Analysis of COVID-19 Patients with Acute Respiratory Distress Syndrome Managed with Extracorporeal Membrane Oxygenation at us Academic Centers.

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This study analyzed the outcomes of COVID-19 patients with ARDS who were managed with extracorporeal membrane oxygenation (ECMO) across 155 US academic centers.ECMO has been utilized in COVID-19 patients with […]

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Effect of Short-Term Homebased Pre- and Postoperative Exercise on Recovery after Colorectal Cancer Surgery (PHYSSURG-C): A Randomized Clinical Trial.

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To determine the effect of a short-term, unsupervised exercise intervention before and after colorectal cancer surgery on self-assessed physical recovery.Preoperative exercise interventions could help improve recovery after colorectal cancer surgery […]

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Microaggressions and Implicit Bias in Surgical Training: An Undocumented but Pervasive Phenomenon.

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To examine the prevalence, nature, and source of microaggressions experience by surgical residents during training.The role of microaggressions in contributing to workplace culture, individual performance, and professional satisfaction has become […]

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Neoadjuvant Cytoreductive Treatment with BRAF/MEK Inhibition of prior Unresectable Regionally Advanced Melanoma to Allow Complete Surgical Resection, REDUCTOR: A Prospective, Single Arm, Open-label Phase II Trial.

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To evaluate the potency of short-term neoadjuvant cytoreductive therapy with dabrafenib plus trametinib (BRAF and MEK inhibitor) to allow for radical surgical resection in patients with unresectable locally advanced melanoma.Approximately […]

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Outcomes of Saphenous Vein Intervention in the Management of Superficial Venous Incompetence: A Systematic Review and Network Meta-Analysis.

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To determine the most effective modality of intervention to treat saphenous vein insufficiency.Endovenous therapies have instigated a paradigm shift in the management of superficial venous incompetence (SVI). When compared with […]

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Surgical Decision Making in Pancreatic Ductal Adenocarcinoma: Modeling Prognosis Following Pancreatectomy in the Era of Induction and Neoadjuvant Chemotherapy.

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To develop a predictive model of oncologic outcomes for patients with pancreatic ductal adenocarcinoma (PDAC) undergoing resection after neoadjuvant or induction chemotherapy use.Early recurrence following surgical resection for PDAC is […]

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Textbook Outcome: Definition and Analysis of a Novel Quality Measure in Lung Transplantation.

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To define textbook outcome (TO) for lung transplantation (LTx) using a contemporary cohort from a high-volume institution.TO is a standardized, composite quality measure based on multiple postoperative endpoints representing the […]

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Is It Safe to Manage Acute Cholecystitis Nonoperatively During Pregnancy?: A Nationwide Analysis of Morbidity According to Management Strategy.

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To compare cholecystectomy (CCY) and nonoperative treatment (no-CCY) for acute cholecystitis in pregnancy.Current Society of Gastrointestinal and Endoscopic Surgery guidelines recommend CCY over nonoperative management of acute cholecystitis during pregnancy, […]

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A Randomized Controlled Clinical Trial: No Clear Benefit to Prophylactic Central Neck Dissection in Patients With Clinically Node Negative Papillary Thyroid Cancer.

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The aim of this prospective randomized-controlled trial was to evaluate the risks/benefits of prophylactic central neck dissection (pCND) in patients with clinically node negative (cN0) papillary thyroid cancer (PTC).Microscopic lymph […]

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Escalation and Withdrawal of Treatment for Patients on Extracorporeal Membrane Oxygenation: A Qualitative Study.

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The aim of this study was to describe decisions about the escalation and withdrawal of treatment for patients on extracorporeal membrane oxygenation (ECMO).Interventions premised on facilitating patient autonomy have proven […]

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The Hidden Costs of War: Healthcare Utilization Among Individuals Sustaining Combat-related Trauma (2007-2018).

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We sought to evaluate long-term healthcare requirements of American military servicemembers with combat-related injuries.US military conflicts since 2001 have produced the most combat casualties since Vietnam. Long-term consequences on healthcare […]

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International Delphi Expert Consensus on Safe Return to Surgical and Endoscopic Practice: from the Coronavirus Global Surgical Collaborative.

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The aim of this work is to formulate recommendations based on global expert consensus to guide the surgical community on the safe resumption of surgical and endoscopic activities.The COVID-19 pandemic […]

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Robotic versus Laparoscopic Ventral Hernia Repair: One-year Results from a Prospective, Multicenter, Blinded Randomized Controlled Trial.

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The aim of this study was to compare clinical and patient-reported outcomes of robotic versus laparoscopic ventral hernia repair (LVHR) at one-year post-operative.Despite a relative lack of research at low […]

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A Phase 3 Randomized Clinical Trial of Chemotherapy With or Without Algenpantucel-L (HyperAcute-Pancreas) Immunotherapy in Subjects with Borderline Resectable or Locally Advanced Unresectable Pancreatic Cancer.

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To compare the efficacy and safety of algenpantucel-L (HAPa; IND# 12311) immunotherapy combined with standard of care (SOC) chemotherapy and chemoradiation to SOC chemotherapy and chemoradiation therapy alone in patients […]

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Routine Esophagograms Following Hiatus Hernia Repair Minimizes Reoperative Morbidity: A Multicenter Comparative Cohort Study.

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Determine the utility of routine esophagograms following hiatus hernia repair and its impact on patient outcomes.Hiatus hernia repairs are common. Early complications such as re-herniation, esophageal obstruction and perforation, although […]

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A Systematic Review and Meta-Analysis on the Impact of Proficiency-Based Progression Simulation Training on Performance Outcomes.

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To analyze all published prospective, randomized and blinded clinical studies on the PBP training using objective performance metrics.The benefit of ‘proficiency-based progression’ (PBP) methodology to learning clinical skills in comparison […]

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Intravenous Local Anesthetic Compared with Intraperitoneal Local Anesthetic in Laparoscopic Colectomy: A Double-Blind Randomized Controlled Trial.

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Controlling perioperative pain is essential to improving patient experience and satisfaction following surgery. Traditionally opioids have been frequently utilised for postoperative analgesia. Although they are effective at controlling pain, they […]

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Short-term Effects of Cancelled Elective Procedures due to COVID-19: Evidence from the Veterans Affairs Healthcare System.

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To determine whether delayed or cancelled elective procedures due to COVID-19 resulted in higher rates of emergency department (ED) utilization and/or increased mortality.On March 15, 2020, the Veterans Affairs (VA) […]

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Art Heals: Randomized Controlled Study Investigating the Effect of a Dedicated In-House Art Gallery on the Recovery of Patients following Major Oncologic Surgery.

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We sought to investigate the effect of exposure to a dedicated art gallery during the perioperative period on the recovery of patients undergoing major oncologic procedures.80 patients were randomized into […]

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