Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

This Month in Archives of Surgery

This Month in Archives of Surgery We all know and understand that functional limitations such as the type and severity of injury, age, preinjury function, income, and social support can contribute to disability after trauma. Recent investigations suggest that other factors may play an equally important role in determining the progression of postinjury impairment. The study by Dr Zatzick et al reveals that posttraumatic stress disorder persists in 30% of patients 1 year after traumatic injury and is independently associated with a broad profile of functional impairment. Thus, a treatment plan for these patients seems warranted. See Article One of the many problems that evades resolution is that of combining elective abdominal aortic reconstruction with simultaneous gastrointestinal intervention, even in a prepared bowel. The article by Dr Luebke et al attempts answer in their series of 84 patients, half of whom underwent aortic grafting and a simultaneous operation for gastrointestinal abnormalities. Comparing the matched pairs revealed no significant difference as to morbidity, mortality, or length of intensive care unit and hospital stays. They conclude that a 1-stage procedure is feasible, presuming appropriate attention to details and antisepsis. In an invited critique, Dr Quiñones-Baldrich presents a balancing opinion of the work and Dr Bredenberg some other thoughts. See Article An interesting observation by Dr Siperstein et al furthers the argument that the harmonic scalpel is a valuable adjunct in thyroid operations to control vessel bleeding, shortening operative time without compromising the intervention. See Article The Value of Splenic Preservation With Distal Pancreatectomy The procedure of distal pancreatectomy has traditionally included splenectomy. Few reports in the literature comparing distal pancreatectomy with or without splenectomy have analyzed the results following operation for benign or low-grade malignant disease of the pancreas. This article by the Memorial Sloan-Kettering Cancer Center group reviews 125 patients: 79 with splenectomy and 46 with splenic preservation. Their conclusions were that leaving the spleen under these circumstances was safe and was associated with a reduction in perioperative infectious complications and length of stay. Accordingly, it was their thought that splenic preservation should be considered in this group of patients. See Article The Effect of Laparoscopy on Survival in Pancreatic Cancer Many patients with pancreatic cancer are exposed to laparoscopy for either diagnosis or staging at some point during their illness. Using a linked cancer registry and administrative claims database, Dr Urbach et al compared patients who had either a laparoscopic evaluation or a laparotomy but no pancreatic resection and demonstrated that exposure to laparoscopy did not adversely affect survival in this elderly population. Obviously, this is an indirect study, but it does provide some important evidence. View LargeDownload See Article Measurement of Intraoperative Parathyroid Hormone Predicts Long-term Operative Success In 94 of 98 patients with primary exploration for solitary parathyroid adenoma, the Lund group found that parathyroid hormone levels decreased at least 60% 15 minutes after gland excision, which was predictive of later postoperative normocalcemia. See Article http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

This Month in Archives of Surgery

Archives of Surgery , Volume 137 (2) – Feb 1, 2002

This Month in Archives of Surgery

Abstract

We all know and understand that functional limitations such as the type and severity of injury, age, preinjury function, income, and social support can contribute to disability after trauma. Recent investigations suggest that other factors may play an equally important role in determining the progression of postinjury impairment. The study by Dr Zatzick et al reveals that posttraumatic stress disorder persists in 30% of patients 1 year after traumatic injury and is independently associated...
Loading next page...
 
/lp/american-medical-association/this-month-in-archives-of-surgery-K4dQNoBeUe
Publisher
American Medical Association
Copyright
Copyright © 2002 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.137.2.132
Publisher site
See Article on Publisher Site

Abstract

We all know and understand that functional limitations such as the type and severity of injury, age, preinjury function, income, and social support can contribute to disability after trauma. Recent investigations suggest that other factors may play an equally important role in determining the progression of postinjury impairment. The study by Dr Zatzick et al reveals that posttraumatic stress disorder persists in 30% of patients 1 year after traumatic injury and is independently associated with a broad profile of functional impairment. Thus, a treatment plan for these patients seems warranted. See Article One of the many problems that evades resolution is that of combining elective abdominal aortic reconstruction with simultaneous gastrointestinal intervention, even in a prepared bowel. The article by Dr Luebke et al attempts answer in their series of 84 patients, half of whom underwent aortic grafting and a simultaneous operation for gastrointestinal abnormalities. Comparing the matched pairs revealed no significant difference as to morbidity, mortality, or length of intensive care unit and hospital stays. They conclude that a 1-stage procedure is feasible, presuming appropriate attention to details and antisepsis. In an invited critique, Dr Quiñones-Baldrich presents a balancing opinion of the work and Dr Bredenberg some other thoughts. See Article An interesting observation by Dr Siperstein et al furthers the argument that the harmonic scalpel is a valuable adjunct in thyroid operations to control vessel bleeding, shortening operative time without compromising the intervention. See Article The Value of Splenic Preservation With Distal Pancreatectomy The procedure of distal pancreatectomy has traditionally included splenectomy. Few reports in the literature comparing distal pancreatectomy with or without splenectomy have analyzed the results following operation for benign or low-grade malignant disease of the pancreas. This article by the Memorial Sloan-Kettering Cancer Center group reviews 125 patients: 79 with splenectomy and 46 with splenic preservation. Their conclusions were that leaving the spleen under these circumstances was safe and was associated with a reduction in perioperative infectious complications and length of stay. Accordingly, it was their thought that splenic preservation should be considered in this group of patients. See Article The Effect of Laparoscopy on Survival in Pancreatic Cancer Many patients with pancreatic cancer are exposed to laparoscopy for either diagnosis or staging at some point during their illness. Using a linked cancer registry and administrative claims database, Dr Urbach et al compared patients who had either a laparoscopic evaluation or a laparotomy but no pancreatic resection and demonstrated that exposure to laparoscopy did not adversely affect survival in this elderly population. Obviously, this is an indirect study, but it does provide some important evidence. View LargeDownload See Article Measurement of Intraoperative Parathyroid Hormone Predicts Long-term Operative Success In 94 of 98 patients with primary exploration for solitary parathyroid adenoma, the Lund group found that parathyroid hormone levels decreased at least 60% 15 minutes after gland excision, which was predictive of later postoperative normocalcemia. See Article

Journal

Archives of SurgeryAmerican Medical Association

Published: Feb 1, 2002

There are no references for this article.

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$499/year

Save searches from
Google Scholar,
PubMed

Create folders to
organize your research

Export folders, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month