Saline Hydro-Flotation is Superior to Bioresorable Membranes in Decreasing Intra-Abdominal Adhesion Formation in a Rat Model
John Kuckelman, Morgan Barron, Kevin Kniery, Jeffrey Kay, Joseph Kononchik, Zachary Hoffer, Vance Sohn. Madigan Army Medical CenterINTRODUCTION: Adhesion formation after laparotomy remains a major cause of post-operative morbidity. Hyaluronate/carboxymethylcellulose membranes (HAC) are costly bioresorbable membranes that represent current anti-adhesion therapy. Alternatively, hydro-flotation using saline theoretically provides a transient barrier during adhesion formation. We sought… Continue Reading
Interim Analysis of a Prospective, Randomized Phase II Trial of Trastuzumab vs Trastuzumab + E75 for the Prevention of Recurrence in HER2 Overexpressing Breast Cancer Patients
Tommy A Brown, MD1, John W Myers, MD1, Kaitlin M Peace, MD1, Jennifer K Litton, MD2, Rashmi Murthy, MD3, Timothy J Vreeland, MD2, Diane F Hale, MD1, Garth S Herbert, MD1, Guy T Clifton, MD1, Mark O Hardin, MD4, George E Peoples, MD5, Elizabeth A Mittendorf, MD2. 1Department of Surgery, Brooke Army Medical Center, 2The… Continue Reading
Impact of Number of Lymph Nodes in Lung Cancer Resection on Survival: A 10-Year Experience in a Department of Defense Institution to Include Quality of Lymph Node Sampling, Operative Procedure, Staging, and 5-year Survival
Bethany M Heidenreich, CPT, DO, Andrew S Durkee, CPT, DO, Julia O Bader, PhD, Vincent J Mase Jr., LTC, MD. William Beaumont Army Medical CenterObjectives: Assess a 10-year experience at our institution with regard to thoracic oncology, to include quality of regional lymph node (RLN) dissection as compared to the Commission on Cancer (CoC) surveillance… Continue Reading
Surgery at Sea: Are Military Surgery Training Programs Preparing New Graduates for Shipboard Surgery?
Matthew D Nealeigh, DO, Walter B Kucera, MD, Matthew J Bradley, MD, E. Matthew Ritter, MD, W. Brian Sweeney, MD, Elliot M Jessie, MD, Carlos J Rodriguez, DO. Uniformed Services University / Walter Reed National Military Medical CenterIntroduction: Recent decades brought revolutionary applications of technology to address surgical disease. Residency programs appropriately integrated advances into… Continue Reading
Mastery of General Surgery: An Impossible Task In The Army Healthcare System
Timothy P Plackett, DO, MPH1, Joel R Brockmeyer, MD2, Danielle B Holt, MD3, Robert M Rush, Jr, MD4, Joy Sarkar, MD5, Steven A Satterly, MD1, Jason M Seery, MD6, Bradley R Zagol, MD7. 1Womack Army Medical Center, 2Eisenhower Army Medical Center, 3Walter Reed National Military Medical Center, 4Madigan Army Medical Center, 5Brian Allgood Army Community… Continue Reading
IMPROVING COLORECTAL CANCER SCREENING WITHIN MILITARY FACILITIES BY UTILIZING STANDARDIZED QUALITY METRICS
Michelle Ganyo, MD, Lawson Robert, MD, Amanda Cimsit, MD. Naval Medical Center San DiegoINTRODUCTION: In 2015, the American Society of Gastrointestinal Endoscopy/American College of Gastroenterology Task Force on Quality in Endoscopy released updated guidelines on measuring quality in colonoscopy. This identified metrics and provided benchmark goals to serve as proxy measures for the quality of… Continue Reading
Multimodal Pain Control in the Humanitarian Setting
Jonathan L Halbach, DO, Paul Lewis, DO, Jason Brill, MD, James Wallace, MD, Ashley Zander, DO, Mike VanGent, DO, Kyle Gadbois, MD. Naval Medical Center San DiegoObjective: The prescribing of narcotic pain medication during humanitarian medical missions presents an ethical dilemma with the potential for adverse events without reliable follow-up. Some countries prohibit the distribution… Continue Reading
Bigger Is Not Better: Twenty-Year Institutional Experience of Atypical Ductal Hyperplasia Discovered by 11- and 8-Gauge Core Needle Biopsies
Jessica B Weiss, MD, Woo S Do, MD, Dominic M Forte, MD, Rowan R Sheldon, MD, Charles K Childers, Andrew D Mosier, DO, Vance Y Sohn, MD. Madigan Army Medical Center, Tacoma, WAObjectives: The increasing accuracy of large-bore (11- or 8-gauge) vacuum-assisted core needle biopsies (VACNB) has challenged the commonly-accepted practice that surgery is needed for… Continue Reading
“HEAD TO HEAD” COMPARISON OF THREE STATE OF THE ART VIRTUAL REALITY ROBOTIC SURGERY SIMULATORS
Alexandria M Hertz, MD, Evalyn I George, BS, Christine M Vaccaro, DO, Timothy C Brand, MD. Madigan Army Medical CenterObjectives: Compare the face and content validity of the three most prevalent robotic simulators, and to include discussion regarding pricing and availability. Materials/Methods: 15 participants were asked to complete one task on three different robotic trainers,… Continue Reading