Surgery 类别的文章 - Peeref

Article Cardiac & Cardiovascular Systems

Endoscopic Aortic Valve Replacement: Initial Outcomes of Isolated and Concomitant Surgery

Soh Hosoba, Toshiaki Ito, Makoto Mori, Riku Kato, Koh Kajiyama, Shogo Maeda, Yuji Nakai, Yoshihiro Morishita

Summary: This study describes the approach and perioperative outcomes of totally endoscopic isolated and concomitant surgical aortic valve replacement (AVR) using various valve types. The results demonstrate that endoscopic AVR can safely address concomitant valve diseases.

ANNALS OF THORACIC SURGERY (2024)

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Article Surgery

Defining Pathologic Upstaging in cT1b Esophageal Cancer: Should We Consider Neoadjuvant Therapy?

David R. Mann, Kathryn E. Engelhardt, Barry C. Gibney, Macelyn E. Batten, Eric C. Klipsch, Rupak Mukherjee, Ian C. Bostock

Summary: Pathologic upstaging is associated with decreased overall survival in cT1b esophageal cancer. Esophagectomy has better survival outcomes compared to endoscopic local tumor excision. Neoadjuvant chemoradiation therapy does not improve overall survival in cT1b lesions.

JOURNAL OF SURGICAL RESEARCH (2024)

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Article Surgery

Assessing a Structured Mental Fitness Program for Academic Acute Care Surgeons: A Pilot Study

Sneha G. Bhat, Madhuri Nagaraj, Courtney Balentine, Timothy Hogan, Jennie Meier, Hillary Prince, Kareem Abdelfattah, Herbert Zeh, Benjamin Levi

Summary: This pilot study examined the effects of a structured mental fitness program on academic surgeons and found significant improvement in Positive Intelligence (PQ) scores, as well as increased connectedness and shared language among participants. However, there were no significant changes in sleep, well-being, or teaching evaluations.

JOURNAL OF SURGICAL RESEARCH (2024)

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Article Surgery

Evaluating the Quality of Online Patient Information for Prepectoral Breast Reconstruction Using Polyurethane-Coated Breast Implants

Edoardo Bruno, Gianluca Borea, Roberto Valeriani, Alessandro De Luca, Federico Lo Torto, Andrea Loreti, Diego Ribuffo

Summary: The study assessed the quality of online information on breast reconstruction with polyurethane-coated implants and found a lack of reliable information online, which can lead to wrong decisions in this field.

JPRAS OPEN (2024)

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Article Surgery

Early Versus Late Feeding After Percutaneous Endoscopic Gastrostomy Placement in Trauma and Burn

Whitney Elks, Allison G. McNickle, Matthew Kelecy, Kavita Batra, Shirley Wong, Shawn Wang, Lisa Angotti, Deborah A. Kuhls, Charles St Hill, Syed F. Saquib, Paul J. Chestovich, Douglas R. Fraser

Summary: This study aimed to compare the effects of early and late enteral feeding after PEG placement on achieving nutritional therapy goals and adverse outcomes. The results showed that patients with early initiation of feeds achieved a higher percentage of goals on day 0 without an increased rate of adverse events.

JOURNAL OF SURGICAL RESEARCH (2024)

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Article Surgery

Raising Systemic Blood Pressure to Delay Irreversible Intestinal Ischemia in a Swine Model of Proximal Superior Mesenteric ArteryOcclusion

David P. Stonko, Joseph Edwards, Hossam Abdou, Rebecca Treffalls, Patrick Walker, Jonathan J. Morrison

Summary: Raising mean arterial pressure (MAP) >90 mmHg with norepinephrine can increase gastroduodenal artery (GDA) flow and delay bowel ischemia.

JOURNAL OF SURGICAL RESEARCH (2024)

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Review Surgery

Ex Vivo Comparison of the Elastic Properties of Vascular Substitutes Used for Pulmonary Artery Replacement

Kheira Hireche, Ludovic Canaud, Pierre Antoine Peyron, Linda Sakhri, Isabelle Serres, Sanaa Kamel, Youcef Lounes, Thomas Gandet, Pierre Alric

Summary: This study evaluated the elastic properties of commonly used vascular substitutes for pulmonary artery replacement and compared their compliance and stiffness indexes to human pulmonary artery. The results showed that allogenic arterial grafts appeared to be the most suitable vascular substitutes in terms of compliance and stiffness for PA replacement.

JOURNAL OF SURGICAL RESEARCH (2024)

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Article Surgery

An Institutional Curriculum for Opioid Prescribing Education: Outcomes From 2017 to 2022

Brendin R. Beaulieu-Jones, Margaret T. Berrigan, Kortney A. Robinson, Jayson S. Marwaha, Tara S. Kent, Gabriel A. Brat

Summary: Introduction: Prescription opioids, including those prescribed after surgery, have greatly contributed to the US opioid epidemic. Educating opioid prescribers is a crucial component of ensuring the safe use of opioids among surgical patients. This study implemented an annual education curriculum for new surgical prescribers, resulting in significant improvements in knowledge and comfort levels. However, there remains a persistent knowledge and comfort gap among these prescribers.

JOURNAL OF SURGICAL RESEARCH (2024)

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Article Surgery

Bilateral Exchange: Enteral Nutrition Clinical Decision Making in Pediatric Surgery Patients

Manisha B. Bhatia, Cassandra M. Anderson, Abdiwahab N. Hussein, Brian Opondo, Nereah Aruwa, Otieno Okumu, Sarah G. Fisher, Tasha Sparks Joplin, JoAnna L. Hunter-Squires, Brian W. Gray, Peter W. Saula

Summary: This study aimed to understand postoperative pediatric nutrition practices in Kenya and the United States. The results showed that in the United States, patients initiated enteral nutrition earlier and had shorter hospital stays. However, in Kenya, patients initiated enteral nutrition earlier but had no significant difference in hospital stays.

JOURNAL OF SURGICAL RESEARCH (2024)

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Article Surgery

Association Between Nil Per Os Status and Intubated Patients Undergoing Surgery

Margaret Siu, Aixa Perez Coulter, Heather M. Grant, Reginald Alouidor, Michael Tirabassi

Summary: There is no significant difference in adverse respiratory events between intubated, critically ill patients requiring operative intervention who are kept NPO for 6 hours or longer compared to those kept NPO for less than 6 hours. Patients commonly experience periods of fasting much longer than the recommended 6-hour period by the American Society of Anesthesiologists.

JOURNAL OF SURGICAL RESEARCH (2024)

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Article Surgery

Society of Asian Academic Surgeons A Medium-Term Comparison of Quality of Life and Pain After Robotic or Laparoscopic Cholecystectomy

Ross Mudgway, Zachary Tran, Juan C. Quispe Espiritu, Woo Bin Bong, Hayden Schultz, Vamsi Vemireddy, Aarthy Kannappan, Marcos Michelotti, Kaushik Mukherjee, Jeffrey Quigley, Keith Scharf, Daniel Srikureja, Sharon S. Lum, Esther Wu

Summary: Comparison of medium-term outcomes between robotic-assisted cholecystectomy (RC) and laparoscopic cholecystectomy (LC) using validated quality of life (QoL) and pain assessments did not show significant differences.

JOURNAL OF SURGICAL RESEARCH (2024)

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Article Critical Care Medicine

Healed ORIF in a fibula fracture - Hardware removal or hardware retention for the fibula in a patient with minor symptoms?

Gareth Rooke, Paul Sharplin, Richard Buckley

Summary: A 31-year-old female suffered a right fibula fracture with deltoid ligament injury after falling while climbing on wet rocks. She had ORIF surgery and recovered well, but has developed vague pain and hardware sensation at the lateral ankle 6 months later. Her past medical history includes breast reduction surgery and vaginal delivery, and she has a social history of alcohol consumption and past recreational drug use.

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

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Article Surgery

Downstaging Techniques for Hepatocellular Carcinoma in Candidates Awaiting Liver Transplantation

Lauren Matevish, Madhukar S. Patel, Parsia A. Vagefi

Summary: Downstaging has been shown to be feasible within UNOS-DS criteria, with successful long-term outcomes. Interventional liver-directed therapies have been the standard, but systemic therapies are becoming more effective. Immunotherapy holds promise in downstaging, but further trials are needed to assess feasibility and safety. Individual expertise will continue to guide treatment until more data is available.

SURGICAL CLINICS OF NORTH AMERICA (2024)

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Article Surgery

Donor Viral Hepatitis and Liver Transplantation

Sara-Catherine Whitney Zingg, Kristina Lemon

SURGICAL CLINICS OF NORTH AMERICA (2024)

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Article Surgery

Pediatric Otoplasty and Auricular Molding

Joseph B. Vella

Summary: With the increasing use of commercial ear molding products, there has been a significant increase in literature addressing the indications and timing of perinatal intervention in auricular deformations and malformations. The reason for perinatal ear molding seems to be hormonally mediated, but the common belief that breastfeeding may lengthen the window of effective intervention lacks convincing evidence. This review discusses the common auricular anomalies, as well as the indications, timing, and methods of effective intervention, including ear molding or surgical otoplasty.

FACIAL PLASTIC SURGERY CLINICS OF NORTH AMERICA (2024)

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Review Critical Care Medicine

Lessons learned from biomechanical studies on cephalomedullary nails for the management of intertrochanteric fractures. A scoping review

Jorge Mayor, Vera Birgel, Jan-Dierk Clausen, Goekmen Aktas, Stephan Sehmisch, Ann-Kathrin Einfeldt, Vasilis Giannoudis, Ahmed H. K. Abdelaal, Emmanouil Liodakis

Summary: This study provides a comprehensive overview of biomechanical research on the treatment of intertrochanteric fractures using cephalomedullary devices. Through a systematic literature search and synthesis analysis, the study highlights the need for standardization in biomechanical studies, and suggests strategies to enhance construct stability. The findings emphasize the importance of further research and meta-analyses to establish standardized protocols and enhance reliability.

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

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Article Critical Care Medicine

National analysis of over and under-triage rates in relation to trauma population risk factors and associated outcomes across various levels trauma centers

Jeffrey Hayashi, Maveric Abella, Denise Nunez, Noah Alter, Jason Kim, Abigail Rosander, Adel Elkbuli

Summary: This study evaluates the rates of over-triage and under-triage in trauma patients nationwide, as well as the associated risk factors and outcomes. The findings suggest that Pacific Islander and American Indian patients, Medicare beneficiaries, and patients treated at level II and III trauma centers are more likely to be over-triaged. Hispanic patients and privately insured patients, on the other hand, have a higher risk of under-triage.

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

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Article Respiratory System

The Growing Years Promoting Yourself in the First 5 Years

Kirsten A. Freeman

Summary: As a new surgeon, understanding the transitions and challenges ahead, building a support network, and focusing on clinical competence are key to thriving in the first years of your career.

THORACIC SURGERY CLINICS (2024)

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Article Respiratory System

Advanced Fellowships After Training: Super or Not?

Jennifer L. Perri, Tom C. Nguyen

THORACIC SURGERY CLINICS (2024)

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Article Surgery

Primary Cleft Palate Repair

Barry Daniel Long, Rajanya Shah Petersson

FACIAL PLASTIC SURGERY CLINICS OF NORTH AMERICA (2024)

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