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November 1, 2012, Vol 147, No. 11, Pages 988-1066

Original Article

Comparative Effectiveness of Unfractionated and Low-Molecular-Weight Heparin for Prevention of Venous Thromboembolism Following Bariatric Surgery

Abstract Full Text
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Arch Surg. 2012;147(11):994-998. doi:10.1001/archsurg.2012.2298

In a cohort study, Birkmeyer et al evaluate the effectiveness and safety of 3 predominant venous thromboembolism prophylaxis strategies among patients undergoing bariatric surgery.

Association of Postdischarge Complications With Reoperation and Mortality in General Surgery

Abstract Full Text
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Arch Surg. 2012;147(11):1000-1007. doi:10.1001/2013.jamasurg.114

Kazaure et al describe procedure-specific types, rates, and risk factors for postdischarge complications occurring within 30 days after 21 inpatient general surgery procedures.

Short-term Outcomes After Esophagectomy at 164 American College of Surgeons National Surgical Quality Improvement Program Hospitals: Effect of Operative Approach and Hospital-Level Variation

Abstract Full Text
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Arch Surg. 2012;147(11):1009-1016. doi:10.1001/2013.jamasurg.96

Among 1738 patients who underwent esophagectomy at 164 American College of Surgeons National Surgical Quality Improvement Program hospitals, Merkow and colleagues measured risk-adjusted 30-day outcomes and hospital-level variation in performance based on operative approach (transhiatal, Ivor Lewis, 3-field, and any approach with an intestinal conduit). See invited critique by Yang.

Postoperative Mortality After Surgery for Brain Tumors by Patient Insurance Status in the United States

Abstract Full Text
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Arch Surg. 2012;147(11):1017-1024. doi:10.1001/archsurg.2012.1459

Momin and coauthors examine whether being uninsured is associated with higher in-hospital postoperative mortality when undergoing surgery in the United States for a brain tumor. See the invited critique by Hervey-Jumper and Maher.

Paper

ONLINE FIRST

Realistic Distractions and Interruptions That Impair Simulated Surgical Performance by Novice Surgeons

Abstract Full Text
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Arch Surg. 2012;147(11):1026-1030. doi:10.1001/archsurg.2012.1480

Feuerbacher and colleagues hypothesized that realistic operating room distractions and interruptions (ORDIs) induce errors in a simulated surgical procedure performed by novice surgeons. For the study, 18 second-year, third-year, and research-year surgical residents completed a within-subjects experiment on a laparoscopic virtual reality simulator.

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Early Laparoscopic Cholecystectomy for Mild Gallstone Pancreatitis: Time for a Paradigm Shift

Abstract Full Text
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Arch Surg. 2012;147(11):1031-1035. doi:10.1001/archsurg.2012.1473

In a retrospective review, Falor and coauthors hypothesize that patients with mild gallstone pancreatitis may undergo an early laparoscopic cholecystectomy within 48 hours of hospital admission without awaiting normalization of pancreatic and liver enzyme levels. An suggest that surgeons should feel more comfortable proceeding with an early laparoscopic cholecystectomy.

ONLINE FIRST

Impact of Race on Intraoperative Parathyroid Hormone Kinetics: An Analysis of 910 Patients Undergoing Parathyroidectomy for Primary Hyperparathyroidism

Abstract Full Text
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Arch Surg. 2012;147(11):1036-1040. doi:10.1001/archsurg.2012.1476

In a retrospective review, Cisco et al compare intraoperative parathyroid hormone profiles in African American patients with non鈥揂frican American patients. In the related , Ryan discusses the need for randomized clinical trials on intraoperative parathyroid hormone kinetics.

ONLINE FIRST

Association Between Early Hyperoxia and Worse Outcomes After Traumatic Brain Injury

Abstract Full Text
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Arch Surg. 2012;147(11):1042-1046. doi:10.1001/archsurg.2012.1560

Brenner and colleagues retrospectively reviewed 1547 consecutive patients with severe traumatic brain injury (TBI) who survived past 12 hours after hospital admission to investigate the relationship between oxygenation and short-term outcomes in patients with TBI.

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Long-term Outcome of Patients Managed With Sentinel Lymph Node Biopsy Alone for Node-Negative Invasive Breast Cancer

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Arch Surg. 2012;147(11):1047-1052. doi:10.1001/archsurg.2012.1563

Kapoor et al examine the long-term outcome of patients with early breast cancer with hematoxylin-eosin鈥搉egative sentinel lymph nodes who did not undergo completion axillary lymph node dissection.

Commentary

Effective Perioperative Management of Multiple Endocrine Neoplasia Type 1鈥揂ssociated Insulinomas

Abstract Full Text
Arch Surg. 2012;147(11):991-992. doi:10.1001/2013.jamasurg.121
Invited Critique

Venous Thromboembolism Prophylaxis: One Size Does Not Fit All: Comment on 鈥淐omparative Effectiveness of Unfractionated and Low-Molecular-Weight Heparin for Prevention of Venous Thromboembolism Following Bariatric Surgery鈥

Abstract Full Text
Arch Surg. 2012;147(11):998-999. doi:10.1001/archsurg.2012.2318

Publication of Postdischarge and Readmission Complications: Failure, Folly, or Funding Opportunity?Comment on 鈥淎ssociation of Postdischarge Complications With Reoperation and Mortality in General Surgery鈥

Abstract Full Text
Arch Surg. 2012;147(11):1007-1008. doi:10.1001/jamasurg.2013.496

Is Insurance Status a Modifiable Factor in Brain Tumor Treatment Outcomes? Comment on 鈥淧ostoperative Mortality After Surgery for Brain Tumors by Patient Insurance Status in the United States鈥

Abstract Full Text
Arch Surg. 2012;147(11):1025. doi:10.1001/archsurg.2012.1493

ONLINE FIRST

Shifting Surgical Paradigms for Cholecystectomy in Mild Gallstone Pancreatitis: Comment on 鈥淓arly Laparoscopic Cholecystectomy for Mild Gallstone Pancreatitis鈥

Abstract Full Text
Arch Surg. 2012;147(11):1035. doi:10.1001/archsurg.2012.1637

ONLINE FIRST

Need for Randomized Clinical Trials on Intraoperative Parathyroid Hormone Kinetics: Comment on 鈥淚mpact of Race on Intraoperative Parathyroid Hormone Kinetics鈥

Abstract Full Text
Arch Surg. 2012;147(11):1041. doi:10.1001/archsurg.2012.1496

ONLINE FIRST

Hyperoxia and Traumatic Brain Injury: Comment on 鈥淓arly Hyperoxia Worsens Outcomes After Traumatic Brain Injury鈥

Abstract Full Text
Arch Surg. 2012;147(11):1046. doi:10.1001/archsurg.2012.1641

Another Club in the Bag : Comment on 鈥淚rreversible Electroporation for the Ablation of Liver Tumors鈥

Abstract Full Text
Arch Surg. 2012;147(11):1061. doi:10.1001/jamasurg.2013.493
Review

Irreversible Electroporation for the Ablation of Liver Tumors: Are We There Yet?

Abstract Full Text
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Arch Surg. 2012;147(11):1053-1061. doi:10.1001/2013.jamasurg.100

Kevin P. Charpentier, MD, reviews irreversible electroporation (IRE) as a novel, nonthermal form of tissue ablation using high-voltage electrical current to induce pores in the lipid bilayer of cells, resulting in cell death. Steven D. Colquhoun, MD, provides a related critique.

Special Feature

Image of the Month鈥擰uiz Case

Abstract Full Text
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Arch Surg. 2012;147(11):1063-1063. doi:10.1001/archsurg.2011.1620a

Image of the Month鈥擰uiz Case

Abstract Full Text
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Arch Surg. 2012;147(11):1065-1065. doi:10.1001/archsurg.2011.2043a

Image of the Month鈥擠iagnosis

Abstract Full Text
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Arch Surg. 2012;147(11):1064. doi:10.1001/archsurg.147.11.1064

Image of the Month鈥擠iagnosis

Abstract Full Text
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Arch Surg. 2012;147(11):1066. doi:10.1001/archsurg.147.11.1066
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