Characterizing patterns of opioid prescribing after outpatient ventral hernia repair with mesh.

Purpose: Despite efforts to minimize opioid prescribing, outpatient ventral hernia repair (VHR) with mesh remains notoriously painful, often requiring postoperative opioid analgesia. Here, we aim to characterize patterns of opioid prescribing for the heterogenous group of patients and procedures that comprise mesh-based, outpatient VHR.

Methods: The Abdominal Core Health Quality Collaborative registry was queried for patients undergoing VHR with mesh who were discharged the same or next day between January 2019 to October 2023.

Otolaryngologist surgical preferences for orbital decompression in thyroid eye disease: A North American survey.

Background: Orbital decompression is recommended for TED especially in the treatment of severe, refractory cases yet there are no clear guidelines regarding the optimal surgical approach. Previously conducted surveys assessed variations in the management of TED but only amongst ophthalmologists. Our study attempts to better characterize surgical and perioperative preferences amongst otolaryngologists in the management of TED.

General surgery resident robotic training curriculum: evaluation six years after implementation.

Background: The surge of robotic surgery over the last decade emphasizes the need for a robotics curriculum during general surgery residency. We hypothesized that the implementation of a robotic surgery resident training curriculum would have a positive impact on the general surgery residency experience during and post-graduation.

Materials/methods: Current post-graduate year 1 through 5 residents and previously graduated residents were surveyed regarding their robotic curriculum experience during residency and post-graduation.

Large herbivores link plant phenology and abundance in Arctic tundra.

Plant phenological dynamics have been well studied in relation to abiotic conditions and climate change, but comparatively poorly studied in relation to herbivory. In contrast, plant abundance dynamics have been well studied in relation to abiotic conditions and herbivory, but poorly studied in relation to phenology. Consequently, the contribution of herbivory to plant phenological dynamics and therefrom to plant abundance dynamics remains obscure.

Breast ultrasound knobology and the knobology of twinkling for marker detection.

Breast ultrasound utilizes various scanning techniques to acquire optimal images for diagnostic evaluation. During interventional procedures, such as ultrasound-guided biopsies or preoperative localizations, knowledgeable and purposeful scanning adjustments are critical for successfully identifying the targeted mass or biopsy marker or clip. While most ultrasound scanning parameters are similar across different vendors, detailed descriptions specifically addressing the scanning parameters-often referred to as "knobology"- for breast ultrasound is at best limited in the literature.