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Articles 1 - 30 of 30
Full-Text Articles in Medicine and Health Sciences
Colon Cancer Metastasis To Spermatic Cord Presenting As An Inguinal Hernia, Jessica G. Laenger, Eamon Ff Rooney, Patrick F. Dial, Candie T. Le, Sanda A. Tan
Colon Cancer Metastasis To Spermatic Cord Presenting As An Inguinal Hernia, Jessica G. Laenger, Eamon Ff Rooney, Patrick F. Dial, Candie T. Le, Sanda A. Tan
HCA Healthcare Journal of Medicine
Introduction
Inguinal hernias are very common. Their pathology and treatment are typically strait forward. Metastatic cancer can sometimes present as an inguinal hernia, but this presentation is often local metastasis.
Case Presentation
Herein we describe the case of a 68-year-old man who presented with a 2-month history of an inguinal hernia. Intraoperatively, the hernia sac was found to contain a mass attached to the spermatic cord, which was later determined to be a metastatic lesion from a locally advanced proximal transverse colon adenocarcinoma.
Conclusion
A spermatic cord mass can be a rare presentation of colon cancer metastasis. Colon cancer should …
Prophylactic Mesh Reinforcement For Non-Midline Incisions: A Systematic Review, Rainna Coelho, Oluwatunmininu Anwoju, Ali Siddiqui, Andrew Youssef, Oscar A. Olavarria, Nalia H. Dhanani, Karla Bernardi, Zuhair Ali, Mike Liang
Prophylactic Mesh Reinforcement For Non-Midline Incisions: A Systematic Review, Rainna Coelho, Oluwatunmininu Anwoju, Ali Siddiqui, Andrew Youssef, Oscar A. Olavarria, Nalia H. Dhanani, Karla Bernardi, Zuhair Ali, Mike Liang
HCA Healthcare Journal of Medicine
Background
Many abdominal-pelvic surgeries utilize incisions not along the linea alba, such as transverse, laparoscopic, ostomy reversal, or ostomy formation incisions. The prevalence of ventral incisional hernias (VIH) at these sites and the efficacy of prophylactic mesh in preventing VIH remains unclear.
Methods
PubMed, Embase, Scopus, and Cochrane databases were systematically reviewed from inception to September 2022. We included published randomized controlled trials (RCTs) that compared prophylactic mesh reinforcement versus no mesh. The primary outcome was the incidence of VIH at postoperative follow-up equal to or greater than 24 months. Secondary outcomes included surgical site infection (SSI) and surgical site …
Structured Textbook Review And Individualized Learning Plans Successfully Remediate Underperforming Residents And Improve General Surgery Program Performance On The Absite, Aaron Pinnola, Christoph Kaufmann
Structured Textbook Review And Individualized Learning Plans Successfully Remediate Underperforming Residents And Improve General Surgery Program Performance On The Absite, Aaron Pinnola, Christoph Kaufmann
HCA Healthcare Journal of Medicine
Background
We endeavored to create an evidence-based curriculum to improve general surgery resident fund of knowledge. Global and resident-specific interventions were employed to this end. These interventions were monitored via multiple choice question results on a weekly basis and American Board of Surgery In-Training Examination (ABSITE) performance.
Methods
This study was performed in a prospective manner over a 2-year period. A structured textbook review with testing was implemented for all residents. A focused textbook question-writing assignment and a Surgical Council on Resident Education (SCORE)-based individualized learning plan (ILP) were implemented for residents scoring below the 35th percentile on the ABSITE. …
Primary Resection Of Duodenal Neuroendocrine Tumor With Suspected Lymph Node Metastasis: A Case Report, Raleigh Payton, David Bassa, Furrukh Jabbar, Hassan Ahmed
Primary Resection Of Duodenal Neuroendocrine Tumor With Suspected Lymph Node Metastasis: A Case Report, Raleigh Payton, David Bassa, Furrukh Jabbar, Hassan Ahmed
North Texas Research Forum 2024
Introduction: Duodenal neuroendocrine carcinomas are an uncommon variant of Neuroendocrine tumors (NETs) that are typically non-functional with locoregional spread at the time of diagnosis. Management of these tumors is dependent on size, grade, stage, functional status and location. Summary: A 66-year-old male presented with an incidental finding of low grade 3 centimeter duodenal NET on esophagogastroduodenoscopy (EGD) located in the second segment of the duodenum with evidence of lymphadenopathy on staging scans. In patients with suspected lymph node metastases, the first choice for curative intent is a pancreaticoduodenectomy (PD), also known as Whipple Procedure. We achieved surgical resection with free …
Case Review: Gallstone Ileus Over 50 Years After Cholecystectomy And Choledochoduodenostomy, Kathleen Mae Bryan, Sophia Jimenez, Alejandro Garcia
Case Review: Gallstone Ileus Over 50 Years After Cholecystectomy And Choledochoduodenostomy, Kathleen Mae Bryan, Sophia Jimenez, Alejandro Garcia
Central & West Texas Research Day 2024
No abstract provided.
Post-Operative Infection Following Abdominal Hysterectomy With Or Without Surgical Drains, Dylan Gallegos, Dominique Barnes
Post-Operative Infection Following Abdominal Hysterectomy With Or Without Surgical Drains, Dylan Gallegos, Dominique Barnes
Central & West Texas Research Day 2024
No abstract provided.
Gallstone Illeus And Intra Operatrively Diagnosed Crohn's Disease, Joseph Daodu, Ali Siddiqui, Horeb Antonio Cano Gonzalez, Kendall Sowards
Gallstone Illeus And Intra Operatrively Diagnosed Crohn's Disease, Joseph Daodu, Ali Siddiqui, Horeb Antonio Cano Gonzalez, Kendall Sowards
Gulf Coast Division Research Symposium 2024
No abstract provided.
A Case Of Gastric Pneumatosis In A Trauma Patient With Gerd, Cyprien Jungels, Tyler Crawley, Michael Fisher, Glenda Quan
A Case Of Gastric Pneumatosis In A Trauma Patient With Gerd, Cyprien Jungels, Tyler Crawley, Michael Fisher, Glenda Quan
Continental, MidAmerica, & Mountain Divisions Research Day 2024
No abstract provided.
Metastatic Breast Cancer Presenting As Biliary Obstruction, Taylor Sullivan, Joyce Moore
Metastatic Breast Cancer Presenting As Biliary Obstruction, Taylor Sullivan, Joyce Moore
Continental, MidAmerica, & Mountain Divisions Research Day 2024
No abstract provided.
Acute Trocar Site Herniation Following Robotic Rectopexy, W Tyler Crawley, Daine Bennett
Acute Trocar Site Herniation Following Robotic Rectopexy, W Tyler Crawley, Daine Bennett
Continental, MidAmerica, & Mountain Divisions Research Day 2024
No abstract provided.
A Rare Case Of Lisinopril-Induced Small Bowel Angioedema: An Important Differential Diagnosis, Tanya Starr, Maximillian Starr, Philip Petrosky, Christopher Cummings
A Rare Case Of Lisinopril-Induced Small Bowel Angioedema: An Important Differential Diagnosis, Tanya Starr, Maximillian Starr, Philip Petrosky, Christopher Cummings
Continental, MidAmerica, & Mountain Divisions Research Day 2024
No abstract provided.
Examination Of Possible Risk Factors Associated With Incidence Of Cecal Volvulus Within The United States, Maxwell Otto
Examination Of Possible Risk Factors Associated With Incidence Of Cecal Volvulus Within The United States, Maxwell Otto
Continental, MidAmerica, & Mountain Divisions Research Day 2024
No abstract provided.
A Case Of Meckel's Diverticulum Enterolith Causing A Small Bowel Obstruction, Megan Bedard, Alexandra Moody, Emmett Mcguire
A Case Of Meckel's Diverticulum Enterolith Causing A Small Bowel Obstruction, Megan Bedard, Alexandra Moody, Emmett Mcguire
Continental, MidAmerica, & Mountain Divisions Research Day 2024
No abstract provided.
Perforated Marginal Ulcer Resulting In A Gastropericardial Fistula: Endoscopic Management Of A Rare Complication After Roux-En-Y Gastric Bypass, Maximillian Starr, Andrew Nicholson, Kenneth Copperwheat
Perforated Marginal Ulcer Resulting In A Gastropericardial Fistula: Endoscopic Management Of A Rare Complication After Roux-En-Y Gastric Bypass, Maximillian Starr, Andrew Nicholson, Kenneth Copperwheat
Continental, MidAmerica, & Mountain Divisions Research Day 2024
No abstract provided.
Novel Method Of Using Montage® Bone Putty With Rib Plating In A Patient With Chronic Malunion Of Previous Rib Fractures, Tameem Jamal, Zahria Radford, Elliott Smith, Rachel Hemsath
Novel Method Of Using Montage® Bone Putty With Rib Plating In A Patient With Chronic Malunion Of Previous Rib Fractures, Tameem Jamal, Zahria Radford, Elliott Smith, Rachel Hemsath
South Atlantic Division Research Day 2024
No abstract provided.
Management Considerations In A Case Of Sepsis Induced Takotsubo Cardiomyopathy In A Post-Operative Patient., Avraham Fox, Rachel Groening, Carsten Z. Steinmetz, Callaham A. Brock
Management Considerations In A Case Of Sepsis Induced Takotsubo Cardiomyopathy In A Post-Operative Patient., Avraham Fox, Rachel Groening, Carsten Z. Steinmetz, Callaham A. Brock
South Atlantic Division Research Day 2024
No abstract provided.
Transabdominal Gun Shot Wound Traversing Zone 2 Injuring Bilateral Kidneys Managed Non-Operatively, Margaret Rose, Saptarshi Biswas
Transabdominal Gun Shot Wound Traversing Zone 2 Injuring Bilateral Kidneys Managed Non-Operatively, Margaret Rose, Saptarshi Biswas
South Atlantic Division Research Day 2024
No abstract provided.
Large Bowel Obstruction: Malignancy Vs Endometriosis, Which Is The Culprit?, Kayla Brown, Amar Shah, Robert Zaunbrecher, Megan Turley
Large Bowel Obstruction: Malignancy Vs Endometriosis, Which Is The Culprit?, Kayla Brown, Amar Shah, Robert Zaunbrecher, Megan Turley
Central & West Texas Research Day 2024
No abstract provided.
Horner’S Syndrome, A Rare Complication Of Transcarotid Artery Revascularization, Mollie Ahn, April Miller, Shonda Banegas, Edic Stephanian
Horner’S Syndrome, A Rare Complication Of Transcarotid Artery Revascularization, Mollie Ahn, April Miller, Shonda Banegas, Edic Stephanian
North Texas Research Forum 2024
Extracranial carotid artery aneurysm is a rare sequela of atherosclerosis, trauma, and conditions of chronic inflammation. Standard treatments include antiplatelet medications, open resection, or endovascular stenting. Transcarotid artery revascularization (TCAR) has become a well-recognized alternative treatment in the past few decades. This case study documents the first reported case of Horner’s syndrome post-TCAR for an internal carotid artery (ICA) aneurysm. A 68 year-old male with intermittent double vision was referred to vascular surgery clinic with brain CT angiography showing a 9mm saccular aneurysm with dissection flap of the right cervical ICA. Prior attempts by neuro-interventional radiology were unsuccessful due to …
Multidisciplinary Simulation-Based Trauma Education For General Surgery Interns, Jennifer Austin, April Miller, Jeremiah Avarana, Alicia Lay
Multidisciplinary Simulation-Based Trauma Education For General Surgery Interns, Jennifer Austin, April Miller, Jeremiah Avarana, Alicia Lay
North Texas Research Forum 2024
Introduction: According to the American Society of Gastroenterology Endoscopy (ASGE), choledocholithiasis is defined as the presence of gallstones in biliary tree. Choledocholithiasis is concomitantly present in approximately 1 to 10 percent of patients with cholelithiasis. Choledocholithiasis can be described as small <15 mm, large >15 mm, and difficult due to anatomic location, impaction, or unusual hardness/ shape. Choledocholithiasis is managed endoscopically with large balloon papillary dilation, cholangioscopy-guided intraductal laser and electrohydraulic lithotripsy (EHL), and escalation to laparoscopic common bile duct exploration, if endoscopic procedures fail. Thus far, there are sparse studies that show the requirement of choledochotomy in large and difficult choledocholithiasis …
Survival After Emergency Clamshell Thoracotomy With Bilateral Atrial Appendage Injuries, Jennifer Austin, Enrique Alvarez, Alicia Lay, Christian Minshall
Survival After Emergency Clamshell Thoracotomy With Bilateral Atrial Appendage Injuries, Jennifer Austin, Enrique Alvarez, Alicia Lay, Christian Minshall
North Texas Research Forum 2024
INTRODUCTION: The probability of survival is poor in patients who require a resuscitative thoracotomy, reported in the literature to be 9-20%. Outcomes are worse in patients who have suffered blunt trauma compared to penetrating trauma reported between 2-7%. Many studies have been done to evaluate clinical predictors of survival versus mortality. We present a case of high-mechanism blunt trauma with a high injury severity score of 34 who survived after an emergency clamshell thoracotomy with full neurological recovery. CASE PRESENTATION: This case highlights a 28-year-old male who arrived as a transfer to a level 1 trauma center following high mechanism …
Partial Anomalous Pulmonary Venous Return: To Fix Or Not To Fix?, Akshaj Pole, Jennifer Austin, Amnah Andrabi
Partial Anomalous Pulmonary Venous Return: To Fix Or Not To Fix?, Akshaj Pole, Jennifer Austin, Amnah Andrabi
North Texas Research Forum 2024
Patient is a 56-year-old male with a past medical history of type 2 diabetes, hypertension, prior MVA with chest trauma, and coronary artery disease with 2 prior stents in the obtuse marginal and right coronary artery who was brought to the ED for severe chest pain. Patient was immediately taken to the cath lab for cardiac intervention. Patient was identified to have 90-95% stenosis of his left circumflex but was unable to be stented due to tortuosity of the vessel and tight lesion. Due to patient’s multivessel coronary artery disease and newly diagnosed diabetes, patient was referred to cardiothoracic surgery …
Colovaginal Fistula In A Patient Without A Hysterectomy, Austin Moore, Mollie Ahn, Anthony Macaluso
Colovaginal Fistula In A Patient Without A Hysterectomy, Austin Moore, Mollie Ahn, Anthony Macaluso
North Texas Research Forum 2024
Introduction: A majority of case reports and review studies exploring the incidence of colovaginal fistulas typically involve patients of older age with a history of both a hysterectomy and at least one episode of symptomatic diverticular disease. Colovaginal fistulas rarely occur in patients who have not had a prior hysterectomy. Case Description: A 52 year old female presented to colorectal surgery clinic with a history of multiple episodes of sigmoid diverticulitis who now had passage of air and stool from her vagina. She was confirmed to have evidence of a colovaginal fistula from her sigmoid colon to her …
Analysis Of Ecmo Usage In Trauma Patients At A Major Level 1 Trauma Center, April Miller, Megan Post, Crescens Pellachia, John Bini
Analysis Of Ecmo Usage In Trauma Patients At A Major Level 1 Trauma Center, April Miller, Megan Post, Crescens Pellachia, John Bini
North Texas Research Forum 2024
INTRODUCTION: ECMO has been used for decades in patients where adequate oxygenation could not be achieved using traditional efforts. Despite its increasing use in the trauma setting, there is a lack of published data to support its use and safety. This review will seek to answer among trauma patients who receive ECMO what their common demographics, injuries, co-morbidities, outcomes and adverse events are. METHODS: This is a single-center retrospective chart review conducted at an Level 1 trauma center between 2020 and 2023. Designation as trauma and ECMO utilization were the inclusion criteria. Patients under age 18 and non-trauma ECMO patients …
Low Grade Appendiceal Mucinous Neoplasm: Intraoperative Diagnosis Of Tumor Origin, Sydney Parker, Caroline Keefer, Robert Markus
Low Grade Appendiceal Mucinous Neoplasm: Intraoperative Diagnosis Of Tumor Origin, Sydney Parker, Caroline Keefer, Robert Markus
Central & West Texas Research Day 2024
No abstract provided.
Foreign Body Removed Through Laparotomy: A Case Report And Literature Review, Kayla Nguyen, Duyen Quach, David Ortiz, Dominique Norris, Srinivas Ramireddy, Jody Smith
Foreign Body Removed Through Laparotomy: A Case Report And Literature Review, Kayla Nguyen, Duyen Quach, David Ortiz, Dominique Norris, Srinivas Ramireddy, Jody Smith
Gulf Coast Division Research Symposium 2024
No abstract provided.
Treatment Of Hyperkinetic Gallbladder With Cholecystectomy: A Case Report And Literary Review, Rachel Wright, Duyen Quach, Kayla Nguyen, Gabriella Tavera, Mike Liang
Treatment Of Hyperkinetic Gallbladder With Cholecystectomy: A Case Report And Literary Review, Rachel Wright, Duyen Quach, Kayla Nguyen, Gabriella Tavera, Mike Liang
Gulf Coast Division Research Symposium 2024
No abstract provided.
Comparative Analysis Of Md And Do Candidates To A Surgical Residency Program, Duyen Quach, Rachel Wright, Vishal Patel, Scott Zimmerle, Brendan Rosamond, Jonathan Lall, Said Maldonado, Zuhair Ali, Rajeev Raghavan, Mike Liang
Comparative Analysis Of Md And Do Candidates To A Surgical Residency Program, Duyen Quach, Rachel Wright, Vishal Patel, Scott Zimmerle, Brendan Rosamond, Jonathan Lall, Said Maldonado, Zuhair Ali, Rajeev Raghavan, Mike Liang
Gulf Coast Division Research Symposium 2024
No abstract provided.
Deficiency In Detail Among Ventral Hernia Repair Operative Notes And The Impact On Patient Outcomes, Alexys N. Ramos, Duyen Quach, Kayla Nguyen, Said Maldonado, Nicole B. Lyons, Jonathan S. Lall, Scott Zimmerle, Brendan Rosamond, Ashlynn Mills, Yoolim Alex Seo, Angelica C. Rodriguez, Mike Liang
Deficiency In Detail Among Ventral Hernia Repair Operative Notes And The Impact On Patient Outcomes, Alexys N. Ramos, Duyen Quach, Kayla Nguyen, Said Maldonado, Nicole B. Lyons, Jonathan S. Lall, Scott Zimmerle, Brendan Rosamond, Ashlynn Mills, Yoolim Alex Seo, Angelica C. Rodriguez, Mike Liang
Gulf Coast Division Research Symposium 2024
No abstract provided.
Cortisol In Elderly Trauma Patients, Sophia Jimenez, Ernest Gonzalez, Leslee Keilty, Carol Wang
Cortisol In Elderly Trauma Patients, Sophia Jimenez, Ernest Gonzalez, Leslee Keilty, Carol Wang
Central & West Texas Research Day 2024
No abstract provided.