Mortality after emergency Hartmann's procedure in octogenarians: a propensity score-matched analysis.
Published in The Journal of surgical research
This is a retrospective, descriptive study.
Procedure-based postoperative risk prediction using NSQIP data.
Published in The Journal of surgical research
Procedure-based hierarchical logistic regression models of NSQIP outcomes had satisfactory overall performance statistics. Model specifications and results are provided for criticism and improvement, and several possible refinements are suggested.
Omission of radiotherapy after breast conservation surgery in the postneoadjuvant setting.
Published in The Journal of surgical research
Race, comorbidities, and socioeconomic status were not predictors of RT omission. It remains unclear whether omission of RT in some cases is due to lack of physician knowledge. Further efforts are needed to ensure that physicians and patients recognize that RT is a vital and required part of BCT, even after NACT.
Myocardial functional changes in transfemoral versus transapical aortic valve replacement.
Published in The Journal of surgical research
Patients undergoing TA-TAVR exhibit impaired apical longitudinal strain, although global myocardial function is similar to TF-TAVR otherwise. Myocardial strain measured by two-dimensional speckle tracking echocardiography appears to be a sensitive method to detect subtle cardiac remodeling after TAVR.
Echocardiography allows for analysis of pulmonary arterial flow in mice with congenital diaphragmatic hernia.
Published in The Journal of surgical research
Slit3 KO mice with CDH show evidence of PAH and resultant RV dilation. Using direct cardiac puncture, elevated RV systolic pressures have been demonstrated in KO mice as evidence of PAH. Echocardiography allows direct analysis of the PA and real-time RV function without sacrifice of the mouse. This mode of evaluation allows longitudinal study in mi...
Prophylactic enoxaparin doses may be inadequate in patients undergoing abdominal cancer surgery.
Published in The Journal of surgical research
The majority of patients had inadequate anti-Xa levels following abdominal cancer surgery, calling into question standard prophylactic enoxaparin dosing.
A novel pilot animal model for the surgical prevention of lymphedema: the power of optical imaging.
Published in The Journal of surgical research
We describe the first animal model for LYMPHA, which will enable future studies to further evaluate the efficacy and potential limitations of this technique. Of equal importance, we demonstrate the power of optical imaging to provide real-time lymphatic clearance rates for each hind limb.
Risk factors associated with perioperative morbidity and mortality following isolated tricuspid valve replacement.
Published in The Journal of surgical research
The present study revealed that iTVR has relatively high mortality and morbidity rates. Timely surgery may be recommended for this high-risk cohort of patients before the development of severe heart and end-organ failure.
Racial disparities in the cost of surgical care for parathyroidectomy.
Published in The Journal of surgical research
African-American race was associated with higher hospital costs for parathyroidectomy compared to Caucasian patients, especially male patients. The increased cost could be explained in part by longer length of stay. More detailed efforts are needed to reduce racial disparity in the management of parathyroidectomy patients.
Are we missing the near misses in the OR?-underreporting of safety incidents in pediatric surgery.
Published in The Journal of surgical research
Despite multiple reporting systems, near misses and adverse events remain underreported. Identifying near misses may help address system and process issues before an adverse event occurs. Efforts need to be made to lessen barriers to reporting in order to improve patient safety.
