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October 2016 - July 1920

Decade

Year

Issue

October 1, 2012, Vol 147, No. 10, Pages 896-982

Original Article

Improved Prophylaxis and Decreased Rates of Preventable Harm With the Use of a Mandatory Computerized Clinical Decision Support Tool for Prophylaxis for Venous Thromboembolism in Trauma

Abstract Full Text
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Arch Surg. 2012;147(10):901-907. doi:10.1001/archsurg.2012.2024

In a retrospective cohort study, Haut and coauthors evaluate the effect of a mandatory computerized provider order entry–based clinical decision support tool on compliance with prophylaxis guidelines for venous thromboembolism (VTE) and VTE outcomes among admitted adult trauma patients. See invited critique by Velmahos.

Increased von Willebrand Factor to ADAMTS13 Ratio as a Predictor of Thrombotic Complications Following a Major Hepatectomy

Abstract Full Text
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Arch Surg. 2012;147(10):909-917. doi:10.1001/archsurg.2012.998

Kobayashi and coauthors investigate the association between changes in procoagulant/fibrinolytic factors and thrombotic complications following a major hepatectomy. Patients who underwent a pancreatoduodenectomy were also observed as controls, for whom operation time and amount of intraoperative blood loss were comparable to those of the patients who underwent a major hepatectomy.

Initial Experience With Hyperthermic Intraperitoneal Chemotherapy

Abstract Full Text
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Arch Surg. 2012;147(10):919-923. doi:10.1001/archsurg.2012.988

Turrini and coworkers sought to determine the effect of hyperthermic intraperitoneal chemotherapy on postoperative outcomes at a single institution performing a high volume of cancer operations. See related commentary by Ahuja

Clinical Outcome in Relation to Timing of Surgery in Chronic PancreatitisA Nomogram to Predict Pain Relief

Abstract Full Text
free access
Arch Surg. 2012;147(10):925-932. doi:10.1001/archsurg.2012.1094

Ahmed Ali and colleagues conducted a cohort study with follow-up of 62 months to evaluate the effect of timing of surgery on the long-term clinical outcome of surgery in chronic pancreatitis (CP). Two hundred sixty-six patients underwent pancreatic resection and drainage procedures for pain relief.

Work-Home Conflicts Have a Substantial Impact on Career Decisions That Affect the Adequacy of the Surgical Workforce

Abstract Full Text
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Arch Surg. 2012;147(10):933-939. doi:10.1001/archsurg.2012.835

Dyrbye and colleagues conducted a cross-sectional study of members of the American College of Surgeons to evaluate factors associated with their work-home conflicts and their potential personal and professional consequences.

Training Future Surgeons for Management RolesThe Resident-Surgeon-Manager Conference

Abstract Full Text
free access
Arch Surg. 2012;147(10):940-944. doi:10.1001/archsurg.2012.992

Hanna and coauthors demonstrate that senior surgical residents would benefit from focused training by professionals with management expertise. Senior residents from all surgical subspecialties were invited to participate in a 1-day management seminar. Precourse and postcourse data were compared using the Freeman-Halton extension of the Fisher exact test to determine statistical significance.

Impact of Surgical Care Improvement Project Inf-9 on Postoperative Urinary Tract InfectionsDo Exemptions Interfere With Quality Patient Care?

Abstract Full Text
free access has expired quiz
Arch Surg. 2012;147(10):946-953. doi:10.1001/archsurg.2012.1485

In a prospective study of general and vascular surgery inpatients, Owen and coauthors sought to determine whether a correlation exists between Surgical Care Improvement Project (SCIP) Inf-9 compliance and postoperative urinary tract infection (UTI) rates and whether there is an association between UTI rates and SCIP Inf-9 exemption status. See invited critique by Sicklick.

Assessment of Radiofrequency Device Sensitivity for the Detection of Retained Surgical Sponges in Patients With Morbid Obesity

Abstract Full Text
free access has expired quiz
Arch Surg. 2012;147(10):955-960. doi:10.1001/archsurg.2012.1556

To evaluate the sensitivity and specificity of a radiofrequency (RF) mat for the detection of retained surgical sponges, Steelman and Alasagheirin sequentially placed 4 surgical sponges on the abdomen and scanned the torso of 203 individuals with varying body habitus. They also compared the sensitivity of the RF mat with that of the RF wand.

Commentary

Equipoise, Ethics, and the Necessity of Randomized Trials in Surgery

Abstract Full Text
Arch Surg. 2012;147(10):899-900. doi:10.1001/archsurg.2012.1796
Invited Critique

Posttraumatic Venous Thromboembolism as a “Never Event”Comment on “Improved Prophylaxis and Decreased Rates of Preventable Harm With the Use of a Mandatory Computerized Clinical Decision Support Tool for Prophylaxis for Venous Thromboembolism in Trauma”

Abstract Full Text
Arch Surg. 2012;147(10):908-908. doi:10.1001/2013.jamasurg.150

ADAMTS13Comment on “Increased von Willebrand Factor to ADAMTS13 Ratio as a Predictor of Thrombotic Complications Following a Major Hepatectomy”

Abstract Full Text
Arch Surg. 2012;147(10):917-918. doi:10.1001/archsurg.2012.1231

The Heat of the MatterComment on “Initial Experience With Hyperthermic Intraperitoneal Chemotherapy”

Abstract Full Text
Arch Surg. 2012;147(10):924-924. doi:10.1001/archsurg.2012.1292

Developing Leaders in SurgeryComment on “Training Future Surgeons for Management Roles”

Abstract Full Text
Arch Surg. 2012;147(10):944-945. doi:10.1001/archsurg.2012.1278

Have We Hit an Invisible Barrier for Preventing Postoperative Urinary Tract Infections?Comment on “Impact of Surgical Care Improvement Project Inf-9 on Postoperative Urinary Tract Infections”

Abstract Full Text
Arch Surg. 2012;147(10):953-954. doi:10.1001/archsurg.2012.1502

Six of One, Half a Dozen of the OtherComment on “Surgical Treatment Strategies in Chronic Pancreatitis

Abstract Full Text
Arch Surg. 2012;147(10):969-969. doi:10.1001/2013.jamasurg.182
Review

Surgical Treatment Strategies in Chronic PancreatitisA Meta-analysis

Abstract Full Text
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Arch Surg. 2012;147(10):961-968. doi:10.1001/archsurg.2012.2005

To determine the optimal surgical strategy for chronic pancreatitis, Yin and coworkers researched the outcomes of 1007 patients in 15 studies who underwent duodenum-preserving pancreatic head resection or pancreaticoduodenectomy. The relative risks for postoperative pain relief and morbidity were analyzed.

Special Feature

Image of the Month—Quiz Case

Abstract Full Text
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Arch Surg. 2012;147(10):973-973. doi:10.1001/archsurg.2011.1505a

Image of the Month—Diagnosis

Abstract Full Text
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Arch Surg. 2012;147(10):974-974. doi:10.1001/archsurg.147.10.974

Image of the Month—Quiz Case

Abstract Full Text
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Arch Surg. 2012;147(10):975-975. doi:10.1001/archsurg.2011.1494a

Image of the Month—Diagnosis

Abstract Full Text
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Arch Surg. 2012;147(10):976-976. doi:10.1001/archsurg.147.10.976
Correspondence

The “Malignant Truth” About the Recurrence of Pancreatic Intraductal Papillary Mucinous Neoplasms

Abstract Full Text
Arch Surg. 2012;147(10):977-980. doi:10.1001/archsurg.2012.2287

The “Malignant Truth” About the Recurrence of Pancreatic Intraductal Papillary Mucinous Neoplasms—Reply

Abstract Full Text
Arch Surg. 2012;147(10):977-980. doi:10.1001/archsurg.2012.2312

“Intertransversalis” Approach for Laparoscopic Urology: Surgical Anatomy Concerns

Abstract Full Text
Arch Surg. 2012;147(10):980-982. doi:10.1001/archsurg.2012.2210

“Intertransversalis” Approach for Laparoscopic Urology: Surgical Anatomy Concerns—Reply

Abstract Full Text
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Arch Surg. 2012;147(10):980-982. doi:10.1001/archsurg.2012.2221
Resident's Forum

The U and the Sushi RollA Conceptual Aid for Lichtenstein Hernia Repair

Abstract Full Text
Arch Surg. 2012;147(10):970-972. doi:10.1001/archsurg.2012.1772

Yu and Burlew present a systematic approach to open inguinal hernia repair that uses the U and sushi roll technique as a conceptual aid to understand inguinal anatomy and method of hernia repair.

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