Management of Complex Transmediastinal Stab Wound With Cardiac, Esophageal, and Arterial Injury.

Penetrating transmediastinal traumatic injuries often carry a high mortality given the vital structures this type of injury often involves. Here, we describe a case of 24-year-old man who suffered multiple stab wounds to the chest and back with associated cardiac, esophageal, and arterial injury, requiring immediate operative intervention. He underwent sternotomy and left thoracotomy with pericardiotomy, repair of 2 right ventricular lacerations, and ligation of internal mammary artery.

The Effect of Social Determinants and Socioeconomic Status on Laparoscopic Roux-En-Y Gastric Bypass for Weight Loss: An Analysis of the National Inpatient Sample.

 In the United States, Black and Hispanic patients have a higher prevalence of obesity than Whites (49.6 vs. 44.

The Role of Surgical Resection and Liver Transplantation for the Treatment of Intrahepatic Cholangiocarcinoma.

Intrahepatic cholangiocarcinoma (iCCA) is a rare and complex malignancy of the biliary epithelium. Due to its silent presentation, patients are frequently diagnosed late in their disease course, resulting in poor overall survival. Advances in molecular profiling and targeted therapies have improved medical management, but long-term survival is rarely seen with medical therapy alone.

A Multi-Modal Approach to Closing Exploratory Laparotomies Including High-Risk Wounds.

Background Laparotomy incisions with contamination have a high incidence of surgical site infection (SSI). One strategy to reduce SSI has been to allow these wounds to heal by secondary intention; however, this results in an ongoing need for wound care after discharge. Methods A prospectively maintained Acute and Critical Care Surgery database was queried for patients who underwent exploratory laparotomy during 2008-2018.

National Pancreatic Fistula Rates after Minimally Invasive Pancreaticoduodenectomy: A NSQIP Analysis.

Background: There is a substantial learning curve associated with minimally invasive pancreaticoduodenectomy (MIPD). We sought to determine if national MIPD pancreatic fistula rates are decreasing with time.

Study Design: All patients undergoing elective MIPD and accrued into the pancreatectomy-targeted NSQIP database between 2014 and 2017 were included in the study.

Preoperative CT Findings and Interobserver Reliability of Fournier Gangrene.

Objective: The objective of our study was to delineate CT findings and anatomic areas of involvement of surgically proven Fournier gangrene (FG) and determine interobserver reliability.

Materials And Methods: This study was a single-center retrospective study of patients with FG who underwent CT before surgical débridement of FG during a 9-year period. Thirty-eight patients with FG, 17 male and 21 female patients, underwent preoperative CT.