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.
This recurring motif in medical history reveals an important truth about the current framework of clinical research and statistical inference-namely, that it is imperfect and heavily reliant on foundational assumptions.
Objective: Studies have associated abnormally dilated or constricted main pancreatic duct (MPD) diameter sizes in postproximal pancreatectomies (Whipple procedures) with postoperative complications. As such, we studied the clinical factors associated with both abnormally dilated or constricted MPD diameters and perioperative factors that may influence postoperative pancreatic fistula formation. Methods: We...
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...
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:...
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...
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...
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...
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....
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...
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...
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