Analysis of True Attrition Rates in Military General Surgery Training Programs
Gabrielle Rolland, MD1, Eric P Ahnfeldt, DO2, Charles H Chestnut, DO3, Robert M Cromer, MD4, Byron J Faler, MD5, Andrew D Galusha, MD6, Romeo C Ignacio, MD7, Dwight C Kellicut, MD8, Daniel T Lammers, MD9, Timothy A Platz, DO10, Brandon W Propper, MD11, M Logan Rawlins, MD12, E Matthew Ritter, MD1. 1The Department of Surgery… Continue Reading
Comparison of Outcomes Between the National Surgical Quality Improvement Program (NSQIP) and an Emergency General Surgery Registry at a Military Medical Center
Robert W Despain, MD1, William J Parker, MD1, Angela T Kindvall, BSN2, Peter A Learn, MD1, Eric A Elster, MD1, Elliot M Jessie, MD1, Carlos J Rodriguez, DO3, Matthew J Bradley, MD1. 1Department of Surgery, Uniformed Services University of Health Sciences and Walter Reed National Military Medical Center, 2Department of Surgery, Walter Reed National Military… Continue Reading
De Garengeot’s Hernia: A Report of Two Cases, Analysis of 177 Published Cases, and Proposed Classification System
Timothy M Guenther, MD1, Jim Becker, MD2, Nalani Grace, MD3, James Wiedeman, MD3. 1David Grant Medical Center, Travis AFB/UC Davis, 2UC Davis, 3Sacramento VA Medical Center - VA Northern California Health Care SystemIntroduction: A De Garengeot’s hernia is a femoral hernia that contains the appendix. This rare type of hernia was first described by René-Jacques… Continue Reading
Effects of Vasopressin and Norepinephrine on Wound Healing of Vascular Smooth Muscle and Endothelium
Kenneth J Bogenberger, MD, Dao H Ho, PhD. Tripler Army Medical CenterObjectives: Hemorrhagic shock as a result of trauma or surgical bleeding is frequently temporized with administration of vasopressors in order to augment systemic vascular resistance while resuscitation measures are employed. This mimics the treatment strategy of other forms of shock where systemic vascular resistance… Continue Reading
Immunologic Efficacy of E39 & E39’ Vaccination in a Phase I/IIa Trial in Ovarian & Endometrial Cancer Patients
Jessica L Cindass, MD1, Annelies T Hickerson, MD1, Tommy A Brown II1, Kaitlin M Peace1, John W Myers III1, Timothy J Vreeland2, Diane F Hale1, Doreen O Jackson1, Julia M Greene3, John S Berry IV4, Guy T Clifton1, Garth S Herbert1, George E Peoples5. 1Brooke Army Medical Center, San Antonio, TX, 2University of Texas MD… Continue Reading
Interim analysis of a prospective, randomized, double blind, placebo controlled, phase IIb trial of the TLPLDC vaccine to prevent recurrence in resected stage III or IV melanoma patients.
Jessica L Campf1, John W Myers1, Guy T Clifton1, Diane F Hale1, Tommy A Brown1, Timothy J Vreeland2, Robert Hi Andtbacka3, Adam C Berger4, James W Jakub5, Jeffrey J Sussman6, Alicia M Terando7, Mark B Faries8. 1San Antonio Military Medical Center, 2University of Texas MD Anderson Cancer Center, 3Huntsman Cancer Institute, 4Thomas Jefferson University Kimmel… Continue Reading
Less is More: Comparison of Partial v. Full REBOA in a Porcine Hemorrhagic Shock Model
Dominic M Forte, Woo S Do, MD, Jessica B Weiss, MD, Rowan R Sheldon, MD, Matthew J Eckert, MD, Matthew J Martin. Madigan Army Medical CenterObjectives: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is effective as a temporizing measure in non-compressible truncal hemorrhage (NCTH). However, use for longer than 60min causes lethal reperfusion injury. Partial… Continue Reading
Limited Opioid ERAS-Bariatric Protocol Reduces Inpatient Length of Stay
Brooke A Pati, MD, Dylan M Russell, MD, Robert B Lim, MD, FACS. TAMCINTRODUCTION: Enhanced recovery after surgery (ERAS) protocols integrate evidence-based interventions and utilize multimodal perioperative interventions which are designed to reduce physiological stress and accelerate recovery in patients undergoing major surgery. Enhanced recovery after bariatric surgery (ERAS-B) protocols are becoming more prevalent and… Continue Reading
Linear Tensile Force Testing in Porcine Model validates use of Novel Mesh Suture
Christopher J Scheiber, MD, Dearth Christopher, PhD, Alfred Pisano, Liacouras Peter, PhD, Jason Souza, MD. WRNMMCINTRODUCTION: Despite recent studies1,2 investigating different closure techniques following laparotomy, the incidence of incisional hernia remains high. A common cause of failure is suture pull-through, leading to early dehiscence. In order to decrease this risk, the authors have previously proposed… 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 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
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
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
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
Postoperative Anastomotic Leak after Splenic Flexure Mobilization for Colectomy
Joshua Dilday, DO, Timothy Gilligan, DO, Clay Merritt, DO, Daniel Nelson, DO, Avery Walker, MD. William Beaumont Army Medical CenterObjective: Proponents of routine splenic flexure mobilization (SFM) during distal colon resection suggest this technique ensures a well-vascularized tension-free anastomosis and lowers the risk of anastomotic leak. Data supporting this practice are lacking. Therefore, we sought… Continue Reading