Number of Operative Performance Ratings Needed to Reliably Assess the Difficulty of Surgical ProceduresPublication date: Available online 6 September 2019Source: Journal of Surgical EducationAuthor(s): Kenneth L. Abbott, Xilin Chen, Michael Clark, Nikki L. Bibler Zaidi, David B. Swanson, Brian C. GeorgeObjectiveThe profession of surgery is entering a new era of “big data,” where analyses of longitudinal trainee assessment data will be used to inform ongoing efforts to improve surgical education. Given the high-stakes implications of these types of- Highly aggressive undifferentiated small round blue cell tumor of foot with unique SMARCA1, KAT6A and NAV3 mutationsABSTRACTMalignancies characterized histologically by high-grade monotonous small round blue cells (SRBCs) belong to a heterogeneous group of neoplasms often referred to as Ewing family of tumors. The most common molecular confirmation of these neoplasms is by fusions between EWSR1 gene on chromosome 22 and the ETS family of transcription factors, including FLI1 gene (11q24) and the ERG (21q22), that are implicated in the development of different
- Biofilm-sealed perforation of the gastric body: a rare sequela of gastric band erosionAbstractLaparoscopic Adjustable Gastric Banding is one of the cardinal bariatric interventions and due to its early safety profile, became the mainstay. Major long-term complications of gastric banding include pouch-herniation-dilation and gastric erosion. A 59-year-old female presented to the emergency department with a 2-week history of progressive central abdominal pain and distention on a background history of a laparoscopic adjustable band
- Anterior knee schwannomaAbstractPeripheral nerve tumors are relatively uncommon with schwannomas being the most common type. Schwannomas are usually benign encapsulated tumors composed of neoplastic Schwann cells that generally do not transform to malignancy. Many are discovered incidentally as solitary tumors. The cause is unknown. Most occur spontaneously, while some develop in association with genetic disorders such as neurofibromatosis type 2 or schwannomatosis. Sc
- Myeloid sarcoma resulting in a small bowel obstruction with multiple site involvement including ileum and appendixABSTRACTMyeloid sarcoma (MS) is a rare extra-medullary solid tumor of immature myeloid cells. While it can be an isolated diagnosis, MS is frequently associated with acute myeloid leukemia, chronic myeloid leukemia and myelodysplastic disorders. Although there have been few cases documented that demonstrate the presence of MS in multiple organs at presentation, concomitant involvement of ileum and appendix has never been described. We treated a
- Sclerosing angiomatoid nodular transformation of the spleen: case report of a metastatic carcinoma-simulating disorderABSTRACTSclerosing angiomatoid nodular transformation (SANT) is a rare nonneoplastic splenic disorder of unknown etiopathogenesis. This condition is usually found incidentally on imaging studies. Because of its similar features, SANT can wrongly be described as metastatic carcinoma. A 61-year-old Caucasian male was referred to our general surgery outpatient clinic regarding unusual splenic nodular formations in a routine abdominal ultrasound. Al
- Surgical management of post-infarction ventricular septal defect, mitral regurgitation and ventricular aneurysmABSTRACTA 49-year-old diabetic male was admitted to a hospital in 2018 following a 3-week history of worsening dyspnoea and pedal oedema. Early review and investigations indicated acute heart failure. Transthoracic echocardiogram (TTE) revealed mitral regurgitation (MR), aneurysmal change of the ventricles, a ventricular septal defect (VSD) and systolic dysfunction. Coronary angiogram demonstrated a significant left anterior descending and right
- Comparisons in long‐term clinical outcomes among patients with upper or lower extremity lymphedema treated with diverse vascularized lymph node transferAbstract Background Vascularized lymph node transfer (VLNT) is an emerging surgical treatment for lymphedema. However, literature‐comparing outcomes of upper limb lymphedema (ULL) and lower limb lymphedema (LLL) is limited. Hence, the aim of this study is to compare the long‐term clinical outcomes on ULL versus LLL in patients treated with VLNT. Methods A retrospective study retrieving data from patients with International Society of Ly
- Diversity in the Last Decade of the Association of Program Directors in Surgery: A Descriptive Analysis of Leadership and Future DirectionsPublication date: Available online 5 September 2019Source: Journal of Surgical EducationAuthor(s): Tania K. Arora, Daniel Dent, Lilah Morris-Wiseman, Valentine NfonsamObjectiveThe Association of Program Directors in Surgery Diversity and Inclusion Taskforce (APDS-DIT) was created in 2017 after the Executive Committee recognized low diversity in its membership. The DIT was charged to address gaps in diversity and inclusion at various phases of tra
- Personality Predictors of Communication Skills Among Orthopedic Surgery ResidentsPublication date: Available online 5 September 2019Source: Journal of Surgical EducationAuthor(s): Kathryn S. Holmes, Joseph D. Zuckerman, Martine C. Maculatis, Alan M. Friedman, Eleanor Lawrence, Donna P. PhillipsIntroductionThis study examined the relationship between personality traits and interpersonal communication skills among first-year orthopedic surgery residents.MethodThis study performed a retrospective analysis on the data collected i
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