American Surgeon
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Follicular Neoplasms of the Thyroid: Predictors of Malignancy? Follicular neoplasms of the thyroid present a therapeutic challenge. Initial limited thyroidectomy may result in some patients requiring completion thyroidectomy for malignancy. In the current study we examined age, gender, race, time from nodule discovery to operation in months, history of radiation exposure, tumor size (cm), and cell type in patients with follicular neoplasms identified... ...
American Surgeon - Tập 67 Số 9 - Trang 880-884 - 2001
Perioperative Factors as Predictors of Operative Mortality and Morbidity in Pneumonectomy Pneumonectomy for lung cancer is associated with significant morbidity and mortality. Risk factors for the morbidity and mortality have been reported, but consistent conclusive data are undetermined. Current accepted 30-day mortality rates for pneumonectomy range from 7 to 11 per cent. The objective of this study is to determine whether various perioperative factors can serve as predictor... ...
American Surgeon - Tập 67 Số 4 - Trang 318-322 - 2001
Serum Lactic Acid Determines the Outcomes of CT Diagnosis of Pneumatosis of the Gastrointestinal Tract Computed tomography (CT) diagnosis of pneumatosis involving the gastrointestinal tract can represent a broad range of clinical entities from a benign process to ischemic bowel. The purpose of this study is to define the significance and outcome of pneumatosis intestinalis (PI). All CT scans from 5/93 to 12/01 with the finding of PI were reviewed. Eighty-six CT scans had the finding of PI,... ...
American Surgeon - Tập 70 Số 1 - Trang 19-24 - 2004
The Impact of Under-triage on Trauma Outcomes in Older Populations ≥65 YearsBackground Undertriage of older trauma patients is implicated as a cause for outcome disparities. Undertriage is defined by an Injury Severity Score (ISS) ≥16 without full trauma activation. We hypothesized that in patients ≥65 years, undertriage is associated with unfavorable discharge. Methods ...
American Surgeon - Tập 87 Số 9 - Trang 1412-1419 - 2021
High-Risk Prehospital Mechanisms in Tier II Trauma Codes: An Analysis of Under-Triage at a Level II Trauma Center Under-triage is used as a surrogate for trauma quality. We sought to analyze factors that may impact under-triage at our institution by a detailed analysis of prehospital mechanisms and patient factors that were associated with the need for invasive intervention, intensive care unit monitoring, or death. Patients admitted to our Level II trauma center who met the criteria for under-triage... ...
American Surgeon - Tập 83 Số 10 - Trang 1080-1084 - 2017
What are the True Advantages of a Pediatric Appendicitis Clinical Pathway? Multiple protocols have been described for pediatric appendicitis, but few have been compared with off-protocol treatment. We performed such a comparison. Children treated for appendicitis by three pediatric surgeons over a 28-month period were studied. A protocol of primary wound closure without drains, standardized use of antibiotics, and patient discharge according to predetermined cli... ...
American Surgeon - Tập 72 Số 10 - Trang 885-889 - 2006
Colonic Histoplasmosis Presenting as Colon Cancer in the Nonimmunocotnpromised Patient: Report of a Case and Review of the Literature Histoplasma capsulatum is an important pathogen that is the most commonly diagnosed endemic mycosis in the gastrointestinal tract of immunocompromised hosts. Failure to recognize and treat disseminated histoplasmosis in AIDS patients invariably leads to death. Gastrointestinal manifestations frequently involve the terminal ileum and cecum, and depending on the layer of bowel wall involved... ...
American Surgeon - Tập 70 Số 11 - Trang 959-963 - 2004
Preoperative Pain is the Strongest Predictor of Postoperative Pain and Diminished Quality of Life after Ventral Hernia RepairWith evolution of hernia repair surgery, quality of life (QOL) became a major outcome measure in nearly 350,000 ventral hernia repairs (VHRs) performed annually in the United States. This study identified predictors of chronic pain after VHR. A prospective database of patient-reported QOL outcomes at a tertiary referral center was queried from 2007 to 2010; 512 patients met inclusion crite... ...
American Surgeon - Tập 79 Số 8 - Trang 829-836 - 2013
Does Single, Low-Dose Preoperative Dexamethasone Improve Outcomes after Colorectal Surgery Based on an Enhanced Recovery Protocol? Double-Blind, Randomized Clinical Trial Preoperative single, high-dose methylprednisolone administration improves postoperative outcomes after colonic surgery. Several randomized studies, including major surgeries, assessed various high-dose steroid regimens; however, evidence about the effect of administration of lower doses on postoperative outcomes in colorectal surgery is not available. The aim of the present study is to de... ...
American Surgeon - Tập 74 Số 2 - Trang 160-167 - 2008
Traumatic Shock Alias Posttrauma Critical Illness Trauma is the most common cause of death under the age of 45. Many trauma patients die of multiple organ failure, especially acute respiratory distress syndrome. The basic cause of traumatic shock has only partially been elucidated. Data resources include research papers on the subject of trauma and shock from 1875 to the present. These papers numbered more than 40,000. Almost all of the ... ...
American Surgeon - Tập 66 Số 3 - Trang 284-290 - 2000
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