American Surgeon

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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
Türkay Kırdak, Aysun Yılmazlar, Sinan Çavun, İlker Ercan, Tuncay Yılmazlar
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...... hiện toàn bộ
Use of a Hospital-Wide Screening Program for Early Detection of Sepsis in General Surgery Patients
American Surgeon - Tập 81 Số 10 - Trang 1074-1079 - 2015
Ian T. MacQueen, Aaron J. Dawes, Tracy N. Hadnott, Kristen Strength, Gregory J. Moran, Christine H. Holschneider, Marcia M. Russell, Melinda Maggard‐Gibbons
Sepsis remains a significant source of mortality among hospitalized patients. This study examines the usage of a vital sign-based screening protocol in identifying postoperative patients at risk for sepsis at an academic-affiliated medical center. We identified all general surgery inpatients undergoing abdominopelvic surgery from January to June 2014, and compared those with positive scre...... hiện toàn bộ
Successful Treatment of De Garengeot's Hernia Using LaparoscopicTechnique
American Surgeon - Tập 85 Số 9 - Trang 508-510 - 2019
Leah Plumblee, Doris Kim, Mark A. Pacult, Rana Pullat
Article Commentary: The Role of Laparoscopic Donor Nephrectomy in Renal Transplantation
American Surgeon - Tập 76 Số 4 - Trang 349-353 - 2010
Mary Eng
Renal transplantation is an effective treatment for patients with end-stage renal disease. Unfortunately, the number of patients waiting for transplantation greatly exceeds the number of suitable organs. Use of live kidney donors can increase the donor pool. Historically, donor nephrectomy was performed as an open technique. Its associated prolonged convalescence and long-term morbidity w...... hiện toàn bộ
Hemodynamic Monitoring of Organ Donors: A Novel Use of the Esophageal Echo-Doppler Probe
American Surgeon - Tập 72 Số 6 - Trang 500-504 - 2006
James Cipolla, Stanislaw P. Stawicki, Deneen Spatz
The esophageal Doppler monitoring (EDM) technology is well described in the literature. As it evolved over the last several years, the use of EDM has found expanded indications in various clinical settings. One of the areas where EDM has not been studied extensively is its use during optimization of organ donors before organ procurement. Close hemodynamic monitoring has become essential i...... hiện toàn bộ
Prevalence of Delayed Hemothorax in Blunt Thoracic Trauma
American Surgeon - Tập 71 Số 6 - Trang 481-486 - 2005
Om P. Sharma, Sara Hagler, Michael F. Oswanski
Delayed hemothorax (DHTX) is rarely seen. On an 8-year retrospective analysis of blunt thoracic trauma (BTT), hemothorax (HTX) was diagnosed in 167 patients: 18 children, 113 adults, and 36 elderly. No statistical differences were seen in any age groups regarding Injury Severity Score (mean ISS, 30.54), critical care length of stay (CLOS, 9.0), and hospital LOS (HLOS, 11.21). Mortality ra...... hiện toàn bộ
Article Commentary: Clostridium difficile and the Surgeon
American Surgeon - Tập 76 Số 3 - Trang 235-244 - 2010
Stanley John, Robert P. Burns
Acute Thermal Injury to the Canine Jejunal Free Flap: Electrocautery versus Ultrasonic Dissection
American Surgeon - Tập 65 Số 4 - Trang 334-337 - 1999
Daniel W. Birch, Adrian Park, Hafez Shuhaibar
Electrocautery-induced thermal injury contributes to morbidity and mortality after laparoscopic surgery. Ultrasonic dissection is an alternative technique that may produce less thermal injury. We compared the amount of acute thermal injury caused to jejunal free flaps isolated with laparoscopic electrosurgical instruments with that caused by ultrasonic dissection (laparoscopic coagulating...... hiện toàn bộ
Benign and Solid Tumors of the Liver: Relationship to Sex, Age, Size of Tumors, and Outcome
American Surgeon - Tập 67 Số 2 - Trang 173-178 - 2001
K. Rajender Reddy, Seth Kligerman, Joé U. Levi, Alan S. Livingstone, Enrique Molina, Dido Franceschi, Salvatore Badalamenti, Lennox J. Jeffers, Andreas G. Tzakis, Eugene R. Schiff
From 1983 through 1997, our center diagnosed 130 cases of benign neoplasms: 27 with focal nodular hyperplasia (FNH), 25 with hepatic adenoma, 71 with cavernous hemangioma, and seven with mixed tumors of different diagnoses. Most often these lesions were seen in females [female-to-male ratio (f/m): 5.5/1]. Hepatic adenomas and mixed tumors were seen exclusively in females and FNH predomina...... hiện toàn bộ
Resorbable Biosynthetic Mesh for Crural Reinforcement during Hiatal Hernia Repair
American Surgeon - Tập 80 Số 10 - Trang 1030-1033 - 2014
Evan T. Alicuben, Stephanie G. Worrell, Steven R. DeMeester
The use of mesh to reinforce crural closure during hiatal hernia repair is controversial. Although some studies suggest that using synthetic mesh can reduce recurrence, synthetic mesh can erode into the esophagus and in our opinion should be avoided. Studies with absorbable or biologic mesh have not proven to be of benefit for recurrence. The aim of this study was to evaluate the outcome ...... hiện toàn bộ
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