Wasted Money and Inefficient? An Analysis of Operating Room Case Costs and Efficiency at a Tertiary Military Medical Center.
Daniel W Bailey, MD, McCartt Jason, MD, Byron Faler, MD, James Frizzi, MD, Pamela L Burgess, MD, Bradley C Bandera, MD. Eisenhower Army Medical CenterObjectives: With healthcare costs rising hospitals look to cut costs and eliminate inefficiencies in multiple areas of care. Operating room (OR) costs represent approximately 30-50% of total hospital expenses. The authors… Continue Reading
SURGICAL MANAGEMENT OF CHRONIC NECK ABSCESS IN MILITARY-TRAINED BOTTLENOSE DOLPHIN – A CASE REPORT
Clara Lee, MD1, Eric D Jensen, DVM2, Jennifer Meegan, DVM2, Marina Ivancic, DVM2, James Bailey, DVM3, Dean Hendrickson, DVM4, Jeffrey Weiss, MD1, Gordon Wisbach, MD, MBA1. 1Naval Medical Center San Diego, 2US Navy Marine Mammal Program, 3Veterinary Medicince, University of Florida, 4Veterinary Medicine, Colorado State UniversitySuccessful major surgery on marine mammals is rare world-wide and… Continue Reading
Spontaneous Hemorrhagic Cystic Lesion of the Thyroid
Alexander J Friedman, DO, Marcos Aranda, MD, Pamela Burgess, MD, Christopher Mangieri, MD, Bradley Bandera, MD. Eisenhower Army Medical CenterObjective: Acute development of neck swelling secondary to spontaneous hemorrhagic thyroid pathology is a rare event with very few cases reported in the literature. Reported cases are secondary to: degeneration of a solid mass, trauma or a… Continue Reading
LINX MAGNETIC ESOPHAGEAL SPHINCTER AUGMENTATION IN THE ACTIVE DUTY POPULATION: A CASE SERIES
Michelle Ganyo, MD, James Prieto, MD. Naval Medical Center San DiegoINTRODUCTION: 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 outcomes of using this device. It has been well demonstrated to help with reducing the amount of reflux and… Continue Reading
Laparoscopic Management of Congenital Abdominal Wall Hypoplasia
John M McClellan, MD1, Josh Dilday, DO2, John Horton, MD1. 1Madigan Army Medical Center, 2William Beaumont Medical CenterLumbocostoverterbral syndrome is uncommon disorder often associated with congenital abdominal wall hypoplasia resulting in large abdominal wall eventrations. Given the patient's age, size, and other associated anomalies, these defects are often difficult to address. While most of the… Continue Reading
Is it possible to train a military surgeon in 21st century America?
Zsolt T Stockinger, MD1, Paul B Roach, MD2, Caryn A Turner, MPH1. 1Joint Trauma System, 2Lovell Federal Health Care CenterBackground: Published literature suggests that skills required by deployed US Military General Surgeons are dissimilar to their CONUS practices and skills training. Furthermore, that graduating general surgery residents may have a narrower breadth and depth of… Continue Reading
EXPERIENCE IN ECMO TRANSPORT AND INPATIENT MANAGEMENT AT A MILITARY REFERRAL FACILITY
Lydia Piper, MD1, Andriy Batchinsky, MD2, Philip Mason, MD1, Matthew Read, MD1, Lloyd Tannenbaum, MD1, Christine Soohoo, MD1, James Huang, PAC1, Valerie Sams, MD1. 1SAMMC, 2USAISRIntroduction: Acute respiratory failure and acute respiratory distress syndrome (ARDS) in patients with severe thoracic or polytrauma remains difficult to treat, often resulting in high incidence of mortality or lasting… Continue Reading
Evaluating Operative Experience and Career Satisfaction Among Military Pediatric Surgeons
Jonathan L Halbach, DO1, Rober Ricca, MD2, Marion Henry, MD1, Romeo C Ignacio, MD1. 1Naval Medical Center San Diego, 2Naval Medical Center PortsmouthOBJECTIVES: Military surgical subspecialists are challenged to maintain surgical skills and competency in the setting of low-volume practice interrupted by deployments. This potentially compromises the ability to care for pediatric patients and may… Continue Reading
Endoscopic Appendectomy in a Patient with Malrotation and Previous Ladd Procedure
Alicia D Gaidry, MD, Sarah B Buckley, MD, Joseph G Cheatham, MD, Romeo C Ignacio, MD. Naval Medical Center San DiegoWe 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 appendix on… Continue Reading
Antibiotic Prophylaxis for Elective Laparscopic Cholecystectomy – A Meta-Analysis of RCTs since 2010
Dylan M Russell, MD. Tripler Army Medical CenterIntroduction: The aim of this meta-analysis was to assess the beneficial or harmful effects of antibiotic prophylaxis in elective laparoscopic cholecystectomies for non-acute gallbladder disease. This meta-analysis strictly involved randomized controlled trials (RCTs) that have been published since the publication of the relevant Cochrane Review (Sanabria et al.,… Continue Reading
A Case of Pseudoangiomatous Stromal Hyperplasia in an Adolescent Patient
Jason McCartt, Sarah Heaton, Juan Lopez, Randy Hamill, William Thomas, Heather Burch, Bradley Bandera. DDEAMCObjective: Pseudoangiomatous stromal hyperplasia (PASH) is a rare benign breast condition characterized by the proliferation of mesenchymal cells. PASH typically effects pre and perimenopausal women. It is extremely rare in the adolescent population. It must be clearly distinguished from other benign… Continue Reading