Publications by authors named "Graham J Spurzem"
Background: Textbook outcome (TO) has been utilized to assess the quality of surgical care. This study aimed to define TO rates for minimally invasive gastric gastrointestinal stromal tumor (GIST) resections in a bi-institutional cohort.
Methods: Patients with gastric GIST (≤ 5 cm) who underwent laparoscopic or robotic resection (January 2014 to January 2024) were retrospectively identified from two GIST centers.
Background: Robotic-assisted bariatric surgery is growing rapidly. The optimal approach to minimize complications remains unclear.
Objective: Assess robot utilization and compare 30-day outcomes for laparoscopic and robotic primary sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database.
Article Synopsis
- Obesity increases the risk of complications after abdominal hernia repair, and GLP-1 receptor agonists are being explored as weight loss aids to help patients qualify for surgery.* -
- In a study reviewing obese patients undergoing elective hernia repair, those using GLP-1 therapy alongside lifestyle changes achieved comparable weight loss results to those using lifestyle changes alone, despite having different types of hernias.* -
- The study found that patients using GLP-1 had a significantly shorter time from starting the medication to their surgery compared to controls, although both groups had similar outcomes in terms of weight loss and complication rates.*
Objective: The American Board of Surgery In-Training Examination (ABSITE) is an important factor in general surgery resident career development. The use of practice question banks for ABSITE preparation improves exam scores and completing more practice questions results in higher scores. The objective of this study is to describe the design of a novel, team-based ABSITE competition implemented into our residency program and analyze its effect on exam performance.
View Article and Find Full Text PDFBackground: Impaired visibility is a challenge in laparoscopic surgery. Frequent scope removal increases operative time, reduces efficiency, and potentially compromises patient safety. We examine our initial experience with a novel cleaning device that applies cold plasma to the scope lens and review current available laparoscope cleaning methods.
View Article and Find Full Text PDFIntroduction: Robotic-assisted metabolic and bariatric surgery (MBS) is gaining popularity. Revisional MBS is associated with higher perioperative morbidity compared to primary MBS. The optimal surgical approach to minimize complications in these complex cases is unclear.
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- The study evaluates the safety and long-term outcomes of using GORE BIO-A biosynthetic mesh for abdominal wall reconstruction in various wound classes from 2008 to 2018.
- Among 207 patients, the overall hernia recurrence rate was 17.4%, with higher rates in contaminated cases (28.8%) compared to clean cases (10.4%).
- The findings suggest that biosynthetic mesh is a cost-effective option that provides favorable results for patients, even in contaminated wounds, with a noticeable incidence of morbidity.
Article Synopsis
- Traditional surgery for esophageal diverticula often involved open procedures, which had high risks, but a shift to minimally invasive techniques offers several benefits.
- A study reviewing 28 patients treated minimally invasively from June 2010 to December 2022 found a low 30-day morbidity rate of 10.7%, with no mortalities and a symptom resolution rate of 78.6%.
- The results suggest that minimally invasive surgery for esophageal diverticula, performed by a skilled multidisciplinary team, is safe and effective, especially in experienced centers.
A 64-year-old man with a known duplicate inferior vena cava (D-IVC) and resistant hypertension presented to our emergency department in a hypertensive crisis. He had a longstanding history of hypertension and unexplained hypokalemia treated with oral potassium supplementation. The patient was diagnosed with primary aldosteronism and MRI of the abdomen revealed a left-sided adrenal adenoma.
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