Results From Complex Abdominal Reconstruction at Non-Academic Institution can Favorably Compare to Major Academic Centers: An Abdominal Core Health Quality Collaborative Database Review.

Background: Many complex abdominal hernias are referred to tertiary academic institutions for evaluation and treatment. The purpose of this study was to compare clinical outcomes from complex abdominal hernia repairs and abdominal wall reconstructions at a community hospital vs high volume academic centers participating in Abdominal Core Health Quality Collaborative (ACHQC).

Methods: Patients undergoing elective complex abdominal hernia repair were identified in our community setting and treated between 2016 and 2019.

Brief Psychodynamic Psychotherapy: A Review and Illustrative Case Vignette.

In this fictional case vignette, the authors illustrate the inclusive criteria and supportive-interruptive continuum techniques utilized in brief psychodynamic therapy (BPT), a therapeutic strategy designed to shorten psychotherapy from months to weeks in certain types of patients. The authors provide examples of a fictional dialogue between a young adult patient with generalized anxiety disorder (GAD) and ruminating thoughts and her therapist to demonstrate how the therapeutic techniques of BPT (interpretation, confrontation, clarification, encouragement to elaborate, empathic validation, advice and praise, and affirmation) can be used in clinical practice. Each example dialogue is followed by a brief practice point discussion reviewing the technique(s) used.