American Surgeon
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Follicular Neoplasms of the Thyroid: Predictors of Malignancy?
American Surgeon - Tập 67 Số 9 - Trang 880-884 - 2001
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 at the t...
Perioperative Factors as Predictors of Operative Mortality and Morbidity in Pneumonectomy
American Surgeon - Tập 67 Số 4 - Trang 318-322 - 2001
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 predictors of
morb...
Serum Lactic Acid Determines the Outcomes of CT Diagnosis of Pneumatosis of the Gastrointestinal Tract
American Surgeon - Tập 70 Số 1 - Trang 19-24 - 2004
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, with
the...
The Impact of Under-triage on Trauma Outcomes in Older Populations ≥65 Years
American Surgeon - Tập 87 Số 9 - Trang 1412-1419 - 2021
Background 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 This is a
retrospective study of patients ≥65 years admitted at a Level 1 Trauma Center
between July 20...
High-Risk Prehospital Mechanisms in Tier II Trauma Codes: An Analysis of Under-Triage at a Level II Trauma Center
American Surgeon - Tập 83 Số 10 - Trang 1080-1084 - 2017
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
using th...
What are the True Advantages of a Pediatric Appendicitis Clinical Pathway?
American Surgeon - Tập 72 Số 10 - Trang 885-889 - 2006
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 clinical cri...
Colonic Histoplasmosis Presenting as Colon Cancer in the Nonimmunocotnpromised Patient: Report of a Case and Review of the Literature
American Surgeon - Tập 70 Số 11 - Trang 959-963 - 2004
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 present ...
Preoperative Pain is the Strongest Predictor of Postoperative Pain and Diminished Quality of Life after Ventral Hernia Repair
American Surgeon - Tập 79 Số 8 - Trang 829-836 - 2013
With 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
criteria. Fac...
Does Single, Low-Dose Preoperative Dexamethasone Improve Outcomes after Colorectal Surgery Based on an Enhanced Recovery Protocol? Double-Blind, Randomized Clinical Trial
American Surgeon - Tập 74 Số 2 - Trang 160-167 - 2008
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 determine w...
Traumatic Shock Alias Posttrauma Critical Illness
American Surgeon - Tập 66 Số 3 - Trang 284-290 - 2000
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
papers pr...
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