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Racial Differences in the Rate of Surgical Site Infection by Subspeciality
Surgical site infection (SSI) is a common, morbid complication. We hypothesized the presence of racial differences in the rate of SSI, comparing Black/African American (BAA) to White non-Hispanic (WNH) patients. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Kent Grosh, Saad M. Shebrain, Gitonga Munene, Robert G. Sawyer Tags: General Surgery Source Type: research

Round Ligament Management in Women Undergoing Inguinal Hernia Repair: Should We Divide or Preserve?
This study aimed to identify the impact of round ligament division (RLD) or preservation (RLP) on short and medium-term quality of life. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Savannah Renshaw, Anand Gupta, Courtney Collins, Benjamin Poulose, Kelly Haisley Tags: General Surgery Source Type: research

Shared Decision Making for Common Surgical Conditions: What Do Management Guidelines Suggest?
With the advent of patient-centered care, shared decision making (SDM) has become valuable to surgical patients. Surgeons are now interested in applying SDM to their practice, however, uptake has been slow. The purpose of this study was to characterize whether SDM is mentioned in established management guidelines for common surgical procedures and whether its importance has increased over time. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Ariana Y. Nodoushani, Olivia A. Sacks, Mollie A. O'Brien, Sabrina E. Sanchez Tags: General Surgery Source Type: research

Sustained Growth and Consistent Outcomes in a Multi-disciplinary Robotic-assisted Surgery Program: A Prospective Evaluation of the First 3 Years
Robotic-assisted surgery has several proven advantages, and a well-structured process is required to consistently deliver these procedures to a high standard. We compared the first half to the second half of a 3-year-old multi-disciplinary robotic-assisted surgery programme to appraise programme efficiency and patient outcomes. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Catrin Sohrabi, Louis Boyce, Despoina Iakovou, Jayan D. Jayasinghe, Mohamed A. Thaha, Rajesh Sivaprakasam Tags: General Surgery Source Type: research

The Diagnostic Accuracy of Preoperative Neutrophil-lymphocyte Ratio in Adult and Pediatric Patients in Predicting Complicated Appendicitis
Complicated Appendicitis (CA) correlates with a higher risk of postoperative morbidity, total length of hospital stay and significant financial burden to patients. Failure to promptly identify complicated cases from uncomplicated may lead to delay in surgery and consequent catastrophic intraabdominal abscess formation, perforation, peritonitis and surgical site infection. CA is an outcome of inflammation and bacterial overgrowth, thus, economical inflammatory markers such as Neutrophil- Lymphocyte Ratio (NLR) may be used as a diagnostic tool thereby possibly avoiding expensive imaging, such as CT scans which may have limit...
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Jan Edward P. Albano Tags: General Surgery Source Type: research

The Effect of Cryotherapy Application on Postoperative Pain: A Systematic Review and Meta-analysis
Control of acute pain and reduction of opioid use is important in the postoperative phase of patient care. “Cryotherapy” refers to the use of low temperatures for therapeutic purposes. Our objective was to systematically review and meta-analyze whether the application of cryotherapy on closed incisions reduces postoperative pain and opioid consumption. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Hala Muaddi, Erin Lillie, Stephanie Silva, Jori-Lee Cross, Karim Ladha, Stephen Choi, Aaron Mocon, Paul J. Karanicolas Tags: General Surgery Source Type: research

The Impact of Epidural Analgesia in Short-term Outcomes after Incisional Hernia Repair: A Nationwide Database Study
The benefits of epidural analgesia (EA) have been reported for several abdominal procedures. However, its use in hernia repair surgery remains under debate. We aimed to compare the outcomes of patients undergoing Incisional Hernia Repair (IHR) according to the use of EA. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Andrea C. Quiroga, Viviana A. Quiroga-Centeno, Juan P. Serrano-Pastrana, Orlando Navas Quintero, Sergio A. G ómez Ochoa Tags: General Surgery Source Type: research

The Open Approach Is Single Greatest Risk Factor for Increased Perioperative Morbidity in Patients Undergoing Transversus Abdominis Release
This study aims to compare the impact of open and robotic TARs on perioperative morbidity in small to mid-sized ventral hernias. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Bradley S. Kushner, Britta J. Han, Arnab Majumder, Sara Holden, Jeffrey A. Blatnik Tags: General Surgery Source Type: research

The Opioid Reduction Task Force: Using the Abdominal Core Health Quality Collaborative to Combat an Epidemic in Hernia Patients
Postoperative opioid prescriptions contribute significantly to prolonged opioid misuse and abuse. Using a national hernia registry, we aimed to evaluate the effectiveness of a data-driven educational intervention on surgeon prescribing behavior. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Rana M. Higgins, Arielle J. Perez, Jeremy A. Warren, Clayton C. Petro, Teresa E. Dews, Michael Reinhorn Tags: General Surgery Source Type: research

Using the Surgical Risk Preoperative Assessment System to Define the “High Risk” Surgical Patient
Defining a “high risk” surgical population has not been well studied and remains challenging. The Surgical Risk Preoperative Assessment System (SURPAS) uses eight variables to predict 12 postoperative adverse outcomes. Using this tool and the American College of Surgeons National Surgical Quality Improveme nt Program (ACS-NSQIP) database, we sought to quantitatively define “high risk” groups for adverse postoperative outcomes that may be amenable to risk mitigation. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Adam R. Dyas, Michael R. Bronsert, Robert A. Meguid, Kathryn L. Colborn, Anne Lambert-Kerzner, Paul D. Rozeboom, Catherine G. Velopulos, William G. Henderson Tags: General Surgery Source Type: research

Use of Telemedicine at an Advanced Hernia and Abdominal Wall Reconstruction Program
Telemedicine has emerged as a viable option for the management of surgical patient populations. We review our experience in applying telemedicine in an advanced hernia and abdominal wall reconstruction program during the pandemic. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Mudassir S. Akhter, Emaad J. Iqbal, Beth Dewey, Ashraf Samhan, Stephanie MacDonald, Sean B. Orenstein, Vahagn Nikolian Tags: General Surgery Source Type: research

Value Assessment of Open vs Minimally Invasive Hernia Repairs at a Tertiary Rural Health System: 2010-2020
Over a million hernia repairs at a cost exceeding two billion dollars are performed in US/year. Our study aims to determine a value assessment for hernia repairs done mini-invasive (MI) or open(O). (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Arslan Iqbal, Michael Abdelmasseh, Errington Thompson, Semeret T. Munie, Robert K. Finley, Willis Jonathan, Vineela Kadiyala, Barbara Payne, Juan Sanabria Tags: General Surgery Source Type: research

Where Does the Leak Start? Identifying Diversity Trends Within the Surgery Pipeline 2011-2020
Surgeon diversity is a work in progress with racial gaps remaining at many training levels. Diversity is critical as prior studies identified underrepresented minority (URM) physicians as more likely to practice in underserved communities. College matriculation data show that URM make up nearly 30% of students, leading us to hypothesize that the lack of diversity in the surgical pipeline starts earlier than expected. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Joseph R. Esparaz, Elizabeth A. Beierle, Robert T. Russell, Colin A. Martin, David A. Rogers, Scott A. Anderson, Vincent E. Mortellaro, Mike K. Chen Tags: General Surgery Source Type: research

A Descriptive Study on a Multispeciality Robotic Programme, with a Focus on Theater Efficiency
This study aimed to describe the efficiency of a unicentre multispeciality robotic program, using the da Vinci Robotic Surgical System, according to the duration operating theatre occupancy, duration of surgery and a 30-day complication follow-up. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Despoina Iakovou, Louis Boyce, Catrin Sohrabi, Rajesh Sivaprakasam, Mohamed A. Thaha, PG Cert Hlth Econ, Jayan D. Jayasinghe Tags: General Surgery Source Type: research

Absence of Viable SARS-CoV-2 Virus in Surgical Smoke Produced During Electrocautery
WITHDRAWN (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Leigh J. Sowerby, Anthony Nichols, Doron D. Sommer, Corey Moore, Douglas Fraser, Eric Arts Tags: General Surgery Source Type: research