- Hernia repair and management
- Pelvic and Acetabular Injuries
- Abdominal Surgery and Complications
- Appendicitis Diagnosis and Management
- Congenital Diaphragmatic Hernia Studies
- Trauma and Emergency Care Studies
- Urological Disorders and Treatments
- Gastric Cancer Management and Outcomes
- Cerebrospinal fluid and hydrocephalus
- Intestinal Malrotation and Obstruction Disorders
- Body Contouring and Surgery
- Esophageal and GI Pathology
- Energy and Environment Impacts
- Smart Grid Energy Management
- Spinal Dysraphism and Malformations
- Stoma care and complications
- Hip and Femur Fractures
- Cardiac, Anesthesia and Surgical Outcomes
- Intestinal and Peritoneal Adhesions
- Photovoltaic Systems and Sustainability
- Tracheal and airway disorders
- Traumatic Brain Injury Research
- Game Theory and Applications
- Fetal and Pediatric Neurological Disorders
- Plant Micronutrient Interactions and Effects
Carolinas Medical Center
2017-2023
Neurological Surgery
2022
Atrium Medical Cente
2019
New Hanover Regional Medical Center
2018
University of North Carolina at Chapel Hill
2018
Wilmington University
2018
Carolinas Healthcare System
2018
Levine Children's Hospital
2018
Arizona State University
2016
Deloitte (United States)
2000
Congenital diaphragmatic hernia (CDH) can be repaired open or through thoracoscopy. Thoracoscopic CDH repair could improve cosmesis and avoid the complications of laparotomy, but may have higher recurrence rates. The purpose this study was to examine outcomes thoracoscopic versus repair, with regard recurrence, perioperative parameters, postoperative complications.We performed a retrospective review repairs over an 8.5-year period. primary outcome recurrence. Secondary included...
A nationwide trend toward "centers of excellence" for medical and surgical care has led to development scrutiny high-volume specialty centers. The prevalence hernias the complexity successful repair have establishment practices. Herein we review discuss components a tertiary hernia referral center.Literature on impact centers was reviewed, including authors' own practice. Factors outcomes concerning coordination, development, funding, staffing center were discussed tabulated.After or...
Evaluate outcomes of patients undergoing mesh explantation following partial excision (PME) and complete (CME).Ventral hernia repair (VHR) with remains one the most commonly performed procedures worldwide. Management previously placed during reexploration unclear. Studies describing PME as a feasible alternative have been limited.The AHSQC registry was queried for VHR who underwent excision. Variables used propensity-matching included age, BMI, race, diabetes, COPD, OR time>2 hours,...
Epiphrenic diverticula are pulsion-type outpouchings of the distal esophagus associated with motility disorders. They can present chronic symptoms dysphagia, regurgitation, reflux, and aspiration. A prospectively collected surgical outcomes database was queried for patients who underwent treatment epiphrenic at a single institution between August 1997 2018. Patient demographics, presenting symptoms, operative intervention, perioperative data were retrospectively reviewed. Twenty-seven...
Traumatic intraperitoneal bladder rupture (IBR) requires surgical repair. Traditionally performed via laparotomy, experience with laparoscopic repair (LBR) after blunt trauma is limited. Benefits of laparoscopy include decreased length stay (LOS), less pain, early return to work, fewer adhesions, and lower risk incisional hernia. The aim this series demonstrate the potential superiority LBR in select patients. This a retrospective review all IBR patients from 2008 2016. Demographics,...
We show how the theory of anelasticity unifies observed dynamics and proposed models administered-rate products. This yields a straightforward approach to rate model construction that we illustrate by simulating relaxation two administered also demonstrate use this formalism leads natural definition market friction.
Background: Diminished quality of life (QOL) often drives patients to hernia repair, and patient-reported outcomes have gained importance in research. Functional provide a patient-centered evaluation treatment, improved QOL is desired outcome assessing treatment effectiveness. Methods: Properties validated measure are reviewed distinctions between generic disease-specific measures discussed. Based on review the literature, current scales evaluated compared. Results: Currently, there little...
In an era of rising obesity and aging population, there are conflicting data regarding outcomes laparoscopic weight loss surgery in older Americans. The aim this study was to characterize the short-term elderly. ACS NSQIP database queried for obese patients aged ≥40 years undergoing Roux-en-Y gastric bypass or sleeve gastrectomy. Patients were subdivided into age groups: 40 49, 50 59, 60 64, 65 69, ≥70 years, compared with univariate multivariate analyses. Fifty-three thousand five hundred...
Ventriculoperitoneal (VP) shunt placement is one of the most common treatments for pediatric hydrocephalus. However, device failures often occur, requiring operative revision either intraventricular or intraperitoneal catheters. Historically, was performed via laparotomy, but there has been a trend towards laparoscopic-assisted portion shunt. We examined outcomes versus open VP utilizing local institutional retrospective review.Single institution 2012-2017 review all cases performed....