Annals of surgery
-
Multicenter Study
Lasting Symptoms After Esophageal Resection (LASER): European Multicenter Cross-sectional Study.
To identify the most prevalent symptoms and those with greatest impact upon health-related quality of life (HRQOL) among esophageal cancer survivors. ⋯ Two-thirds of patients experience significant symptoms more than 1 year after surgery. The 3 key symptoms associated with poor HRQOL identified in this study should be further validated, and could be used in clinical practice to identify patients who require increased support.
-
Randomized Controlled Trial Comparative Study
Two Year Outcomes of Prehabilitation Among Obese Patients with Ventral Hernias: A Randomized Controlled Trial (NCT02365194).
To determine if preoperative nutritional counseling and exercise (prehabilitation) improve outcomes in obese patients seeking ventral hernia repair (VHR)? ⋯ There is no difference in 2-year outcomes of obese patients seeking VHR who undergo prehabilitation versus standard care. Prehabilitation may not be warranted in obese patients undergoing elective VHR.Clinical Trial Registration: This trial was registered with clinicaltrials.gov (NCT02365194).
-
Multicenter Study Observational Study
Prospective Observational Evaluation of the ER-REBOA Catheter at 6 U.S. Trauma Centers.
To describe the current use of the ER-REBOA catheter and associated outcomes and complications. ⋯ REBOA can be used in blunt and penetrating trauma patients, including those in arrest. Balloon inflation uniformly improved hemodynamics and was associated with a 59% rate of return of spontaneous circulation for patients in arrest. Use of the ER-REBOA catheter is technically safe with a low procedural complication rate.
-
Evaluate how emotional intelligence (EI) has been measured among surgeons and to investigate interventions implemented for improving EI. ⋯ The literature entailing the intersection between EI and surgery is diverse but still limited. Generally, EI has been demonstrated to be beneficial in terms of overall well-being and job satisfaction while also protecting against burnout. EI skills may provide a promising modifiable target to achieve desirable outcomes for both the surgeon and the patient. Future studies may emphasize the relevance of EI in the context of surgical teamwork.
-
Investigate the association between neoadjuvant treatment strategy and perioperative complications in patients undergoing proctectomy for nonmetastatic rectal cancer. ⋯ In rectal cancer patients treated with SC-TNT and proctectomy, we found no significant association with POM compared to patients undergoing CRT. SC-TNT does not significantly increase the risk of POM compared to CRT.