The American Journal of Surgery

The American Journal of Surgery is a peer-reviewed publication aimed at general surgeons who specialize in various surgical procedures, including abdominal, cancer, vascular, head and neck, breast, colorectal, and more.

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Time to Definitive Treatment in Rectal Cancer Care Coordination

1 month ago | americanjournalofsurgery.com | Sean Flynn |Erik R. Noren |Robert J. Kucejko

Keywordsrectal cancertime-to-treatmentcare coordinationoutcomesdefinitive treatmentIntroductionIn 2023, there were over 46,000 new rectal cancer diagnoses in the United States (U.S) and over 700,000 worldwide 1,2. The incidence of rectal cancer rose 20% in the U.S. from 2004 to 2019, most notably in younger patients, and patient outcomes varied with heterogenous treatment patterns 3,4.
Surgical Leadership: How Far Have We Come in Diversity?

Jan 13, 2025 | americanjournalofsurgery.com | Herbert Chen

KeywordsSurgical leadershipWomen in surgeryDiversityEquityInclusionGet full text accessLog in, subscribe or purchase for full access. References:1. Morrison, V. ∙ Hauch, R.R. ∙ Perez, E. ... Diversity, Equity, and Inclusion in Nursing: The Pathway to Excellence Framework AlignmentNurs Adm Q. 2021; 45:311-3232. Zhuge, Y. ∙ Kaufman, J. ∙ Simeone, D.M. ... Is there still a glass ceiling for women in academic surgery? Ann Surg. 2011; 253:637-6433. Song, Z. ∙ Balachandra, S. ∙ Shen, X. ...
NET Guidelines for White Patients may not fit Asian patients

Nov 30, 2024 | americanjournalofsurgery.com | Katherine McElroy |Andrea Gillis |Clayton Yates |Herbert Chen

Keywordspancreatic neuroendocrine tumorpNETAsiansize guidelinesGet full text accessLog in, subscribe or purchase for full access. REFERENCES1. Patel, N. ∙ Barbieri, A. ∙ Gibson, J. Neuroendocrine Tumors of the Gastrointestinal Tract and PancreasSurg Pathol Clin. 2019; 12:1021-10442. Alipour, Z. ∙ Sweeney, J.R. ∙ Zhang, Q. ... Neuroendocrine Neoplasms of the Pancreas: Diagnostic Challenges and Practical ApproachAdv Anat Pathol. 2023; 30:58-683. Pinchot, S.N. ∙ Pitt, S.C. ∙ Sippel, R.S. ...
Fragility index for Extended Prophylaxis Following Abdominopelvic Surgery: A Methodological Survey

Oct 19, 2024 | americanjournalofsurgery.com | Tyler McKechnie |Kelly Brennan |Victoria Shi

KeywordsVenous ThromboembolismExtended Venous Thromboembolism ProphylaxisSurgeryMethodological SurveyFragility IndexGet full text accessLog in, subscribe or purchase for full access. References1. Sackett, D.L.Evidence-based medicineSemin Perinatol. 1997; 21:3-52. Sibbald, B. ∙ Roland, M. Understanding controlled trials. Why are randomised controlled trials important? BMJ. 1998; 316:2013. Murad, M.H. ∙ Asi, N. ∙ Alsawas, M. ... New evidence pyramidEvidence Based Medicine. 2016; 21:125-1274. Goodman, S.
Subsequent Percutaneous Breast Biopsies after Initial Atypia Diagnosis: The Patient Burden of Long-Term Follow Up

Sep 27, 2024 | americanjournalofsurgery.com | Jennifer K. Plichta

KEYWORDSBreast atypiapercutaneous biopsycore-needle biopsyatypical ductal hyperplasiaatypical lobular hyperplasialobular carcinoma in-situGet full text accessLog in, subscribe or purchase for full access. REFERENCES1. Visscher, D.W. ∙ Frank, R.D. ∙ Carter, J.M. ... Breast Cancer Risk and Progressive Histology in Serial Benign BiopsiesJ Natl Cancer Inst. Oct 01 2017; 1092. Jung, I. ∙ Han, K. ∙ Kim, M.J. ...
Racial Disparities in Thyroid Cancer Outcomes: A Systematic Review

Sep 27, 2024 | americanjournalofsurgery.com | Jessica Fazendin |Herbert Chen |Andrea Gillis

Get full text accessLog in, subscribe or purchase for full access. REFERENCES1. Davis, S. ∙ Ullmann, T.M. ∙ Roman, S. Disparities in Treatment for Differentiated Thyroid CancerThyroid. 2023; 33:287-2932. Abraham, P.J. ∙ Wu, C. ∙ Wang, R. ... The overtreatment of papillary thyroid microcarcinoma in the communityThe American Journal of Surgery. 2024; Epub ahead of print March3. Wang, R. ∙ Disharoon, M. ∙ Song, Z. ... Incidental but Not Insignificant: Thyroid Cancer in Patients with Graves DiseaseJ Am Coll Surg.
ROLE OF ENDOVASCULAR MANAGEMENT ON OUTCOMES IN PATIENTS WITH TRAUMATIC INFERIOR VENA CAVA INJURIES

Jul 11, 2024 | americanjournalofsurgery.com | Devin M. O’Connor |Christina M. Colosimo |Collin Stewart |Qmar Hejazi

The aim of this study was to examine the association between the injury mechanism and repair type with outcomes in patients with traumatic inferior vena cava injuries. This is a retrospective analysis of the ACS-TQIP database (2017-2020), including patients with traumatic IVC injuries. Patients were stratified by injury mechanism and type of repair and compared. Out of 1,334 patients, 5% underwent endovascular repair while 95% had an open procedure. Overall, 74.7% sustained a penetrating injury.
ROLE OF ENDOVASCULAR MANAGEMENT ON OUTCOMES IN PATIENTS WITH TRAUMATIC INFERIOR VENA CAVA INJURIES

Jul 11, 2024 | americanjournalofsurgery.com | Devin M. O’Connor |Christina M. Colosimo |Collin Stewart |Qmar Hejazi

The aim of this study was to examine the association between the injury mechanism and repair type with outcomes in patients with traumatic inferior vena cava injuries. This is a retrospective analysis of the ACS-TQIP database (2017-2020), including patients with traumatic IVC injuries. Patients were stratified by injury mechanism and type of repair and compared. Out of 1,334 patients, 5% underwent endovascular repair while 95% had an open procedure. Overall, 74.7% sustained a penetrating injury.
What is the Role of the Mentee in Surgical Training?

Jul 10, 2024 | americanjournalofsurgery.com | Michael Avery |William Lorenz |Alexis Holland |Ansley B. Ricker

The motivation to write this article stems from a series of grand rounds in our Department of Surgery. Each year, the graduating chief residents are invited to deliver grand rounds on a topic of their choosing. This year, three consecutive grand rounds presentations from chief residents focused on education and surgical mentorship. Listening to these talks made two things abundantly clear.
Preperitoneal Pelvic Packing in isolated severe pelvic fractures is associated with higher mortality and venous thromboembolism: A matched-cohort Study.

Jul 3, 2024 | americanjournalofsurgery.com | Elliot Williams |Meghan Lewis |Elizabeth Benjamin |Apostolos Kolitsas

Preperitoneal pelvic packing (PPP) has been advocated as a damage control procedure for pelvic fracture bleeding, despite of weak evidence. Matched cohort study, TQIP database. Patients with isolated severe blunt pelvic fractures (pelvis abbreviated injury score [AIS] ≥ 3, AIS ≤2 in all other body regions) were included. Patients who underwent PPP were matched to patients with no PPP, 1:3 nearest propensity score.