Recently added articles from The American Surgeon:
Complications of Bariatric Surgery: Implications for the Covering Physician
Feb 01, 2009; ... Bariatric surgery is the only effective option for sustained weight loss for morbidly obese patients. The increasing prevalence of obesity in America and the application of a laparoscopic approach to bariatric surgery have combined to dramatically increase the number of patients undergoing these ...
Surgical Considerations for the Familial Cancer Syndrome, Neurofibromatosis 1: A Comprehensive Review
Feb 01, 2009; ... Neurofibromatosis 1 is one of the more common inheritable disorders that surgeons may encounter. A plethora of systemic associations, both benign and malignant, can affect these patients, and an acute awareness of these associations is essential for proper surgical care. A complete review of ...
The University of Cincinnati College of Medicine Department of Surgery
Feb 01, 2009; ... History SINCE 1802, WHEN DANIEL DRAKE was awarded perhaps the first diploma in medicine issued west of the Allegheny Mountains, the City of Cincinnati and the University of Cincinnati have consistently contributed to the advancement of American surgery. We have a legacy of surgical ...
Laparoscopic Gastrojejunostomy in Patients with Obstruction of the Gastric Outlet Secondary to Advanced Malignancies
Feb 01, 2009; ... Surgical palliation is an important therapeutic goal in patients with gastric outlet obstruction from cancer. The use of laparoscopic approaches for this condition has not been well studied. Our objective is to compare surgical outcomes of laparoscopic and open gastrojejunostomies in patients ...
Computed Tomography Grading Systems Poorly Predict the Need for Intervention after Spleen and Liver Injuries
Feb 01, 2009; ... Computed tomography (CT) grading systems are often used clinically to forecast the need for interventions after abdominal trauma with solid organ injuries. We compared spleen and liver CT grading methods to determine their utility in predicting the need for operative intervention or angiographic ...
Effect of Prior Abdominal Surgery, Peritonitis, and Adhesions on Catheter Function and Long-Term Outcome on Peritoneal Dialysis
Feb 01, 2009; ... Adhesions from previous surgery and peritonitis can lead to peritoneal dialysis catheter insertion failure, visceral injury, and poor dialysis function. Employing a laparoscopic approach, the effect of adhesiolysis on mechanical catheter complications and long-term catheter survival was ...
Interim Results of Nutritional Support through a Button-Type Jejunostomy after Total Gastrectomy
Feb 01, 2009; ... Nutritional deficiency is an inevitable consequence after total gastrectomy. We have recently developed a simple technique for nutritional support after total gastrectomy, in which the button jejunostomy is conducted on the afferent limb for long-term jejunal feeding. The purpose of this study ...
Open Thoracic Window: A Useful Alternative for Retained Infected Pleural Collections in Critically Ill Trauma Patients
Feb 01, 2009; ... Historically, tube thoracostomy, image-guided drainage, or an open thoracotomy has been indicated as the standard procedure for the management of patients with retained infected pleural collections (RIPC). These infections can be a debilitating and potentially lethal complication in already ...
The Impact of Open Lung Biopsy on Diffuse Pulmonary Infiltrates in Patients with AIDS
Feb 01, 2009; ... The evidence concerning open lung biopsy (OLB) for diffuse pulmonary infiltrates in patients with AIDS is limited. This study retrospectively evaluated the diagnostic and therapeutic yields of OLB compared with bronchoscopy for patients with AIDS with diffuse pulmonary infiltrate treated in the ...
Is Survival Reduced for Patients with Anal Cancer Requiring Surgery after Failure of Radiation? Analysis from a Population Study Over Two Decades
Feb 01, 2009; ... Chemoradiotherapy is the standard treatment for anal cancer. Surgery is reserved for failure of therapy, but there are limited data examining outcomes after surgery. From a prospective population-based database on radiation and surgical therapy, we compare outcomes for patients with anal cancer ...
The Effect of Abdominal Binders on Postoperative Pulmonary Function
Feb 01, 2009; ... Abdominal binders are ordered by some surgeons postoperatively for patient comfort and to prevent wound complications. There has been some question as to the compressive effect that an abdominal binder has on pulmonary function. We prospectively randomized 54 patients undergoing a midline ...
Preformed Silastic Silos in the Management of Necrotizing Enterocolitis
Feb 01, 2009; ... Necrotizing enterocolitis (NEC) is sometimes complicated by abdominal compartment syndrome, a clinical syndrome characterized by multiple organ dysfunction that arises as a consequence of increased intra-abdominal pressure. The evolving clinical picture of NEC sometimes requires "second-look" ...
The Modified Fontan Procedure and Prolonged Pleural Effusions
Feb 01, 2009; ... The modified Fontan procedure may be complicated by prolonged pleural drainage. Predisposing factors are not fully understood. This study examines perioperative variables associated with prolonged effusions. We examined the Fontan procedure in 41 patients. Mean age was 45 months (range, 9 to 113 ...
Laparoscopic Diagnosis and Management of Jejunal Perforation Resulting from Accidental Toothpick Ingestion
Feb 01, 2009; ... To the Editor: A 49-year-old man was admitted to the emergency room with acute abdominal pain of 36 hours duration, vomiting, and afebrile. He was well before this attack, and he had never had this pain before. He reported no medical problems, no surgical history, took no medications, ...
An Unusual Case of Intensive Care Unit Ileus: A Case of a Posttraumatic Pericecal Herniation
Feb 01, 2009; ... To the Editor: A critical illness and paralytic ileus are often associated and treatment is often nasogastric decompression and supportive care while the underlying medical condition is treated. We present a very unusual case of an internal herniation (pericecal) after a blunt abdominal ...
Shotgun Pellet Embolus to the Right Heart from Forearm Entrance
Feb 01, 2009; ... To the Editor: Intravascular migration of projectiles is a welldescribed but rare event. Clinical findings are often confusing, and approaches to management have been a matter of debate. We present the case of venovenous embolization of a shotgun pellet from a peripheral site of injury ...
Successful Early Fascial Closure of an Open Abdomen during Pregnancy
Feb 01, 2009; ... To the Editor: Decompressive laparotomy is the mainstay of treatment for intra-abdominal hypertension and abdominal compartment syndrome (ACS). Although the open abdomen presents its own unique challenges, its usefulness in the setting of ACS is well established. Clinical experience with ...
Endoscopic Management of Iatrogenic Colon Perforation during Colonoscopy
Feb 01, 2009; ... To the Editor: Colon perforation is a serious complication of colonoscopy associated with significant morbidity and mortality. Traditional management options have included surgical repair by laparotomy or laparoscopy and nonoperative management for patients with microperforation, ...
A Complex Renal Artery Aneurysm Successfully Treated with Ex Vivo Polytetrafluoroethylene Tube Graft Reconstruction
Feb 01, 2009; ... To the Editor: We recently encountered a 55-year-old female patient with back and flank pain and a significant cardiovascular disease history, including hypertension, hypercholesterolemia, and ischemic heart disease. The patient's workup was negative except for a 1.2-cm, multibranching ...
Complete Small Bowel Obstruction Secondary to Internal Transomental Herniation: Report of an Unusual 'Swiss Cheese' Omentum
Feb 01, 2009; ... To the Editor: We report the case of a 71 -year-old patient admitted to the hospital with diffuse abdominal pain. This pain was associated with nausea and one episode of bilious emesis. His history was significant for previous bilateral inguinal hernia repairs in his youth as well as ...