Contemporary Assessment of Adhesiolysis and Resection for Adhesive Small Bowel Obstruction in the State of New York.

Background: Adhesive small bowel obstruction (aSBO) is a common surgical problem, with some advocating for a more aggressive operative approach to avoid recurrence. Contemporary outcomes in a real-world setting were examined.

Study Design: A retrospective cohort study was performed using the New York Statewide Planning and Research Cooperative database to identify adults admitted with aSBO, 2016-2020.

Human factors in pelvic surgery.

In the pelvis, anatomic complexity and difficulty in visualization and access make surgery a formidable task. Surgeons are prone to work-related musculoskeletal injuries from the frequently poor design and flow of their work environment. This is exacerbated by the strain of surgery in the pelvis.

Systematic review of prospective studies focused on regionalization of care in surgical oncology.

To perform a systematic review of studies prospectively analyzing the impact of regionalization of complex surgical oncology care on patient outcomes. High volume care of complex surgical oncology patients has been repeatedly associated with improved outcomes. Most studies, however, are retrospective and have not prospectively accounted for confounders such as financial ability and social support.

National prospective cohort study describing how financial stresses are associated with attrition from surgical residency.

Background: Attrition from general surgery residency is high with a national rate of 20%. We evaluated potential associations between financial considerations and attrition.

Methods: National prospective cohort study of categorical general surgery trainees.

Does variability among surgical skills diminish throughout surgical internship? Analysis of a 5-task surgical simulation assessment program starting Day 1.

Background: Simulation assessments are not yet standardized among surgical programs. We instituted a 5-task simulation program to assess surgical technical skills longitudinally during internship.

Methods: First-year residents completed 5 simulation tasks: suturing, knot-tying, vascular anastomosis, and the peg-transfer and the intracorporeal suturing of the Fundamentals of Laparoscopic Skills.

Case Sequence Analysis of the Robotic Colorectal Resection Learning Curve.

Background: Robotic surgery for colorectal cancer offers many potential benefits, but as with any new technology, there is a learning curve.

Objective: We sought to identify trends in the uptake of robotic resection and associated complication rates.

Design: This was a case sequence analysis of robotic surgery for colorectal cancer.

Impact of Medical School Experience on Attrition From General Surgery Residency.

Background: Medical school experience informs the decision to pursue graduate surgical education. However, it is possible that inadequate preparation in medical school is responsible for the high rate of attrition seen in general surgery residency.

Materials And Methods: We performed a national prospective cohort study of all categorical general surgery interns who entered training in the 2007-2008 academic year.

Recent advances in the management of anal cancer.

Anal cancer is a rare condition, although its incidence has been increasing over the past several decades, particularly in women. The majority of anal cancers are squamous cell cancers and are linked with human papilloma virus (HPV) infection. Recent work in HPV basic science has delineated the mechanism by which the virus leads to the development of anal cancer.

Association between American Board of Surgery in-training examination score and attrition from general surgery residency.

Background: The American Board of Surgery In-Training Exam is administered annually to general surgery residents and could provide a way to predict attrition, potentially offering a point of intervention.

Methods: In 2007, a national survey of categorical general surgery interns was performed. Resident characteristics were linked to an American Board of Surgery database of American Board of Surgery In-Training Exam scores.

Association of Expectations of Training With Attrition in General Surgery Residents.

Importance: Attrition from general surgery training is highest during internship. Whether the expectations and attitudes of new trainees affect their subsequent risk of attrition is unknown.

Objective: To identify the expectations of general surgery residency associated with attrition from training.

Early operative management of complicated appendicitis is associated with improved surgical outcomes in adults.

Background: There is no consensus on the ideal management of complicated appendicitis.

Methods: The New York State Planning and Research Cooperative database was used to identify all patients admitted with complicated appendicitis and undergoing appendectomy within 1-year. Primary outcome was any complication.

The Surgical Personality: Does Surgery Resident Motivation Predict Attrition?

Background: There is limited understanding of the wide variation in attrition rates among general surgery residencies. We used the validated Behavior Inhibitory System/Behavior Approach System (BIS/BAS) instrument to compare motivational traits among residents who did and not complete surgical training.

Study Design: All US general surgery categorical interns in the class of 2007-2008 were surveyed with a validated motivational trait assessment tool.

Association of Time to Attrition in Surgical Residency With Individual Resident and Programmatic Factors.

Importance: Attrition in general surgery residency remains high, and attrition that occurs in the later years is the most worrisome. Although several studies have retrospectively investigated the timing of attrition, no study to date has prospectively evaluated a national cohort of residents to understand which residents are at risk for attrition and at what point during residency.

Objective: To prospectively evaluate individual resident and programmatic factors associated with the timing of attrition during general surgery residency.

Hormone Replacement Therapy and Colorectal Cancer Incidence and Mortality in the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial.

Introduction: Hormone replacement therapy has been shown to reduce colorectal cancer incidence, but its effect on colorectal cancer mortality is controversial. The objective of this study was to determine the effect of hormone replacement therapy on survival from colorectal cancer.

Patients And Methods: We performed a secondary analysis of data from the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial, a large multicenter randomized trial run from 1993 to 2001, with follow-up data recently becoming mature.

Barriers to Regionalized Surgical Care: Public Perspective Survey and Geospatial Analysis.

Objective: To describe public willingness to participate in regionalized surgical care for cancer.

Summary Of Background Data: Improved outcomes at high-volume centers following complex surgery have driven a push to regionalize surgical care. Patient attitudes toward regionalization are not well described.

Surgical time out: Our counts are still short on racial diversity in academic surgery.

Background: This study provides an updated description of diversity along the academic surgical pipeline to determine what progress has been made.

Methods: Data was extracted from a variety of publically available data sources to determine proportions of minorities in medical school, general surgery training, and academic surgery leadership.

Results: In 2014-2015, Blacks represented 12.

A Mobile Health Application to Track Patients After Gastrointestinal Surgery: Results from a Pilot Study.

Introduction: Many surgical readmissions are preventable. Mobile health technology can identify nascent complications and potentially prevent readmission.

Methods: We performed a pilot study of a new mobile health application in adults undergoing major abdominal surgery.

A multiwell platform for studying stiffness-dependent cell biology.

Adherent cells are typically cultured on rigid substrates that are orders of magnitude stiffer than their tissue of origin. Here, we describe a method to rapidly fabricate 96 and 384 well platforms for routine screening of cells in tissue-relevant stiffness contexts. Briefly, polyacrylamide (PA) hydrogels are cast in glass-bottom plates, functionalized with collagen, and sterilized for cell culture.