Submucousal injection of Carbon nanoparticles preoperatively improves lymph node staging accuracy in rectal cancer following neoadjuvant chemoradiotherapy
Yanan Wang, PhD1, Haijun Deng, PhD1, Hongyuan Chen, MD2, Hao Liu1, Jun Yan, PhD1, Qi Xue1, Hao Chen1, Guoxin Li1. 1Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China, 2Department of Gastrointestinal Surgery, Fujian Provincial Hospital, Fuzhou, ChinaPurpose: To evaluate the association between the number of node harvested and the rate of node… Continue Reading
Subtotal Cholecystectomy Versus Total Cholecystectomy for Technically Difficult Cholecystitis
V.v. Grubnik, Prof, V.v. Ilyashenko, PhD, M.v. Prikupenko, V.v. Grubnik. Odessa national medical universityIntroduction. In severe cholecystitis laparoscopic cholecystectomy (LC) can be technically difficult with a high risk of duct and arterial injury. To prevent injury, conversion to open cholecystectomy (OC) is usually made. Another solution is performing of laparoscopic subtotal cholecystectomy (LSTC). Aim of… Continue Reading
Successful management of staples line leaks after sleeve gastrectomy
Matthew Benenati1, Michael De France2, Rahul Sharma2, Lou Balsama, DO3. 1Anne Arundel Medical Center, 2Rowan University, 3Kennedy University HospitalIntroduction: Laparoscopic sleeve gastrectomy (LSG) is a standalone procedure which is gaining broad acceptance in the field of bariatric surgery, where it has been shown to be effective in weight loss and the reduction of obesity related… Continue Reading
Successful Weight Loss After Sleeve Gastrectomy: Sex Matters
Daliya B AlMohammad Ali1, Sulaiman Almazeedi1, Salman Al-sabah1, Ahmed Al-serri2. 1Amiri Hospital, 2Kuwait UniversityIntroduction A common dispute within bariatric surgery is inconsistencies in achieving adequate weight loss. Many factors may play a role, and this paper aims to observe some of the predictors of successful excess weight loss post-sleeve gastrectomy. Methods 190 women and 78… Continue Reading
Sufficient Fastening of Mesh for inguinal Hernia Repair: One Tack on the Pubic Tubercle: 110 Patient Meta-Analysis
Ragui W Sadek, MD, FACS, Andrew M Wassef, BS. Rutgers Robert Wood Johnson Medical SchoolBackground: Inguinal hernias account for 75% of abdominal wall hernias with a greater prevalence in male patients. Being one of the most common procedures among general surgeons, laparoscopic repair of inguinal hernia spurs quite the debate with respect to the topic… Continue Reading
Sugar Or Salt?: The Relative Roles Of The Glucocorticoid And Mineralocorticoid Axes In Traumatic Shock
Daniel Nelson, DO, George Black, MD, Mia Debarros, MD, Quinton Hatch, MD, Christopher Porta, MD, Derek McVay, DO, Matthew Eckert, MD, Matthew Martin, MD. Madigan Army Medical CenterOBJECTIVES: Deficiency in glucocorticoids has been proposed as a key contributor to shock states and a target for therapy, but the presence and role of acute mineralocorticoid deficiency… Continue Reading
Super-super obese patients: comparison between sleeve gastrectomy and Roux-en-Y gastric bypass
Raquel G.heredia, MD, PhD, Valeria Valbuena, BS, Crystal Hernandez, BS, Mario Masrur, MD, Kristin Patton, MD, Melissa Murphey DNP. NP-C, Lisa Sanchez-Johnsen PhD., Enrique F Elli, MD. UICIntroduction: Among the population of obese adults (BMI >30 kg/m2), the super-super obese (BMI >60 kg/m2) present particular challenges for the bariatric surgeon. Surgical management of these patients… Continue Reading
Superior mesenteric artery syndrome (SMAS),case report with litrature review
Asem Ghasoup, MD, FACS, MRCPS, Turki Al Qurashi, MD, Mohammed Widenly, MD, MRCS, Marwan Abu Farah. security forces hospital-MakkahIndex Word: Superior Mesenteric artery, Aorto-mesenteric angle, Duodenojejunal anastomosis. Superior mesenteric artery syndrome (SMAS), first described by Rokitanskini in 1861, superior mesenteric artery normally forms an angle of approximately 45° between Abdominal aorta and third part of… Continue Reading
Surgeons, ERCP, and Laparoscopic Common Bile Duct Exploration: Do We Need a Standard Approach for Common Bile Duct Stones?
Rebeccah B Baucom, MD1, Irene D Feurer, PhD1, Julia S Shelton, MD, MPH2, Kristy L Kummerow, MD1, Michael D Holzman, MD, MPH1, Benjamin K Poulose, MD, MPH1. 1Vanderbilt University Medical Center, 2University of LouisvilleBackground Management of choledocholithiasis (CDL) remains challenging. This study aimed to evaluate associations between demographic and practice-related characteristics and CDL management. Methods… Continue Reading
Surgeons Have Knowledge Gaps in the Safe Use of Energy Devices: a Multicenter Cross-Sectional Study
Yusuke Watanabe, MD1, Yo Kurashima, MD1, Amin Madani, MD2, Liane S Feldman, MD2, Minoru Ishida, CCE3, Akihiko Oshita, MD4, Takeshi Naitoh, MD5, Kazuhiro Noma, MD6, Keigo Yasumasa, MD7, Hiroshi Nagata, MD8, Fumitaka Nakamura, MD9, Koichi Ono, MD10, Yoshinori Suzuki, MD3, Toshiaki Shichinohe, MD1, Satoshi Hirano1. 1Hokkaido University, 2McGIll University, 3KKR Tonan Hospital, 4JA Hiroshima General… Continue Reading
Surgical Critical Care and Ultrasound Training: Changing the Paradigm
Cassandra L Cardarelli, MD1, Glaser Jacob, MD2, Matthew Vasquez, MD1, Thomas Scalea, MD3, Sarah Murthi, MD2. 1Walter Reed National Military Medical Center, Bethesda, MD, USA, 2Critical Care Ultrasound Dept, Dept of Surgery and Critical Care, UMMS, Balt, MD, USA, 3Department of Surgery and Surgical Critical Care, UMMS, Baltimore, MD, USAOBJECTIVE: The ideal method to train… Continue Reading
Surgical Management of Unusual Gastric Fistulas After Sleeve Gastrectomy: Gastrocolic, Gastropleural, and Gastrosplenic
David Nguyen, MD, Fernando Dip, MD, LeShon Hendricks, MD, Emanuele Lo Menzo, MD, PhD, FACS, Samuel Szomstein, MD, FACS, Raul Rosenthal, MD, FACS. Cleveland Clinic FloridaIntroduction Laparoscopic sleeve gastrectomy (LSG) is gaining acceptance as the preferred option for treating obesity. The risk of leak and subsequent fistula after a sleeve gastrectomy still present significant concerns… Continue Reading
Surgical robot as the first assistant. Review of 321 consecutive robotic assisted surgeries outcomes in a community hospital.
Omar Y Kudsi, MD, MBA, FACS, Nivedh Paluvoi, MD, Partha Bhurtel, MD. Tufts University School of MedicineBackground: In community hospital setting, surgical trainees are not around to first assist and physician assistants may not be provided. The aim of our study was to assess the feasibility and safety of using a robot in lieu of… Continue Reading
Surgical Site Infection Impact of Pelvic Exenteration Procedure
Zhobin Moghadamyeghaneh, MD, Alessio Pigazzi, MD, Michael J Stamos, MD. University of California, Irvine Background and hypothesis There is limited data available on the surgical site infection (SSI) of patients following debulking operation of pelvic exenteration. NHSN includes these patients under the broad category of colectomy. We sought to compare surgical site infection in patients… Continue Reading
Surgical Site Infections Following Ventral Hernia Repair: Does Operative Approach Matter?
Sara A Hennessy, MD2, Tjasa Hranjec, MD, MS1, Peter T Hallowell, MD2, Bruce D Schirmer, MD2. 2University of Virginia, 1University of Southwestern TexasIntroduction: Approximately 3-13% of patients with abdominal surgery develop a ventral hernia and over 350,000 ventral hernias are repaired annually. A surgical site infection (SSI) after ventral hernia repair (VHR), either open or… Continue Reading