American journal of surgery
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Comparative Study
Surgical management of pulmonary carcinoid tumors: sublobar resection versus lobectomy.
Surgical resection of bronchopulmonary carcinoid tumors can be curative and remains the primary treatment modality. There are limited data to delineate the optimal extent of resection for this disease. ⋯ Compared with lobectomy, sublobar resection is associated with noninferior survival in patients with typical carcinoid of the lung.
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We evaluated the retention of trauma knowledge and skills after an interprofessional Trauma Team Training (TTT) course in Guyana and explored the course impact on participants. ⋯ Interprofessional team-based training led to the retention of trauma knowledge and skills as well as the empowerment of nonphysicians. The decline in performance of some trauma skills indicates the need for a regular trauma update course.
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The Centers for Disease Control and Prevention reported that surgical site infections (SSIs) create a significant hospital burden. To date, few multi-institutional studies have been performed to evaluate the risk factors for SSIs in mastectomy patients. ⋯ Before this study, there was wide variation in the incidence rate of surgical site infections in this patient population. This was a large-scale study to address these inconsistencies.
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Multicenter Study
Surgeons managing conflict in the operating room: defining the educational need and identifying effective behaviors.
Developing an operating room conflict management educational program for surgeons requires a formal needs assessment and information about behaviors that represent effective conflict management. ⋯ There is a clear educational need for conflict management education. Target behaviors have now been identified that can provide the basis for a theoretically grounded and contextually adapted instruction and assessment of surgeon conflict management.
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Comparative Study
Reconstruction of total pelvic exenteration defects with rectus abdominus myocutaneous flaps versus primary closure.
Total pelvic exenteration (TPE) is reserved for patients with locally invasive and recurrent pelvic malignancies. Complications such as wound infections, dehiscence, hernias, abscesses, and fistulas are common after this procedure. The purpose of this study was to determine whether tissue transfer to the pelvis after TPE decreases wound complications. ⋯ In our study, the transfer of tissue into the pelvis did not increase surgical times, blood loss, length of stay, or wound complications.