American SurgeonPub Date : 2025-08-01Epub Date: 2025-04-24DOI: 10.1177/00031348251337153
Yashjot Kaur, Ambreen Deol, Sanjeev Mahajan, Kamal Jyoti
{"title":"Assessment of Factors and Deterrents Influencing Medical Students in Pursuing a Career in Surgical Disciplines: Gender-Based Perceptions From a Teaching Hospital in India.","authors":"Yashjot Kaur, Ambreen Deol, Sanjeev Mahajan, Kamal Jyoti","doi":"10.1177/00031348251337153","DOIUrl":"10.1177/00031348251337153","url":null,"abstract":"<p><p>IntroductionGender disparity within the health care profession, specifically in surgical fields, continues to be a subject of discussion. Understanding these gender-specific determinants is key to fostering inclusivity in surgery. This study investigates gender-related perspectives on pursuing a career in surgical disciplines and assessess the perceived challenges among medical students in India.MethodsA cross-sectional survey was conducted at a teaching hospital. Third through fifth-year medical students were invited to fill a semi-structured questionnaire investigating career preferences and the influencing factors. The data was collected through a survey and analyzed. Likert-scale type responses and open-ended questions were analyzed separately. Appropriate statistical tests were used to compare the gender-based responses.Results231 complete responses were analyzed. Of these, 61.5% were females. Interest in pursuing surgery was found to be similar in both genders (<i>P</i> = .61). Both male and female students cited concerns about work-life balance as the major factor (41.6%) influencing their interest in pursuing surgery, followed by personal interest in anatomy and surgical techniques (39%), and exposure to surgical procedures (36.4%). Female students perceived limited opportunities in surgical training (M = 7.8%, F = 21.1%, <i>P</i> = .007) and gender bias in surgical disciplines (M = 34.8%, F = 50%, <i>P</i> = .02) as a significant challenge as compared to their male counterparts. Approximately 1/3rd females reported a lack of female surgical role models.ConclusionThis comprehensive analysis illuminates the evolving gender dynamics in a developing nation, reflecting a burgeoning interest in surgical specialties among female students. Creating targeted training opportunities and gender-conducive environments for female students can catalyze this positive shift.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1303-1309"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
American SurgeonPub Date : 2025-08-01Epub Date: 2025-04-18DOI: 10.1177/00031348251337143
Grant B Hubbard, Ryan M Prusko, Robert D Nerad, Neil McNinch, Jeffrey Asubeng-Poku, Claire M Hubert, Corey J Sievers, Rick A Gemma
{"title":"A Community Hospital Experience With Cholecystectomy for Gallbladder Hyperkinesia: A Single-Center Cross-Sectional Study.","authors":"Grant B Hubbard, Ryan M Prusko, Robert D Nerad, Neil McNinch, Jeffrey Asubeng-Poku, Claire M Hubert, Corey J Sievers, Rick A Gemma","doi":"10.1177/00031348251337143","DOIUrl":"10.1177/00031348251337143","url":null,"abstract":"<p><p>BackgroundHyperkinetic and hypokinetic biliary dyskinesia commonly present with right upper quadrant pain, mimicking biliary colic or cholecystitis. Only gallbladder hypokinesia is a well-accepted indication for cholecystectomy. While there is less literature on the topic, patients with gallbladder hyperkinesia may also benefit from cholecystectomy.MethodsThis single-center cross-sectional study looked at patients 18 years or older, with EF >80% on HIDA scan who underwent cholecystectomy and at least one postoperative visit from January 1, 2018, to February 28, 2023. The primary outcome was symptomatic resolution or improvement.ResultsIn total, 67 patients were identified, with a median age of 46 years, 75% female sex, and a median 30-day follow-up period. All patients presented with abdominal pain, 64% presented with nausea and vomiting, and 31% presented with chronic diarrhea. Partial symptomatic improvement was noted in 94% of patients, while 85% had complete resolution. There was a statistically significant difference in gallbladder ejection fraction between 2 groups: 94% (IQR 90-98%) for those with complete symptom resolution vs 88% (IQR 83-97%) for those who did not have symptom resolution (<i>P</i> = 0.033). Chronic cholecystitis was demonstrated in 73% of specimens.ConclusionsThis data adds to a body of evidence supporting laparoscopic cholecystectomy for gallbladder hyperkinesia. The study further establishes a higher degree of gallbladder ejection fraction to have an association with complete symptomatic improvement after cholecystectomy. A patient's presenting symptoms do not appear to have an association with complete symptom resolution.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1336-1340"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
American SurgeonPub Date : 2025-08-01Epub Date: 2025-06-03DOI: 10.1177/00031348251346523
Julianne C Mallinger, Rachel Siretskiy, Azalia Avila, Jamie Tichauer, Lisa Rivas, Shenae Samuels, Holly Neville, Tamar Levene
{"title":"Comparative Analysis of Postoperative Outcomes Following Various Neonatal Circumcision Techniques: Mogen Clamp, Gomco Clamp, and Plastibell Device.","authors":"Julianne C Mallinger, Rachel Siretskiy, Azalia Avila, Jamie Tichauer, Lisa Rivas, Shenae Samuels, Holly Neville, Tamar Levene","doi":"10.1177/00031348251346523","DOIUrl":"10.1177/00031348251346523","url":null,"abstract":"<p><p>Circumcisions using local anesthesia are among the most common procedures performed in the neonatal period and are typically performed using one of three techniques-Mogen clamp, Gomco clamp, or Plastibell device. Comparative data regarding outcomes, specifically rates of complications such as bleeding for which emergency room (ER) evaluation and intervention are indicated as well as operative revision of circumcision, remain unknown. This retrospective review aimed to better define rates of complications for each of the three procedure types. There were statistically significant differences between the three circumcision types as they relate to the subjective report of pain, but there were no statistically significant differences between the three circumcision modalities regarding rates of complications or return to the ER. Neonatal local circumcisions by these devices are all well tolerated with no demonstrable differences in outcomes. Careful patient selection and surgeon preference should continue to drive the approach utilized.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1263-1266"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
American SurgeonPub Date : 2025-08-01Epub Date: 2025-06-21DOI: 10.1177/00031348251353801
Joan H Brown, Julie M Reichert, Isabella L Filippone, Miguel A Rosa, Anthony B Tepetitla, Nathan A Schlessinger, Kelly F Bonneville, Ryan E Ward, Lindsey L Perea
{"title":"Readmission and Mortality in Trauma Patients Utilizing LACE Index.","authors":"Joan H Brown, Julie M Reichert, Isabella L Filippone, Miguel A Rosa, Anthony B Tepetitla, Nathan A Schlessinger, Kelly F Bonneville, Ryan E Ward, Lindsey L Perea","doi":"10.1177/00031348251353801","DOIUrl":"10.1177/00031348251353801","url":null,"abstract":"<p><p>BackgroundTrauma patients are sometimes readmitted unexpectedly soon after discharge from index admission. LACE Index measures four variables (Length of stay, Acuity of admission, Comorbidity, and prior Emergency department visits within 6 months) that are independently associated with death or readmission within 30 days of discharge from hospitalization. Our Trauma Center began utilizing LACE scores to schedule follow-ups for patients discharged home with LACE scores ≥7. We sought to determine factors related to trauma patient readmission and mortality and evaluate the impact of LACE follow-up appointments on 30-day readmission and mortality. We hypothesized that instituting LACE follow-ups would reduce readmissions and mortality.MethodsWe performed a retrospective review (1/1/21-6/30/22 and 7/1/22-12/31/23) evaluating readmission in trauma patients ≥18y before LACE (BL) and during LACE (DL) follow-up appointments. Univariate and multivariable analyses were conducted. A <i>P</i>-value <.05 was considered significant.Results1788 patients were included: 872 BL and 914 DL. Readmission was slightly higher DL vs BL and mortality was lower DL vs BL. Multivariable analysis showed patients with cirrhosis had an increased risk of readmission and patients with commercial insurance had a decreased risk of readmission. Multivariable analysis showed attending a follow-up did not impact risk of readmission but decreased risk of mortality.ConclusionOur data partially supported our hypothesis; attending an LACE follow-up decreased 30-day mortality but not readmission. Further investigation is warranted to validate the threshold of LACE score that will help prevent readmission and mortality in trauma patients.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1251-1257"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144339841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
American SurgeonPub Date : 2025-08-01Epub Date: 2025-04-26DOI: 10.1177/00031348251338379
Piyush Manoria
{"title":"Endoscopic Stenting for the Treatment of Boerhaave's Syndrome.","authors":"Piyush Manoria","doi":"10.1177/00031348251338379","DOIUrl":"10.1177/00031348251338379","url":null,"abstract":"<p><p>The spontaneous rupture of the esophagus, called Boerhaave's syndrome, presents a critical medical condition that produces high mortality rates unless appropriate emergency medical care is provided. Endoscopic stenting has risen as a minimally invasive treatment option after surgical procedures lost their popularity for addressing this condition. The study reviews endoscopic stenting results in Boerhaave's syndrome by examining treatment success rates and complication and mortality statistics. A systematic review based on the PRISMA guidelines that included studies from 2014 to 2024 obtained from PubMed, Scopus, and Web of Science was conducted. Patient demographics, intervention characteristics, and clinical outcomes were the primary targets for data extraction during the review process. A random-effects model statistical analysis confirmed endoscopic stenting as an effective treatment, achieving closure success in 72.4% of patients and leak occlusion in 93% of cases. A significant level of study methodological and patient diversity caused high heterogeneity (I<sup>2</sup> = 98.85%). Endoscopic stenting provided better outcomes for hospital stay duration and postoperative complications above surgical intervention, although publication bias shows a moderate risk (<i>P</i> = 0.1602). The major limitation related to migration in endoscopic stenting shows promise for improvement as current research develops both stent technology and patient selection methods. Testing outcomes from endoscopic stenting as an acceptable surgical option for Boerhaave's syndrome patients exists, but additional randomized trials need to optimize treatment procedures.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1355-1361"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143962356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
American SurgeonPub Date : 2025-08-01Epub Date: 2025-06-23DOI: 10.1177/00031348251353800
Payton C O'Quinn, Lou M Smith
{"title":"Unique Treatment of Ventricular Tachycardia Storm in a Patient With Cervical Spine and Chest Wall Injuries.","authors":"Payton C O'Quinn, Lou M Smith","doi":"10.1177/00031348251353800","DOIUrl":"10.1177/00031348251353800","url":null,"abstract":"<p><p>Ventricular tachycardia storm (VTS/ES) is defined as the occurrence of three or more episodes of sustained ventricular tachycardia within a twenty-four-hour period, with or without a defibrillator. It has not been reported de novo in trauma patients. The literature indicates blunt cardiac injury as a potential etiology of ventricular dysrhythmia. We present a patient with a history of atrial fibrillation and a cardiac resynchronization device with defibrillator who presented neurologically intact with cervical vertebral, internal, and bony thoracic injuries following a ground level fall. Within 24 hours, the patient developed VTS/ES that was ultimately resolved with a stellate ganglion block. This is the first report of a trauma patient with suspected blunt cardiac injury undergoing a stellate ganglion block following the onset of VTS/ES. Blunt cardiac injury is worth consideration as an etiology in post-trauma patients with ventricular tachycardia storm, particularly when no other source is identified. Stellate ganglion block, which can be performed at bedside with appropriate specialist availability, can be considered among treatment options in trauma patients.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1270-1272"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
American SurgeonPub Date : 2025-08-01Epub Date: 2025-04-23DOI: 10.1177/00031348251337164
Seema P Anandalwar, Amar Deshwar, Elizabeth Powell, Thomas Scalea, James O'Connor
{"title":"Trauma Pneumonectomy: Has Survival Improved Over Two Decades?","authors":"Seema P Anandalwar, Amar Deshwar, Elizabeth Powell, Thomas Scalea, James O'Connor","doi":"10.1177/00031348251337164","DOIUrl":"10.1177/00031348251337164","url":null,"abstract":"<p><p>IntroductionThe hypothesis of this study is that recent advances in mechanical cardiopulmonary support and operative management have improved survival in patients requiring a trauma pneumonectomy.MethodsRetrospective, single center study from January 2003 to December 2023 of all patients who underwent a pneumonectomy for trauma. Data collected included demographics, admission physiology, use of venovenous extracorporeal membrane oxygenation (VV-ECMO), and mortality, defined as early (within 24 hours of surgery) and late (>24 hours after surgery). Outcomes were compared between decades, the first decade (2003-2010) and second decade (2011-2023).ResultsTwenty patients met inclusion criteria, 9 in the first decade and 11 in the second decade. There were no differences in Injury Severity Score (ISS) (26.4 vs 34.3, <i>P</i> = 0.23). However, those in the second decade had significantly lower mean admission pH (6.89 vs 7.14, <i>P</i> = 0.01) and higher admission base deficit (19.3 vs 9.8, <i>P</i> = 0.003). The use of thoracic damage control surgery increased from 33% in the first decade to 100% in the second decade (<i>P</i> = 0.002). VV-ECMO with lung rest ventilation increased from 22% to 64% (<i>P</i> = 0.06). Overall and early mortality did not change (55.6% vs 45.5%, p-0.65 and 11% vs 36.3%, <i>P</i> = 0.09, respectively). However, late mortality was dramatically lower in the second decade compared to the first (9% vs 50%, <i>P</i> = 0.06).ConclusionEarly mortality remains high; however, the combination of thoracic damage control and early initiation of VV-ECMO may contribute to the dramatic decrease in late mortality in the second decade.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1348-1354"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
American SurgeonPub Date : 2025-08-01Epub Date: 2025-06-10DOI: 10.1177/00031348251350990
Henrik A Hahamyan, Allen D Archer, Matthew A Heard, Nathan A Dockery, Amy E Wahlquist, J Bracken Burns
{"title":"Assessing the Geriatric Trauma Outcome Score: A National Analysis.","authors":"Henrik A Hahamyan, Allen D Archer, Matthew A Heard, Nathan A Dockery, Amy E Wahlquist, J Bracken Burns","doi":"10.1177/00031348251350990","DOIUrl":"10.1177/00031348251350990","url":null,"abstract":"<p><p>BackgroundTo assess the strength of the Geriatric Trauma Outcome Score (GTOS) in predicting mortality in geriatric trauma patients using a nationally representative sample.MethodsData from the National Trauma Data Bank were collected retrospectively from 2017 and 2018 for patients aged 65 and older (N = 487,317). Age, injury severity score (ISS), transfusion status, and hospital discharge status (survived vs deceased) were extracted. GTOS was then calculated for each patient. Simple logistic regression models were used to model hospital discharge status with GTOS and each component. Receiver-operating characteristic (ROC) curves were created using the predicted probabilities from the logistic models, and the area under the curve (AUC) for each model was calculated.ResultsPatients had a mean (SD) GTOS of 101.85 (19.53), age of 77.06 (7.20) years, and ISS of 9.75 (6.90). Very few (2%) patients had a blood transfusion within 24 hours of admission, and the overall survival rate was 96%. All models showed statistical significance in predicting discharge status (<i>P</i> < 0.0001) with AUCs of 0.5436 (age), 0.5727 (receipt of blood), 0.7979 (ISS), and 0.8145 (GTOS). When comparing models from each component to that of GTOS, GTOS remained more predictive than each individual component (<i>P</i> < 0.0001).DiscussionAfter analyzing our models based on a nationally representative trauma data bank, GTOS predicted mortality better than each of its individual components. Therefore, GTOS is an appropriate tool to predict mortality among geriatric trauma patients and should be considered for applications such as informing goals-of-care or trauma transfer decision-making.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1238-1243"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
American SurgeonPub Date : 2025-08-01Epub Date: 2025-06-15DOI: 10.1177/00031348251350995
Bennett R Auker, Julie M Reichert, Xander A Stone, Isabella L Filippone, Samantha K LaRosa, Lindsey L Perea, Eric H Bradburn
{"title":"Incidence of Aspiration and Dysphagia in Geriatric Trauma Patients.","authors":"Bennett R Auker, Julie M Reichert, Xander A Stone, Isabella L Filippone, Samantha K LaRosa, Lindsey L Perea, Eric H Bradburn","doi":"10.1177/00031348251350995","DOIUrl":"10.1177/00031348251350995","url":null,"abstract":"<p><p>BackgroundTrauma is a leading cause of death worldwide. Dysphagia and aspiration are potential sequelae of traumatic brain injury (TBI), yet these conditions are not always readily apparent. Fiberoptic endoscopic evaluation of swallowing (FEES) is a bedside procedure enabling real-time diagnosis of swallowing dysfunction. The aim of this study was to assess the incidence of dysphagia and aspiration in geriatric TBI patients, identify associated risk factors, and ultimately establish specific indications for FEES as a method of formal swallowing evaluation.MethodsA retrospective review was completed on all geriatric (65 or older) trauma patients evaluated in our level I trauma center from July 2021 to July 2023 who had a TBI defined by Abbreviated Injury Scale (AIS) head ≥3. Rates of dysphagia and aspiration were collected in addition to risk factors and associated clinical characteristics. Univariate and multivariable analyses were performed with significance defined by a <i>P</i>-value <0.05.ResultsIn this study (n = 417), 21.8% of participants were found to have dysphagia and 6.9% aspirated. Both dysphagia and aspiration were associated with more hospital and ICU days, lower functional status at discharge (FSD), and lower likelihood of being discharged home. Glasgow Coma Scale (GCS) score less than 15 was an individual predictor of dysphagia as well as mortality.DiscussionBy identifying factors associated with dysphagia and aspiration, we can risk stratify geriatric TBI patients to receive a standardized swallowing evaluation with FEES in an effort to prevent unnecessary morbidity and mortality.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1244-1250"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144301030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
American SurgeonPub Date : 2025-08-01Epub Date: 2025-06-17DOI: 10.1177/00031348251351007
Benjamin O Brandeis, Josiah Hardy, Stephen Kavic, Khanjan Nagarsheth
{"title":"COVID-19-Associated Median Arcuate Ligament Syndrome.","authors":"Benjamin O Brandeis, Josiah Hardy, Stephen Kavic, Khanjan Nagarsheth","doi":"10.1177/00031348251351007","DOIUrl":"10.1177/00031348251351007","url":null,"abstract":"<p><p>Median arcuate ligament syndrome (MALS) is a rare disorder resulting from compression of the celiac artery and celiac ganglia which can lead to a myriad of symptoms including postprandial epigastric pain. The reason why some patients become symptomatic and others do not is still under investigation. We conducted a retrospective chart review of 7 patients who developed MALS symptoms approximately 1 month after infection with COVID-19. These patients all presented with abdominal pain which was temporarily relieved by celiac plexus block and most had multiple vascular compressions. Surgery provided symptomatic improvement for these patients. This suggests that patients who develop symptomatic MALS following an infection with COVID-19 should be considered for surgery and assessed for other vascular compressions.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1267-1269"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}