Introduction: The surgical management of paraesophageal hernias (PEH) has evolved in the past few decades. Laparoscopic repair with a fundoplication is currently the preferred strategy in elective situations, but emergencies are still being done open at many institutions typically without an anti-reflux (AR) procedure. The aim of this study is to identify the current surgical practice of PEH repair in urgent and emergent settings and to investigate how patient characteristics influence the use o
Introduction: Acute gastric volvulus is a rare condition with a high mortality for acute ischaemia. It can present with vague symptoms and requires prompt diagnosis. This is controversial in the literature with some authors advocating contrast swallow or gastroscopy. The management is also controversial with limited published series and long term results. This study was undertaken to investigate the acute management, diagnosis and long term outcomes of patinets presenting with acute gastric volv
Objectives: To evaluate outcome of laparoscopic splenectomy (LS) for isolated blunt traumatic splenic injury (TSI).
Background: Minor splenic injuries from blunt trauma can be treated conservatively, whereas high-grade injuries require surgical treatment and usually removal of the organ. Although splenectomy is nowadays routinely performed laparoscopically for the treatment of hematological pathologies, in an emergency the operational procedure is performed through conventional laparotomy world
Introduction: With regionalization of surgical care, reduction of the rural workforce, rising healthcare costs, and increasing focus on surgical outcomes, appropriate transfer of surgical patients is an increasingly important aspect of health care. Herein, this study examines patients transferred for surgical intervention through a national sample.
Methods: The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database was queried from 2005 – 2012 for patients w
Introduction: When pregnant patients require surgery, whether to perform operations open or laparoscopic is often debated. We studied the impact of laparoscopy for common general surgical problems in pregnancy to determine safety and trends of application over time.
Methods: Pregnant patients undergoing appendectomy or cholecystectomy were identified using the National Surgical Quality Improvement Program(NSQIP) database. We analyzed demographics, operative characteristics, and outcomes. Univar