Patient outcomes and cost in robotic emergency general surgery.

The use of robotic technology in general surgery continues to increase, though its utility for emergency general surgery remains under-studied. This study explores the current trends in patient outcomes and cost of robotic emergency general surgery (REGS). The Florida Agency for Healthcare Administration database (2018-2020) was queried for adult patients undergoing intra-abdominal emergency general surgery within 24 h of admission and linked to CMS Cost Reports/Hospital Compare, American Hospital Association, and Rand Corporation Hospital datasets.

COVID, the Gut, and Nutritional Implications.

Purpose Of Review: The purpose of this review is to provide an overview of the current literature, recommendations, and practice guidelines on the nutritional management of and implications associated with COVID-19 infection.

Recent Findings: Particular attention should be paid to the screening, prevention, and treatment of malnutrition in critically ill individuals with COVID-19 infection given the significant risk for complications and poor outcomes. Extrapolation of existing literature for the nutritional support in the critically ill patient has demonstrated early enteral nutrition is safe and well-tolerated in patients with severe COVID-19 infection.

Cecal Perforation Secondary to Large Bowel Obstruction From a Tubo-Ovarian Abscess.

With the continued specialization of medicine, we as physicians often fall into the trap of placing pathologies into silos, focusing on what we are most practiced in caring for. When managing acute patients, it is important that we consider complications that can arise across systems and specialties which could place our patients at increased risk for morbidity and mortality. Tubo-ovarian abscesses (TOAs) are complex infections often arising in the setting of pelvic inflammatory disease.

Patellofemoral Joint Auto-fusion after Patella Tendon Repair: A Case Report.

Introduction: Post-traumatic patellofemoral auto fusion is poorly described in the literature and its etiology may be multifactorial. Management options are not well published and this case report addresses a rare and complex case of patellofemoral autofusion after a patellar tendon repair with a description of our surgical approach and ultimately improvement in patient outcome and satisfaction.

Case Presentation: A 59-year-old African American female suffered an acute traumatic patellar tendon rupture that was treated with a primary repair that resulted in sequelae leading to a subsequent open procedure revealing an osseous bridge between the patella and trochlea.

Should Hypotensive Trauma Patients Ever Be Transferred to a Trauma Center?

Many trauma patients present to nontrauma centers with emergency conditions. The Emergency Medical Treatment and Active Labor Act dictates that nontrauma centers attempt stabilization and provide appropriate transfer. Our goal was to determine whether there was a survival benefit in transferring hypotensive patients.