American journal of surgery最新文献_第10页

Advanced laparoscopic surgery curriculum: Elevating skills in general surgery residency. 高级腹腔镜手术课程：提高普通外科住院医师的技能。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-07-30 DOI: 10.1016/j.amjsurg.2025.116547

Claire Perez, Lucas Weiser, Hoover Wu, Andrew R Brownlee, Yufei Chen, Kulmeet Sandhu

引用次数: 0

Shining a light on the invisible experience of Black surgical trainees 照亮黑人外科实习生的隐形经历。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-07-30 DOI: 10.1016/j.amjsurg.2025.116541

Jamila K. Picart MD , Hope T. Jackson MD, FACS

引用次数: 0

AJS virtual match mentor: A primer for approaching residency interview questions from surgery residents and program directors. AJS虚拟匹配导师：一本指导外科住院医师和项目主管如何处理住院医师面试问题的入门书。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-07-29 DOI: 10.1016/j.amjsurg.2025.116546

Nicole M Mott, Ariana Naaseh, Ahmad Hider, Jennifer E Geller, Paul E Wise, Nicole T Christian

引用次数: 0

Optimal port site skin closure method following minimally-invasive surgery: A systematic review and network meta-analysis of randomised clinical trials 微创手术后最佳端口皮肤闭合方法：随机临床试验的系统回顾和网络荟萃分析

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-07-29 DOI: 10.1016/j.amjsurg.2025.116542

E.P. Kerin , M.G. Davey , L. Bouz Mkabaah , N.E. Donlon

{"title":"Optimal port site skin closure method following minimally-invasive surgery: A systematic review and network meta-analysis of randomised clinical trials","authors":"E.P. Kerin , M.G. Davey , L. Bouz Mkabaah , N.E. Donlon","doi":"10.1016/j.amjsurg.2025.116542","DOIUrl":"10.1016/j.amjsurg.2025.116542","url":null,"abstract":"<div><h3>Background</h3><div>For minimally-invasive surgery (MIS), there are numerous acceptable port-site closure techniques with no consensus on the method used.</div></div><div><h3>Aim</h3><div>To identify optimal port site postoperative wound closure method following MIS with respect to complication rates and cosmetic outcome.</div></div><div><h3>Methods</h3><div>Network meta-analysis (NMA) was performed in accordance with PRISMA-NMA guidelines for RCTs comparing at least two methods of port-site closure.</div></div><div><h3>Results</h3><div>Nineteen RCTs were identified evaluating eight methods of wound closure in 1,932 patients; across three types of suture, three forms of tissue glue, staples and paper-tape. At NMA, there was no significant difference in wound complication, infection, dehiscence or pain rate irrespective of closure method, albeit a trend towards higher rate of dehiscence for adhesives. At NMA, wound cosmesis was superior for adhesives at both early and late postoperative follow-up.</div></div><div><h3>Conclusion</h3><div>This study validates the use of tissue adhesives with respect to primary closure of port sites following MIS while highlighting potential associated risks.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"248 ","pages":"Article 116542"},"PeriodicalIF":2.7,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Utilizing Telehealth to optimize long term surveillance following ventral hernia repair 利用远程医疗优化腹疝修补术后的长期监测

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-07-29 DOI: 10.1016/j.amjsurg.2025.116545

Shan L. Kalmeta, Gustavo Salgado-Garz, Rebecca Prymak, Kennedy Emerson, Kathleen Forgue, Ailie Balke, Maggie E. Bosley, Vahagn C. Nikolian

{"title":"Utilizing Telehealth to optimize long term surveillance following ventral hernia repair","authors":"Shan L. Kalmeta, Gustavo Salgado-Garz, Rebecca Prymak, Kennedy Emerson, Kathleen Forgue, Ailie Balke, Maggie E. Bosley, Vahagn C. Nikolian","doi":"10.1016/j.amjsurg.2025.116545","DOIUrl":"10.1016/j.amjsurg.2025.116545","url":null,"abstract":"<div><h3>Introduction</h3><div>Ventral hernias remain a challenging surgical condition with long-term complications and recurrences. This study evaluates whether standardized telemedicine-based follow-up improves long-term surveillance following ventral hernia repaiI</div></div><div><h3>Methods</h3><div>A retrospective cohort study compared telemedicine-based surveillance with traditional in-person follow-up for patients undergoing ventral hernia repair at a tertiary hernia center. Follow-up adherence at 6-, 12-, and 24-months were the primary outcomes of interest.</div></div><div><h3>Results</h3><div>Telemedicine-based surveillance significantly improved follow-up adherence; 79 % vs. 44 % at 6 months, 69 % vs 42 % at 12 months, and 44 % vs 14 % at 24 months. There was no significant difference in recurrence rates, but telemedicine helped identify patient concerns (24 %) early, leading to select additional interventions such as cross-sectional imaging or supplemental in-person evaluation (10 %</div></div><div><h3>Conclusions</h3><div>Telemedicine improves follow-up adherence and early detection of complications after ventral hernia repair. It offers an affordable solution for long-term patient care, though further research is needed to optimize protocols</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"249 ","pages":"Article 116545"},"PeriodicalIF":2.7,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144932364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Scalpels in shadow: The lost history of France's female surgeons. 阴影中的手术刀：法国女外科医生失落的历史。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-07-28 DOI: 10.1016/j.amjsurg.2025.116544

Agathe Yvinou, Romain Alain, Andonirina Rantoanina, Dominique Le Nen

引用次数: 0

Comparison of sfilm-FS and TACHOSIL in patients undergoing liver surgical procedures requiring hemostasis – A phase 1/2, randomised, controlled study sfilm-FS和TACHOSIL在需要止血的肝脏手术患者中的比较——1/2期随机对照研究

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-07-28 DOI: 10.1016/j.amjsurg.2025.116543

Grant Bochicchio , Helwig Wundsam , Blaž Trotovšek , Jack Spira , Eran Cohen , Sara Horn , Luca Maravigna , Massimo Iacobelli , Elisabetta Musazzi , Guido Fedele , Yuri Genyk , Christopher C. Lamb , Luigi Marano , Orgad Laub

{"title":"Comparison of sfilm-FS and TACHOSIL in patients undergoing liver surgical procedures requiring hemostasis – A phase 1/2, randomised, controlled study","authors":"Grant Bochicchio , Helwig Wundsam , Blaž Trotovšek , Jack Spira , Eran Cohen , Sara Horn , Luca Maravigna , Massimo Iacobelli , Elisabetta Musazzi , Guido Fedele , Yuri Genyk , Christopher C. Lamb , Luigi Marano , Orgad Laub","doi":"10.1016/j.amjsurg.2025.116543","DOIUrl":"10.1016/j.amjsurg.2025.116543","url":null,"abstract":"<div><div>This Phase I/II randomized, controlled, multicenter study aimed to evaluate the safety and efficacy of sFilm-FS compared to Tachosil® in patients undergoing elective liver surgery requiring hemostasis at the liver surface. sFilm-FS is a new fibrin sealant patch, coating on a biodegradable tri-block polymeric film.</div><div>The trial included 33 patients randomized 1:1 to receive sFilm-FS or Tachosil®. While most patients underwent liver resection, a subset underwent other hepatic surgical interventions.</div><div>Safety was the primary outcome, including treatment-emergent adverse events, coagulopathies, and intraoperative blood loss. Efficacy was assessed as secondary endpoints by the time to hemostasis and hemostasis at 2, 3, 5, 7, and 10 min from product application. Hemostasis was defined as the absence of bleeding at the target bleeding site within 10 min.</div><div>Both treatments were well tolerated, with no significant differences in adverse events. All patients achieved hemostasis within 10 min. The median time to hemostasis was 2 min for sFilm-FS and 3 min for Tachosil®.</div><div>sFilm-FS is a promising, well tolerated, fibrin sealant patch, offering the potential for a superior Fibrin Sealant patch that could improve surgical outcomes. Further studies are recommended to validate these findings in larger populations.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"249 ","pages":"Article 116543"},"PeriodicalIF":2.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perspectives on navigating the use of artificial intelligence by patients for their surgical care management. 人工智能在外科护理管理中的应用前景。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-07-28 DOI: 10.1016/j.amjsurg.2025.116540

Devika A Shenoy, Christina Lindsay, Allison N Martin, Ralph Snyderman

引用次数: 0

Nasogastric tube tune-up: Surgical residents and med-surg nursing achieve proficiency in a standardized protocol after targeted education 鼻胃管调整：外科住院医师和内科-外科护理人员经过有针对性的教育，熟练掌握标准化的方案

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-07-26 DOI: 10.1016/j.amjsurg.2025.116531

Vika Guloyan , Richard W. Walsh , Angela Atkinson , Ally Wong , Daniel Dent , Jason W. Kempenich

引用次数: 0

Beyond oncologic outcomes: The patient-centered implications of re-excision 超越肿瘤学结果：以患者为中心的再切除的意义。

IF 2.7 3区医学

American journal of surgery Pub Date : 2025-07-24 DOI: 10.1016/j.amjsurg.2025.116534

Mariya Reztsova MD , Adrienne Cobb MD MS

引用次数: 0