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
Laparoscopic cholecystectomy in the third trimester of pregnancy: A case report
Shingo Ishida1, Naotsugu Yamashiro1, Satoshi Taga2, Koichi Yano2. 1Shinkomonji Hospital, 2Shinmizumaki hospitalSymptomatic cholelithiasis is common disease performed with laparoscopic cholecystectomy (LC). We will hesitate to operate if the patient is pregnant in the third trimester. Pregnant patients undergoing laparoscopic surgery have been reported increasingly. However, most case reports are confined to patients in the first… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Laparoscopic interval appendectomy as standard of care
Hirotaka Sasada, PhD, Shuto Watanabe, Takemichi Suto, PhD, MD, Fuminori Wakayama, MD, Kohji Nagao, Tadashi Iwabuchi, MD, Nobuo Yagihashi, PhD, MD, Shunnichi Takaya, PhD, MD. Tsugaru General HospitalIntroduction: Conservative therapy is the first choice for acute appendicitis at our department, and after several months we perform laparoscopic appendectomy. We report laparoscopic interval appendectomy. Subjects: The… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Laparoscopic Ladd Procedure
Brian Bassiri-Tehrani, MD, Robert A Andrews, MD. Lenox Hill HospitalIntroduction: Intestinal malrotation occurs in about 1 in 200 to 1 in 500 live births. Despite this, however, not all patients present with signs and symptoms of an acute obstruction or volvulus. In fact, most patients are asymptomatic and are incidentally diagnosed later in life. Symptomatic… Continue Reading
- Topic:
- Acute Care Surgery
LAPAROSCOPIC MANAGEMENT OF CLOSE LOOP BOWEL OBSTRUCTION
Andres E Giovannetti, MD1, Jamie O'Rear, MD1, Brian Welch, MD1, Rami Lutfi, MD, FACS2, Francisco Quinteros, MD2. 1UIC-MGH General Surgery Residency, 2Mercy Hospital ChicagoINTRODUCTION: Small bowel obstruction has been known as one of the contraindications for laparoscopic surgery. In 1991 Bastug et al. described the first adhesiolysis using laparoscopy. Since then, multiple groups have worked… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Acute Care Surgery
LAPAROSCOPIC VERSUS OPEN SURGERY FOR PERFORATED PEPTIC ULCER: AN ENGLISH NATIONAL POPULATION-BASED COHORT STUDY
Sheraz R Markar, Astrid Leusink, Tom Wiggins, Hugh Mackenzie, Omar Faiz, George B Hanna. Department of Surgery & Cancer, Imperial College London, United KingdomBackground: Previous randomized controlled trials have suggested a laparoscopic approach to the surgical treatment of perforated peptic ulcer (PPU) is associated with a reduced length of hospital stay and postoperative pain. However… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Acute Care Surgery
Laparoscopy in penetrating trauma is a safe and effective alternative to laparotomy
Vadim Meytes, DO, Grace Chang, Kevin Bain, DO, Michael Timoney, MD. NYU Langone Hospital - BrooklynIntroduction: Diagnostic laparoscopy (DL) is an increasingly used modality when approaching penetrating anterior abdominal injury (PAAI). Historically, exploratory laparotomy (EL) for PAAI can result in a 20% negative laparotomy, 5% mortality and 20% morbidity rate. Laparoscopically trained trauma surgeons can… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Acute Care Surgery
Medical Management of Severe Traumatic Brain Injury in Afghanistan at Forward Deployed Surgical Units Demonstrates a Potential Knowledge or Utilization Gap in Patient Management
G Baluh, MD, E Mann-Salinas, PhD, A Staudt, PhD, J Gurney, MD, S Shackelford, MD, J Nielsen, MD, T Becker, MD. SAMMCObjectives: Military surgeons deployed to locations with limited resources, i.e. Role 2 medical treatment facilities (MTF), are often required to care for patients sustaining severe traumatic brain injuries (sTBI). It is paramount in sTBI… Continue Reading
Mobile Forward Looking Infrared Technology Allows Rapid Assessment of Resuscitative Endovascular Balloon Occlusion of the Aorta in Hemorrhage and Blackout Conditions
Morgan R Barron, MD, John Kuckelman, DO, John McClellan, MD, Michael Derickson, MD, Cody Phillips, DO, Shannon Marko, DVM, Kyle Sokol, MD, Rowan Sheldon, MDMatthew Eckert, MD, Matthew Martin, MD. Madigan Army Medical CenterIntroduction: Objective assessment of final REBOA position and adequate distal occlusion is clinically limited, particularly in patients with hemorrhagic shock. We propose… Continue Reading
Mortality predictors in elderly patients with perforated peptic ulcer
Jun Su, Dr1, Yiong Hauk Chan, Dr2, Vishalkumar G Shelat, Asst Professor1. 1Tan Tock Seng Hospital, 2National University of SingaporeIntroduction: Surgery for perforated peptic ulcer (PPU) is associated with high mortality in elderly patients. Existing PPU mortality risk prediction models (MRPM) lack simplicity and objectivity. We validate two widely used MRPMs. We hypothesize that more… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Outcomes following administration of tranexamic acid in military traumatic brain injury
Patrick F Walker, MD, Joseph D Bozzay, MD, Luke R Johnston, MD, Eric A Elster, MD, Carlos J Rodriguez, DO, Matthew J Bradley, MD. Department of Surgery, Uniformed Services University of the Health Sciences and Walter Reed National Military Medical Center, Bethesda, MarylandOBJECTIVES: Tranexamic acid (TXA) may be a useful adjunct for military patients with… Continue Reading
Outcomes in the Management of Cholecystectomy Patients in the Setting of a New Acute Care Surgery Service Model: Impact on Hospital Course
Larsa Al-Omaishi, BS, William S Richardson, MD. Ochsner Medical Clinic FoundationIntroduction: The acute care surgery (ACS) model, defined as a dedicated team of surgeons to address all emergency department, inpatient, and transfer consultations, is quickly evolving within hospitals across the United States due to demonstrated improved patient outcomes in the non-trauma setting. The traditional model… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Paraduodenal Hernia – An Unexpected Cause for Peritonitis in the ICU
Mary E Huerter, MD, MA, Caroline Hudson, BS, Eduardo Smith-Singares, MD, FACS. University of Illinois at ChicagoPURPOSE: Paraduodenal hernias are a type of uncommon cogenital internal hernia. Their clinical presentation is typically nonspecific. Acurate diagnosis is critical as the risk of strangulation can be as high as 50% with an exceedingly high mortality of up… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Penetrating precordial trauma in a stable patient, is minimally invasive management possible? Our series of cases.
Mauricio Zuluaga, MD, FACS, General and MIS Surgeon1, Ivo Siljic, MD, FACS, General and MIS Surgeon1, Juan Carlos Valencia, General and MIS surgeon2, Uriel Cardona, General and MIS surgeon2. 1IJP Colombia, Hospitla Universitario Del Valle, Universidad Del Valle, 2IJP Colombia, Clinicafarallones, Clinica Desa, Cali ColombiaIntroduction: The use of minimally invasive surgery in trauma, has more… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Prolonged Field Care – The U.S. Air Force Pararescue Experience
Erik DeSoucy, DO1, Seth Zweben, NREMTP2, Stacy Shackelford, MD3, Joseph J DuBose, MD1, Russ S Kotwal, MD, MPH3, Harold R Montgomery, SOATP3, Sean Keenan, MD4, Stephen C Rush, MD2. 1David Grant Medical Center, 2U.S. Air Force Pararescue, 3Joint Trauma System, 4Special Operations Command, EuropeIntroduction: United States Air Force Pararescue is an elite special operations force… Continue Reading