Publications by authors named "P McGillen"
Gastric surgery may result in internal herniation of bowel, weeks to years after the initial surgery and can result in rapid onset of death if not promptly treated. We present a case in which a patient with this complication underwent surgery despite his clear refusal of surgery. The patient had a remote history of gastrectomy for malignancy.
View Article and Find Full Text PDFBackground: Disruption score (DS) is a novel bibliometric created to identify research that shifts paradigms, which may be overlooked by citation count (CC). We analyzed the most disruptive, compared to the most cited, literature in vascular surgery, and hypothesized that DS and CC would not correlate.
Methods: A PubMed search identified vascular surgery publications from 1954 to 2014.
Article Synopsis
- Emergent laparotomy is linked to high rates of wound complications like surgical site infections (SSIs) and fascial dehiscence, and the study evaluates the efficacy of triclosan-coated barbed (TCB) sutures compared to polydioxanone (PDS) sutures in reducing these issues.
- In the one-year study, 206 patients were divided into TCB and PDS groups, revealing that TCB closure led to significantly lower rates of fascial dehiscence (4% vs. 14%) and a trend toward decreased SSIs (11% vs. 21%).
- The results indicate that using TCB for fascial closure during emergency laparotomy effectively reduces complications, particularly
Primary squamous cell carcinoma (SCC) of the breast is rare, representing less than 0.1% of all breast cancers. To date, there have been 20 reported cases of SCC associated with breast augmentation, usually in patients with long-standing implants.
View Article and Find Full Text PDFArticle Synopsis
- The study investigates the relationship between social vulnerability and the severity of appendicitis, comparing patients with uncomplicated appendicitis (UA) and complicated appendicitis (CA).
- Researchers used the Social Vulnerability Index (SVI) based on 2010 census data to assess the social contexts of patients at a safety-net hospital between 2012 and 2016.
- Results showed that patients with UA had a higher median SVI score, indicating greater social vulnerability, than those with CA, suggesting that social factors might influence the severity of appendicitis presented at the hospital.