Annals of surgery
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Review Historical Article
Reciprocal Learning Between Military and Civilian Surgeons: Past and Future Paths for Medical Innovation.
Numerous surgical advances have resulted from exchanges between military and civilian surgeons. As part of the U. S. ⋯ DeBakey Fellowship in the History of Medicine, we conducted archival research to shed light on the lessons that civilian surgery has learned from the military system and vice-versa. Several historical case studies highlight the need for immersive programs where surgeons from the military and civilian sectors can gain exposure to the techniques, expertise, and institutional knowledge the other domain provides. Our findings demonstrate the benefits and promise of structured programs to promote reciprocal learning between military and civilian surgery.
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Multicenter Study Observational Study
Predicting Intraoperative Difficulty of Open Liver Resections: The DIFF-scOR Study, An Analysis of 1393 Consecutive Hepatectomies From a French Multicenter Cohort.
The aim of this study was to build a predictive model of operative difficulty in open liver resections (LRs). ⋯ The DIFF-scOR accurately predicts open-LR difficulty and may be used for various purposes in clinical practice and research.
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The aim of this study was to evaluate the benefit of diverting enterostomy (DE) in patients with severe steroid-refractory (SR) gastrointestinal acute graft-versus-host-disease (GI-aGVHD) following allogeneic hematopoietic stem-cell transplantation (ASCT). ⋯ DE should be considered for severe GI-aGVHD as soon as resistance to the corticosteroid is identified.
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To determine the effect of nonchronic, periodic preoperative opioid use on prolonged opioid fills after surgery. ⋯ Patients with nonchronic, periodic opioid use before surgery are vulnerable to persistent postoperative opioid use. Identifying opioid use before surgery is a critical opportunity to optimize care after surgery.