Publications by authors named "Jeffrey Jorden"
Background: Opioid use has grown exponentially over the last decade. The effect of preoperative opioid prescription in patients with Crohn's disease undergoing surgery is unknown.
Objective: The purpose of this study was to identify whether preoperative opioid prescription is associated with adverse postoperative outcomes in Crohn's disease.
Article Synopsis
- The da Vinci Xi Surgical System aims to improve upon the limitations of the older da Vinci Si model, particularly in robotic arm flexibility and versatility in multiquadrant surgeries.
- A study comparing 44 patients who underwent surgery with the da Vinci Si and 26 patients with the Xi showed that the Xi was more effective at mobilizing the splenic flexure in both sigmoidectomy and low anterior resection procedures.
- Despite these improvements, there were no significant differences in operative time, blood loss, length of hospital stay, or overall complications between the two groups, indicating that the Xi allows for better multiquadrant surgery without compromising safety or efficiency.
Microbial metagenomics are hindered in clinical tissue samples as a result of the large relative amount of human DNA in relation to microbial DNA acting as competitive inhibitors of downstream applications. We evaluated the LOOXSTER® Enrichment Kit to separate eukaryotic and prokaryotic DNA in submucosal intestinal tissue samples having a low microbial biomass and to determine the effects of enrichment on 16s rRNA microbiota sequencing. The enrichment kit reduced the amount of human DNA in the samples 40-70% resulting in a 3.
View Article and Find Full Text PDFBackground: Process measures constitute the focal point of surgical quality studies. High levels of compliance with such processes have not correlated with improved outcomes. Wide ranges of reported hospital death rates led us to hypothesize that survival after elective colon resection would be a legitimate outcomes measure for quality of surgical practice.
View Article and Find Full Text PDFNeoadjuvant chemoradiation therapy (NCRT) has become the standard treatment for locally advanced rectal cancer. Subsequent downstaging can make identification of the primary tumor challenging. Complete pathologic response rates of 8 per cent to 27 per cent are seen with current NCRT regimen.
View Article and Find Full Text PDFArticle Synopsis
- Diverticulitis is classified into uncomplicated and complicated forms, with CT scans aiding in accurate diagnosis, especially in acute cases.
- Uncomplicated diverticulitis is treated medically, while complicated cases with abscesses may require percutaneous drainage or surgical resection methods.
- Laparoscopic techniques are commonly used for elective surgeries, and hand assistance can be beneficial in cases with extensive scarring.
Background: The clinical problems of advanced malignancy with invasion of cancers into adjacent organs or structures, fistulizing complications from radiation therapy, postoperative infections, and delayed postoperative healing continue to challenge pelvic surgeons, regardless of subspecialty. The use of autologous muscle and myocutaneous flaps has been applied to the management and prevention of these clinical problems and found to be most helpful.
Methods: Records of patients undergoing abdominopelvic procedures in a single unit during the 15-year period from 1990 to 2005 were reviewed, and patients undergoing autologous tissue flaps were reviewed with respect to indications, complications, and outcomes.