WEEKDAY OR WEEKEND HOSPITAL ADMISSION: DOES IT MATTER FOR ACUTE CARE SURGERY?
Ibrahim Albabtain1, Roaa Alsuhaibani1, Sami Almalki1, Nada Alhassan2, Hassan Arishi1, Hatim Alsulaim1. 1King Abdulaziz Medical City, 2King Saud bin Abdulaziz University for Health ScincesIntroduction: During weekends, hospitals usually reduce their staffing levels and services. This might result in decreased quality of healthcare or so-called the weekend effect. In this study, we aimed to determine the impact… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
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
Use of Departmental Morbidity and Mortality Conference as a Real Time Barometer of Outcomes and Quality in Pediatric Appendectomy
Julie A Disano, MD, Mary C Santos, MD, Vamsi V Alli, MD, Morgan K Moroi, BS, Robert E Cilley, MD. Penn State Hershey Medical CenterIntroduction: Weekly morbidity and mortality conferences (M&M) are educational staples, playing an important role in quality improvement. After noticing an increased frequency of pediatric appendectomy complications during M&M, we explored the accuracy… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
The surgical management of ingested sharp foreign objects in the small bowel (adults): a case series and review of the literature.
Nicholas Morin, DO, Shinban Liu, DO, Erika King, George Ferzli, MD. NYU langone BrooklynIntroduction: The surgical management of arrested sharp foreign bodies (FB) in the small bowel is often managed with a concurrent approach that balances endoscopy, laparoscopy, and laparotomy for their removal. Controversy exists as to the timing of surgical intervention and the management… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
THE STRENGTHS AND LIMITATIONS OF IMAGE-BASED ANATOMIC SEVERITY FOR ACUTE APPENDICITIS IN THE JAPANESE HEALTHCARE SYSTEM
Masakazu Fujii1, Yusuke Watanabe, MD2, Chisato Ichimaru, MD1, Shintaro Takeuchi, MD1, Kiyotaka Imamura, MD1, Kentaro Katou, MD1, Yoshihiro Kinoshita, MD1, Minoru Takada, MD1, Yoshiyasu Anbo, MD1, Fumitaka Nakamura, MD1. 1Department of Surgery, Teine Keijinkai Medical Center, 2Department of Gastroenterological Surgery II, Hokkaido University Faculty of MedicineIntroduction: Validity evidence of the American Association for the Surgery of… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
The presence of air fluid levels in the mesenteric veins as an indicator of early bowel ischemia
Vinay Bajaj, MD, Anthony Dippolito, MD. Easton HospitalOur patient is a 67 year old male with significant history of insulin dependent diabetes, end stage renal disease on hemodialysis, cerebrovascular accident, and ischemic cardiomyopathy with EF 25% who was initially admitted for worsening dyspnea on exertion. He was found to be in flash pulmonary edema secondary… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
THE INCIDENCE AND RISK FACTORS OF VENOUS THROMBOEMBOLISM AFTER OPERATIVE MANAGEMENT OF PATIENTS WITH COMPLICATED DIVERTICULITIS
Mustafa Al-Jubouri, MD, MRCSI, Mohanad Baldawi, MD, Mustafa Baldawi, MD, Munier Nazzal, MD, FACS, Francis Burnicardi, MD, FACS. University of ToledoIntroduction: The prevalence of colonic diverticular disease increases with age and reaches over 70% in octogenarians. Dietary modification and the use of antibiotics are the main form of management of uncomplicated acute diverticulitis. But for… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
The impact of a dedicated Emergency Surgery and Trauma team on appendicitis outcomes
Sabrina Cheok Hx, Dr, Serene Goh Sn, Woan Wui Lim, Anil Rao Dinkar, Kok Yang Tan, Jerry Goo Tt. Department of General Surgery, Khoo Teck Puat HospitalIntroduction: The Emergency Surgery and Trauma (ESAT) is a consultant led service to streamline emergency and elective workloads. As appendicectomy is one of the commonest emergency surgeries performed, we aim… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
The great imitator: Acute gangrenous Cholecystitis
Allyne Topaz, MD, Lauren Poliakin, MD, Luca Milone, MD. The Brooklyn Hospital CenterAcute gangrenous cholecystitis mimicking acute cardiovascular diseases may lead to a delay in surgical management of cholecystitis. Common symptoms associated with ischemic heart disease, such as chest pain and shortness of breath, may also be associated with noncardiac conditions, like cholecystitis. Acute cholecystitis… Continue Reading
- Type:
- Posters
- 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
Systemic review on surgical management of colonic injuries in trauma: to divert or to anastomose?
Man Hon Tang, Daniel Lee. Khoo Teck Puat HospitalIntroduction: There has been more evidence to support the role of primary repair or anastomosis for colonic injuries in trauma. However, there are no randomized trials especially on blunt trauma or in cases of damage control (DC) setting. Aims: To perform a systemic review of studies comparing… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
SOLITARY ILEAL LYMPHANGIOMA, A RARE CAUSE OF OBSCURE INTESTINAL BLEEDING REQUIRING TRANSFUSION SUCCESSFULLY TREATED WITH LAPAROSCOPIC RESECTION
Justin D Sargent, DO1, Hassan Masoudpoor, MD1, Jeffrey J Kraft, MD2, John Davis, MD1. 1Hackensack Meridian Health Palisades, 2Hackensack University Medical CenterINTRODUCTION: Small bowel lymphangioma is a rare benign vascular system tumor that mostly presents in children as head, neck or axillary region masses. Generally they are asymptomatic and don’t require treatment, unless complications arise,… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Small bowel obstructions following the use of barbed sutures: a systematic review.
Benjamin Clapp, MD, Loyd Christensen, BS, Robert Jones, Carlos Lodeiro, BS, Ellen Wicker, DO, William Klingsporn, MD, Alan Tyroch, MD. Texas Tech HSC Paul Foster School of MedicineIntroduction: Barbed sutures were introduced in 2004. Their adoption and use has been widespread across all surgical specialties. One of the infrequent complications seen with the use of… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
SMALL BOWEL OBSTRUCTION AND PERFORATION FROM INGESTED FISH BONE TREATED WITH LAPAROSCOPIC BOWEL RESECTION
Justin D Sargent, DO, Steven P Shikiar, MD, John Davis, MD. Hackensack Meridian Health PalisadesINTRODUCTION: There is a wide range of variability in presentation for patients whom ingest foreign bodies (IFB). Most commonly patients are asymptomatic as the foreign body passes through the gastrointestinal tract without any complications. Patients may also present with obstruction, hemorrhage or… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Sarcopenia predicts postoperative mortality in emergency abdominal surgery. The effect is more significant in emergency surgery compared to elective surgery: Meta-analysis and comparative cohort study of literature
Sheik Rehman, Mr, Shahab Hajibandeh, Mr. Royal Bolton HospitalObjectives: To investigate the effect of sarcopenia on postoperative mortality in patients undergoing emergency abdominal surgery and to compare postoperative mortality in patients with sarcopenia undergoing emergency abdominal surgery with those undergoing elective abdominal surgery. Methods: A search of electronic information sources was conducted to identify all… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery