Post-Traumatic True Superficial Temporal Artery Aneurysm in a Pediatric Patient.
Published in The American surgeon
Robotic Major Hepatectomy: Influence of Age on Clinical Outcomes.
Published in The American surgeon
This study was undertaken to determine if age influences postoperative outcomes for patients undergoing robotic major hepatectomy. Ninety-four patients undergoing robotic major hepatectomy were prospectively followed. With regression analysis, demographic data and postoperative outcomes were compared to age. Data are presented as median (mean ± SD)...
Goblet Cell Carcinoid Tumors During Emergent General Surgery.
Published in The American surgeon
Long-Term Analysis of Functional Outcomes in Traumatic Brain Injury Patients.
Published in The American surgeon
Traumatic brain injury (TBI) remains a significant cause of morbidity and mortality. The purpose of this study is to examine outcomes after discharge and identify factors from the index admission that may contribute to long-term mortality. The study population is composed of patients who survived to discharge from a previously published study exami...
Late Operative Rib Fixation is Inferior to Nonoperative Management.
Published in The American surgeon
Operative rib fixation (ORF) of traumatic rib fractures has been shown to decrease hospital length of stay (LOS), ventilator days, and mortality. ORF performed within 1 day of admission has been shown to have favorable outcomes compared to later ORF. This report examines the ORF experience over 10 years at a level I trauma center. ORF patients from...
Perioperative Antibiotic Selection and Surgical Site Infection in Elective Colon Surgery.
Published in The American surgeon
The highest rates of surgical site infections (SSIs) are associated with colorectal operations (up to 30%). A sentinel paper showed that the use of intravenous (IV) cefazolin and metronidazole was associated with decreased rates of SSI compared with cefoxitin (6% vs 13%). We reviewed the association of SSI with prophylactic antibiotic choice. We sp...
Trends in Surgical Critical Care Training Among General Surgery Residents: Pursuing an Ideal Curriculum.
Published in The American surgeon
The Accreditation Council for Graduate Medical Education (ACGME) provides no specific guidelines for surgical critical care (SCC) training during general surgery residency. Growing emphasis is placed on this experience with increasing case requirements and dedicated SCC content on board certification exams. A digital survey was distributed to ACGME...
Radiographic Determination of Skeletal Maturity Guides Optimal Timing of Bar Removal After Minimally Invasive Repair of ...
Published in The American surgeon
A small number of patients treated with minimally invasive correction of pectus excavatum recur after bar removal. This risk appears to be greater in younger children who continue to grow following bar removal. We propose the use of wrist films to determine skeletal maturity and delay bar removal until it is completed. This is not possible in very ...
A Novel Approach to Managing a Strangulated De Garengeot's Hernia.
Published in The American surgeon
De Garengeot's hernia, the presence of an incarcerated vermiform appendix within a femoral hernia, is a rare general surgery emergency that predominantly affects elderly female patients. Due to its rarity, there is significant variation in surgical technique; however, most case reports favor an open approach. Here we present a case of a De Garengeo...
Omental Flap Provides Definitive Management for Pediatric Patient With Multiple Tracheoesophageal Fistula Recurrences.
Published in The American surgeon
A term female infant with tracheoesophageal fistula (TEF) and esophageal atresia (EA) underwent primary operative repair that failed with 3 TEF recurrences, which all presented with feeding and respiratory issues. Recurrences were managed with reoperation and an interpositional flap of pleura and a flap of intercostal muscle on 2 separate occasions...
