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.
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.
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
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.
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.
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.
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.
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.
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.
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.