Publications by authors named "Quinton M Hatch"
Article Synopsis
- Inflammatory bowel disease (IBD) patients face risks for emergency surgery due to severe complications like bowel perforation and gastrointestinal hemorrhage.
- Despite medical advancements, the rates of emergency surgeries for IBD have not significantly improved.
- Acute care and colorectal surgeons need to be aware of the specific challenges in managing IBD patients during emergencies.
Article Synopsis
Obtaining wellness and enhancing resilience will be increasingly more important for General Surgeons. Although these concepts are not new, the increased complexity of health care delivery has elevated the importance of these essential attributes. Instilling these practices should be emphasized during surgery residency and be modeled by surgical educators and surgeon leaders.
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- - Appendiceal neoplasms occur in 0.9 to 1.4% of appendiceal specimens, and their incidence is on the rise, with neuroendocrine tumors traditionally being the most common type but showing changes in prevalence.
- - The goal is to create a clear algorithm to help surgeons make informed decisions regarding operations, treatment methods, and patient discussions.
- - This evaluation and treatment algorithm is intricate, beginning with general appendicitis symptoms and relying on detailed histopathological analysis to guide decisions.
Introduction: There remains a paucity of recent data on right-sided colonic diverticulitis, especially those undergoing colectomy. We sought to describe the clinical features of patients undergoing both a laparoscopic and open surgery for right-sided diverticulitis.
Methods: This study is a review of all cases of a right colectomy or ileocecectomy for diverticulitis from the National Inpatient Sample (NIS) from 2006 to 2012.
Article Synopsis
- - The study focused on how colorectal cancer is diagnosed in a military health care setting, comparing detection through screening methods versus symptomatic evaluation.
- - Out of 197 diagnosed cases, 25% were found through screening tests, while 75% were identified after symptoms appeared, often indicating more advanced stages of cancer.
- - Screening methods like fecal occult blood tests were linked to early-stage diagnoses, while common symptoms included rectal bleeding and abdominal pain, showing that timely screening is crucial despite equal access to medical services.
Article Synopsis
- This study evaluated the trends in the quality of surgical literature over a 30-year period, specifically looking at articles from 2000 and 2010 in three major surgical journals.
- It found that the proportion of multicenter clinical studies and those using administrative data significantly increased, while case reports decreased.
- However, the percentage of randomized controlled trials remained stable, and the quality score for comparative studies showed no significant change over the decade.
Introduction: The development of acute coagulopathy of trauma (ACoT) is associated with a significant increase in mortality. However, the contributory mechanisms behind ACoT have yet to be clearly defined. The purpose of this study was to evaluate the influence of multiple variables, including base deficit and injury severity, on development of ACoT within a subset of critically ill trauma patients.
View Article and Find Full Text PDFBackground: Damage control laparotomy (DCL) is a lifesaving technique initially employed to minimize the lethal triad of coagulopathy, hypothermia, and acidosis. Recently, it has been recognized that DCL itself carries significant morbidity and may be overutilized. The purpose of this study was to determine (1) whether early fascial closure is associated with a reduction in postoperative complications and (2) whether patients at our institution met traditional DCL indications (acidosis, hypothermia, and coagulopathy).
View Article and Find Full Text PDFObjective: To determine whether implementation of damage control resuscitation (DCR) in patients undergoing damage control laparotomy (DCL) translates into improved survival.
Background: DCR aims at preventing coagulopathy through permissive hypotension, limiting crystalloids and delivering higher ratios of plasma and platelets. Previous work has focused only on the impact of delivering higher ratios (1:1:1).
Background: Recognition of trauma-induced coagulopathy by conventional coagulation testing (CCT) is limited by their slow results, incomplete characterization, and their poor predictive nature. Rapid thrombelastography (r-TEG) delivers a more comprehensive assessment of the coagulation system but has not been prospectively validated in trauma patients. The purpose of this pilot study was to evaluate the timeliness of r-TEG results, their correlation with CCTs, and the ability of r-TEG to predict early blood transfusion.
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