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Department of Surgery

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Articles 1 - 30 of 527

Full-Text Articles in Medicine and Health Sciences

Risk Factors In Traumatic Injury With Periprosthetic Fracture, Michael Andres, Lauern Ladehoff, Victor Shen, Clara Freedman, Robert P Wessel Md, Matthew D. Painter Md Jul 2022

Risk Factors In Traumatic Injury With Periprosthetic Fracture, Michael Andres, Lauern Ladehoff, Victor Shen, Clara Freedman, Robert P Wessel Md, Matthew D. Painter Md

Research Scholars

No abstract provided.


Comparing Lvhn Standard Of Care Equipment And Delfin Technologies Equipment For Burn Scar Assessment, Charlotte Samuelson, Sigrid A. Blome-Eberwein Md Jul 2022

Comparing Lvhn Standard Of Care Equipment And Delfin Technologies Equipment For Burn Scar Assessment, Charlotte Samuelson, Sigrid A. Blome-Eberwein Md

Research Scholars

No abstract provided.


Outcomes Of Ultrasonic Aspirator Use For Mac Debridement In Mitral Valve Replacement Surgery, Sakshi Patel, Ibrahim Khalil, Mary Mcfarland, Alexander Makkinejad, Puja Patel Md, James K. Wu Md Jul 2022

Outcomes Of Ultrasonic Aspirator Use For Mac Debridement In Mitral Valve Replacement Surgery, Sakshi Patel, Ibrahim Khalil, Mary Mcfarland, Alexander Makkinejad, Puja Patel Md, James K. Wu Md

Research Scholars

No abstract provided.


Outcomes Of Lytic Therapy On Empyema And Loculated Pleural Effusion, Mary Mcfarland, Sakshi Patel, Ibrahim Khalil, Katherine M. Penetar Dnp, Crnp, Sanjay M. Mehta Md, James K. Wu Md Jul 2022

Outcomes Of Lytic Therapy On Empyema And Loculated Pleural Effusion, Mary Mcfarland, Sakshi Patel, Ibrahim Khalil, Katherine M. Penetar Dnp, Crnp, Sanjay M. Mehta Md, James K. Wu Md

Research Scholars

No abstract provided.


Mid-Term Outcome Of Transcatheter Aortic Valve Replacement (Tavr) In Patients With Renal Failure On Hemodialysis, Ibrahim Khalil, Sakshi Patel, Mary Mcfarland, Puja Patel Md, Alexander Makkinejad, James K. Wu Md Jul 2022

Mid-Term Outcome Of Transcatheter Aortic Valve Replacement (Tavr) In Patients With Renal Failure On Hemodialysis, Ibrahim Khalil, Sakshi Patel, Mary Mcfarland, Puja Patel Md, Alexander Makkinejad, James K. Wu Md

Research Scholars

No abstract provided.


Transcatheter Occlusion Of A Patent Ductus Arteriosus For A Symptomatic Left-To-Right Shunt., Papus Keita, Frank Han, Nicholas J Peterman, Sandor Toledo, Anthony Munaco May 2022

Transcatheter Occlusion Of A Patent Ductus Arteriosus For A Symptomatic Left-To-Right Shunt., Papus Keita, Frank Han, Nicholas J Peterman, Sandor Toledo, Anthony Munaco

Department of Surgery Residents

Congenital diaphragmatic hernias (CDH) can induce life-threatening pulmonary hypertension and right heart failure. The patent ductus arteriosus (PDA) is often maintained in CDH to allow for decompression into the systemic circulation. However, if the PDA becomes hemodynamically significant, PDA closure may be indicated. Traditional methods rely on pharmacological closure. In this report, we document a rare transcatheter closure of a hemodynamically significant PDA.


Pulmonary Artery Root Replacement For Leiomyosarcoma: A Viable Thoracic Oncovascular Operation., Papus Keita, Matthew Janko, Nicholas J Peterman, Sandor Toledo, Marc Pelletier May 2022

Pulmonary Artery Root Replacement For Leiomyosarcoma: A Viable Thoracic Oncovascular Operation., Papus Keita, Matthew Janko, Nicholas J Peterman, Sandor Toledo, Marc Pelletier

Department of Surgery Residents

Leiomyosarcoma of the pulmonary artery is a rare but potentially fatal disease. Due to its rarity, the treatment algorithm is not well-established. While there may be a role for both chemotherapy and radiotherapy, surgical management is the most definitive method. Unfortunately, when the disease process is advanced, surgery may not be curative. However, it may still be a palliative treatment option. In this case report, we present a patient who suffered from respiratory symptoms that were initially attributed to pulmonary embolism (PE). However, upon the diagnosis of pulmonary artery leiomyosarcoma (PAL), surgery intervention was undertaken and resulted in an improved …


Providencia Rettgeri Infection Compromising Post-Burn Recovery: A Lesson In The Importance Of Follow-Up Care., Mallorie L Huff, Sigrid A. Blome-Eberwein Md May 2022

Providencia Rettgeri Infection Compromising Post-Burn Recovery: A Lesson In The Importance Of Follow-Up Care., Mallorie L Huff, Sigrid A. Blome-Eberwein Md

Department of Surgery

Early burn excision and skin grafting have been essential to improving patient outcomes following a burn injury. However, there remain significant barriers to recovery for burn patients, especially in the post-discharge period, as follow-up care is essential to the timely identification of complications. While the infection is a common complication of a post-burn wound,


A Severe Case Of Odontogenic Infection And Necrotizing Fasciitis Of The Anterior Chest Wall And Neck., Mallorie L Huff, Kyle S Wilson Md, Kathleen E. Kane Md, Kathryn L Wheel Md, Joseph J. Stirparo Md Feb 2022

A Severe Case Of Odontogenic Infection And Necrotizing Fasciitis Of The Anterior Chest Wall And Neck., Mallorie L Huff, Kyle S Wilson Md, Kathleen E. Kane Md, Kathryn L Wheel Md, Joseph J. Stirparo Md

Department of Surgery

Necrotizing fasciitis is a life-threatening infection that can be rapidly fatal. Early identification and emergent surgical management are essential to minimize morbidity and mortality. This case report describes a 25-year-old male who presented to the emergency department with a three-day history of worsening left lower dental infection and new-onset neck pain and swelling. He received broad-spectrum antibiotics and intravenous fluid resuscitation and underwent computed tomography of the neck and chest. Following intensive care unit admission, he underwent tooth extraction where intraoperative evaluation revealed subcutaneous crepitus. Immediate debridement was performed, revealing copious foul-smelling purulent discharge and necrotic tissue extending over the …


Therapeutic Resistance In Pancreatic Ductal Adenocarcinoma: Current Challenges And Future Opportunities, Aditi Jain, Phd, Vikas Bhardwaj Oct 2021

Therapeutic Resistance In Pancreatic Ductal Adenocarcinoma: Current Challenges And Future Opportunities, Aditi Jain, Phd, Vikas Bhardwaj

Kimmel Cancer Center Faculty Papers

Pancreatic ductal adenocarcinoma (PDAC) is the third leading cause of cancerrelated deaths in the United States. Although chemotherapeutic regimens such as gemcitabine+ nab-paclitaxel and FOLFIRINOX (FOLinic acid, 5-Fluroruracil, IRINotecan, and Oxaliplatin) significantly improve patient survival, the prevalence of therapy resistance remains a major roadblock in the success of these agents. This review discusses the molecular mechanisms that play a crucial role in PDAC therapy resistance and how a better understanding of these mechanisms has shaped clinical trials for pancreatic cancer chemotherapy. Specifically, we have discussed the metabolic alterations and DNA repair mechanisms observed in PDAC and current approaches in targeting …


Analysis Of Risk Factors And Outcomes For Obstetric Trauma Patients, Lauren Salbinski, Matthew D. Painter Md, Danielle L. Hashmi Do Aug 2021

Analysis Of Risk Factors And Outcomes For Obstetric Trauma Patients, Lauren Salbinski, Matthew D. Painter Md, Danielle L. Hashmi Do

Research Scholars

No abstract provided.


Angiovac Outcome Analysis In Tricuspid Valve Endocarditis, Maya Parekh, James K. Wu Md Aug 2021

Angiovac Outcome Analysis In Tricuspid Valve Endocarditis, Maya Parekh, James K. Wu Md

Research Scholars

No abstract provided.


Mechanical Circulatory Support Using Impella Devices For Cardiogenic Shock, Gabriella Gormas, James K. Wu Md Aug 2021

Mechanical Circulatory Support Using Impella Devices For Cardiogenic Shock, Gabriella Gormas, James K. Wu Md

Research Scholars

No abstract provided.


Evaluating The Correlation Of Academic Pursuits And Relative Value Unit Reimbursement In Trauma Surgery, Erin Gilbert, Joseph J. Stirparo Md Aug 2021

Evaluating The Correlation Of Academic Pursuits And Relative Value Unit Reimbursement In Trauma Surgery, Erin Gilbert, Joseph J. Stirparo Md

Research Scholars

No abstract provided.


Differentiating The Need For Neurosurgical Interventions In Patients With A Mild Traumatic Brain Injury And A Positive Ct Scan, Joseph Pasquale, Justin Pasquale, Mark Cipolle Md Aug 2021

Differentiating The Need For Neurosurgical Interventions In Patients With A Mild Traumatic Brain Injury And A Positive Ct Scan, Joseph Pasquale, Justin Pasquale, Mark Cipolle Md

Research Scholars

No abstract provided.


Concurrent Primary Cardiac Tumors In A High-Risk Patient Presenting With Tamponade., Jay V Gopal, Lauren Crowley, Shawn M Quinn, Timothy S Misselbeck, Joseph B Zackary Aug 2021

Concurrent Primary Cardiac Tumors In A High-Risk Patient Presenting With Tamponade., Jay V Gopal, Lauren Crowley, Shawn M Quinn, Timothy S Misselbeck, Joseph B Zackary

Department of Emergency Medicine

Primary cardiac tumors are rare, particularly in the elderly population. The patient described in this report presented with symptoms of dyspnea on exertion, leg swelling, and weight gain and was found to have two histologically distinct cardiac masses: atrial myxoma with concurrent aortic fibroelastoma. Given her history of cirrhosis and end-stage renal disease, the patient was a poor surgical candidate but opted for excision of both masses. The patient eventually succumbed to her cirrhosis six weeks after presentation. In this report, we advocate for further research into medical management for the unique presentation of concurrent primary cardiac tumors in high-operative-risk …


Management Of Peritonsillar Abscess Within A Local Emergency Department: A Quality Analysis Study., Briana K Ortega, Spencer Short, Bryan G. Kane Md, Robert M. Dedio Md Aug 2021

Management Of Peritonsillar Abscess Within A Local Emergency Department: A Quality Analysis Study., Briana K Ortega, Spencer Short, Bryan G. Kane Md, Robert M. Dedio Md

Department of Emergency Medicine

OBJECTIVE: Peritonsillar abscess (PTA) is the most common deep space infection of the head and neck, affecting thousands of people annually with high treatment costs. The purpose of this project was to determine how in-network emergency departments (EDs) adhere to generally accepted guidelines regarding diagnosis and management of potential PTAs.

METHODS: The authors performed a retrospective chart review to identify patients with PTA in five EDs in one year. Information pertaining to diagnostic tests, treatment, and airway status was also collected. Descriptive analysis was used to assess if EDs were consistent with generally accepted guidelines.

RESULTS: Six hundred twenty-one patient …


The Effect Of Patient Age In Progression To A Hemorrhoidectomy, Justin Yoon, William Sangster Aug 2021

The Effect Of Patient Age In Progression To A Hemorrhoidectomy, Justin Yoon, William Sangster

Research Scholars

No abstract provided.


Outcome Of Surgical Ultrasonic Aspirator Use For Patients With Severe Mitral Annular Calcification For Mitral Valve Replacement, Zachary Appel, James K. Wu Md Aug 2021

Outcome Of Surgical Ultrasonic Aspirator Use For Patients With Severe Mitral Annular Calcification For Mitral Valve Replacement, Zachary Appel, James K. Wu Md

Research Scholars

No abstract provided.


Impact Of Fellow/Resident Involvement During Colonoscopy In A High-Volume Colorectal Surgical Practice, Zachary Chomitzky, William Sangster Aug 2021

Impact Of Fellow/Resident Involvement During Colonoscopy In A High-Volume Colorectal Surgical Practice, Zachary Chomitzky, William Sangster

Research Scholars

No abstract provided.


Is There A Difference Between Burn Patients Treated With Topical Mafenide Acetate Before And During Covid-19?, Morgan Anderson, Sigrid A. Blome-Eberwein Md Aug 2021

Is There A Difference Between Burn Patients Treated With Topical Mafenide Acetate Before And During Covid-19?, Morgan Anderson, Sigrid A. Blome-Eberwein Md

Research Scholars

No abstract provided.


Evaluating Patient Outcomes Following Redo Sternotomies In Cardiac Surgery, Sajan Patel, James K. Wu Md Aug 2021

Evaluating Patient Outcomes Following Redo Sternotomies In Cardiac Surgery, Sajan Patel, James K. Wu Md

Research Scholars

No abstract provided.


Bridging The Gaps: Individual And Community Level Risk Factors For Non-Lethal Firearm Injuries In The U.S., Alexander Hanisak, Mark Cipolle Md Aug 2021

Bridging The Gaps: Individual And Community Level Risk Factors For Non-Lethal Firearm Injuries In The U.S., Alexander Hanisak, Mark Cipolle Md

Research Scholars

No abstract provided.


A Pilot Study Comparing Over And Under Triage Systems At A Center Pursuing Trauma Accreditation, Caitlyn N. Balsay Bs, Mr, Bree A. Harrison Bsn, Rn, Tcrn, Joseph J. Stirparo Md, Michael T. Crowley Md, Nicholas P. Johnson Do, Bryan G. Kane Md, Kathleen E. Kane Md May 2021

A Pilot Study Comparing Over And Under Triage Systems At A Center Pursuing Trauma Accreditation, Caitlyn N. Balsay Bs, Mr, Bree A. Harrison Bsn, Rn, Tcrn, Joseph J. Stirparo Md, Michael T. Crowley Md, Nicholas P. Johnson Do, Bryan G. Kane Md, Kathleen E. Kane Md

USF-LVHN SELECT

No abstract provided.


A Pilot Study Comparing Over And Under Triage Systems At A Center Pursuing Trauma Accreditation, Caitlyn N. Balsay Bs, Mr, Bree A. Harrison Bsn, Rn, Tcrn, Joseph J. Stirparo Md, Michael T. Crowley Md, Nicholas P. Johnson Do, Bryan G. Kane Md, Kathleen E. Kane Md May 2021

A Pilot Study Comparing Over And Under Triage Systems At A Center Pursuing Trauma Accreditation, Caitlyn N. Balsay Bs, Mr, Bree A. Harrison Bsn, Rn, Tcrn, Joseph J. Stirparo Md, Michael T. Crowley Md, Nicholas P. Johnson Do, Bryan G. Kane Md, Kathleen E. Kane Md

Department of Emergency Medicine

No abstract provided.


Analysis Of Falls Efficacy Scale And Vulnerable Elders Survey As Predictors Of Falls., Marna R. Greenberg Do, Mph, Facep, Jeanne L. Jacoby Md, Robert D. Barraco Md, Mph, Ali Yazdanyar Do, Phd, Mmm, Ryan M Surmaitis Do, Alexander Youngdahl Do, Richard Chow Do, Sofia Murillo, Allen Zeng, Bryan G. Kane Md Apr 2021

Analysis Of Falls Efficacy Scale And Vulnerable Elders Survey As Predictors Of Falls., Marna R. Greenberg Do, Mph, Facep, Jeanne L. Jacoby Md, Robert D. Barraco Md, Mph, Ali Yazdanyar Do, Phd, Mmm, Ryan M Surmaitis Do, Alexander Youngdahl Do, Richard Chow Do, Sofia Murillo, Allen Zeng, Bryan G. Kane Md

Department of Emergency Medicine

Introduction Falls are the leading cause of injury-related death among older adults according to the Centers for Disease Control and Prevention (CDC). The Falls Efficacy Scale (FES) and Vulnerable Elder Survey (VES-13) are validated screening tools used to assess concern of falling, health deterioration and functional decline. We set out to determine if the FES or VES-13 could serve as a predictor of falls among older adults in the Emergency Department (ED) setting. Methods This prospective pilot cohort study was conducted at a Level 1 Trauma Center. ED patients aged ≥65 were eligible for the study if they had a …


Impact Of Mechanical Circulatory Support On Donor Heart Allocation: Past, Present, And Future., Robert T Tatum, H Todd Massey, Vakhtang Tchantchaleishvili Mar 2021

Impact Of Mechanical Circulatory Support On Donor Heart Allocation: Past, Present, And Future., Robert T Tatum, H Todd Massey, Vakhtang Tchantchaleishvili

Department of Surgery Faculty Papers

The United Network for Organ Sharing (UNOS) recently revised its heart allocation policy to address numerous shortcomings of the previous system. Implemented in 2018, the changes sought to reduce waiting list mortality, clearly define urgency status based on objective physiologic variables, decrease exemption requests, and introduce geographic modifications to ensure organ distribution favors the highest urgency candidates. In large part, UNOS policy revisions were driven by the growing use of continuous flow left ventricular assist devices (CF-LVADs) and the relevant device complications that led to an unacceptably high number of status exemptions. The new 6-tiered system assigns a comparatively lower …


Minimally Invasive Transhiatal Esophagectomy, Tyler Grenda, Md, Jules Lin, Andrew C. Chang, Rishindra M. Reddy Mar 2021

Minimally Invasive Transhiatal Esophagectomy, Tyler Grenda, Md, Jules Lin, Andrew C. Chang, Rishindra M. Reddy

Department of Surgery Faculty Papers

While traditionally performed through an open approach, the role of minimally invasive technologies has evolved in its application to esophageal resection. Esophagectomy is associated with significant morbidity, which has led to interest in developing minimally invasive esophagectomy (e.g., laparoscopic/thoracoscopic approaches) to address this issue. As a result, the role of minimally invasive approaches for esophageal resection has evolved, with a growing body of literature describing these techniques. Minimally invasive approaches have been applied to transhiatal esophagectomy, with application of both laparoscopic and robotic-assisted techniques. Although minimally invasive esophagectomy approaches are well-described in the literature for esophageal malignancies, the efficacy of …


Development And Validation Of A Prediction Model For Stroke, Cardiac, And Mortality Risk After Non-Cardiac Surgery., Sang H Woo, Gregary D. Marhefka, Scott W. Cowan, Md, Lily Ackermann, Md Feb 2021

Development And Validation Of A Prediction Model For Stroke, Cardiac, And Mortality Risk After Non-Cardiac Surgery., Sang H Woo, Gregary D. Marhefka, Scott W. Cowan, Md, Lily Ackermann, Md

Department of Medicine Faculty Papers

Background: Commonly used cardiovascular risk calculators do not provide risk estimation of stroke, a major postoperative complication with high morbidity and mortality. We developed and validated an accurate cardiovascular risk prediction tool for stroke, major cardiac complications (myocardial infarction or cardiac arrest), and mortality after non-cardiac surgery.

Methods and Results: This retrospective cohort study included 1 165 750 surgical patients over a 4-year period (2007-2010) from the American College of Surgeons National Surgical Quality Improvement Program Database. A predictive model was developed with the following preoperative conditions: age, history of coronary artery disease, history of stroke, emergency surgery, preoperative serum …


Relationship Between Vaccination Status And Biopsychosocial Characteristics In Sheltered Adolescents., Cecilia E. Zemanek Bs, Nina Liu Bs, Ceyda H. Sablak Bs, Brittany Gaudet Bs, Msph, Taylor Jarvill Ba, Allison N. Kayne Bs, Jeffrey Downen Bs, Ms, Hope Kincaid Mph, Cph, Amy B. Smith Phd, Robert D. Barraco Md, Mph, Hoonani M. Cuadrado Mspas, Pa-C, Marna R. Greenberg Do, Mph, Facep Jan 2021

Relationship Between Vaccination Status And Biopsychosocial Characteristics In Sheltered Adolescents., Cecilia E. Zemanek Bs, Nina Liu Bs, Ceyda H. Sablak Bs, Brittany Gaudet Bs, Msph, Taylor Jarvill Ba, Allison N. Kayne Bs, Jeffrey Downen Bs, Ms, Hope Kincaid Mph, Cph, Amy B. Smith Phd, Robert D. Barraco Md, Mph, Hoonani M. Cuadrado Mspas, Pa-C, Marna R. Greenberg Do, Mph, Facep

Department of Emergency Medicine

Introduction Homeless youth are a vulnerable population. A volunteer clinic supported by medical students in northeastern Pennsylvania provides shelter and healthcare to adolescents seeking refuge. We set out to determine the immunization status of youth in the shelter and evaluate for associations of immunization deficiency with demographics or biopsychosocial factors. Methods After IRB approval, a retrospective cohort study was performed from existing clinical records at the shelter 2/2015-9/2019. Chart abstraction included variables such as demographics (including age, sex, and race/ethnicity), biopsychosocial factors (including childhood trauma/abuse history, substance abuse history, and sexual activity), and immunization history. Results A total of 440 …