NEW PERSISTENT OPIOID USE AND OUTCOMES FOLLOWING BARIATRIC SURGERY
Margaret E Smith, MD, Aaron Bonham, MSc, Amir Ghaferi, MD, MS. University of MichiganINTRODUCTION: New persistent opioid use occurs in roughly 6% of patients following elective surgery. Given concerns for addiction transfer, bariatric patients may be at increased risk of developing persistent opioid use postoperatively. Previous work demonstrated as many as 8.8% of bariatric opioid… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Effects of Dexamethasone on Post-Operative Urinary Retention in Laparoscopic Inguinal Hernia Repair
Merritt Denham, BS, Kara Donovan, BS, Nicole Wetoska, Kristine Kuchta, MS, JoAnn Carbray, BS, John G Linn, MD, Woody Denham, MD, Stephen P Haggerty, MD, FACS, Michael Ujiki, MD, FACS. NorthShore University Health SystemIntroduction: Post-operative urinary retention (POUR) is a complication of Laparoscopic Inguinal Hernia Repair (LIHR). Previous research has examined predictive perioperative factors of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Review of an Emergency General Surgery Process Improvement Program at a Verified Military Trauma Center
Joseph Bozzay, MD, Matthew Bradley, MD, Angela Kindvall, BSN, Ashley Humphries, MD, Elliot Jessie, MD, MBA, Judy Logeman, MSN, Jeffrey Bailey, MD, Eric Elster, MD, Carlos Rodriguez, DO, MBA. Walter Reed National Military Medical CenterINTRODUCTION: Combat trauma volume brought to our American College of Surgeons’ level 2 verified trauma center has decreased substantially. As such,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
A Large Scale, Machine Learning Model for Predicting Postoperative Morbidity in Laparoscopic and Open Cholecystectomy
Kelsey McClure, MD, Stephanie Moyerman, PhD. St Joseph's Hospital and Medical CenterBackground: Laparoscopic cholecystectomy is one of the most common laparoscopic procedures performed today. Accurate prediction of the risks of cholecystectomy, whether open or laparoscopic, is important for informed surgical decision making, patient consent, and hospital planning. To date, large scale predictive models have been… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
REGIONAL COST ANALYSIS FOR LAPAROSCOPIC CHOLECYSTECTOMY
Elizabeth M Pontarelli, MD, Gary G Grinberg, MD, Pandu R Yenumula, MD. Kaiser Permanente Northern CaliforniaIntroduction: Laparoscopic Cholecystectomy is the most common procedure performed by general surgeons in the United States, with approximately 600,000 procedures performed annually. As the cost of care rises, there is increasing emphasis on utilization and quality. Our objective was to… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
ECONOMIC IMPACT OF EMERGENCY DEPARTMENT USE FOLLOWING BARIATRIC SURGERY
Margaret E Smith, MD, Aaron Bonham, MSc, Amir Ghaferi, MD, MS. University of MichiganINTRODUCTION: Postoperative readmissions following bariatric surgery have declined over recent years; however, a concurrent reduction in postoperative emergency department (ED) visits has not occurred. The most common reasons for ED encounters include abdominal pain, dehydration and nausea. A large proportion of these… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Sleep deprivation and medication errors in surgery: a prospective observational study
Shannon Zhang, MD, Justine Ring, Michelle Methot, PharmD, Boris Zevin, MD. Queen's UniversityIntroduction: Sleep deprivation in physicians has been linked to impaired decision making, poor psychomotor skills, increased medical errors and increased adverse events. General surgery residents are frequently exposed to sleep deprivation; however, a relationship between fatigue and prevalence of provigil medication prescription errors for general… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Technical Content of Coaching Conversations: What Do Surgeons Discuss?
Sarah P Shubeck, MD, Arielle E Kanters, MD, MS, Justin B Dimick, MD, MPH. University of MichiganIntroduction: Surgical coaching programs are designed to improve technical skill, increase collaboration between surgeons, and refine surgical judgment with the ultimate goal of improving patient outcomes. These coaching experiences have many different formats with limited evidence to support necessary… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Comparing Laparoscopic vs. Open Repair in Perforated Peptic Ulcer Disease: A Retrospective, Propensity Score-Matched, Cohort Study.
Victor Vakayil, MD, MS, Brent Bauman, MD, Reema Mallick, MD, Sayeed Ikramuddin, MD, MHA, James Harmon, MD, PhD, FACS. University of MinnesotaIntroduction: Perforated peptic ulcer disease (PPUD) is the second most common cause for an abdominal perforation requiring surgical intervention. Laparoscopic surgery(LS) or an open surgical approach(OS) is utilized to repair the bowel, however, there… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
The impact of preoperative anemia and malnutrition on outcomes in paraesophageal hernia repair
Lindsey N Clark, MD, Melissa C Helm, BS, Jon C Gould, MD. Medical College of WisconsinIntroduction: Patients who undergo surgery to repair a paraesophageal hernia may suffer from primarily gastroesophageal reflux (GERD) symptoms, obstructive symptoms related to the paraesophageal hernia (early satiety, dysphagia, or postprandial epigastric pain), or both kinds of symptoms. Some patients with… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
DEVELOPMENT OF A CONCEPTUAL FRAMEWORK OF RECOVERY AFTER ABDOMINAL SURGERY: PRELIMINARY RESULTS
Roshni Alam1, Joel Montanez2, Susan Law2, Lawrence Lee1, Nancy Mayo3, Liane Feldman1, Julio Fiore Jr1. 1Department of Surgery, McGill University, 2St Mary's Research Centre, 3School of Physical and Occupational Therapy, McGill UniversityINTRODUCTION: Patient-reported outcome measures (PROMs) are central to determining the value of interventions that aim to improve surgical recovery. However, the evidence underpinning the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
A MULTIDISCIPLINARY, OBESITY-FOCUSED APPROACH IMPROVES DIAGNOSIS OF OBESITY-RELATED ILLNESSES: A NEW PARADIGM FOR THE CARE OF PATIENTS WITH OBESITY
Roderick Olivas, Aaron Brown, MD, Racquel S Bueno, MD, Cedric S Lorenzo, MD. University of Hawaii - Department of SurgeryINTRODUCTION: Patients suffering from the burden of obesity are at significant risk for medical problems that lead to premature death and disability. We hypothesize that a multidisciplinary bariatric team will be better equipped to recognize and… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Improving Excellence: Interventions to Improve Follow-up in a Bariatric Center of Excellence
Amy L Rosenbluth, MD1, Napoleon E Cieza, MD1, Koji Park, MD1, Ninan Koshy, MBBS1, E J Harvey, MD1, James McGinty, MD2, Subhash Kini, MD1. 1Mount Sinai St. Luke's/West, 2Englewood Hospital and Medical CenterINTRODUCTION: Current guidelines recommend a multidisciplinary bariatric follow-up program for a minimum of 2 years. This has, however, been a continuous challenge. Follow-up… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
The essential role of the transcystic duct tube (C-tube) during laparoscopic common bile duct exploration (LCBDE)
Yoshihide Chino, PhD, Masaki Fujimura, PhD, Isao Sato, PhD, Makoto Mizutani, PhD, Tomotake Tabata, MD, Tomoyuki Tagi, PhD, Naoki Matumoto, PhD, Shouichi Takayama, MD, Shigeyoshi Shimaoka, MD. First Towakai HospitalINTRODUCTION: Laparoscopic common bile duct exploration (LCBDE) is a standard surgical procedure for the treatment of common bile duct stones(CBDs). However, there are some problems associated… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Short–term outcomes of laparoscopy assisted gastrectomy in elderly patients. -Is it really safe in elderly patients?-
Koetsu Inoue, MD, PhD1, Tatsuya Ueno, MD, PhD1, Kentaro Shima, MD, PhD1, Shinji Goto, MD, PhD1, Michinaga Takahashi, MD, PhD1, Takanori Morikawa, MD, PhD2, Takeshi Naitoh, MD, PhD2, Hiroo Naito, MD, PhD, FACS1. 1Departmnt of Surgery, South Miyagi Medical Center, 2Department of Surgery, Tohoku University Graduate School of MedicineBackground: As the population age becomes higher,… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality