Analytical, Diagnostic and Therapeutic Techniques and Equipment Commons^™

Outcomes After Orif Of Closed Bimalleolar And Trimalleolar Ankle Fractures In Patients With Autoimmune Disease, Mckenna Box, Troy B. Puga, Lachlan Anderson, Alyssa Kozlowski, John T. Riehl

North Texas GME Research Forum 2026

Background: Autoimmune disease is associated with chronic systemic inflammation, immunosuppressive therapy, and increased medical comorbidity, which may influence postoperative outcomes following fracture fixation. Data evaluating outcomes after ankle fracture surgery in this population remain limited. We hypothesized that autoimmune disease would be associated with higher postoperative complication rates following open reduction and internal fixation (ORIF) of closed ankle fractures.

Methods: We performed a retrospective cohort study using a multi-hospital dataset (2017-2025) to identify adult patients undergoing ORIF for closed bimalleolar or trimalleolar ankle fractures. Patients with autoimmune disease were propensity score matched 1:2 to patients without autoimmune disease based on …

Surgical Management Of A Giant Colonic Diverticulum, Courtney Koplyay, Mason Workman, Michael Truitt, Muhammad T. Siddique

North Texas GME Research Forum 2026

INTRODUCTION: Giant colonic diverticulum (GCD), defined as a diverticulum >4 cm, is a rare manifestation of diverticular disease with less than 200 reported case reports. CT imaging is the preferred imaging modality to identify and confirm the presence of a GCD, which provides an accurate depiction of the size, location, and contents of the diverticulum GCD can present with nonspecific abdominal symptoms, abdominal pain, bloody stools, or an enlarging mass. Given the risk of serious complications, including diverticulitis, bowel obstruction, and perforation, early recognition and management are essential to prevent further complications. Surgical management with diverticulectomy or partial colectomy is …

Association Of Glp-1 Receptor Agonist Use With Postoperative Outcomes After Rotator Cuff Repair In Patients With Diabetes: A Propensity Score–Matched Analysis, Mckenna W. Box, Troy B. Puga, Hans Drawbert, Aysu Erdemir, John T. Riehl

North Texas GME Research Forum 2026

Background Diabetes impairs tendon healing after rotator cuff repair (RCR), with early postoperative poor glycemic control linked to a higher failure risk in studies. GLP-1 receptor agonists (GLP-1RAs) are increasingly used for glycemic control. Preclinical studies indicate that GLP-1RA may benefit rotator cuff healing through anti-inflammatory mechanisms as well. However, real-world data on the effects of GLP-1RAs on RCR outcomes remain incompletely understood.

Methods We conducted a retrospective cohort study using an institutional dataset (01/01/2016 to 09/30/2024) of adults aged 18-74 years with type 2 diabetes who underwent RCR. GLP-1RA exposure was established by home medication lists. Patients with autoimmune …

Biologic Versus Non-Biologic Immunosuppressant Use And Outcomes After Orif Of Closed Ankle Fractures: A Propensity-Matched Analysis, Mckenna W. Box, Troy B. Puga, Lachlan Anderson, Alyssa Kozlowski, John T. Riehl

North Texas GME Research Forum 2026

Background: The effect of biologic immunosuppressant therapy on postoperative outcomes following ankle fracture open reduction and internal fixation (ORIF) remains unclear, and concerns regarding infection and impaired healing often influence perioperative decision-making. We hypothesized that biologic immunosuppressant use would be associated with higher rates of postoperative complications following ORIF of closed ankle fractures compared with non-biologic immunosuppressant therapy.

Methods: We conducted a retrospective cohort study using a multi-hospital administrative dataset (2017-2025) to identify adult patients undergoing ORIF for closed bimalleolar or trimalleolar ankle fractures who were prescribed immunosuppressive therapy. Patients were categorized based on biologic versus non-biologic immunosuppressant use. A …

Efficacy And Outcomes Of Oxidized Regenerated Cellulose (Orc) In Total Joint Arthroplasty (Tja): A Systematic Review And Meta-Analysis, Jenna Chrabolowski, Troy B. Puga, Abanoub Attalah, Kyle P. O'Connor, Mckenna W. Box, Ashley Stovall, Michael Muncy, John T. Riehl

North Texas GME Research Forum 2026

Introduction Intraoperative and postoperative blood loss is a major concern and challenge for surgeons in total joint arthroplasty (TJA). Patients with large blood loss can develop postoperative anemia and associated complications. Novel hemostatic agents, such as oxidized regenerated cellulose (ORC) have grown in popularity as intraoperative hemostatic adjuncts. The aim of this systematic review and meta-analysis is to evaluate the efficacy of ORC for intraoperative and postoperative blood loss.

Methods A search was conducted across MEDLINE/Pubmed, Cochrane, Google Scholar, Web of Science, and Embase databases. Titles and abstracts were screened for eligibility for inclusion criteria. Full texts were screened and …

The Impact Of Gastric Sleeve And Roux-En-Y Gastric Bypass On Chief Cell Function And Protein Digestion In Obese Patients, Garikoitz Mikel Gainza

Honors Undergraduate Theses

Obesity has become one of the largest global health concerns of the 21^st century, correlating with numerous associated diseases. To help address the growing prevalence and burden of obesity, sleeve gastrectomy and Roux-en-Y gastric bypass have become two commonly performed surgical procedures done to promote weight loss by altering the anatomical structure of the stomach and surrounding organs of the gastrointestinal system. Although the benefits of improved metabolism linked to these surgical procedures are well studied, their impact on the physiology of gastric cells, and more specifically chief cells as they relate to protein digestion post-surgery, is yet to …

Esophageal Stents: How High Can You Go? A Traumatic Injury Treated With High Esophageal Stent Placement, John W. Surbeck, Anthony P. Melillo, James S. Scott

MidAmerica Division GME Healthcare Symposium 2026

No abstract provided.

Opioid Prescribing Patterns Following Isolated Trigger Finger Release: A Single-Institution Quality Improvement Study, Brandalynn Mathis, Robert Garner, Cameron Sprong, Mark Gamadia, Alan Cornett, Steven Smith

MidAmerica Division GME Healthcare Symposium 2026

No abstract provided.

Implications Of Glp-1 Receptor Agonist Semaglutide For Hysterectomy Outcomes, Tess Branstetter, Megan Foster, Abbey Fritzel, Kimberly Swan, Alyssa Kozlowski, Jeffrey Durbin, Jordan Martin, Kari Nilsen

MidAmerica Division GME Healthcare Symposium 2026

No abstract provided.

Case Report: Spontaneous Gastric Intramural Hematoma With Intramural Dissection, Pedro De Castro, Rachel Steffes, John Surbeck, Anthony Melillo, Vince Narciso, Mohsin Soliman

MidAmerica Division GME Healthcare Symposium 2026

No abstract provided.

Magnesium-Based Metal Matrix Nanocomposite Implants And Nanobubble-Based Delivery Systems: Integrated Strategies For Bone Loss Treatment With Cytocompatibility Evaluation, Lucas José Martinho Bizuti

Honors Undergraduate Theses

This thesis intends to investigate the development of different multimodal therapeutic strategies for combating bone loss. Most specifically, this paper will emphasize the utilization of Magnesium-Based Metal Matrix Nanocomposite Implants (MMNC) and Nanobubble-Based Delivery Systems as options for future treatment focus. The effects of biodegradable magnesium implants were evaluated for cytotoxicity and cytocompatibility via Hematoxylin and Eosin, and Masson’s Trichrome staining, as well as radiological images. The Nanobubble-Based Delivery System is being developed and optimized as a delivery system to target osteoclast activity. This paper focused on optimizing experimental parameters, which include Rotational speeds for nanobubble stimulation under microgravity conditions …

Excision Followed By Standing Cone Deformity Repair Is Tissue Conservative, Henry Lim, Christian Scheufele, Marshall Hall, Stephen Weis, Dustin Wilkes

North Texas GME Research Forum 2026

Introduction Elliptical excisions are the most common method to treat benign and malignant tumors in dermatologic surgery. This standardized design is traditionally 3 to 4.5 times longer than the excisional width to prevent unsightly protrusions of skin after primary closure, known as “standing cone,” “Burow’s triangles” or “dog ear” deformities. This results in a scar significantly longer than the original tumor that may be less easily concealed.

Objective To compare the final repair length of a tissue conservative method to remove skin tumors and close resultant defects against predicted repair length of traditional elliptical excision.

Methods Eighteen cases are presented …

Red Flags: Intraoperative Transfusion As A Predictor Of Anastomotic Failure, Alejandro De Leon Castro, Aj Schwartz, A Todd-Tharaday, A Collier, Ch Meyer, C Dente, Rn Smith, Jd Sciaretta, J Nguyen

South Atlantic Division GME Research Days 2026

No abstract provided.

Duodenal Switch Vs Roux-En-Y Gastric Bypass: Comparison Of Outcomes And Cost With Medical Management, Rachel E. Burke, Christian M. Simon, Husain Abbas

South Atlantic Division GME Research Days 2026

No abstract provided.

Healing Times Of Mohs Defects Using Cellular, Acellular, And Matrix-Like Products Compared With Secondary Intention In A Single Patient, Benjamin R. Cooper, Anthony Concilla, Kathleen Ward, Taha Rasul, Arianne E. Chavez

South Atlantic Division GME Research Days 2026

No abstract provided.

Robotic Assisted Duodenojejunostomy In The Treatment Of Adult Annular Pancreas, Anthony Sciuva, Denise Vera Nemeth, Riley Burgon, Noaman Ali

South Atlantic Division GME Research Days 2026

No abstract provided.

First Reported Robotic-Assisted Falciform Ligament Patch Repair Of An Iatrogenic Larrey-Type Anterior Diaphragmatic Defect Following Subxiphoid Pericardial Window, Christian M. Simon, Elisabeth Barrar, Husain Abbas

South Atlantic Division GME Research Days 2026

No abstract provided.

Acute Stemi Hours After Cabg From Distal Lima–Lad Graft Occlusion Complicated By Ellis Iii Perforation During Pci Successfully Treated With A Covered Stent, Eboselumen Aigbe, Brett Sasseen `

South Atlantic Division GME Research Days 2026

No abstract provided.

Call Surgery First: Impact Of A Decision Aid Tool For Common Bile Duct (Cbd) Stones, Eleah Porter, Matthew Daniel, Zachery Hensel, Saptarshi Biswas, Andrew Pearson, Wesley Vosburg, B Fernando Santos

South Atlantic Division GME Research Days 2026

No abstract provided.

Pants On Fire: Open Surgical Repair Of A Strangulated Pantaloon Hernia With A Multi-Mesh Reconstruction, Carolyn Dudko, Saptarshi Biswas

South Atlantic Division GME Research Days 2026

No abstract provided.

Trapped Beyond The Wall: Gastric Outlet Obstruction From A Ventral Hernia, Complicated By Ischemia And Hemorrhage, Carolyn Dudko, Saptarshi Biswas

South Atlantic Division GME Research Days 2026

No abstract provided.

A Rare Case Of Vagal Schwannoma Of The Cervical Region: A Review Of Perioperative Management, Alizatu Koroma, David Neskey

South Atlantic Division GME Research Days 2026

No abstract provided.

Improving Inpatient Colonoscopy Bowel Preparation Quality In A Community Hospital Via Split-Dose Polyethylene Glycol Regimen, Brenden Pearce, Yashaswi Koguru, Schuyler Nebeker, Minh Nguyen, Lauren Roper, Kathleen Raynor

South Atlantic Division GME Research Days 2026

No abstract provided.

When To Biopsy Incidentally Noted, Radiologically Relevant Lymph Nodes In Dcis, John B. Chiari, Jillian Giblin, Brooke Hassan, Katie Bennett

South Atlantic Division GME Research Days 2026

No abstract provided.

Bariatric Surgery Complicated By Euglycemic Dka In Monozygotic Twins, John B. Chiari, Thomas Leuschner, Jillian Giblin, Micah Mabe, Oliver Whipple

South Atlantic Division GME Research Days 2026

No abstract provided.

Comparing Naloxegol And Alvimopan In Reducing Rates Of Post-Op Ileus In Colorectal Patients, Madison Harger, Nicholas Hrdlicka, Elizabeth Mckeown

South Atlantic Division GME Research Days 2026

No abstract provided.

Axillary Web Syndrome: A “Common” Diagnosis Of Exclusion, Zachary Franklin, Olivia Piscano, Andrew Royek

South Atlantic Division GME Research Days 2026

No abstract provided.

A Low-Cost, High Fidelity Obstetric Anal Sphincter Injuries (Oasis) Repair Model, Bailey Brown, Jordan Mattern, Mary Kathryn Ball, Stephanie Tootle

South Atlantic Division GME Research Days 2026

No abstract provided.

Coil Embolization And Open Splenectomy For A Massive Splenic Vein Aneurysm: A Case Report, Kaitlyn Vu, Logan Brown, Blake Durrence, Tilak Patel, Robert Larsen, Stephanie Gordy

South Atlantic Division GME Research Days 2026

No abstract provided.

Aortic Occlusion From Dislodged Left Atrial Appendage Closure Device, Margaret Carey, Edward Jerry Cohn

South Atlantic Division GME Research Days 2026

No abstract provided.