Article
Surgery
Valentina Duran Espinoza, Mariana Miguieles Schilling, Maria Ines Gaete Danobeitia, Javier Vela Ulloa, Felipe Silva Pena, Cristian Jarry Trujillo, Julian Varas Cohen, Pablo Achurra Tirado, Martin Inzunza Agueero
Summary: In terms of recording laparoscopic procedures, non-medical video recording devices (NMRDs) outperformed medical-grade recording device (MRD) with a higher overall score. This suggests that NMRDs could serve as a cost-effective alternative with superior video quality for recording laparoscopic surgeries.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Endocrinology & Metabolism
Sumaiya Ahmed, Gregory L. Hundemer
Summary: Primary aldosteronism is the most common and modifiable form of secondary hypertension. Early diagnosis and targeted therapy are crucial for improved long-term patient outcomes. Surgical adrenalectomy is the recommended treatment for unilateral primary aldosteronism, offering the potential for disease cure.
FRONTIERS IN ENDOCRINOLOGY
(2022)
Article
Clinical Neurology
A. Garcia-Pastor, A. Gil-Nunez, J. M. Ramirez-Moreno, N. Gonzalez-Nafria, J. Tejada, F. Moniche, J. C. Portilla-Cuenca, P. Martinez-Sanchez, B. Fuentes, M. A. Gamero-Garcia, M. A. de Lecinana, J. Masjuan, D. C. Verge, Y. Aladro, V Parkhutik, A. Lago, A. M. De Arce-Borda, M. Usero-Ruiz, R. Delgado-Mederos, A. Pampliega, A. Ximenez-Carrillo, M. Bartulos-Iglesias, E. Castro-Reyes
Summary: This study analyzed the effectiveness of carotid endarterectomy and carotid artery stent placement in patients with symptomatic carotid near-occlusion and identified factors related to technical failure, periprocedural complications, and restenosis. The results showed that both procedures had high rates of failure and periprocedural stroke. The study also found that carotid near-occlusion with full collapse was associated with an increased risk of technical failure and restenosis. The revascularization of carotid near-occlusion did not seem to reduce the risk of stroke compared with medical treatment.
AMERICAN JOURNAL OF NEURORADIOLOGY
(2022)
Article
Medicine, General & Internal
Amy S. Shah, Michael A. Helmrath, Thomas H. Inge, Stavra A. Xanthakos, Megan M. Kelsey, Todd Jenkins, Andrew T. Trout, Lorna Browne, Kristen J. Nadeau
Summary: The study aims to compare the effectiveness of VSG with the current best medical treatment in reducing hyperglycaemia and diabetes comorbidities in youth with T2D. Additionally, it aims to improve understanding of the pancreatic and enterohepatic mechanisms by which MBS improves diabetes and associated comorbidities.
Article
Medicine, General & Internal
Marlies Ostermann, Gudrun Kunst, Eleanor Baker, Kittisak Weerapolchai, Nuttha Lumlertgul
Summary: Acute kidney injury (AKI) is common after cardiac surgery and there are currently no specific pharmacological therapies, prevention and management strategies include preoperative withdrawal of certain drugs and avoidance of nephrotoxic agents, intraoperative goal-directed therapy and use of biocompatible coatings in circuits, postoperative management should follow current KDIGO AKI recommendations.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Surgery
Thomas W. Cheng, Alik Farber, Alexandra M. Forsyth, Scott R. Levin, Maha Haqqani, Jeffrey A. Kalish, Jeffrey J. Siracuse
Summary: Although the frequency of vascular-related EMTALA violations was low, improvements in communication, awareness of vascular disease among staff, specialty staffing, and the development of referral networks and processes are needed to ensure that patients receive adequate care and that institutions are not placed at undue risk.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Sophia K. McKinley, Emily E. Witt, Rachael C. Acker, Douglas J. Cassidy, Isra Hamdi, Arian Mansur, Arundhati Ghosh, Amy Evenson, Reza Askari, Emil Petrusa, Noelle Saillant, Roy Phitayakorn
Summary: This study aims to understand student perspectives on the surgery clerkship and their reflections on surgical learning, in order to improve the clerkship. Analysis of student responses revealed preclerkship motivations and concerns, as well as postclerkship reflections on surgical learning, providing intervention targets for enhancing the surgery clerkship.
Article
Clinical Neurology
P. Pierini, Agnese Novelli, F. Bossi, R. Corinaldesi, M. Paciaroni, M. G. Mosconi, A. Alberti, M. Venti, I. Leone de Magistris, V. Caso
Summary: This study compared surgical and conservative treatment for patients with spontaneous intracerebral hemorrhage (ICH) and found that surgical patients were younger and had larger ICH volume, but overall there was no significant benefit from surgery.
NEUROLOGICAL SCIENCES
(2023)
Article
Microbiology
Peter Laursen Graversen, Lauge Ostergaard, Marianne Voldstedlund, Malthe Faurschou Wandall-Holm, Morten Holdgaard Smerup, Lars Kober, Emil Loldrup Fosbol
Summary: This study aimed to compare patient characteristics, microbiological characteristics, and outcomes in the treatment choice of infective endocarditis (IE) patients. The results showed that patients who underwent surgery were younger and had fewer comorbidities. Those with Staphylococcus aureus IE were less likely to undergo surgery. The one-year mortality rate was lower in patients who underwent surgery, while Staphylococcus aureus was more common in patients who received medical therapy.
Article
Rheumatology
Jonathan Carcione, Shari Bodofsky, Brian LaMoreaux, Naomi Schlesinger
Summary: Surgical treatment for gout is more common than previously reported, with a majority of surgeries being performed in Asia and Europe. Most patients undergoing surgery were not receiving urate-lowering therapy, which can lead to tophi reformation post-surgery.
CURRENT RHEUMATOLOGY REPORTS
(2021)
Review
Clinical Neurology
Anne Kitschen, Milda Aleknonyte-Resch, Gabija Sakalyte, Freya Diederich
Summary: This systematic review aims to evaluate the cost-effectiveness of surgical treatment compared to medical treatment for drug-refractory epilepsy patients. The findings suggest that surgical treatment is more cost-effective, especially when considering a long-term perspective.
EUROPEAN JOURNAL OF NEUROLOGY
(2023)
Review
Clinical Neurology
Anne Kitschen, Milda Aleknonyte-Resch, Gabija Sakalyte, Freya Diederich
Summary: Surgical treatment is cost-effective compared to medical treatment for patients with drug-refractory epilepsy, especially when considering a lifetime perspective. All disease-specific costs should be taken into account when assessing the cost-effectiveness of epilepsy treatment.
EUROPEAN JOURNAL OF NEUROLOGY
(2022)
Article
Medicine, General & Internal
Tirissa J. Reid, Judith Korner
Summary: Obesity is a metabolic dysfunction disease with various contributing factors. The complex interplay between adipose tissue, muscle, the gut, and brain is being further understood, leading to the development of more effective and personalized therapies. While it is currently challenging to determine the most beneficial treatment for individual patients, a combination of lifestyle intervention with effective medications, devices, and bariatric surgery options can assist in achieving and maintaining weight loss.
MEDICAL CLINICS OF NORTH AMERICA
(2022)
Editorial Material
Multidisciplinary Sciences
Michael Yip, Septimiu Salcudean, Ken Goldberg, Kaspar Althoefer, Arianna Menciassi, Justin D. D. Opfermann, Axel Krieger, Krithika Swaminathan, Conor J. J. Walsh, He (Helen) Huang, I-Chieh Lee
Summary: Artificial intelligence (AI) applications in medical robots are revolutionizing healthcare with advanced capabilities such as diagnostic imaging, remote surgery, and improved functionality in rehabilitation and prosthetics. The combination of computer vision, medical image analysis, haptics, navigation, precise manipulation, and machine learning enables autonomous robots to perform complex surgical procedures and provide individualized support to patients. This integration of robotics, medicine, materials science, and computing has the potential to greatly enhance patient care in terms of safety, efficiency, and accessibility.
Article
Endocrinology & Metabolism
Loek J. M. de Heide, Sterre H. T. Wouda, Vincent J. T. Peters, Mirjam Oosterwerff-Suiker, Victor. A. A. Gerdes, Marloes Emous, Andre P. van Beek
Summary: In daily practice, pharmacotherapy for postbariatric hypoglycaemia (PBH) has shown good efficacy, with combination therapy often being beneficial. However, a portion of patients ultimately require surgical intervention, which also yields good results.
DIABETES OBESITY & METABOLISM
(2023)
Article
Cardiac & Cardiovascular Systems
Shane P. Smith, Adam J. Bograd, Gal Levy, Shu-Ching Chang, Alex S. Farivar, Ralph W. Aye, Brian E. Louie, Eric Vallieres
Summary: This study investigated the impact of resection extent on overall survival and recurrence patterns in lung cancer patients with tumors invading across the fissure. Results showed that parenchymal-sparing resections can reduce immediate surgical morbidity, do not increase the cumulative incidence of recurrence, and have no significant difference in overall survival compared to maximal resections.
ANNALS OF THORACIC SURGERY
(2021)
Article
Surgery
Reid Fletcher, Christy M. Dunst, Walaa F. Abdelmoaty, Evan T. Alicuben, Ealaf Shemmeri, Brett Parker, Dolores Mueller, Ahmed M. Sharata, Kevin M. Reavis, Daniel Davila Bradley, Nikolai A. Bildzukewicz, Brian E. Louie, John C. Lipham, Steven R. DeMeester
Summary: There is no clinical credence to the manufacturer's recommendation for the use of fluoroscopy and limitation to 15 mm when dilating a patient for dysphagia after MSA implantation. Use of a larger size dilator was not associated with perforation or device erosion, but also did not reduce the need for repeat dilation.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Anne-Sophie Laliberte, Brian E. Louie, Candice L. Wilshire, Alexander S. Farivar, Adam J. Bograd, Ralph W. Aye
Summary: In appropriately selected patients, performing total fundoplication in the presence of preoperative IEM does not significantly increase the rate of postoperative dysphagia.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
William O. Richards
Summary: In 1982, Dean Warren and Dr. Shires began closing substandard surgical residency programs to improve surgical care for average Americans. By 2003, changes had reduced failure rates for exams but also resulted in residents being on duty every other or every third night. The ACGME mandated duty hour restrictions in 2003 to improve resident wellness and training environment.
Article
Cardiac & Cardiovascular Systems
Weston G. Andrews, Brian E. Louie, Massimo Castiglioni, Ankit Dhamija, Alex S. Farivar, Joshua Chansky, Peter T. White, Ralph W. Aye, Eric Vallieres, Adam J. Bograd
Summary: Surgical management for potentially resectable stage IIIA-N2 non-small cell lung cancer (NSCLC) is controversial. This study examined the outcomes of a well-selected surgical cohort of post-induction IIIA-N2 NSCLC patients with persistent N2 disease. The results showed that patients with persistent N2 disease experienced reasonable survival after resection, highlighting the importance of surgery as part of multimodality treatment for these patients.
ANNALS OF THORACIC SURGERY
(2022)
Article
Surgery
Charles Hill, Tom Crijns, Yousef Nofal, Stephanie Doggett, Katherine Walsh, Derek Yan, Jeremiah Alexander, Cole Holan, Elisa Furay, F. P. Buckley
Summary: This study investigated the association between preoperative anxiety and hypervigilance, as measured by the esophageal hypervigilance anxiety scale (EHAS), and improvement in GERD-specific patient-reported outcome measures (PROMs) and EHAS scores 6 months after laparoscopic anti-reflux surgery (LARS). Results showed a significant decrease in GERD-HRQL, LPR-RSI, and EHAS scores at 6 months postoperatively. Higher preoperative EHAS scores were independently associated with greater improvement in GERD-HRQL and LPR-RSI.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Review
Surgery
John P. Saway, Megan McCaul, Madhuri S. Mulekar, Daniel P. McMahon, William O. Richards
Summary: The study suggests that low-pressure pneumoperitoneum is feasible and can lead to decreased postoperative pain and reduced use of narcotics. It also has the potential to lower peak inspiratory pressures and CO2 absorption during surgery.
Article
Gastroenterology & Hepatology
Tom B. Knowles, Anee Sophia Jackson, Shu-Ching Chang, Drew B. Schembre, Alexander S. Farivar, Ralph W. Aye, Brian E. Louie
Summary: Longer myotomy for achalasia is associated with worse gastroesophageal reflux disease. Recent research suggests that measuring the distensibility index of the distal esophagus during surgery can help determine clinical outcomes. This study aimed to determine the minimum myotomy length needed to achieve adequate distensibility index.
JOURNAL OF GASTROINTESTINAL SURGERY
(2022)
Editorial Material
Cardiac & Cardiovascular Systems
Brian E. Louie
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2022)
Article
Surgery
Ralph W. Aye, George N. Baison, Hassan Ahmed, Jeffery Watkins, Steven R. DeMeester, Adam J. Bograd, Alexander S. Farivar, Brian E. Louie
Summary: The Nissen-Hill hybrid repair is a safe and effective method for treating gastroesophageal reflux and hiatal hernia, with excellent symptomatic and objective outcomes and low recurrence rates.
Article
Surgery
Erin M. Bayley, Megan L. Ivy, Jitesh B. Shewale, Phillip S. Ge, Mara B. Antonoff, Ashleigh M. Francis, Wayne L. Hofstetter, Reza J. Mehran, Ravi Rajaram, David C. Rice, Jack A. Roth, Boris Sepesi, Ara A. Vaporciyan, Garrett L. Walsh, J. Jack Lee, Brian E. Louie, Stephen G. Swisher
Summary: Clinical predictors of pathological complete response are unreliable for identifying patients suitable for organ-sparing treatment after neoadjuvant chemoradiation in esophageal cancer. This study aimed to identify high-risk predictors of residual carcinoma that may exclude patients from a selective surgical approach.
Article
Gastroenterology & Hepatology
Emily M. Mackay, Brian E. Louie
Summary: The surgical management of GERD has evolved from focusing on hiatal hernias and crural closure to surgical augmentation of the lower esophageal sphincter. The role of crural closure has been rediscovered in re-establishing intra-abdominal esophageal length and contributing to normal LES pressures.
DISEASES OF THE ESOPHAGUS
(2023)
Letter
Cardiac & Cardiovascular Systems
Weston G. Andrews, Brian E. Louie, Adam J. Bograd
ANNALS OF THORACIC SURGERY
(2022)
Article
Respiratory System
Candice L. Wilshire, Anee S. Jackson, Austin M. Meggyesy, Kerrie E. Buehler, Shu-Ching Chang, Leah C. Horslen, Joshua R. Rayburn, Carson C. Fuller, Alexander S. Farivar, Adam J. Bograd, Brian E. Louie, Eric Vallieres, Ralph W. Aye, Christopher R. Gilbert, Jed A. Gorden
Summary: Surgery may offer more benefits and lower the odds of treatment failure compared to fibrinolytic therapy for the primary management of complicated pleural space infections.
ANNALS OF THE AMERICAN THORACIC SOCIETY
(2022)
Meeting Abstract
Gastroenterology & Hepatology
Erin M. Bayley, Megan Ivy, Phillip S. Ge, Jitesh Shewale, Mara B. Antonoff, Ashleigh Francis, Wayne L. Hofstetter, Reza J. Mehran, Ravi Rajaram, David C. Rice, Jack A. Roth, Boris Sepesi, Ara A. Vaporciyan, Garrett L. Walsh, J. Jack Lee, Brian E. Louie, Stephen G. Swisher