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May 1, 2012, Vol 147, No. 5, Pages 402-486 | New England Surgical Society

Paper

鈥淛oin the Club鈥: Effect of Resident and Attending Social Interactions on Overall Satisfaction Among 4390 General Surgery Residents

Abstract Full Text
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Arch Surg. 2012;147(5):408-414. doi:10.1001/archsurg.2012.27

Revisiting Percutaneous Cholecystostomy for Acute Cholecystitis Based on a 10-Year Experience

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Arch Surg. 2012;147(5):416-422. doi:10.1001/archsurg.2012.135

To determine the effect of 尾-blocker continuation on outcomes in patients undergoing elective noncardiac surgery, Kwon and colleagues studied patients included in the Surgical Care and Outcomes Assessment Program, a Washington quality improvement benchmarking initiative. Patients underwent elective colorectal and bariatric surgical procedures at 38 hospitals between January 2008 and December 2009.

Successful Nonoperative Management of the Most Severe Blunt Liver Injuries: A Multicenter Study of the Research Consortium of New England Centers for Trauma

Abstract Full Text
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Arch Surg. 2012;147(5):423-428. doi:10.1001/archsurg.2012.147

van der Wilden et al determine the rates and predictors of failure of nonoperative management of grade 4 and grade 5 blunt liver injuries and find that nonoperative management was offered safely in two-thirds of cases, with a 91% success rate. See Invited Critique by Kispert concerning nonoperative management of blunt liver injuries.

Surgeon Fatigue: A Prospective Analysis of the Incidence, Risk, and Intervals of Predicted Fatigue-Related Impairment in Residents

Abstract Full Text
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Arch Surg. 2012;147(5):430-435. doi:10.1001/archsurg.2012.84

To measure the incidence and severity of orthopedic surgical resident fatigue and the associated relative risk of medical error, McCormick et al continuously recorded residents鈥 sleep and awake periods via actigraphy and used a daily questionnaire to analyze mental fatigue. See the related invited critique by Tracy.

Less Is More: Management of Pediatric Splenic Injury

Abstract Full Text
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Arch Surg. 2012;147(5):437-441. doi:10.1001/archsurg.2012.141

Lee and coauthors analyzed national trends in the nonoperative management of pediatric splenic injury through retrospective analysis of 2 national databases. In their , Aidlen and Luks suggest that rates of nonoperative management can be improved.

Original Article

ONLINE FIRST

Long-term and Perioperative Corticosteroids in Anastomotic Leakage: A Prospective Study of 259 Left-Sided Colorectal Anastomoses

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Arch Surg. 2012;147(5):447-452. doi:10.1001/archsurg.2011.1690

To determine the risk factors for symptomatic anastomotic leakage after colorectal resection, Slieker and colleagues reviewed the records of 259 patients who underwent left-sided colorectal anastomoses in the Analysis of Predictive Parameters for Evident Anastomotic Leakage study.

Payer Status and Treatment Paradigm for Acute Cholecystitis

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Arch Surg. 2012;147(5):453-458. doi:10.1001/archsurg.2011.1702

ONLINE FIRST

Roux-en-Y Gastric Bypass vs Gastric Banding for Morbid Obesity: A Case-Matched Study of 442 Patients

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Arch Surg. 2012;147(5):460-466. doi:10.1001/archsurg.2011.1708

In a matched-pair study, Romy et al determine if Roux-en-Y gastric bypass provides superior results to gastric banding in the treatment of morbidly obese patients.

ONLINE FIRST

尾-Blocker Continuation After Noncardiac Surgery: A Report From the Surgical Care and Outcomes Assessment Program

Abstract Full Text
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Arch Surg. 2012;147(5):467-473. doi:10.1001/archsurg.2011.1698

Abi-Haidar et al compare outcomes between patients with acute cholecystitis undergoing percutaneous cholecystectomy and those undergoing cholecystectomy alone. The by Orlando discusses the nuances of surgical decision making in this patient population.

ONLINE FIRST

Pregnancy Among Women Surgeons: Trends Over Time

Abstract Full Text
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Arch Surg. 2012;147(5):474-479. doi:10.1001/archsurg.2011.1693

Based on self-administered survey sent individually to women surgeons in training and practice, Turner and colleagues assessed experiences related to childbirth and pregnancy among women general surgeons. Participants were from the Association for Women Surgeons and the American College of Surgeons who graduated from medical school and practice general surgery or a general surgery subspecialty.

Commentary

ONLINE FIRST

Putting the 鈥淕lobal鈥 Back in Global Health

Abstract Full Text
Arch Surg. 2012;147(5):404-407. doi:10.1001/archsurg.2012.615
Invited Critique

Are We Human or Are We Surgeon?Comment on 鈥淛oin the Club鈥

Abstract Full Text
Arch Surg. 2012;147(5):414-415. doi:10.1001/archsurg.2012.46

Cholecystectomy or Percutaneous Cholecystostomy for Acute Cholecystitis: Is It Any Clearer Which to Choose?Comment on 鈥漅evisiting Percutaneous Cholecystostomy for Acute Cholecystitis Based on a 10-Year Experience鈥

Abstract Full Text
Arch Surg. 2012;147(5):422. doi:10.1001/archsurg.2012.466

Nonoperative Management of Major Liver Trauma鈥擶hen Failure May Be a Success: Comment on 鈥淪uccessful Nonoperative Management of the Most Severe Blunt Liver Injuries鈥

Abstract Full Text
Arch Surg. 2012;147(5):428. doi:10.1001/archsurg.2012.341

Surgical Fatigue鈥擶hat Dreams May Come: Comment on 鈥淪urgeon Fatigue鈥

Abstract Full Text
Arch Surg. 2012;147(5):435-436. doi:10.1001/archsurg.2012.109

Management of Pediatric Splenic Injury: We Agree, More or Less: Comment on 鈥淟ess is More鈥

Abstract Full Text
Arch Surg. 2012;147(5):441-442. doi:10.1001/archsurg.2012.344

ONLINE FIRST

Impact of Payer Status on Treatment Options for Acute Cholecystitis: Will Health Care Reform Help Us Close the Gap?Comment on 鈥淧ayer Status and Treatment Paradigm for Acute Cholecystitis鈥

Abstract Full Text
Arch Surg. 2012;147(5):458-459. doi:10.1001/archsurg.2011.1890

ONLINE FIRST

Can We Safely State That Laparoscopic Roux-en-Y Gastric Bypass Is a Better Weight Loss Procedure Than Adjustable Band Gastroplasty?Comment on 鈥淩oux-en-Y Gastric Bypass vs Gastric Banding for Morbid Obesity鈥

Abstract Full Text
Arch Surg. 2012;147(5):466. doi:10.1001/archsurg.2011.1855

To Block or Not to Block?Comment on 鈥溛-Blocker Continuation After Noncardiac Surgery鈥

Abstract Full Text
Arch Surg. 2012;147(5):473. doi:10.1001/archsurg.2011.2235
Special Feature

Image of the Month鈥擰uiz Case

Abstract Full Text
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Arch Surg. 2012;147(5):483. doi:10.1001/archsurg.2011.948a

Image of the Month鈥擠iagnosis

Abstract Full Text
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Arch Surg. 2012;147(5):484. doi:10.1001/archsurg.2011.948b

Image of the Month鈥擰uiz Case

Abstract Full Text
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Arch Surg. 2012;147(5):485. doi:10.1001/archsurg.2011.663a

Image of the Month鈥擠iagnosis

Abstract Full Text
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Arch Surg. 2012;147(5):486. doi:10.1001/archsurg.147.5.486
Poster Session

Routine Same-Day Discharge After Acute or Interval Appendectomy in Children: A Prospective Study

Abstract Full Text
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Arch Surg. 2012;147(5):443-446. doi:10.1001/archsurg.2012.132

To examine the outcomes of and parental satisfaction with same-day discharge in children undergoing laparoscopic appendectomy, Alkhoury et al studied operative and postoperative details in 207 consecutive cases of acute or interval appendectomy.

Resident's Forum

Glycolipid Antigens for Treating Hepatic Colorectal Cancer Metastases and Their Effect on the Therapeutic Efficacy of Live Attenuated Listeria monocytogenes

Abstract Full Text
Arch Surg. 2012;147(5):480-482. doi:10.1001/archsurg.2011.2206

Previous work showed that a subset of natural killer T cells in mice decreased the antitumor efficacy of live attenuated Listeria monocytogenes against murine hepatic colorectal cancer metastases. Olino and colleagues hypothesize that specific glycolipids that selectively stimulate natural killer T-cell subsets used alone or co-administered with Listeria monocytogenes would increase survival.

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