Publications by authors named "Matthew Meece"
Background: Combined pre-operative bowel preparation with oral antibiotics (OAB) and mechanical bowel preparation (MBP) is the current recommendation for elective colorectal surgery. Few have studied racial disparities in bowel preparation and subsequent post-operative complications.
Methods: This retrospective cohort study used 2015-2021 ACS-NSQIP-targeted data for elective colectomy for colon cancer.
Introduction: Colorectal cancer is the third most common cancer and the third leading cause of cancer deaths in the United States. As rectal squamous cell carcinoma (SCC) is an uncommon colorectal cancer, there is limited data on this clinical entity. We aimed to evaluate the tumor characteristics, treatment, and clinical outcomes of this rare deadly disease.
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- The study focuses on high ligation of the inferior mesenteric artery in surgeries for low left-sided colon and rectal cancer, aiming to assess how often this technique is used at a particular academic center and its impact on patient outcomes.
- Out of 169 patients analyzed, 61.5% had high ligation noted in their surgical reports, with 55.6% showing radiographic evidence of the technique, particularly successful in 70.2% of intended cases.
- Despite the successful implementation of high ligation, there were no significant differences observed in lymph node yield, time to chemotherapy, or recurrence rates, indicating that high ligation may not affect short-term outcomes compared to low ligation.
This case series explores the major complications following sigmoid vaginoplasty in two transgender female patients. Both patients experienced significant post-operative complications, including stenosis and abscess formation, leading to sigmoid conduit ischemia and necrosis. These complications required major surgical interventions and multidisciplinary care, highlighting the complexity of these procedures and their potential morbidity.
View Article and Find Full Text PDFBackground: Previous studies have debated the optimal time to perform excision and grafting of second- and third-degree burns. The current consensus is that excision should be performed before the sixth hospital day. We hypothesize that patients who undergo excision within 48 hours have better outcomes.
View Article and Find Full Text PDFVentilator associated pneumonia (VAP) is defined by the American College of Surgeons Trauma Quality Improvement Program (ACS TQIP) using laboratory findings, pathophysiologic signs/symptoms, and imaging criteria. However, many critically ill trauma patients meet the non-specific laboratory and sign/symptom thresholds for VAP, so the TQIP designation of VAP depends heavily upon imaging evidence. We hypothesized that physician opinions widely vary regarding chest radiograph findings significant for VAP.
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