A5034375803- Colorectal Cancer Surgical Treatments
- Colorectal and Anal Carcinomas
- Diverticular Disease and Complications
- Anorectal Disease Treatments and Outcomes
- Colorectal Cancer Screening and Detection
- Trauma and Emergency Care Studies
- Abdominal Trauma and Injuries
- Appendicitis Diagnosis and Management
- Gastrointestinal disorders and treatments
- Inflammatory Bowel Disease
- Cardiac, Anesthesia and Surgical Outcomes
- Gastric Cancer Management and Outcomes
- Trauma Management and Diagnosis
- Healthcare Policy and Management
- Microscopic Colitis
- Intraperitoneal and Appendiceal Malignancies
- Vascular anomalies and interventions
- Enhanced Recovery After Surgery
- Central Venous Catheters and Hemodialysis
- Venous Thromboembolism Diagnosis and Management
- Biliary and Gastrointestinal Fistulas
- Cardiac Arrest and Resuscitation
- Ureteral procedures and complications
- Vasculitis and related conditions
- Anesthesia and Pain Management
Cleveland Clinic
2019-2024
Washington University in St. Louis
2018-2020
University of Southern California
2012-2019
LAC+USC Medical Center
2016-2019
Tufts University
2011
Columbia University
1989
St. Francis Regional Medical Center
1986
Abstract We studied 11,814 women admitted for labor and delivery to 84 free-standing birth centers in the United States followed their course that of infants through or transfer a hospital at least four weeks thereafter. The were lower-than-average risk poor outcome pregnancy, according many but not all recognized demographic behavioral factors. Among women, 70.7 percent had only minor complications none; 7.9 serious emergency during soon thereafter, such as thick meconium severe shoulder...
Trauma pneumonectomy has been historically associated with an exceedingly high morbidity and mortality. The recent advent of standardized reporting data-collecting measures facilitated large volume data analysis on predictors outcomes trauma pneumonectomy. purpose this study is to describe patient characteristics the patients who underwent in modern era identify clinical factors postoperative mortality.Data between 2007 2014 from National Data Bank were used for analysis, which included both...
Abstract Introduction A minimum lymph node harvest (LNH) of 12 is the current standard for appropriate nodal staging in resectable rectal cancer. However, rise neoadjuvant chemoradiation (NCRT) and total therapy (TNT) has been associated with decreasing number LNH. We hypothesize that as tumor response to increases, optimum LNH achieve should decrease. Methods Patients clinical stage III adenocarcinoma who underwent NCRT/TNT followed by resection were identified from National Cancer...
BACKGROUND: Total neoadjuvant therapy in treatment of stage II-III rectal cancer involves administration either induction or consolidation chemotherapy with chemoradiation before surgery. is associated increased complete response rate, which defined as the proportion patients who had pathological after surgery sustained clinical at least for a year under surveillance. OBJECTIVE: To identify predictors to total and compare different diagnostic tools predicting response. DESIGN: Retrospective...
BACKGROUND: Thoracic epidural analgesia has been shown to be an effective method of pain control. The utility as part enhanced recovery after surgery protocol is debatable. OBJECTIVE: This study aimed determine if the use thoracic in decreases hospital length stay or inpatient opioid consumption elective colorectal resection. DESIGN: a single-institution retrospective cohort study. SETTINGS: was performed at high-volume, tertiary care center Midwest. An institutional database used identify...
Abstract Aim Surgeons often have strong opinions about how to perform colorectal anastomoses with little data support variations in technique. The aim of this study was determine if location the end‐to‐end (EEA) stapler spike relative rectal transection line is associated anastomotic integrity. Method This a retrospective analysis quality collaborative database at quaternary centre and regional hospitals. Patients any left‐sided colon resection double‐stapled anastomosis were included...
A prospectively maintained database of 415 patients undergoing colectomy was evaluated. We performed a logistic regression analysis to identify factors associated with 1) length stay (LOS) 2 days or less and 2) LOS 10 more. Investigated variables included demographics, American Society Anesthesiology (ASA) score, diagnosis, operative procedure, approach time, transfusion requirements, occurrence any complications. Factors two ASA [odds ratio (OR): 0.34, 95% confidence interval (CI):...
BACKGROUND: Total neoadjuvant therapy is an alternative to chemoradiation alone for rectal cancer and has the benefits of more completion planned therapy, increased downstaging, earlier treatment micrometastases, assessment chemosensitivity; however, it may increase surgical complications, especially with radiation-to-surgery interval. OBJECTIVE: The study aimed determine impact total on postoperative complications compared alone. DESIGN: Retrospective cohort study. SETTINGS: Single tertiary...
Two children with cancer that persisted after multiple exploratory laparotomies, external beam radiation therapy, and multidrug chemotherapy had gold 198 (198Au) seeds implanted into their localized but unresectable tumor. Both are alive, receiving no disease-free more than 2 years later. These two cases indicate the value of interstitial implant therapy in treatment some cancer.
Background/Aims: The role of percutaneous drainage in Hinchey Ib and II diverticulitis is controversial.The aim the present study was to clarify indications for such circumstances.Materials Methods: This a single-center retrospective review at an academic tertiary care hospital.All cases admitted from 2012 2014 were considered.Results: Overall, 104 (78%) patients underwent successful conservative treatment, whereas 30 (22%) surgery during admission.During index admission, abscess performed...
Segmental colectomy in ulcerative colitis is performed select patients who may be at increased risk for postoperative morbidity.
<title>Abstract</title> Backgorund: Incomplete mesorectal excision during rectal cancer surgery often leads to positive circumferential margins, with uncertain prognostic impacts. This study examines whether negative margins can mitigate the poorer prognosis typically associated incomplete TME in surgery, thus potentially challenging prevailing emphasis on complete excision. Methods A retrospective analysis was conducted patients who underwent proctectomy for adenocarcinoma at a single...
Among rectal cancer patients treated with Total Neoadjuvant Therapy, it is unclear whether early, post-induction restaging associated final tumor response. If so, interim may alter decision-making.
Equivocal focused abdominal sonography for trauma (FAST) examinations confound decision-making surgeons. We sought to determine whether the equivocal FAST (defined as any nonconcordant result) has a deleterious effect on outcomes. A 2-year review (2014–2015) of all activations at our Level I center was performed. Patients were matched baseline and results compared. Outcomes included resuscitation time (h), ventilation days (d), hospital length stay (HLOS-d), ICU length-of-stay, survival (%)....