CASE REPORT OF INTERNAL HERNIA AFTER ENDOSCOPIC REDUCTION OF GASTRIC VOLVULUS AND DUAL PEG
Katelin A Mirkin, MD, Samantha R Witte, MD, Vamsi V Alli, MD. Penn State Health Milton S. Hershey Medical CenterGastric volvulus in adults is a rare and potentially fatal condition. The use of dual percutaneous endoscopic gastrostomy has been described in the management of gastric volvulus. This technique involves endoscopic de-rotation of the stomach, and… Continue Reading
OBESITY IN COMBAT-WOUNDED AMPUTEES
Kelli Ishihara, MD, Grant Sizemore, MD, Scott Nguyen, MD, Freeman Condon, MD, Bridgette Colgan, MD, John Mayo, Erik Criman, Dylan Russell, Mike Lustik, MS, Robert Lim, MD. Tripler Army Medical CenterIntroduction: 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… Continue Reading
Management of Concomitant Vein Injury in the Setting of Military Popliteal Artery Trauma: Limb Outcomes Assessment
Jordan L Guice, MD, MPH, Shaun M Gifford, MD, Kai Hata, MD, Xiaoming Shi, Brandon W Propper, David S Kauvar. San Antonio Military Medical CenterObjectives: Despite aggressive limb salvage attempts, military popliteal artery injuries are associated with high amputation rates. Combined arterial and venous injuries present a management dilemma for military surgeons in austere settings… Continue Reading
Military Experience with Trauma Induced ARDS on the Battlefield
Sarah Thomas, MD1, Ryan Rhie, MPH1, Lydia Piper, MD1, James Aden, PhD1, Phillip Mason, MD1, Jennifer Gurney, MD2, James Lantry, MD3, Terry Lonergan, MD3, Brendan Beely, RRT4, Daniel Wendorff4, Andriy Batchinsky, MD4, Valerie Sams, MD1. 1SAMMC, 2ISR, 3Baltimore CSTARS, 4Geneva FoundationOBJECTIVES: Combat injury patterns in Operations Iraqi and Enduring Freedom have changed as a result… Continue Reading
Military Experience in the Management of Pelvic Fractures from OIF/OEF
William J Parker, MD, Robert Despain, MD, Jeffrey Bailey, MD, Eric Elster, MD, Carlos Rodriguez, MD, MBA, Matthew Bradley, MD. Walter Reed National Military Medical CenterIntroduction: 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, especially in the context… Continue Reading
Nationwide Blunt Cerebrovascular Injury Outcomes in the Pediatric Population: Big Problems in Little Patients
Christoper W Marenco, MD1, Woo Do, MD1, Daniel Lammers, MD1, Matthew Eckert, MD1, Carly Eckert, MD1, Denis Bensard, MD2, Matthew J Martin, MD1. 1Madigan Army Medical Center, 2Children's Hospital ColoradoObjectives: Blunt cerebrovascular injury (BCVI) is an uncommon but potentially devastating injury with consequences including stroke and death. The epidemiology, outcomes, and screening criteria are well described… Continue Reading
Left Ventricular Partial Thickness Injury from Ballistic Injury to the Chest: Case Report
Colin D Brown, MD, MS1, Jonathan Nguyen2. 1Dwight D. Eisenhower Army Medical Center, 2Grady Memorial HospitalBackground: Penetrating cardiac injury has increased in frequency in recent years and is well defined both in its repair and prognosis. However, there is little data to guide the treatment and prognosis of a large partial thickness injury to the… Continue Reading
Use of Minimally Invasive Surgery in Emergency General Surgery Procedures in NSQIP 2007-2016
Michael R Arnold, MD, Lynnette Schiffern, MD, Beverly L Paton, MD, Brent D Matthews, MD, Caroline Reinke, MD. Carolinas Medical CenterBackground: Minimally invasive surgery (MIS) has demonstrated superior outcomes in many elective procedures. It’s use in emergency general surgery (EGS) procedures is not well characterized. This study examines trends in utilization and outcomes of MIS techniques… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Acute Care Surgery
The effect of the adoption of an Acute Care Surgery Service model on volumes of laparoscopic cholecystectomy at a tertiary care center
Maria S Altieri, MD, MS1, Suresh Yelika, MD2, Aurora Pryor, MD2, Jie Yang, PhD2, Lizhou Nie, MS2, Yiwei Fu, MS2, Mark Talamini, MD, MBA2, Samer Sbayi, MD2. 1Washington University School of Medicine, 2Stony Brook University HospitalIntroduction: The acute care surgery (ACS) model is a concept for provision of emergency general surgery, outside of trauma, which… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Acute Care Surgery
Are We Doing Too Many Exploratory Laparotomies in Trauma? An Analysis of National Trauma Data Bank
Adeel A Shamim, MD1, Suhail Zeineddin, MD2, Ahmad Zeineddin, MD1, Enrique De La Cruz, MD1, Olubode Olufajo, MD1, Terrance Fullum, MD, MBA1, Edward Cornwell III, MD1, Daniel Tran, MD1. 1Howard University Hospital, 2Mayo Clinic, RochesterBACKGROUND: Exploratory laparotomy (EL) has been widely regarded as the definitive diagnostic and therapeutic modality for abdominal trauma in the US. However,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Acute Care Surgery
COST CONTAINMENT: AN EXPERIENCE WITH SURGEON EDUCATION AND UNIVERSAL PREFERENCE CARDS AT TWO INSTITUTIONS
Elizabeth T Embick, MD1, Michael Bieri2, Tracy J Koehler, PhD1, Amanda Yang, MD1. 1Spectrum Health/Michigan State University General Surgery Residency, 2Spectrum HealthINTRODUCTION: As the cost of health care increases in the United States, increasing focus has been put on efficiency, cost reduction, and containment of spending. Operating room costs play a significant role in this… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Acute Care Surgery
LAPAROSCOPIC RESECTION OF JEJUNAL DIVERTICULA
Tripurari Mishra, MD1, Shanu N Kothari, MD2. 1Gundersen Medical Foundation, 2Gundersen Health SystemJejunoileal diverticula are present in 1% of the population. The majority of diverticula (80%) occur in the jejunum along the mesenteric border of the small bowel. They generally lack a true muscular layer and are considered acquired. The cause is unknown but there… Continue Reading
- Topic:
- Acute Care Surgery
ROLE OF ENDOSCOPY IN THORACO ABDOMINAL IMPALEMENT INJURY
Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS, Shekhar A Jadhav, MS, FMAS, Amol N Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Shirish R Bhagvat, MS, FMAS, Jalbaji P More, MS, Venkat A Gite, MS, DNB. Grant Govt.Medical College and Sir JJ Group of Hospitals, MumbaiBackground: Thoraco-abdominal impalement injuries are rare. Very few cases… Continue Reading
- Topic:
- Acute Care Surgery
Laparoscopic Resection of bleeding Meckel’s Diverticulum in a young adult, with negative Nuclear Scan and angiographic diagnosis of Persistent aberrant Omphalomesenteric artery
Indraneil Mukherjee, MD, Aleksandr Demin, DO, Aleksandra Ogrodnik, MD, Andrey Mironenko, MD, Ian Provancha, Karen E Gibbs, MD. Staten Island University HospitalIntroduction: Meckel's diverticula are the most common congenital anomaly of the GI tract which is seen in 2-3% of the population. The most common presentation of such diverticulum in the pediatric population is hemorrhage, however small bowel… Continue Reading
- Topic:
- Acute Care Surgery
Laparoscopic reduction of ileocolic intussusception
Gustavo Romero Velez, Sathyaprasad Burjonrappa, MD. Montefiore Medical CenterIntussusception is the most common cause of small bowel obstruction in infants. Ninety percent of the cases are treated non-operatively with air enema reduction. For those cases that fail non-operative management, surgery is warranted. Here we present a case of a 3 month old which was successfully… Continue Reading
- Topic:
- Acute Care Surgery