Evaluating the effect of drainage on the incidence of hematoma and/or seroma after laparoscopic Transabdominal Preperitoneal Inguinal hernia repair
Mehdi Fesharakizadeh, MD1, P Haghighatjoo, MD2, Sh Dolatkhah3, Sh Fesharakizadeh4, H Saeedimotahar1. 1Iranmehr Hospital, Tehran, Iran, 2Kashani Hospital, Shahrekord, Iran, 3Isfahan University of Medical Sciences, Isfahan, Iran, 4San Francisco State University, CA, USABACKGROUND: Both hematoma and /or seroma are well known complications of laparoscopic inguinal hernia surgery, either TAPP or TEP techniques. Management is usually… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
AN ANALYSIS OF RESULTS IN A SINGLE-BLINDED, PROSPECTIVE RANDOMIZED CONTROLLED TRIAL COMPARING NON-FIXATING VS. SELF-FIXATING MESH FOR LAPAROSCOPIC INGUINAL HERNIA REPAIR
Merritt Denham, BS, Brandon Johnson, BA, Michelle Leong, BA, Kristine Kuchta, MS, Eliza Conaty, BS, Michael Ujiki, MD, Woody Denham, MD, Stephen Haggerty, MD, JoAnn Carbray, BS, Mat Gitelis, BS, John Linn, MD. NorthShore University HealthSystemIntroduction: Laparoscopic inguinal hernia repair (LIHR) offers reduced postoperative pain and shorter convalescence compared to open repair, however it remains… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Effects of Dexamethasone on Post-Operative Urinary Retention in Laparoscopic Inguinal Hernia Repair
Merritt Denham, BS, Kara Donovan, BS, Nicole Wetoska, Kristine Kuchta, MS, JoAnn Carbray, BS, John G Linn, MD, Woody Denham, MD, Stephen P Haggerty, MD, FACS, Michael Ujiki, MD, FACS. NorthShore University Health SystemIntroduction: Post-operative urinary retention (POUR) is a complication of Laparoscopic Inguinal Hernia Repair (LIHR). Previous research has examined predictive perioperative factors of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Review of an Emergency General Surgery Process Improvement Program at a Verified Military Trauma Center
Joseph Bozzay, MD, Matthew Bradley, MD, Angela Kindvall, BSN, Ashley Humphries, MD, Elliot Jessie, MD, MBA, Judy Logeman, MSN, Jeffrey Bailey, MD, Eric Elster, MD, Carlos Rodriguez, DO, MBA. Walter Reed National Military Medical CenterINTRODUCTION: Combat trauma volume brought to our American College of Surgeons’ level 2 verified trauma center has decreased substantially. As such,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
A Large Scale, Machine Learning Model for Predicting Postoperative Morbidity in Laparoscopic and Open Cholecystectomy
Kelsey McClure, MD, Stephanie Moyerman, PhD. St Joseph's Hospital and Medical CenterBackground: Laparoscopic cholecystectomy is one of the most common laparoscopic procedures performed today. Accurate prediction of the risks of cholecystectomy, whether open or laparoscopic, is important for informed surgical decision making, patient consent, and hospital planning. To date, large scale predictive models have been… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
REGIONAL COST ANALYSIS FOR LAPAROSCOPIC CHOLECYSTECTOMY
Elizabeth M Pontarelli, MD, Gary G Grinberg, MD, Pandu R Yenumula, MD. Kaiser Permanente Northern CaliforniaIntroduction: Laparoscopic Cholecystectomy is the most common procedure performed by general surgeons in the United States, with approximately 600,000 procedures performed annually. As the cost of care rises, there is increasing emphasis on utilization and quality. Our objective was to… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
ECONOMIC IMPACT OF EMERGENCY DEPARTMENT USE FOLLOWING BARIATRIC SURGERY
Margaret E Smith, MD, Aaron Bonham, MSc, Amir Ghaferi, MD, MS. University of MichiganINTRODUCTION: Postoperative readmissions following bariatric surgery have declined over recent years; however, a concurrent reduction in postoperative emergency department (ED) visits has not occurred. The most common reasons for ED encounters include abdominal pain, dehydration and nausea. A large proportion of these… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Sleep deprivation and medication errors in surgery: a prospective observational study
Shannon Zhang, MD, Justine Ring, Michelle Methot, PharmD, Boris Zevin, MD. Queen's UniversityIntroduction: Sleep deprivation in physicians has been linked to impaired decision making, poor psychomotor skills, increased medical errors and increased adverse events. General surgery residents are frequently exposed to sleep deprivation; however, a relationship between fatigue and prevalence of provigil medication prescription errors for general… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Laparoscopic versus open emergent ventral hernia repair: an updated and expanded analysis using the ACS-NSQIP database
David M Pechman, MD, MBA, Lifen Cao, MD, PhD, Carmen Fong, MD, Paul Thodiyil, MD, Burton Surick, MD. Mount Sinai Beth IsraelIntroduction: Laparoscopic ventral hernia repair (VHR) is associated with decreased morbidity and shorter length of stay (LOS) when compared to open VHR. Despite evidence of the benefits of laparoscopy, its utilization in VHR has… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Predictors of Mortality after Elective Ventral Hernia Repair: An Analysis of National Inpatient Sample
Zhamak Khorgami, MD, Benedict Y Hui, MD, Guido M Sclabas, MD. University of Oklahoma - TulsaIntroduction: Ventral hernia (VH) is a common surgical problem and can present both as emergent and elective cases. Deciding between surgery and non-operative management of a non-obstructive VH in a high-risk patient can sometimes be a challenge. The aim of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Technical Content of Coaching Conversations: What Do Surgeons Discuss?
Sarah P Shubeck, MD, Arielle E Kanters, MD, MS, Justin B Dimick, MD, MPH. University of MichiganIntroduction: Surgical coaching programs are designed to improve technical skill, increase collaboration between surgeons, and refine surgical judgment with the ultimate goal of improving patient outcomes. These coaching experiences have many different formats with limited evidence to support necessary… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Laparoscopic versus Open Resection of Gastrointestinal Stromal Tumors: A Survival Analysis
Colette S Inaba, MD, Austin R Dosch, MD, Christina Y Koh, MD, Sarath Sujatha-Bhaskar, MD, Marija Pejcinovska, MS, Ninh T Nguyen, MD. University of California IrvineBACKGROUND: Long-term studies on the role of laparoscopic resection of gastrointestinal stromal tumors (GISTs) have been limited. The objective of this study was to compare short- and long-term survival after… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
REVISITING THE IMPACT OF INTRAOPERATIVE CHOLANGIOGRAPHY ON CHOLECYSTECTOMY COMPLICATION RATES AND OPERATIVE TIME
Ashley L Deeb1, Yazen Qumsiyeh1, Sean Wrenn, MD2, Charles Maclean, MDCM, FACP3, Wasef Abu-Jaish, MD, FACS, FASMBS2. 1The Robert Larner, M.D. College of Medicine at the University of Vermont, Burlington VT, 2Department of Surgery, University of Vermont Medical Center, Burlington VT, 3Department of Medicine, University of Vermont Medical Center, Burlington VTIntroduction: The utility of intraoperative… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary
Is Hyperkinetic Gallbladder an Indication for Cholecystectomy?
Shireesh Saurabh, MD, Benjamin Green, DO. Mercy Iowa CityINTRODUCTION: Most studies recommend cholecystectomy for patients with biliary dyskinesia, defined by gallbladder ejection fraction (GBEF) of less than 35 – 40% on HIDA scan. There are no recommendations regarding management of hyperkinetic gallbladder defined by GBEF of more than 80% on HIDA scan. The aim of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary
CHOLECYSTECTOMY FOLLOWING PERCUTANEOUS CHOLECYSTOSTOMY TUBE PLACEMENT LEADS TO HIGHER RATE OF CBD INJURIES
Maria S Altieri, MD, MS, Jie Yang, PhD, Donglei Yin, MS, Salvatore Docimo, MD, Konstantinos Spaniolas, MD, Mark Talamini, MD, MBA, Aurora Pryor, MD. Stony Brook University HospitalIntroduction: Percutaneous cholecystostomy tube (PCT) placement is often the initial management of severe acute cholecystitis in the unstable patient. PCT can be later reversed and cholecystectomy performed. The… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Biliary