Emergency general surgery, elective general surgery, and trauma care are provided by the same personnel with overlapping resources, Ingraham and colleagues evaluated the quality of care provided to patients requiring these types of care and suggest improvements.
To determine the risk factors in diabetic patients that are associated with increased postcolectomy mortality and anastomotic leak, Ziegler and coauthors reviewed a prospectively acquired statewide database of patients who underwent colectomy. In the invited critique, Matthews states that this type of database can greatly benefit quality improvement initiatives.
Paul et al determine the comparative effectiveness of various approaches to diaphragmatic hernia repair, including open abdominal, laparoscopic abdominal, and thoracotomy. In an 163, Deveney provides a commentary.
Ortiz and colleagues tested the hypothesis that strict asepsis in closing wounds following laparotomy reduces the risk for surgical wound infection in elective colorectal cancer surgery. The multicenter randomized clinical trial was conducted from June 1, 2009, through June 1, 2010, in colorectal surgery units of 9 Spanish hospitals.
Goiter is a surgically reversible cause of positional dyspnea. Substernal tracheal compression predicts positional dyspnea relief after thyroidectomy. Stang and colleagues conduct a retrospective analysis of a prospective structured management algorithm.
Although the advantages of laparoscopic surgical procedures are well documented, acquiring the surgical skills involves a steep learning curve. Duty et al compared positron emission tomography findings of regional brain activation in novice and expert laparoscopic surgeons during a simulated procedure.
In a retrospective cohort study, Maciejewski et al compared expenditures in a veterans’ group of surgical patients and a nonsurgical cohort 3 years before and after bariatric surgery. A 1021 by Sax addresses balancing expense with improvement of quantity or quality of life.
Sanfey and colleagues describe a 1-day meeting hosted by the American College of Surgeons and Southern Illinois University Department of Surgery on the identification, prevention, and management of surgical residents with behavioral problems.
To compare outcomes in patients undergoing urgent surgery for left-sided diverticulitis admitted on weekends vs weekdays, Worni and colleagues analyzed data from the Nationwide Inpatient Sample using unadjusted and risk-adjusted generalized linear regression models. Rates of a Hartmann procedure vs primary anastomosis, complications, length of hospital stay, and total hospital charges were compared.
Crompton and coauthors used data on 40 000 patients from the National Trauma Data Bank to analyze the independent association between helmets and facial injury, with adjustment for potential confounders.