Publications by authors named "Aneel Damle"
Background: Recent data have demonstrated multiple benefits of intra- and postoperative fluid restriction in major abdominal surgery; however, data regarding the outcomes of fluid restriction in cytoreductive surgery and hyperthermic intraperitoneal chemoperfusion (CRS/HIPEC) are limited. This study evaluates the safety and short-term clinical outcomes of restricted intraoperative fluid therapy in CRS/HIPEC.
Methods: This was a single-institution, retrospective review of all CRS/HIPEC procedures performed at the University of Massachusetts Medical School between January 2009 and July 2017.
Background: Women surgeons are underrepresented in academic surgery and may be subject to implicit gender bias. In colorectal surgery, women comprise 42% of new graduates, but only 19% of Diplomates in the United States.
Objective: We evaluated the representation of women at the 2017 American Society of Colon and Rectal Surgeons Scientific and Tripartite Meeting and assessed for implicit gender bias.
Background: Thoracic epidural analgesia has been shown to be an effective method of pain control. The utility of epidural analgesia as part of an enhanced recovery after surgery protocol is debatable.
Objective: This study aimed to determine if the use of thoracic epidural analgesia in an enhanced recovery after surgery protocol decreases hospital length of stay or inpatient opioid consumption after elective colorectal resection.
Following FDA approval, robotic-assisted colorectal surgery (RACS) has increased in prevalence. We aimed to identify trends in utilization and patient characteristics of RACS in the United States using the University HealthSystem Consortium database between October 2011-September 2015. Outcome measures were number and percentage of procedures performed with robotic-assistance.
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- The study aimed to assess the feasibility and effectiveness of implementing Lean processes in a colonoscopy unit at an academic medical center to enhance efficiency and streamline patient flow.
- After applying these Lean principles, total colonoscopy time decreased by 10% from an average of 134 minutes to 121 minutes, improving key time segments like sedation and recovery.
- Patient satisfaction scores were high post-intervention, indicating better overall experiences, and the unit's capacity for colonoscopies increased from 39.6 to 43.6 per day without needing additional resources.
Accurate quality measurement that allows for and results in improvement is essential to colon and rectal surgery. Currently, no consensus exists as to which variables are most important in measuring outcomes. Debate continues concerning the "best" variables to measure from a structural, process, and outcomes standpoint.
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- * The study involved 31 SILC cases and gathered data on patient demographics, operative time, blood loss, and outcomes; results indicated that residents faced challenges with certain tasks compared to traditional multiport colectomy methods.
- * Findings suggest that while senior residents can perform SILC safely with proper guidance, the technique demands advanced skills which are developed through complex training during residency.
Context: Luminal bleeding after pancreaticoduodenectomy can be present in various degrees of acuity in up to 30% of patients.
Case Report: In this report, we describe a rare and uncommon cause of gastrointestinal bleeding after pancreaticoduodenectomy and review of the literature.
Conclusions: Multiple biliary procedures with common complications increase the difficulty making the correct diagnosis and therefore all possible etiologies of a complication must be evaluated.