Surgery Commons^™

Creating Capacity To Accommodate Additional Cardiac Catheterization Procedures, Kristin Anthony

Operations Transformation

Patient access to diagnostic outpatient (OP) cardiac catheterization is limited by a perceived lack of capacity. Outpatient cardiac cath pts flow through the ACU for pre/post procedure care. Current schedule limits pts that may be scheduled through the ACU to two OP procedures/day. Cardiologists request the ability to schedule beyond the two procedures/day allowed. Significant variation in pre/postoperative care orders exist amongst cardiologists resulting in variability in length of stay. Cardiac procedures are booked either as 60/90/120 minutes – Epic case averaging technology is not active in the cath lab. As a result, the case minutes in the cath lab …

Restrictive Covenants In Surgical Care: Time To Reconsider, Andrew J. Malek, Ian L. Mcculloch, Alan Z. Yang, Goutam K. Gadiraju, Justin M. Broyles

School of Medicine Faculty Publications

No abstract provided.

Comparing Bilateral And Unilateral Metal Stabilizers: Incision Complications In Pectus Repair, Seth Saylors, Shawn D. St Peter, Tolulope A. Oyetunji Md Mph, Nelimar Cruz-Centeno, Nitin Nadella

Research Days

Introduction: The use of metal stabilizers in minimally invasive pectus excavatum repair (MIPER) has been previously associated with multiple postoperative complications. We aimed to identify if bilateral metal stabilizers increase the risk of incision complications when compared to unilateral stabilizers.

Methods: Institutional Review Board approval was obtained. Patients that underwent MIPER with metal stabilizers from 2019 to 2022 and currently had the bar in place, at a single tertiary care pediatric center, were included. A telephone survey evaluated if they had incision-associated symptoms, and if the location was congruent with the stabilizer site. A retrospective chart review was performed to …

Case Of An Adolescent Girl With Familial Vulvar Leiomyoma, Madeline Ross, Charlene Dekonenko, Rebecca Rentea, Tazim Dowlut-Mcelroy

Research Days

Background

While uterine leiomyomas remain a common occurrence affecting nearly 30% of adult women above 35yo, leiomyomas can arise anywhere smooth muscle cells are located in the body. Vulvar leiomyomas are a particularly rare diagnosis, often misdiagnosed as Bartholin gland cyst, comprising 0.07% of vulvar tumors, and thought to arise from smooth muscle within the round ligament, erectile tissue, and dartos muscle. Even more rare is the presentation of vulvar leiomyoma in the adolescent population and family history of vulvar leiomyoma.

Case

We present the case of a 16yo girl who noticed a painless vulvar mass that had increased in …

Health Disparities In Slipped Capital Femoral Epiphysis (Scfe) Presentation, Rithika Ginjupalli, George Thomas, Rohit Siddabattula, Richard M. Schwend, Caleb Grote

Research Days

This study identifies various health disparities in SCFE presentations using neighborhood-level determinants COI and ICE in addition to sociodemographic determinants such as race and gender.

Surgical Approach To Urethral Diverticulum And Urethrovaginal Fistula With Mesh Erosion, Alicia Smith, Lauren Burton, Saifuddin Mama

Einstein Health Papers

INTRODUCTION AND HYPOTHESIS: This video illustrates a rare surgical case involving a urethral diverticulum, urethrovaginal fistula, and mesh erosion.

METHODS: We present a 58-year-old patient attending a tertiary care center with a suspected urethrovaginal fistula. Her concerns included stress urinary incontinence (SUI), recurrent urinary tract infection, and vaginal pain. The surgical history was notable for the placement of two different mesh slings during the same procedure to treat SUI. Preoperative evaluation and findings are illustrated in detail. The video uses a high-definition surgical camera to emphasize the initial intraoperative evaluation with localization of the fistula and diverticulum. We then demonstrate …

The Safety Of Reboa Use In Obese And Non-Obese Trauma Patients, Iris Hunt, Omar Azmeh, Alan B. Marr, Patrick Greiffenstien, Lance Stuke, Alison Smith

Surgery Research Symposium

No abstract provided.

Healthcare Disparities Are Associated With Eligibility And Enrollment In Clinical Trials In Louisiana, Conner Hartupee, Denise Danos, Eileen Mederos, Augusto Ochoa, Valentine Nfonsam, Omeed Moaven

Surgery Research Symposium

No abstract provided.

Taruma Plus Burn: Which Comes First?, Anastasiya Ivanko, Denise Danos, Jonathan E. Schoen, Hebert A. Phelan, Alison A. Smith, Jeffrey E. Carter

Surgery Research Symposium

No abstract provided.

Disparities In Access To Care In The Multimodality Treatment Of Primary Nonmetastatic Liver Cancers And Their Impact On Patient Outcomes In State Of Louisiana, Sanchit Sachdeva, Mckenzie Hargis, Andrew G. Chapple, Hannah R. Malinosky, Mohammad El Afishat, John Lyons, James C. Watson, Mary Maluccio, Valentine N. Nfonsam, Omeed Moaven

Surgery Research Symposium

No abstract provided.

Abdominal Pseudoaneurysms In Patients With High-Grade Traumatic Injuries, Alexis Scheuermann, Meredyth Berard, Shivani Jain, Harrison Travis, Marquinn Duke, Jennifer Rhodes, Hector Ferral, Alexandra Fairchild, Bahri Ustunsoz, Alison Smith

Surgery Research Symposium

No abstract provided.

The Impact Of The 2014 Medicaid Expansion On Trends In Stage Of Colon Cancer At Presentation, Katherine Pavleszek, Denise Danos, Linzi Paul, Mohammed Rais, Elyse Bevier-Rawls, Gabrielle Prezkop, Lindsey Gade, Valentine Nfonsam

Surgery Research Symposium

No abstract provided.

Surgeons, Who’S Watching The Kids?, Jeanette Zavala, Ikenna Ifearulundu, Chrissy Guidry, Jeffanne E. Millien, John P. Hunt, Alison Smith

Surgery Research Symposium

No abstract provided.

Disparities In Surgical Care Outcomes In Patients With Nonmetastatic Gastric Cancer In Louisiana, K. Maupin, C. Hartupee, D. Danos, O. Moaven

Surgery Research Symposium

No abstract provided.

Supercharged And Delayed Thoracodorsal And Dorsal Intercostal Artery Perforator Flaps For Autologous Breast Reconstruction: A Case Report, Adeem Nachabe, Mohammed S. Rais, Mark A. Maier, Hugo St. Hilaire, Robert J. Allen

Surgery Research Symposium

No abstract provided.

Penetrating Traumatic Cardiac Arrest: Can Prehospital Blood Administration Result In Signs Of Life Upon Arrival To Trauma Center?, Connor Latiolais, Hall M. Braud, Elizabeth Lacy, Michael Hirchak, Blake Platt, Juan Duchesne, Lance Stuke, Emily Nichols, David Rayburn, Megan Marino, Tom Dransfield, Alison A. Smith

Surgery Research Symposium

No abstract provided.

Parkes Weber Syndrome Caused By A Somatic Map2k1 Mutation, N. Strat, Rebecca Brantley, R. Zambrano, M. Masoumy, I. Hill, C. Sheahan, M. Cable, J. D'Souza, D. Leblanc

Surgery Research Symposium

No abstract provided.

Pop! Goes The Gallbladder? A Successful Outcome Of Hemorrhagic Cholecystitis: A Case Report, Mohammed S. Rais, Jose A. Cruz Alaya, Christa Zino, Clifton Mcginness, John P. Hunt, Alan B. Marr, Patrick Greiffenstein, Alison A. Smith

Surgery Research Symposium

No abstract provided.

Prehospital Needle Decompression Of Suspected Tension Pneumothorax: Outcomes And Consequences, Harrison Travis, Gilbert Andry, Colin Rutner, Michael Maristany, Elizabeth Lacy, Kaleb Derouen, Alison Smith, Patrick Greiffenstein

Surgery Research Symposium

No abstract provided.

Identifying Disparities In Surgical Management And Outcomes Of Patients With Primary Liver Cancer In Louisiana, Mckenzie Hargis, Denise Danos, Hannah R. Malinosky, Mohammad Al Efishat, John Lyons, James C. Watson, Mary Maluccio, Omeed Moaven

Surgery Research Symposium

No abstract provided.