Pancreatic adenocarcinoma carries a high mortality rate in part due to its late stage at diagnosis. Its indolent nature and vague presenting symptoms are thought to contribute to this phenomenon.
For the few scientists who receive a Noble prize, the impact and relevance of their research is unquestionable. For the rest of us, how does one quantify the impact a
Enhanced recovery after surgery (ERAS) protocols integrate evidence-based interventions and utilize multimodal perioperative interventions which are designed to reduc
Proponents of routine splenic flexure mobilization (SFM) during distal colon resection suggest this technique ensures a well-vascularized tension-free anastomosis and lo
The objective of our study was to assess the attrition rate in military general surgery residency programs and identify potential militarily relevant predictors of at
Obesity is an increasing challenge for the Unites States Military. Apart from exposing military personnel to long-term health complications, the obesity crisis
The National Surgical Quality Improvement Program (NSQIP) has become the gold standard for assessing practice improvement in surgery. At our tertiary military hospital,
A De Garengeot’s hernia is a femoral hernia that contains the appendix. This rare type of hernia was first described by René-Jacques De Garengeot in 1731
Objectives: The primary objective is to quantify the operative experience of Army general surgeons while not deployed and determine their capacity to obtain mastery in the operatin
OBJECTIVES: Military surgical subspecialists are challenged to maintain surgical skills and competency in the setting of low-volume practice interrupted by deployments.
Since the FDA’s approval of the LINX device in 2012 for the treatment of GERD, multiple studies have demonstrated the safety, efficacy, short and long-term outc
Objectives: With healthcare costs rising hospitals look to cut costs and eliminate inefficiencies in multiple areas of care. Operating room (OR) costs represent approximately
Objectives: The increasing accuracy of large-bore (11- or 8-gauge) vacuum-assisted core needle biopsies (VACNB) has challenged the commonly-accepted practice that surgery is n
Objectives: Compare the face and content validity of the three most prevalent robotic simulators, and to include discussion regarding pricing and availability.
Recent decades brought revolutionary applications of technology to address surgical disease. Residency programs appropriately integrated advances int
The aim of this meta-analysis was to assess the beneficial or harmful effects of antibiotic prophylaxis in elective laparoscopic cholecystectomies for non-acute gallb
In 2015, the American Society of Gastrointestinal Endoscopy/American College of Gastroenterology Task Force on Quality in Endoscopy released updated guidelines on mea
We present the unusual case of a 19 year-old female with history of chronic abdominal pain in the setting of previous Ladd procedure for intestinal malrotation who was found to have a retained appe
The prescribing of narcotic pain medication during humanitarian medical missions presents an ethical dilemma with the potential for adverse events without reliable follo
Trastuzumab (Tz), a HER2-targeted monoclonal antibody, is standard of care (SOC) for HER2+ breast cancer (BCa) & decreases recurrence. We have previously shown th
Acute development of neck swelling secondary to spontaneous hemorrhagic thyroid pathology is a rare event with very few cases reported in the literature. Repo
Objectives: Assess a 10-year experience at our institution with regard to thoracic oncology, to include quality of regional lymph node (RLN) dissection as compared to the Commissio
Pseudoangiomatous stromal hyperplasia (PASH) is a rare benign breast condition characterized by the proliferation of mesenchymal cells. PASH typically effects pre
Successful major surgery on marine mammals is rare world-wide and has not been published in the modern literature. This report describes the evaluation and treatment of a 22 year-old female U