A new modality; practical in use, predicting the overall morbidity and mortality of Peptic Ulcus Perforation (PUP): A retrospective study
Mehmet Ilhan, Ercin Sönmez, Talip Baysal, Ali Fuat Kaan Gök, Hakan Yanar, Kayihan Günay, Recep Gülo?lu, Cemalettin Ertekin. Department of General Surgery, Istanbul University Istanbul Medical FacultyBackground: There are different modalities, or scoring systems defined such as; ‘MPI (Mannheim Peritonitis Index), MOF (Multiple Organ Failure Score), Boey and PULP (Peptic Ulcus Perforation score) which are… Continue Reading
- Topic:
- Acute Care Surgery
Body Mass Index as a Predictor of Surgical Site Infection after Laparoscopic Appendectomy: Reviewing Nine Years of NSQIP Data
Ina Soh, MD, Andrew Luhrs, MD, Sivamainthan Vithiananthan, MD, FACS, FICS, David Cloutier, MD, FACS. Brown UniversityINTRODUCTION: Nearly one in three Americans are obese. As a result, general surgeons frequently encounter this population for general surgery complaints. Numerous scoring systems have been suggested for predicting surgical site infection (SSI); however, obesity is not considered when… Continue Reading
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- Acute Care Surgery
Closed Loop Bowel Obstruction: Laparoscopic Resection with Fully Stapled Intra-Corporeal Anastomosis
Michael E Dolberg, MD, Jeffrey P Snow, MD. Memorial Healthcare SystemPurpose: This video describes a case of a 79 year old female with a history of a prior hysterectomy who presented to the hospital with abdominal pain. A CT scan of the abdomen and pelvis was suspicious for a closed loop small bowel obstruction. She… Continue Reading
- Topic:
- Acute Care Surgery
Comparison of outcomes of interval and emergency surgical management for appendicitis with abscess
Tadashi Higuchi, Natsuya Katada, Ryohei Watanabe, Asako Takahashi, Sayaka Nagao, Emiko Takeshita, Toshiyuki Enomoto, Koji Asai, Yoichi Nakamura, Manabu Watanabe, Yoshihisa Saida, Shinya Kusachi. Department of Surgery, Toho university Ohashi Medical CenterINTRODUCTION: Surgery is often performed in the acute stages of an appendiceal abscess, but in such instances having a possibility of convert to an… Continue Reading
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- Acute Care Surgery
Delayed Pneumothorax Following Laparoscopic Appendectomy
Anil Khetarpal, DR. KHETARPAL HOSPITAL, BALI NAGAR, NEW DELHI, INDIAA Previously healthy, young male presented to the hospital with complaints of excruciating lower abdominal pain with nausea, vomiting. Diagnosed to be suffering from appendicitis. Patient was subjected to Laparoscopic appendectomy, which remained uncomplicated. Patient discharged after 48 hours of hospital stay over intravenous antibiotics. After… Continue Reading
- Topic:
- Acute Care Surgery
Determinants of Variability in Management of Acute Calculous Cholecystitis
Philippe Paci, MD1, Pepa Kaneva, MSc2, Julio F. Fiore Jr, PhD1, Gerald M. Fried, MD, FRCSC, FACS1, Nancy E. Mayo, PhD3, Liane S. Feldman, MD, FRCSC, FACS1. 1Division of General Surgery, McGill University, Montreal, Canada, 2Steinberg-Bernstein Centre for Minimally Invasive Surgery, McGill University Health Centre, Montreal, Canada, 3Division of Clinical Epidemiology, McGill University Health Centre,… Continue Reading
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- Acute Care Surgery
Developing an Improved Mortality Prediction Score for Combat Casualties
Anders Davidson, MD1, Judson Janak, PhD2, Jeff Howard, PhD2, Ian Stewart, MD1. 1David Grant Medical Center, 2U.S. Army Institute of Surgical ResearchBackground: Mortality prediction scores are widely utilized to assess prognoses in injured populations. These scores are helpful in care-oriented discussions and in resource allocation. We sought to develop and internally validate a mortality prediction… Continue Reading
- Topic:
- Acute Care Surgery
Inhibition of HMGB1 Mediated Signaling for Trauma Induced Multisystem Organ Failure: An In Vitro Study
Jason C McCartt, MD, Christopher W Mangieri, MD, Colin D Brown, MD, Prasad M Balakrishna, PhD. Dwight D. Eisenhower Army Medical CenterDamage-associated molecular patterns (DAMPs) have been linked to initiating sterile systemic inflammatory responses following traumatic injury. Specifically the high-mobility group box 1 (HMGB-1) protein has been isolated as a major mediator in the initiation… Continue Reading
- Topic:
- Acute Care Surgery
Laparoscopic Approach for Perforated Gastric Ulcer
Manuel Aceves, MD1, Raul Perez, MD1, Arturo Martinez, MD1, Eduardo D Aceves, MD2. 1Obesidad y Laparoscopia Avanzada Puerta de Hierro Sur, 2Medicina Interna Hospital San Jose TEC de MonterreySince the use of drugs like histamine-2 blockers and proton pump inhibitors, the incidence of Peptic Ulcer Disease has decreased markedly. However, the incidence of Perforated Peptic… Continue Reading
- Topic:
- Acute Care Surgery
Laparoscopic approach to ruptured liver abscess: Exploring a potential new standard of surgical care
Ajay H Bhandarwar, MS, Saurabh S Gandhi, MS, Chintan B Patel, MS, Amol N Wagh, MS, Eham Arora, Priyank D Kothari. Grant government medical college & Sir J.J. group of Hospitals, Mumbai, IndiaEndoscopic approach to ruptured liver abscess into thoracic cavity unwraps a new avenue combining benefits of open surgical & current image guided drainagePresented… Continue Reading
- Topic:
- Acute Care Surgery
Laparoscopic Colonic Resection and Stoma for Colonic Perforation
Seiichiro Yamamoto, Toshio Kanai, Kikuo Yo, Tomotaka Akatsu, Kiminori Takano, Taku Fujii, Mai Tsutsui, Yosuke Kobayashi, Yasushi Kaneko, Ryo Kaneko. Hiratsuka City HospitalIntroduction: Open colonic resection and stoma (CRS) without colonic anastomosis has traditionally and widely been used to treat patient with fecal peritonitis resulting from colon perforation. Recently, feasibility of the resection of the… Continue Reading
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- Acute Care Surgery
Laparoscopic Peritoneal Lavage versus Sigmoidectomy for Management of Perforated Diverticulitis: Meta-analysis of Randomized Controlled Trials
Ahmad Mirza, MD1, Danaradja Arumugam2, Arslan Pannu3, Shahab Hajibandeh2, Shahin Hajibandeh2. 1The Central Manchester University Hospitals, 2The Royal Blackburn Hospital, Blackburn, UK, 3The Royal Oldham Hospital, Manchester, UKINTRODUCTION: Controversy exists regarding the role of laparoscopic peritoneal lavage in patients with perforated diverticulitis. Our objective was to conduct the first meta-analysis of randomized controlled trials (RCT’s)… Continue Reading
- Topic:
- Acute Care Surgery
Laparoscopic procedures in patients with cardiac ventricular assist devices
Yalini Vigneswaran, MD, Victoria Wang, Vivek Prachand, MD, John Alverdy, MD, Stephen Wyers, MD, Colleen Juricek, RN, Nir Uriel, MD, Mustafa Hussain, MD. University of ChicagoPurpose: Cardiac ventricular assist devices are becoming more common therapy for heart failure and more frequently encountered in our general surgery patients. Non-cardiac surgical care of these patients can be… Continue Reading
- Topic:
- Acute Care Surgery
Laparoscopic reduction and repair of acute traumatic diaphragmatic hernia.
S N Zafar, MD, MPH, Adeel A Shamim, MD, Terrance Fullum, MD, Daniel D Tran, MD, FACS. Howard University HospitalIntroduction: Traumatic diaphragmatic hernia (TDH) is a rare sequela of thoraco-abdominal injury, occurring in about 3-5% of patients. Motor vehicle collision (MVC) is the leading etiology of blunt trauma. A high level of suspicion is essential… Continue Reading
- Topic:
- Acute Care Surgery
Management of caustic injuries
mohamed Aboulkacem Bourguiba, MD, Faten Souai, MD, Alaeddine Khemir, Marwa Gharbi, Yassine Ben Safta, Sofiene Sayari, Mounir Ben Moussa. Charles Nicolle hospital tunis tunisiaIntroduction:The caustic ingestion is a serious surgical pathology that requires a multidisciplinary management. Its prognosis depends on the nature of the ingested agent, the early maturing of the lesions and late complications.… Continue Reading
- Topic:
- Acute Care Surgery