Surgical Grand Rounds: EVAR, FEVAR, and Open Repair: What to make of alphabet soup

Presented by Amanda Fobare, MD, Chief Resident

Department of Surgery, Emory University School of Medicine

February 27, 2020


The evidence: EVAR vs. open repair for elective AAA repair: 

  • EVAR 1 – Endovascular Aneurysm Repair Trial 1 (UK)- Lancet (2005, 2016)
  • DREAM – Dutch Randomized Endovascular Aneurysm Management Trial (Netherlands & Belgium)- NEJM (2004), JVS (2017)
  • OVER – Open versus Endovascular Repair Trial (USA)- JAMA (2009), NEJM (2012)

Continue reading

Surgical Grand Rounds: Patient Reported Outcomes in Thoracic Surgery – What are our patients really telling us?

Presented by: Onkar Khullar MD, Assistant Professor of Surgery
Division of Cardiothoracic Surgery, Emory University School of Medicine

This is a collection of articles, resources, and commentary from Dr. Khullar’s presentation on February 13, 2020. 


Articles:

Jensen RE, Rothrock NE, DeWitt EM, et al. The role of technical advances in the adoption and integration of patient-reported outcomes in clinical care. Med Care. 2015 Feb;53(2): 153-9. doi: 10.1097/MLR.0000000000000289. Free full-text.

Colt HG, Murgu SD, Korst RJ, et al. Follow-up and surveillance of the patient with lung cancer after curative-intent therapy: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013 May;143(5 Suppl):e437S-e454S. doi: 10.1378/chest.12-2365. Full-text for Emory users.

Khullar OV, Rajaei MH, Force SD, Binongo JN, Lasanajak Y, Robertson S, Pickens
A, Sancheti MS, Lipscomb J, Gillespie TW, Fernandez FG. Pilot Study to Integrate
Patient Reported Outcomes After Lung Cancer Operations Into The Society of
Thoracic Surgeons Database. Ann Thorac Surg. 2017 Jul;104(1):245-253. doi:
10.1016/j.athoracsur.2017.01.110. Full-text for Emory users.

Continue reading

Surgical Grand Rounds: Social Media in Surgical Education (January 16, 2020)

Presented by Andrew Morris, MD, Chief Resident

Department of Surgery, Emory University School of Medicine


Further readings and resources referenced in Dr. Morris’ presentation:

Appropriate/Responsible Social Media Interactions

ACS (2019). Statement on Guidelines for the Ethical Use of Social Media by Surgeons. Bull Am Coll Surg. May 1, 2019. 

Landman MP, Shelton J, Kauffmann RM, Dattilo JB. Guidelines for maintaining a professional compass in the era of social networking. J Surg Educ. 2010 Nov-Dec;67(6):381-6.

ASCRS Guidelines:

  • Treat all online communication as public
  • Patient privacy is paramount.
  • Respect intellectual property rights at all times.
  • Remember that physicians retain their identity as medical professionals on Social Media.
  • Consider the effect of posts on physician-patient relationships.
  • Follow the rules.
  • Do not exceed authority.
  • Be transparent.
  • Exercise common sense.
  • Recognize that deleting a post from Social Media does not necessarily erase it, even if it is no longer visible on the screen.

Continue reading

Surgical Grand Rounds: Articles of interest

Dr. Nathan Klingensmith referenced the following citations during his presentation, “The Microbiome in Surgery: Friend or Foe?” on November 22, 2019.


Fay KT, Klingensmith NJ, Chen CW, Zhang W, Sun Y, Morrow KN, Liang Z, Burd EM, Ford ML, Coopersmith CM. The gut microbiome alters immunophenotype and survival from sepsis. FASEB J. 2019 Oct;33(10):11258-11269.

Sender R, Fuchs S, Milo R, et al. Revised Estimates for the Number of Human and Bacteria Cells in the Body. PLoS Biol. 2016 Aug 19;14(8):e1002533.

Lloyd-Price J, Abu-Ali G, Huttenhower C. The healthy human microbiome. Genome Med. 2016 Apr 27;8(1):51.

Vrieze A, et al. Transfer of intestinal microbiota from lean donors increases insulin sensitivity in individuals with metabolic syndrome. Gastroenterology. 2012 Oct;143(4) :913-6.e7.

Continue reading

Warren Lecture: Articles of interest

Dr. Steven M. Strasberg referenced the following citations during his presentation, “Understanding and Preventing Bile Duct Injury” on November 14, 2019.


Cho JY, Baron TH, Carr-Locke DL, Chapman WC, Costamagna G, de Santibanes E, Dominguez Rosado I, Garden OJ, Gouma D, Lillemoe KD, Angel Mercado M, Mullady DK, Padbury R, Picus D, Pitt HA, Sherman S, Shlansky-Goldberg R, Tornqvist B, Strasberg SM. Proposed standards for reporting outcomes of treating biliary injuries. HPB (Oxford). 2018 Apr;20(4):370-378.

Strasberg SM. A three-step conceptual roadmap for avoiding bile duct injury in laparoscopic cholecystectomy: an invited perspective review. J Hepatobiliary Pancreat Sci. 2019 Apr;26(4):123-127.

Strasberg SM. Error traps and vasculo-biliary injury in laparoscopic and open  cholecystectomy. J Hepatobiliary Pancreat Surg. 2008;15(3):284-92.

Continue reading