A5075349240- Gallbladder and Bile Duct Disorders
- Hernia repair and management
- Pediatric Hepatobiliary Diseases and Treatments
- Gastroesophageal reflux and treatments
- Diversity and Career in Medicine
- Pelvic and Acetabular Injuries
- Esophageal and GI Pathology
- Abdominal Surgery and Complications
- Cerebrovascular and Carotid Artery Diseases
- Appendicitis Diagnosis and Management
- Colorectal Cancer Screening and Detection
- Thyroid Cancer Diagnosis and Treatment
- Thyroid and Parathyroid Surgery
- Intestinal and Peritoneal Adhesions
- Abdominal Trauma and Injuries
- Global Cancer Incidence and Screening
- Pancreatic and Hepatic Oncology Research
- Breast Implant and Reconstruction
- Congenital Diaphragmatic Hernia Studies
- Trauma and Emergency Care Studies
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Vascular Procedures and Complications
- Breast Cancer Treatment Studies
- Pancreatitis Pathology and Treatment
- Abdominal vascular conditions and treatments
West Virginia University
2015-2024
Charleston Area Medical Center
1995-2024
University of Charleston
2009-2024
CAMC Health Education and Research Institute
2021-2023
West Virginia School of Osteopathic Medicine
2023
St. Mary's Medical Center
2023
American College of Surgeons
2013-2016
Intuit (United States)
2016
Medtronic (Ireland)
2016
Montefiore Medical Center
2011
Experience with laparoscopic cholecystectomy for biliary dyskinesia in children remains limited. The aim of this study was to examine the results a single institution's experience treatment pediatric population. Medical records were reviewed on all patients younger than age 18 who underwent at our institution from July 2004 December 2006. Patients undergoing surgery dyskinesia, as evidenced by preoperative gallbladder ejection fraction 40 per cent or less, comprised group. Of 51...
Cholecystokinin-cholescintigraphy (CCK-CS) provides a physiologic, noninvasive, and quantitative method for assessing gallbladder contraction calculation of ejection fraction (GBEF). At present, it is used most commonly to identify patients with suspected functional disorder. However, the methodology CCK infusion normal values differ markedly among imaging centers.This document represents consensus opinion an interdisciplinary panel that gathered assess current optimal performing CCK-CS in...
Although several studies have compared the results of carotid endarterectomy (CEA) with primary closure (PC) versus patch closure, none outcome bilateral CEAs PC performed on same patient. This prospective randomized study compares clinical and incidence recurrent stenosis (>/=80%) for CEA in patients CEAs.This includes 74 one side patching other. Patients were to sequential operative treatment either patching/PC or PC/patching. Postoperative duplex ultrasounds follow-up done at 1, 6, 12...
Published data suggest that the Bethesda System for Reporting Thyroid Cytopathology (BSRTC) is valuable in directing therapy of thyroid nodules. Literature examining effect BSRTC on management when compared with pre lacking, however. This study evaluates impact applying retrospectively to a series patients who underwent surgery after fine-needle aspiration biopsy (FNAB) classified using system, and investigates how application same population would have ultimately affected strategy. One...
The optimal technique for complex ventral hernia repair (VHR) remains controversial. Component separation (CS) reinforced with porcine acellular dermal matrix (PADM) has shown favorable results compared series of conventional bridged VHR, but few comparative studies exist. We conducted a retrospective cohort study comparing 40 randomly selected patients who underwent CS/PADM reinforcement against an identical number open VHR mesh at our institution. Patient characteristics, operative...
The objective of this study was to examine the complications encountered in a series 150 consecutive thyroid and parathyroid procedures performed by single surgeon rural community hospital setting. goal demonstrate that these may be safely with outcomes equivalent those academic hospitals major metropolitan areas despite lack availability specific technologies are being increasingly used for tertiary care settings. Specifically, include intraoperative hormone measurements, recurrent...
Outcomes in colorectal cancer treatment are historically worse Black people and residents of rural areas. Purported reasons include factors such as systemic racism, poverty, lack access to care, social determinants health. We sought determine whether outcomes worsened when race residence intersected.The National Cancer Database was queried for individuals with stage II-III (2004-2018). To examine the intersectionality race/rurality on outcomes, (Black/White) rurality (based county) were...
The benign category of the Bethesda System for reporting thyroid cytopathology (BSRTC) predicts an incidence malignancy from zero to three per cent. However, recent series report higher rates ranging eight 14 Surgery is often performed reasons other than their fine needle aspiration biopsy (FNAB) such as symptoms, nodule enlargement, or worrisome imaging. We hypothesized that analysis patients who underwent thyroidectomy despite a FNAB would identify predictors malignancy, area not currently...
Acute care of children remains a challenge due to shortage pediatric surgeons, particularly in rural areas. In our institutional norm, all cases patients age six and older are managed by dedicated general surgeons. The provision these surgeons alleviates the impact such shortages. We conducted five-year retrospective analysis acute surgical performed aged 6 17 years group adult tertiary hospital. Demographics, procedure, complications, outcomes, length stay, time consultation/operation were...
Appendicitis is the most common surgical emergency encountered by general surgeon. Literature has demonstrated that diabetics may manifest atypical signs of infection, often clouding diagnostic picture. We conducted a 3-year retrospective analysis adults with appendicitis to determine differences in presentation, diagnosis, treatment, and outcomes for diabetic versus nondiabetic patients. Demographics, symptoms, imaging, procedure(s), complications, length stay (LOS) were obtained via chart...
Predictors of a favorable response and measures success with gastric electrical stimulation (GES) for gastroparesis remain elusive. Published results inconsistent respect to patient perceived benefit, despite statistical improvements in objective symptom severity. We performed retrospective analysis 56 patients who underwent insertion stimulator during the study period. Data included demographics, symptoms, total severity score (TSS, range 0-24, initial most recent), emptying times. TSS were...
Sentinel lymph node biopsy (SLNB) is the standard of care for axillary staging in clinically node-negative breast cancer patients. Ultrasound (US) has shown promise when used to assess nodes preoperatively, thus aiding surgical decision making. We examined correlation between preoperative US and SLNB results further clarify role clinicopathologic axilla negative on physical examination. Our institutional registry was identify patients diagnosed with from January 1, 2009 December 31, 2012....
The purpose of this study was to evaluate the initial body compositional changes experienced by malnourished patients requiring home parenteral nutrition (HPN) for repletion.Eight were prospectively studied 3 months. Body composition determined dual-energy X-ray absorptiometry (DXA), and a comprehensive assessment performed including weight, visceral proteins, triceps skinfold (TSF), midupper arm circumference (MUAC), muscle (MUAMC), mass index (BMI), delayed hypersensitivity skin tests...
✓ The first documented case of congenital supratentorial hemangioblastoma is presented, occurring in a 3-week-old infant. Extensive review the literature revealed approximately 83 cases hemangioblastoma; however, only one these occurred year life, and that was not presented detail.
The decision to pursue immediate postmastectomy breast reconstruction (IBR) is not uniform across all groups of women in the United States. We sought investigate if challenges caring for a socioeconomically and geographically challenged rural population affected incidence IBR identify predictive factors this population. Using our institution's cancer registry, we conducted 10-year review with early-stage, unilateral who received mastectomy. Demographics, insurance status, comorbidities,...