Medical Specialties Commons^™

Board Certification In Vascular Surgery Predicts Better Outcomes In Open Abdominal Aneurysm Repair Than Certification In General Surgery Alone, Sophia Trinh, Amanda Tullos, Denise Danos, Claudie Sheahan, Rabih Chaer, Jason Lee, Thomas Huber, Kellie Brown, Malachi Sheahan

Surgery Research Symposium

No abstract provided.

Obstructive Jaundice Due To Malignancy: Do All Patients Need Treatment?, S J. Bordes, M A. Al Efishat, M Maluccio, J Watson, O. Moaven, V Nfonsam, Jm Lyons

Surgery Research Symposium

No abstract provided.

The No Hernia Clinical Trial For Biological Prophylaxis Against Incisional Hernias, G E. Messa, M A. Maier, T Milosavljevic, J P. Boudreaux, P Greiffenstein, N Bolton, I Hodgdon, M Cook, F H. Lau

Surgery Research Symposium

No abstract provided.

Surgeon Perspective On The Surgical Treatment Of Acute Diverticulitis: Hartmann’S Procedure Vs Primary Anastomosis, Andrea Fa, Alexander T. Hawkins

Surgery Research Symposium

No abstract provided.

Hcc Heartache: The Swampy Saga Of Liver Cancer In Louisiana, John Lyons

Surgery Research Symposium

No abstract provided.

Pediatric Firearm Injuries In A Major Urban Louisiana City: A Deadly Public Health Issue, Morgan Brown, Claudia Leonardi, Alison Smith, Fabienne Gray

Surgery Research Symposium

No abstract provided.

Plasma Lipidomicsin Burn Patients Reveal Alterations In Octanoylcarnitine Levels, Cara Ramos, Jenna Dennis, Jiri Adamec, Amirsalar Mansouri, Anastasiya Ivanko, Jeffrey Carter, Jonathan Schoen, Herbert Phelan, Alison Smith

Surgery Research Symposium

No abstract provided.

Femoral Vein Translocation For Complex Hemodialysis Access, Alexander Mikhail, Tim Legare, Priscilla Tanamal, Taylor Gwin, Wajeeh Irfan, Malachi Sheahan, London Guidry, Johnathan Shellack

Surgery Research Symposium

No abstract provided.

Reboa Use In Obese Patients: Analysis Of The Aast Aortic Occlusion For Resuscitation In Trauma And Acute Care Surgery (Aorta) Database, Madeline Plunkett, Avni Shridhar, Juan Duchesne, John P. Hunt, Alan Marr, Lance Stuke, Patrick Greiffenstein, Johnathan Schoen, Christa Zino, Samantha Baker, Alison A. Smith

Surgery Research Symposium

No abstract provided.

The Burden Of Burns: An Analysis Of Public Health Measures, Anastasiya Ivanko, Anna E. Garbuzov, Randy Kearns, Bart Phillips, Erica Murata, Denise Danos, Jonathan E. Schoen, Herbert A. Phelan, Jeffrey E. Carter

Surgery Research Symposium

No abstract provided.

The Inflammatory Response Of Patients With Major Burns And Traumatic Injuries, Sophia Trinh, J. Robinson, J. Dennis, C. Fontenot, O. Warren, Jeffrey Hobden, Jonathan Schoen, Herbert Phelan, Jeffrey Carter, Alison A. Smith

Surgery Research Symposium

No abstract provided.

Disparities In The Multidisciplinary Management Of Pancreatic Cancer Patients In Louisiana, Aimee Galatas, Hannah R. Malinosky, Andrew G. Chapple, Mckenzie Hargis, Mohammad Al Efishat, John Lyons, Valentine N. Nfonsam, Omeed Moaven

Surgery Research Symposium

No abstract provided.

Impact Of Positive Surgical Margins For Neuroendocrine Cancers, Sarah Jacques, Nicholas Skill, J. Philip Boudreaux, Rancharan Thiagarajan, Mary Maluccio

Surgery Research Symposium

No abstract provided.

A Multi-Center Study Of Perioperative Hepatic Angioembolization As An Adjunct For Management Of Major Operative Hepatic Trauma, Paige Deville, Alison A. Smith, Jennifer T. Cone, Lea Hoefer, Delbrynth P. Mitchao, Kenji Inaba, Ryan Kostka, Jennifer Mooney, Allison Mcnickle, Douglas Fraser, Benjamin Martinez, Charles Patrick Shahan, Thomas Schroeppel, Alexander Cavalea, Paul Bjordhal, Benjamin Axtman, Maxwell Braverman, Kyle Dammann, Alexander Zorrilla, Alan B. Marr

Surgery Research Symposium

No abstract provided.

Multi-Institutional Study Examining Intraoperative Entrustment And Resident Sex, S. Baker, J. Evans, N. Matusko, B. Lindeman, S. Choi, R. Minter, M. Cook, K. Brasel, G. Sandhu

Surgery Research Symposium

No abstract provided.

Building A Team-Oriented Culture, Herbert Chen

Surgery Research Symposium

No abstract provided.

Case Report Of Surgical Management For Charcot Foot Medial Column Beaming With Stj Arthrodesis, Prachi Patel, Randy Semma

Posters

Medial column beaming is a surgical procedure that involves inserting a metallic beam to the medial column of the foot to treat the Charcot deformity of the foot.

A surgeon will use a large diameter screw to insert a beam into medial column which includes the first metatarsal, medial cuneiform, navicular and talus (fig 3) The beam shares the load of weightbearing with the foot's ligaments and joints, reducing the abnormal loss of structural integrity that can occur in Charcot arthropathy of the foot.

Subtalar joint fusion is often performed concurrently with medial column beaming to enhance the overall stability …

Subclinical Presentation Of Cutibacterium Acnes Infection Following Revision Rotator Cuff Repair: A Case Report, Zachary Walker, David Shuster, David Sosnoski, Ali Hamade, Hussein Saad, Marc Milia

Posters

Cutibacterium acnes is a gram-positive anaerobic bacillus which is commonly found in the sebaceous glands of the skin generally in the axilla, chest and back regions 1,2.

Shoulder infections have been reported to occur at 3.4% following arthroscopic or open shoulder surgeries, where they are most commonly due to C. acnes3,4.

This case report demonstrates a unique case and management of a subclinical presentation of confirmed C. acnes infection.

Pseudoaneurysm Development After Short Cephalomedullary Femoral Nailing, Nicholas E. Runge, Daniel P. Mccall

Posters

Hip fractures are amongst the most treated conditions by orthopaedic surgeons1 and are routinely treated with cephalomedullary nails (CMN)s.

Pseudoaneurysm formation is a rare complication after femoral CMN. The primary cause of pseudoaneurysm formation in previous studies has been found to be related to overpenetration of the far cortex with a drill or screw.

Patients with neuromuscular diseases may have aberrant anatomy potentially leading to increased risk of pseudoaneurysm formation

This the first case report of a patient with post-polio syndrome who developed a symptomatic deep femoral artery pseudoaneurysm status post short CMN fixation for a basicervical femoral neck fracture …

Remove The Ring: A Quality Improvement Initiative For Upper Extremity Trauma, Brandon Wallace, Matthew Charlick, Josiah Valk, Aaron Seidman

Posters

Upper extremity trauma is a common injury and post traumatic edema is an expected sequela. Retained rings on the digits prohibit circumferential swelling and may lead to tourniquet syndrome if left in place leading to a devastating and avoidable consequence.

Expeditious ring removal in upper extremity trauma is prudent for patient safety.

Radiographs are typically obtained early in the triage and treatment of patients suffering from upper extremity trauma. This presented itself as as reliable efficient target to have rings removed prior to this treatment step.

An opportunity to make a systemic change to maximize patient safety and care was …

Sole Searching: The Mystery Of A Left Foot Mood Swing Unraveled, Kaitlin Sebranek, Randy Semma

Posters

About 0.2% of patients in the Diabetic population have Charcot Neuroarthropathy.

When the gold standard of offloading in a total contact cast fails for CN patients, surgical treatment can be considered to achieve a stable, plantigrade, and functional foot.

Due to the complexity of the condition, potential complications such as hardware breakage, nonunion, and infection can result over time.

Complications And Formation Of Sinus Tracts Due To Presence Of Lead From Foreign Bodies In Soft Tissue: A Case Report, Peter J. Godoy, Marshall G. Solomon

Posters

A cornerstone of lower extremity limb salvage is to avoid development of wound complications involved in soft tissue infections . Predicting probability of sinus tract development due to presence of lead in soft tissues from foreign bodies. In this particular case a bullet fragment from a previous gunshot wound was noted to be the catalyst disrupting multiple biologic processes and impairing the function of soft tissues to heal. Predicting a level of contamination in this particular case lead believed to cause oxidative stress and inflammation and prompt excisional removal can avoid sinus tract formations and complications. This study presents a …

The Curious Case Of Ainhum Dactolysis Spontanea, Jesse Miller, Michele Bertele-Semma, Randy Semma

Posters

46 yo African male, no major PMH.

Pt presents with severe pain in the right 5th toe.

Pt had used a corn remover at home treatment 2 years ago which they stated started the progression in the pain of the patient.

Pt states that the toe has progressively become more constricted and painful.

Pt states that they want their toe amputated to relieve the pain.

Case Report: Diagnosing & Treating Triple Negative Breast Cancer During Pregnancy, Sydney Mefford, Chloe Page

Posters

Pregnancy associated breast cancer (PABC) is rare and can be seen in every 1 in 3000 pregnant patients. It is associated with a high morbidity rate, especially in cases of Triple Negative Breast Cancer (TNBC).

Prevalence has increased as society grows to have pregnancies at later ages. Risk is elevated for 1 year after delivery of baby.

Applications Of Minirail External Fixator In Arthrodesis Foot Surgery For The High-Risk Patient Population: A Case Series, Reema Naman

Posters

Since the inception of external fixation, there have been many modifications to the utilization of the devices, including the size. The minirail external fixator has evolved since the usage for bracymetatarsia into more complex devices. In the podiatric patient population, there are many comorbidities encountered such as diabetes, idiopathic neuropathy, and smoking. In the diabetic neuropathic population the purpose of use of the minirail external fixator was to provide additional stability as a mini-superconstruct as per Sammarco principles. An additional benefit of the fixator is the option of removing the pins if there are any signs of infection. The purpose …

Two For One – Simultaneous Bilateral Shoulder Injuries In Gym Teacher: A Case Report, Zachary Walker, Josiah Valk, David Sosnoski, Kelley Brossy, Mohamed Saad

Posters

28M gym teacher history of T1DM, seizure d/o, and alcohol use disorder presents with bilateral shoulder pain after an inebriated fall, two nights prior. Not on antiepileptics at baseline. C/o bilateral shoulder pain and mid-thoracic spine pain.

Utilization Of Negative Pressure Wound Therapy And Split Thickness Skin Grafts In The Context Of Complex Skin Closure Via Secondary Intention: A Protocol Approach, Jihan Toma, Eric Li, Randy Semma, Michele Bertelle-Semma, Asif Khan

Posters

Patients with complex, chronic foot wounds or ulcerations are at risk for major amputations. In this quality improvement (QI) initiative, we present an implemented protocol for patients with foot ulcerations and attempt to heal them using a combination of wound vac therapy and split thickness skin grafting. These patients have a history of either diabetes and/or neuropathy that makes wound healing more difficult than an otherwise healthy individual.

Diabetic Limb Salvage: Chopart Amputation, Jesse Miller, Randy Semma

Posters

Diabetic limb salvage is the act of saving a limb, even with decreased function after infection.

It is the difficult choice of the surgeon/patient to decide to proceed with salvage versus amputation proximally.

Case Report Of Bullous Diabeticorum: A Self-Limiting Condition With Potentially Devastating Consequences, Taylor Allison, Randy Semma

Posters

Bullous diabeticorum (BD) is a skin manifestation of patients with diabetes mellitus with an incidence of about 0.16% per year (Larsen et al) although the condition is believed to be widely underdiagnosed. The blistering disease favors acral regions of the body including the feet. There are no accepted diagnostic tests, and histopathology results are often inconclusive which makes BD a clinical diagnosis of exclusion. It is often self-limiting and resolves in a few weeks without residual sequelae. However, it may present with a secondary bacterial infection which can put patients at risk for soft tissue infections and osteomyelitis requiring more …

Revisional Arthrodesis Of Tarsometatarsal (Lisfranc) Complex Injury Secondary To Non-Union, Lei Wilson, Randy Semma

Posters

The tarsometatarsal joint and its components provide structural support for the foot. Notably the Lisfranc ligament is a fundamental stabilizer for the midfoot. Injuries to this component are complex and can be debilitating. These injuries require surgical intervention when significant displacement resulting in instability is involved.

Following success of several previous repairs of Lisfranc fractures and dislocations, a treatment algorithm has been proposed. This case report demonstrates the success of the algorithm which has allowed the surgeon to perform reduction and repair in a reproducible, step-wise manner with minimal difficulty to ensure successional revisional arthrodesis of a non-union