SURGICAL RESEARCH (2024)

Article Surgery

A Comparative Study on Platelet-Rich Plasma From Elderly Individuals and Young Adults to Treat Pressure Ulcers in Mice

Ningjie Chen, Haitao Wang, Yang Shao, Jincun Yang, Guodong Song

Summary: This study aimed to compare the therapeutic effects of activated platelet-rich plasma (PRP) prepared from elderly individuals and young adults in treating pressure ulcers (PUs). The results showed that PRP from young adults had higher platelet concentrations and greater production of growth factors, leading to better wound healing.

JOURNAL OF SURGICAL RESEARCH (2024)

Review Critical Care Medicine

Compression screw internal fixation versus non-weight-bearing cast immobilization for Jones fractures in children

Yuwei Wen, Danjiang Zhu, Qiang Wang, Baojian Song, Wei Feng

Summary: This study compared the clinical outcomes of compression screw and non-weight-bearing techniques in treating pediatric Jones fractures. The results showed that compared to non-weight-bearing techniques, compression screw fixation can shorten the radiographic union time, immobilization time, and facilitate earlier return to full weight bearing and daily life. We recommend the use of compression screw fixation for widely displaced fractures and school-age active adolescents.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

Article Surgery

Disparities in Ultrasound Use for Diagnosing Pediatric Appendicitis Across United States Emergency Departments

Jack H. Scaife, Jacoby R. Bryce, Stephanie E. Iantorno, Meng Yang, Marta L. McCrum, Brian T. Bucher

Summary: Rural, older, and poorer children in the United States are more likely to present to hospitals that do not utilize ultrasound in the diagnosis of acute appendicitis and are less likely to undergo ultrasound at ultrasound-capable hospitals.

JOURNAL OF SURGICAL RESEARCH (2024)

Article Surgery

Dynamic Aortic Pressure Augmentation as a Novel Method of Swine Terminal Blood Extraction

Jacob A. P. Niebler, Nathan T. P. Patel, Aravindh S. Ganapathy, Gloria D. Sanin, Gabriel E. Cambronero, James E. Jordan, Magan R. Lane, Timothy K. Williams, Lucas P. Neff

Summary: This study describes a novel method of whole blood extraction using REBOA, which effectively supports hemodynamics and investigates its impact on the quality of banked blood. The results show that this method provides sufficient blood volume and quality for transfusion during the collection of 40% ETBV.

JOURNAL OF SURGICAL RESEARCH (2024)

Article Surgery

Disparities in Surgical Treatment of Resectable Pancreatic Adenocarcinoma at Minority Serving Hospitals

Elizabeth J. Olecki, Rolfy A. Perez Holguin, Mackenzie M. Mayhew, William G. Wong, Charles C. Vining, June S. Peng, Chan Shen, Matthew E. B. Dixon

Summary: The study found that patients treated at minority serving hospitals were less likely to undergo surgical resection for pancreatic adenocarcinoma.

JOURNAL OF SURGICAL RESEARCH (2024)

Review Critical Care Medicine

Calcaneal tuberosity avulsion fractures - A review

Zhiyi Liu, Guodong Hou, Wencong Zhang, Junyan Lin, Jinrong Yin, Huan Chen, Guowei Huang, Aiguo Li

Summary: Calcaneal tuberosity avulsion fracture, an extra-articular injury, is a rare fracture caused internally by intense contraction of the gastrocnemius-soleus complex, and externally by low-energy (possibly high-energy). The risk of injuries to the skin and Achilles tendon around the calcaneal tuberosity is closely related to the Lee classification and Carnero-Martin de Soto Classification of this type of fracture. Diagnosis is typically confirmed through X-ray, digital imaging, and CT, but MRI should also be used to assess the soft tissue. Recent advances in understanding this fracture have led to the development of different internal fixation devices and surgical procedures that provide stable fracture reduction and resistance to Achilles tendon forces. This article reviews the new insights into the anatomy, classification, risk factors, and treatment modalities of calcaneal tuberosity avulsion fracture in recent years.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

Article Critical Care Medicine

Cost of U.S emergency department and inpatient visits for fall injuries in older adults

Lisa Reider, Jason R. Falvey, Safiyyah M. Okoye, Jennifer L. Wolff, Joseph F. Levy

Summary: Falls are a leading cause of injury and hospital readmissions in older adults, with over 3 million seeking hospital care for fall injuries annually in the United States. The annual acute treatment costs for these injuries amount to $20 billion, indicating the urgent need for evidence-based fall prevention interventions and investments in geriatric emergency departments.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

Article Critical Care Medicine

Fragility spinal fractures among cirrhotic liver transplant candidates in Croatia

Andrija Jurina, Valentina Delimar, Zlatko Giljevic, Tajana Filipec Kanizaj, Andro Matkovic, Dinko Vidovic, Nikolina Jurjevic, Vinko Vidjak, Zeljko Duic, Mario Cuk, Mladen Japjec, Tomislav Dujmovic, Andrea Radeljak, Mirjana Marjana Kardum Paro, Marijana Vucic-Lovrencic, Mario Staresinic

Summary: This study investigated the prevalence of fragility spinal fractures among liver transplant candidates with cirrhosis. The results showed the detrimental impact of chronic liver disease and hepatic osteodystrophy on bone strength, and the correlation between DXA measurement and lumbar fragility fractures. These findings highlight the importance of adequate bone evaluation in liver transplant candidates.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

Article Surgery

How to Determine Unresectability in Hilar Cholangiocarcinoma

Catherine G. Pratt, Jenna N. Whitrock, Shimul A. Shah, Zhi Ven Fong

Summary: hCCA is a biologically aggressive disease and surgical resection is the only curative treatment. Factors such as patient's physical condition, tumor involvement, residual liver volume, and assessment of metastatic disease heavily influence the feasibility of surgical resection. A multidisciplinary, holistic, and individualized approach is critical for accurately determining resectability and optimizing clinical outcomes for patients with hCCA.

SURGICAL CLINICS OF NORTH AMERICA (2024)

Article Respiratory System

Finding the Right Mentor

Fatima G. Wilder, Jason J. Han

Summary: Mentorship plays a crucial role in a successful career in cardiothoracic surgery, and finding a mentor and establishing a fruitful mentor-mentee relationship requires self-reflection, alignment of goals, open communication, and regular feedback. There are various resources available in the cardiothoracic surgery community to aid members in finding and maintaining successful mentoring relationships.

THORACIC SURGERY CLINICS (2024)

Article Respiratory System

Diversity in the Cardiothoracic Surgery Workforce: What I Can Do

Melanie A. Edwards

THORACIC SURGERY CLINICS (2024)