Enhanced recovery after surgery (ERAS) protocols integrate evidence-based interventions and utilize multimodal perioperative interventions which are designed to reduc
Combat injury patterns in Operations Iraqi and Enduring Freedom have changed as a result of wounding mechanisms and protective gear resulting in patients surviving high
Pelvic fractures are a common occurrence in combat trauma. However, the fracture pattern and management within the most recent conflicts has yet to be described, espe
Despite recent studies1,2 investigating different closure techniques following laparotomy, the incidence of incisional hernia remains high. A common cause of failure
Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is effective as a temporizing measure in non-compressible truncal hemorrhage (NCTH). However, use
Proponents of routine splenic flexure mobilization (SFM) during distal colon resection suggest this technique ensures a well-vascularized tension-free anastomosis and lo
Blunt cerebrovascular injury (BCVI) is an uncommon but potentially devastating injury with consequences including stroke and death. The epidemiology, outcomes, and
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
Despite aggressive limb salvage attempts, military popliteal artery injuries are associated with high amputation rates. Combined arterial and venous injuries present a
The treatment options for cancer are ever-evolving and now include vaccines targeting tumor-specific immunogenic peptides to induce tumor cytolysis. Folate bindin
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,
The Joint Theater Trauma Registry (JTTR) has recorded 1239 individuals in the United States Armed Forces who sustained a combat-related amputation during the Global W
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
Hemorrhagic shock as a result of trauma or surgical bleeding is frequently temporized with administration of vasopressors in order to augment systemic vascular resistan
The autologous tumor lysate, particle loaded, dendritic cell (TLPLDC) vaccine has been previously shown to be safe and immunogenic while producing objective tumor respon
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
United States Air Force Pararescue is an elite special operations force specifically organized, trained, equipped, and postured to perform both combat and civil searc
Traumatic coagulopathy has now been well characterized, but still carries high rates of mortality due to bleeding. A "factor-based" resuscitation strategy usin
Objectives: Thoracic surgery constitutes 2.5% of surgical procedures performed in theater, but these are increasingly foreign to military surgeons. This study examines thoracic sur
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.
Ma
OBJECTIVES: Activation of toll-like receptor 4 (TLR-4) by damage associated molecular patterns (DAMPs) has been implicated in the systemic activation of the immune system in hemorr
Objective assessment of final REBOA position and adequate distal occlusion is clinically limited, particularly in patients with hemorrhagic shock. We propose that mob