Leigh Neumayer

..The aim of this study was to determine if high-frequency ultrasound (20-80 MHz) can provide pathology sensitive measurements for the ex vivo detection of cancer in margins during breast conservation surgery...

....

..In recent years, computed tomographic (CT) scan has been advocated as a diagnostic aid. The purpose of this systematic review was to evaluate the accuracy of CT scan in diagnosing appendicitis...

..The objective of this article is to understand the internal and external motivations for using the NSQIP and how NSQIP data can be used to improve outcomes. We also outline several methods to identify the opportunities for improvement...

..Repair of inguinal hernias in men is a common surgical procedure, but the most effective surgical technique is unknown...

..Using the Veterans Affairs Cooperative Studies Program Hernia Trial as a case study, this article explores the potential problems and solutions...

..We examined the influence of surgeon age and other factors on proficiency in laparoscopic or open hernia repair...

..Current demographic patterns and lifestyle factors of general surgery residents may contribute to recent changes in recruitment patterns...

..012). The use of CT scanning in appendicitis increased both after publication of a report in a high-impact journal and after review during grand rounds. A rate of CT scanning above 45% appeared to affect outcomes as well...

..We sought to determine if NSQIP methods and risk models were applicable to private sector (PS) hospitals and if implementation of the NSQIP in the PS would be associated with reductions in adverse postoperative outcomes...

..When followup is complete, this study will provide data regarding both clinical (recurrence rates) and patient-centered outcomes...

....

..This study aims to describe the 30-day morbidity and mortality for pancreatectomy and to compare outcomes between private-sector and Veterans Affairs hospitals using multiinstitutional data...

....

..The VA will continue its leadership position in the healthcare arena if it can successfully address the challenges facing it...

..Laparoscopic cholecystectomy (LC) accounts for more than 85% of cholecystectomies. Factors prompting open cholecystectomy (OC) or conversion from LC to OC (CONV) are not completely understood...

....

..Surgical site infection (SSI) is a potentially preventable complication. We developed and tested a model to predict patients at high risk for surgical site infection...

..Surgeons need to look at their own numbers and experience to decide which approach is better given the clinical situation based on their proficiency with the various techniques...

....

..To determine the sensitivity and specificity of ultrasound (US)-guided fine-needle aspiration (FNA) and measurement of parathyroid hormone (PTH) in the aspirate (FNA/PTH) as a preoperative localization procedure...

..To prospectively investigate whether a rapid dynamic MRI protocol, in conjunction with pharmacokinetic modeling, could provide diagnostically useful information for discriminating biopsy-proven benign lesions from malignancies...

..To determine the current surgical management of bleeding duodenal ulcers in our program, faculty (FAC) and residents (RES) were surveyed...

..CONCLUSION: Permanent mesh placement was not associated with postoperative wound infection. Smoking was the only modifiable risk factor and preoperative smoking cessation may improve surgical outcomes in VHR...

..We sought to determine if scores on the National Board of Medical Examiners' Surgery Subject Examination (NBME-SS) correlated with ward assessment of Fund of Knowledge and how the NBME-SS scores impacted surgery clerkship grade...

..Current recommendations from this review include the routine use of mesh in primary repair of inguinal hernia and the need to counsel patients preoperatively about the risk of chronic postoperative groin pain...

..To validate self-report of activities and to assess time allocation of medical students taking in-house call during their third-year surgery clerkship...

..In the era of Helicobacter pylori treatment, the role of vagotomy in bleeding duodenal ulcers is debatable. National outcomes were evaluated to determine the current surgical treatment and use of vagotomy for bleeding duodenal ulcers...

..We sought to determine perioperative variables predictive of complications or recurrence for patients undergoing surgical repair of inguinal hernias...

..Further research is required to understand the nature of this relationship...

..CONCLUSIONS: This abdominal wound dehiscence risk index identifies patients at risk for dehiscence and may be useful in guiding perioperative management...

..CONCLUSIONS: Medical students who choose surgical careers are not deterred by a negative perception of lifestyle and workload considerations. Mentoring and personality fit are central in medical student specialty selection...

..Emphasis on behaviors consonant with identified characteristics may improve mentoring of medical students by surgeons and increase interest in surgical careers...

..Delaying surgical repair until symptoms increase is safe because acute hernia incarcerations occur rarely.Clinical Trials Registration ClinicalTrials.gov Identifier: NCT00263250...

..Data from this study can be used to better stratify patients before esophagectomy...

..We evaluated the impact of a general surgery clerkship on medical student perceptions of surgeons and surgical careers and of the clerkship on student interest in surgical careers...

..Immediate breast reconstruction after mastectomy has increased in frequency during the past decade, but the socioeconomic and patient factors have yet to be fully identified...

..003 and P = .009, respectively). CONCLUSIONS: The effectiveness of inguinal herniorrhaphy should be measured by the rate of recurrence and neuralgia. Postoperative neuralgias have a deleterious effect on all patient-reported outcomes...

..We evaluated the effect of the postgraduate medical education level (PGY) of surgery residents on recurrence of inguinal hernia, complications, and operative time...

..Enterotomy or unplanned bowel resection (EBR) may occur during elective incisional hernia repair (IHR) and significantly affects surgical outcomes and hospital resource use...

..Incisional hernia repair (IHR) with mesh has been associated with decreased hernia recurrence. We analyzed variation in mesh use for IHR...

..To definitively answer this question, we used the Nationwide Inpatient Sample database to compare morbidity and mortality after THE and TTE...

....

..This study was undertaken to examine the effect of cirrhosis on elective and emergent umbilical herniorrhapy outcomes...