SMJ // Surgery & Surgical Specialties

Surgery & Surgical Specialties

Considers the expansive area of general surgery practice, as well as the many clinical aspects of the surgical specialties. Includes the preoperative diagnosis of patients, the intraoperative performance of safe surgical procedures, the postoperative care of the surgical patient, and outcomes of surgery. Emphasizes the interdisciplinary care of the surgical patient.

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SMJ Article | Original Article

Incidence and Impact of Atrial Fibrillation after Open Thoracotomy and VATS Pulmonary Lobectomy: A Single-Center Experience

Objective: The purpose of this study was to measure the incidence and impact of atrial fibrillation (AF) after open thoracotomy versus video-assisted thoracoscopic surgery (VATS) lobectomy at an academic medical center. Methods: With institutional review board approval, 899 patients who underwent a pulmonary lobectomy from January 2005 to December 2021...

SMJ Article | Original Article

Surgical Treatment of Cardiac Tumors: A Single-Center Experience

Objectives: Cardiac tumors affect fewer than 1 in 2000 people. This study is a retrospective review of diagnostic procedures, surgical management, and outcomes in patients treated for tumors of the heart at our institution. We compare our management approaches, clinical, and surgical outcomes with those reported in the literature. Methods:...

Posted in: Cardiac Tumors1

SMJ Article | Original Article

Comparing ACL Reconstruction Postoperative Outcomes in Medicaid versus Private Insurance Patients: Is There a Difference?

Objectives: There has been growing evidence that insurance status is a major indicator of postoperative outcomes, which has been extensively reported in orthopedic procedures such as shoulder and knee arthroplasty. Patients with Medicaid public insurance had increased complications, longer lengths of stay, and increased costs compared with patients who had...

Posted in: Rheumatology and Orthopedics26

SMJ Article | Original Article

Dissemination and Impact of a Multimodal Pain Regimen on Analgesia Prescribing at an Academic Hospital

Objectives: An opioid-sparing, multimodal pain (MMP) protocol was initiated at our institution in August 2016 in the Division of Trauma and Acute Care Surgery (TACS). During the next year, the practice was codified into a protocol. This study aims to evaluate the dissemination and impact of MMP. Methods: We conducted...

SMJ Article | Original Article

Surgical Management of Primary Pulmonary Carcinoid Tumors

Objective: Primary pulmonary carcinoid tumors constitute 1% to 2% of primary lung neoplasms, with limited surgical outcome data due to the rarity of these neoplasms. The aim of our study was to review the complications and long-term outcomes following surgery for primary pulmonary carcinoid neoplasms. Methods: With institutional review board...

Posted in: Pulmonary Disease18

SMJ Article | Letter to the Editor

On “Predictors of Blood Transfusion in Patients Undergoing Cytoreductive Surgeries for Ovarian Malignancy”

To the Editor: We appreciate the work of Pearce et al regarding the predictors of perioperative blood transfusion in patients undergoing cytoreductive surgery for ovarian cancer.1 They found that patients with lower preoperative hemoglobin and higher intraoperative estimated blood loss (EBL) were at greater risk of needing a blood transfusion....

Posted in: Gynecologic Cancer7

SMJ Article | Original Article

Periprocedural Complications in Adults with Mediastinal Masses

Objectives: Respiratory and cardiovascular catastrophes are feared complications in patients with mediastinal masses undergoing anesthesia. Only a few of these events in the adult population have been noted in rare case reports, however. We aimed to investigate the complications related to surgical resection or biopsy involving mediastinal masses in clinical...

SMJ Article | Original Article

Factors Affecting Gastroenterologists’ Fear When Performing Endoscopies during the COVID Pandemic: Results of a US National Survey

Objectives: The coronavirus disease 2019 (COVID-19) pandemic affected the practice of gastroenterology. Endoscopic procedures are aerosolizing procedures that carry the risk of COVID-19 transmission. Our national survey examined factors affecting gastroenterologists’ fear of contracting COVID-19 during endoscopy. Methods: An institutional review board–approved multicenter cross-sectional study used a snowball sample approach...

Posted in: Infectious Disease144

SMJ Article | Original Article

Undervaluation of Perioperative Work for ACL Reconstruction by Relative Value Scale Update Committee Methodology in a Single Surgeon’s Practice

Objectives: The purpose of this study was to determine the accuracy of the Relative Value Update Committee (RUC) and Centers for Medicare & Medicaid Services current times and work relative value units (wRVUs) for the perioperative work involved in anterior cruciate ligament (ACL) reconstruction by directly timing perioperative tasks as...

SMJ Article | Review Article

Anemia to Median Nerve Palsy

Mesenteric angina has a high mortality rate. Occlusion of the superior mesenteric artery is the most common cause. Increasingly, it is managed endovascularly instead of by open revascularization. Despite the lower risk of complications in minimally invasive procedures, it is important to be mindful of long-term sequelae of minor complications....

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