Background: Reported 30-day hospital readmission rates following bariatric surgery range from 0.7 to 16% depending upon type of surgery. The lowest readmission rates have been reported for Adjustable Gastric Bands (0.7 to 3.1%) whereas rates of 1.4 to 7.3% have been reported for laparoscopic Roux-en-Y Gastric Bypass. To date, one previous study has reported a 1.7% readmission rate for 529 Laparoscopic Sleeve Gastrectomies (LSG). The current report describes the incidence of 30-day readmission fo
Background: Endoscopic, laparoscopic and open surgeries are optional approaches for the relatively small gastrointestinal stromal tumors (GISTs). However, it remains to be seen which approach is the best. In this size-matched study, we compared the short-term and long-term outcomes among these approaches.
Methods: The study involved a retrospective review of 80 consecutive patients with tumor size between 2 and 4 cm, who underwent resection of gastric GISTs. Clinical data, perioperative and onc
Introduction: Common bile duct injury (CBDI) is a serious, and perhaps the most dreaded, complication following cholecystectomy. The early phase of laparoscopic cholecystectomy (LC) adoption brought about significant awareness and strategies for avoiding and/or recognizing this injury due to initially high CBDI rates. Advances in visualization, training and equipment, including intraoperative cholangiogram (IOC), have been theorized to reduce this injury rate to “acceptable” levels. We sought to
Introduction: Our goal was to compare operative times and quality across 4 minimally invasive platforms in colorectal surgery. Operative time is increasingly recognized as a quality marker in surgery. The safety and efficacy of these minimally invasive techniques have been proven; however, direct comparison of operative times, outcomes, and resulting quality of care across platforms has not been performed.
Methods and Procedures: Review of a prospective, departmental database identified electiv
Monopolar electrocautery has been widely used across multiple surgical disciplines because of ease of use, effective hemostasis and surgical dissection. Studies have demonstrated its use to be an independent risk factor for postoperative wound infection. Compared to scalpel use alone, previous studies have shown the use of electrocautery is associated with decreased wound tensile strength and more frequent bacteremia after midline laparotomy. However, in the presence of underlying prosthetic mat