Establishing an open and robotic pancreatic surgery program in a level 1 trauma center community teaching hospital and comparing its outcomes to high-volume academic center outcomes: a retrospective review.

Background: The debate of whether to centralize hepato-pancreato-biliary surgery has been ongoing. The principal objective was to compare outcomes of a community pancreatic surgical program with those of high-volume academic centers.

Methods: The current pancreatic surgical study occurred in an environment where (1) a certified abdominal transplant surgeon performed all surgeries; (2) complementary quality enhancement programs had been developed; (3) the hospital's trauma center had been verified; and (4) the hospital's surgical training had been accredited.

Case report: bowel perforation after cutaneous nerve radiofrequency ablation for postherniorrhaphy neuralgia.

Postoperative inguinal neuralgia is a known complication of open or laparoscopic herniorrhaphy, initially managed conservatively with analgesics. If symptoms do not resolve additional treatment modalities include nerve blocks, mesh explanation, neurectomy or radiofrequency ablation. Radiofrequency ablation is also used for ablation of hepatic tumors, and thermal injury to bowel is a known and well-documented complication with its use on the liver.