Journal of the American College of Surgeons This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Map the Pain: Objective Assesment of Inguinodynia in Hernia Repair by Residents
Lichtenstein ’s Repair is an easy technique to master during residency, with reproducible results. However, the onset of Mesh repairs masks a sinister complication, Inguniodynia, or Iatrogenic Denervations that is quite common with Residents. Álvarez et al developed a Dermatome Mapping technique. This was lat er modified into the Dermatome mapping classification (DMC). (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Shouptik Basu, Ramanuj Mukherjee Tags: General Surgery Source Type: research

Minimally Invasive Inguinal Hernia Repair Is Safe and Effective after Earlier Pelvic Operation
Prior pelvic or lower abdominal surgery is considered by many surgeons as a contraindication to minimally invasive inguinal hernia repair due to scarring and altered pelvic anatomy. The aim of this study was to evaluate safety and short-term outcomes of inguinal hernia repair in patients who have had prior pelvic surgery. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Mikhail Attaar, BeauForester, Simone Francis, Kristine M. Kuchta, Ervin W. Denham, Michael Ujiki, Stephen P. Haggerty Tags: General Surgery Source Type: research

Multimorbid Black Patients Have Lower Rates of Death or Major Morbidity Following an Emergency General Surgery Operation
In general, black patients have worse outcomes than white patients following surgery. While co-morbid conditions confer increased risk, the extent to which specific comorbid conditions impact disparities remains unstudied. We sought to examine the association between multimorbidity and racial disparities in Emergency General Surgery (EGS). (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Sanford E. Roberts, Claire Rosen, Ariel Nehemiah, Christopher Wirtalla, Cary B. Aarons, Jason K.C. Tong, Madison Grasty, Neha Shafique, Rachel R. Kelz Tags: General Surgery Source Type: research

Open vs Closed: Comparing Outcomes of Variable Skin Closure Technique after Emergency Open Colorectal Surgery, an American College of Surgeons NSQIP Analysis
Optimal wound management strategies to reduce surgical site infections (SSI) in non-elective urgent colorectal surgery (UCS) remain controversial and variable. Our aim is to describe SSI and other 30-day outcome measures among patients with varying wound management techniques undergoing UCS. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Rebecca S. Allen, Justin Turcotte, John R. Klune, Christina B. Feather Tags: General Surgery Source Type: research

Outcomes Follow Surgical Treatment for Chronic Groin Pain: A Single Center 7-Year Retrospective Analysis
Chronic groin pain (CGP), defined as pain beyond two months, is a rare but potentially debilitating complication of inguinal hernia repair. CGP etiologies include neuropathic, mesh-related, hernia-related, musculoskeletal, and urologic. Treatment options depend on the nature of the pain. Preoperative history, physical exam and imaging studies can help elucidate the cause, while surgical exploration and interventions are sometimes required. The purpose of this study was to evaluate the outcomes following CGP surgical treatment. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Sharma Cook-Richardson, Igor Belyansky, Paul Kim, H Reza Zahiri Tags: General Surgery Source Type: research

Patient- vs Surgeon-reported Indications for Elective Colectomy for Diverticulitis
This study describes how different domains were considered in decisions for surgery from patient and surgeon perspectives. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Mariam N. Hantouli, Sara Khor, David J. Droullard, Lisa L. Strate, Danielle Lavallee, David R. Flum, Giana H. Davidson Tags: General Surgery Source Type: research

Postoperative Delirium Among Patients Undergoing Major Abdominal Surgery Randomized to In-hospital Probiotics or Placebo
Postoperative delirium burdens both patients and healthcare system and is associated with increased mortality, cost of care and discharge to dependent status. We performed a secondary analysis prospective randomized trial, in which patients undergoing major abdominal surgery were randomized to either postoperative in hospital probiotic or placebo. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Jan Franko, Shankar Raman, May C. Tee, Viet H. Le, Jessica D. Sedinkin, Monica Silva, Benjamin Ferrel, Daniela Frankova Tags: General Surgery Source Type: research

Predictors of Opioid-free Discharge after Laparoscopic Cholecystectomy
Laparoscopic cholecystectomy (LC) is a common operation, yet patterns of postoperative opioid use vary. We aimed to identify predictors of discharge without opioids after LC at our institution. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Alexa D. Melucci, Olivia F. Lynch, Shawn Hsu, David C. Linehan, Jacob Moalem Tags: General Surgery Source Type: research

Response in Patients with Achalasia after Laparoscopic Heller Myotomy Plus Partial Fundoplication
Achalasia is a relatively rare esophageal motility disorder classified by high-resolution manometry (HRM) into three subtypes, and this classification correlates with the outcome. Laparoscopic Heller Myotomy (LHM) plus partial fundoplication is an effective treatment. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Alfonso I. Sanchez Teran, Gonzalo M. Torres Villalobos Tags: General Surgery Source Type: research

Routine Use of Cholangiography During Laparoscopic Cholecystectomy Is Associated with Increased Use of Postoperative Imaging and Invasive Testing: Review of Over 2300 Cases in a Community-based Practice
The role of routine intraoperative cholangiography during cholecystectomy is controversial. We evaluated routine vs selective cholangiography in a community health system setting. The hypothesis was that routine cholangiography results in higher postoperative utilization of imaging and invasive testing. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Jason Beckermann, William S. Harmsen, Talya Lorenz, Robert C. Wendt, Mokhshan Ramachandran, Shelby A. Stewart, Hayden J. Swartz, Maria E. Linnaus Tags: General Surgery Source Type: research

Surgeons and Patients Significantly Misunderstand Cost and Reimbursement for Common General Surgical Operations, Likely Limiting the Benefit of CMS Price Transparency Rules
January 1, 2021, the Centers for Medicare and Medicaid Services (CMS) implemented a Hospital Price Transparency Rule. Consumerism as a means of reducing healthcare expenditures is predicated on informed consumers making discrete choices. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Michael D. Williams, Beth E. Turrentine, Grant D. Frazier, Timothy McMurry Tags: General Surgery Source Type: research

Surgical Management of Duodenal Perforation Post Endoscopic Retrograde Cholangiopancreatography Series of Cases
Complications after ERCP are rare, approximately 0.09% to 1.8% are duodenal perforation. This type of injury requires early diagnosis and proper management since the outcomes can be catastrophic, leading to death in 20% of cases. Our objective is to show our experience in the management of these injuries in order to establish if there is benefit from minimally invasive management vs conventional management. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Mauricio Pedraza Ciro, Luis F. Cabrera Vargas, David Acevedo, Laura Cabrera, Marcia Santafe Guerrero, Jean A. Pulido Segura, Ricardo Villareal Tags: General Surgery Source Type: research

Telemedicine Implementation Trends in Surgical Specialties Before and after COVID-19 Shelter in Place: Adjusting to a Changing Landscape
COVID-19 pandemic caused a shift from in-person medical care to telemedicine. We evaluated trends and efficiency of telemedicine usage within surgical specialties in a regional integrated health care delivery system before and after Northern California SIP orders (March 16, 2020). (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Giye Choe, Jeffrey Douaiher, Weilu Wu, Mary Reed, Gillian Kuehner Tags: General Surgery Source Type: research

The COVID-19 Pandemic Delays Acute Appendicitis and Cholecystitis Presentation and Increases Postoperative Morbidity in Omaha Metropolitan Single Health System Emergency Departments
Since the first reported COVID-19 in December 2019, 90 million cases have been confirmed with two million mortality globally. In the United States, 22 million cases with 370,000 deaths were reported as of January 1st, 2021. The pandemic posed as a critical challenge to public health and the medical community. Navigating through an unprecedented pandemic is difficult as very little is known regarding COVID-19 and its physiological impact on disease processes. However, we suspect patients have delayed presentation when feeling ill possibly due to fear of contracting COVID-19 and therefore have clinically more severe disease ...
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Andy W. Yang, Fumiko Egawa, Morgan E. Noel, Cameron Booth, Kalyana C. Nandipati Tags: General Surgery Source Type: research

The Effects of Preoperative Embolization of the Splenic Artery in Patients Undergoing Splenectomy for Immune Thrombocytopenic Purpura
Transfusion of platelets, red blood cells, or both is usually necessary immediately after splenic artery ligature in patients with immune thrombocytopenic purpura who undergo splenectomy. The purpose of this study was to investigate whether preoperative embolization of the splenic artery reduced the need for transfusion of platelets, red blood cells, or both. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - October 22, 2021 Category: Surgery Authors: Pl ínio C. Baú, Anna Maria Garcia Cardoso, General Surgery Resident, Fernanda C. Wengrover, Bernardo Garicochea Tags: General Surgery Source Type: research