Surgery Commons^™

Kaposi Sacroma In A 27 Year Old Man: A Case Report, Duyen Quach, Kayla Nguyen, Andrew Youssef, Diego Arellano, Jorge Leiva

Gulf Coast Division GME Research Day 2023

No abstract provided.

Trends Over Time In Incidence Of Bicuspid Aortic Valve Patients With Thoracic Aortic Aneurysms In New York, Sarah Marc, Jahnvi Bansal, Alexander Cove, Annet Kuruvilla, Joshua Helali, Ashutosh Yaligar, Junying Wang, Jie Yang, Jonathan Price, Thomas Bilfinger, Henry Tannous, Annie Laurie Shroyer, Allison Mclarty

Department of Surgery Faculty Publications

Aim: Bicuspid aortic valve (BAV) is one of the most common congenital cardiac malformations, with increased risk for early onset thoracic aortic aneurysms (TAA). This study aims to examine the trends over time in incidence of BAV patients with TAA, given imaging advancements and increased frequency of imaging.

Methods: Using administrative billing codes, this retrospective cohort study analyzed New York Statewide Planning and Research Cooperative System records from January 2007- December 2018, evaluating BAV+TAA incidence trends. Subgroups based on index admission were evaluated with a pre-identified 2014 inflection time point using an interrupted time series (ITS) analysis.

Results: Using a …

A Simple Perfused Cadaver Model For Damage Control Vascular Surgery Training, Shane A. Smith, Vivian C. Mcalister O.C.

Surgery Publications

No abstract provided.

Complications Of Colonscopies: Splenic Injury Following Routine Screening For Colorectal Cancer, Elisabeth Barrar, Ainsley Freshour

South Atlantic Division GME Research Day 2023

No abstract provided.

Pelvic Organ Prolapse: Are Two Mesh Procedures Better Than One?, Melissa Gott, Austin Brown, Abby Crume, J Melvin, Michelle Murday

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

The Role Of Preoperative Magnetic Resonance Cholangiopancreatography/Endoscopic Retrograde Cholangiopancreatography In The Setting Of Mildly Elevated Liver Enzymes Prior To Cholecystectomy, Rachel Groening, Salah Abdel Jalil, Jeffery Durbin, Rahul Kashyap, Aaron D. Pinnola

South Atlantic Division GME Research Day 2023

No abstract provided.

Treatment And Mortality Of Myocardial Injury After Noncardiac Surgery, Hany Youssef, Rahul Mhaskar, Kelsi Thompson, Jose Nicolas Codolosa

West Florida Division GME Research Day 2023

No abstract provided.

Pulsing Staples: A Case Report Of Superficial Temporal Artery Pseudoaneurysm And Literature Review Of The Same, Austin Mccrea, Jonathan Hardin, Patrick Melmer, Saptarshi Biswas

South Atlantic Division GME Research Day 2023

No abstract provided.

A Rare Case Of Non-Traumatic Multi-Compartment Syndrome Of The Gluteal Region And Lower Left Extremity, Lakeisha Majette, Taylor Locklear, Saptarshi Biswas

South Atlantic Division GME Research Day 2023

No abstract provided.

A Rare Constellation Of Devastating Injuries - Open Pelvic Fracture With Testicular Disruption: A Case Report, Margaret Rose, Jamie Pham, Kelly Champlin, Saptarshi Biswas

South Atlantic Division GME Research Day 2023

No abstract provided.

Optimal Fixation Requirements For Lapidus Bunionectomies: A Comprehensive Review And Analysis, Nehal Modha, Diego Peralta, Warren Windram

East Florida Division GME Research Day 2023

The Lapidus bunionectomy procedure, aimed at correcting hallux valgus deformities, involves realignment of the first metatarsal-cuneiform joint and often necessitates fixation to ensure proper alignment and stability during the healing process. A comprehensive literature review was completed by the authors using Google Scholar, Pubmed, Cochrane Review, and Science Direct using a combination of phrases related to the title of this article to determine the optimal fixation requirements for successful outcomes in Lapidus bunionectomies.

A systematic search of electronic databases that reported on fixation techniques, outcomes, and complications associated with Lapidus bunionectomies. Analysis of these studies revealed a wide range of …

Race/Ethnicity And Morbidity/Mortality In Laparoscopic Cholecystectomy: 2016 Usa Study, Victorien Meray, Rupa Seetharamaiah

East Florida Division GME Research Day 2023

Background: Social determinants of health, such as race and ethnicity, can have a significant impact on people's health and well-being. People of color are more likely to experience poverty, lack of access to healthcare, and discrimination, which can lead to worse health outcomes. Laparoscopic cholecystectomy is a surgical procedure to remove the gallbladder. It is the most common gastrointestinal surgery performed in the United States. In this study, we sought to determine if there is an association between race/ethnicity and morbidity/mortality in adult patients undergoing laparoscopic cholecystectomy.

Methods: We conducted a non-concurrent cohort study of patients over 18 years old …

Expert Consensus For Key Components Of A High Quality Ventral Hernia Repair Operative Note, Shreena Patidar, Peter Yu, Jonathan S. Lall, Said Maldonado, Nicole B. Lyons, Zuhair Ali, Mike Liang

Gulf Coast Division GME Research Day 2023

No abstract provided.

Appendicitis Mimicry Of A Rare Case Of Early Diagnosed Dolichocolon, A Case Report, Kayla Brown, Mercedes Jolley, Dean Kocay

Central & West Texas GME Research Day 2023

No abstract provided.

Impact Of The Implementation Of A Comprehensive Pancreatic Program On The Timing For Endoscopic Pancreatic Biopsy, Laura Mena Albors, Valerie Vazquez, Alexis Perry, Huazhi Liu, Darwin Ang, Yaseen Perbtani, Francisco I. Macedo

North Florida Division GME Research Day 2023

No abstract provided.

Which Patients Are More Likely To Require Postoperative Inpatient Rehabilitation After Operative Intervention Of Traumatic Hip Fractures?, Daniel Lynch, Andrew Romero, Peter Zeblisky, Kyle Mahoney, Huazhi Liu, Darwin Ang

North Florida Division GME Research Day 2023

No abstract provided.

An Incisional Hernia Containing A Gangrenous Gallbladder: A Case Report, Timbre Backen, William Tyler Crawley, Travis Bouchard, Glenda Quan

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Rare Case Of Obturator Hernia: Surgical Anatomy, Planning And Considerations, Adam Delgado, Sidra Bhuller, Peter Phan, John Weaver

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Mis Calcaneal Fracture Repair: A Literature Review, Nehal Modha, Roshni Patel, Warren Windram

East Florida Division GME Research Day 2023

Minimally invasive surgery (MIS) has gained prominence as a viable approach for the management of calcaneal fractures, offering the potential for reduced soft tissue trauma, enhanced visualization, and expedited recovery. This literature review aims to comprehensively analyze the existing body of research on MIS techniques employed in the repair of calcaneal fractures.

A comprehensive literature review was completed by the authors using Google Scholar, Pubmed, Cochrane Review, and Science Direct using a combination of phrases related to the title of this article that focused on MIS interventions for calcaneal fractures. The review encompassed studies from the last decade, evaluating surgical …

Perioperative Anesthesia Optimization Can Be Life Saving In Mitochondrial Disease: A Case Report, Christian Schroeder, Ethan Mosley, Austin Mccrea, Saptarshi Biswas

South Atlantic Division GME Research Day 2023

No abstract provided.

A Case Of Vibrio Vulnificus In Galveston, Kayla Nguyen, Duyen Quach, Chinasa Anokwuru, Connor Hogan, Mike Liang

Gulf Coast Division GME Research Day 2023

No abstract provided.

Impact Of Disclosure Of Radiographis Test Results On Quality Of Life Among Patients With Hernia: A Randomized Controlled Trial, Keyon Mohebzad, Rainna Coelho, Oscar A. Olavarria, Nicole Lyons, Karla Bernardi

Gulf Coast Division GME Research Day 2023

No abstract provided.

Natural History Of Occult Hernias In Adults At A Safety-Net Hospital, Duyen Quach, Kayla Nguyen, Nicole Lyons, Oscar Olavarria, Karla Bernardi

Gulf Coast Division GME Research Day 2023

No abstract provided.

Congenital Mesenteric Defect Results In Internal Hernia In An Adult With Obstructed Small Bowel, Tameem Jamal, Adina Mcnair, Saptarshi Biswas

South Atlantic Division GME Research Day 2023

No abstract provided.

Implementation Of A Multipronged Approach To Improve Pre-Operative Efficiency And First Case On Time Start Performance, Melyssa A. Stokes

Master's Theses and Capstones

Background: Surgical services are an important source of revenue and important economic driver of hospital systems. Surgical services account for approximately 42% of a hospital’s annual revenue, however, it also constitutes 40% of facility operating costs (Gupta, et al., 2022 & Morel & Gomez, 2021). Despite the high costs associated with surgical services delays remain a significant issue across the nation. On-time starts for the first surgical cases of the day is a key performance metric tracked by surgical facilities to determine efficiency. Currently, 50 – 90% of first surgical cases are delayed throughout the United States and the most …

A Rare Case Of Metaplastic Carcinoma Breast: Challenges In Diagnosis And Management, Prajwal Chandrashekhara, Rohith Holla

Manipal Journal of Medical Sciences

Background
Metaplastic breast carcinoma (MBC) is a rare and aggressive subtype of breast cancer, characterized by a heterogeneous combination of epithelial and mesenchymal components. It is often challenging to diagnose due to its distinct clinical and histological features, and it generally carries a poor prognosis due to its rapid progression and limited response to conventional therapies.

Case Presentation
We present the case of a 43-year-old female who presented with a rapidly enlarging right breast lump, which increased from 3 x 4 cm to 10 x 10 cm in 4 months. Clinical examination revealed a fixed, pigmented lump in the upper …

Challenging The Endovascular Era: Open Bypass From Distal Sfa To Pta Using Ipsilateral Reversed Saphenous Vein For Critical Limb Ischemia, Suraj Pai, Suresh Pai, Sanya Mukhida, Aditya Nair

Manipal Journal of Medical Sciences

Open surgical revascularization remains a vital option in select patients with critical limb ischemia (CLI), especially when endovascular interventions are not feasible. We present a case of a 69 -year-old diabetic male with Rutherford class 5 CLI, initially planned for above-knee amputation due to extensive arterial occlusion and severe rest pain. The disease was attributed to his very significant smoking history which was stopped only recently. His CT Angiogram study revealed occlusion of distal superficial femoral artery with suboptimal distal reformation. Given the absence of endovascular options, he underwent successful open bypass from the distal superficial femoral artery (SFA) to …

Synchronous Gastrointestinal Metastatic Large Cell Neuroendocrine Tumor And Metastatic Colon Adenocarcinoma: Case Report, Hari Movva, Giri Movva, Christian Pena, Vijian Dhevan

School of Medicine Publications

This article reports a case involving a synchronous silent metastatic rectal adenocarcinoma and metastatic large cell neuroendocrine tumor of the cecum and ascending colon. The patient presented with left sided abdominal pain and hematochezia with a noncontributory family, social, and medical history. This case presents a rare pathology not only due to the low incidence of synchronous gastrointestinal malignancies, but due to the unusual silent patient presentation.

The Current Status And Future Prospects For Conversion Therapy In The Treatment Of Hepatocellular Carcinoma, Jinfeng Bai, Ming Huang, Bohan Song, Wei Luo, Rong Ding

Faculty, Staff and Student Publications

Hepatocellular carcinoma (HCC) is the third most common cause of cancer-related deaths worldwide. In China, most HCC patients are diagnosed with advanced disease and in these cases surgery is challenging. Conversion therapy can be used to change unresectable HCC into resectable disease and is a potential breakthrough treatment strategy. The resection rate for unresectable advanced HCC has recently improved as a growing number of patients have benefited from conversion therapy. While conversion therapy is at an early stage of development, progress in patient selection, optimum treatment methods, and the timing of surgery have the potential to deliver significant benefits. In …

Clinical Parameters Affecting Survival Outcomes In Patients With Low-Grade Serous Ovarian Carcinoma: An International Multicentre Analysis, Taymaa May, Marcus Bernardini, Stephanie Lheureux, Katja K H Aben, Elisa V Bandera, Matthias W Beckmann, Javier Benitez, Andrew Berchuck, Line Bjørge, Michael E Carney, Daniel W Cramer, Anna Defazio, Thilo Dörk, Diana M Eccles, Michael Friedlander, María Jose García, Ellen L Goode, Alexander Hein, Claus K Høgdall, Allan Jensen, Sharon Johnatty, Catherine J Kennedy, Lambertus A Kiemeney, Susanne K Kjær, Jolanta Kupryjańczyk, Keitaro Matsuo, Valerie Mcguire, Francesmary Modugno, Lisa E Paddock, Tanja Pejovic, Catherine M Phelan, Marjorie J Riggan, Cristina Rodriguez-Antona, Joseph H Rothstein, Weiva Sieh, Honglin Song, Kathryn L Terry, Anne M Van Altena, Adriaan Vanderstichele, Ignace Vergote, Liv Cecilie Vestrheim Thomsen, Penelope M Webb, Nicolas Wentzensen, Lynne R Wilkens, Argyrios Ziogas, Haiyan Jiang, Alicia Tone, Ovarian Cancer Association And The Australian Ovarian Cancer Study Group

Faculty, Staff and Student Publications

BACKGROUND: Women with low-grade ovarian serous carcinoma (LGSC) benefit from surgical treatment; however, the role of chemotherapy is controversial. We examined an international database through the Ovarian Cancer Association Consortium to identify factors that affect survival in LGSC.

METHODS: We performed a retrospective cohort analysis of patients with LGSC who had had primary surgery and had overall survival data available. We performed univariate and multivariate analyses of progression-free survival and overall survival, and generated Kaplan-Meier survival curves.

RESULTS: Of the 707 patients with LGSC, 680 (96.2%) had available overall survival data. The patients' median age overall was 54 years. Of …