Scholars@Duke
Phillip P. Shadduck

Phillip P. Shadduck

Medical Assistant Professor in the Department of Surgery
Surgery
phillip.shadduck@duke.edu
Box 2910 Med Ctr, Durham, NC 27710
115 Bell Bldg, Durham, NC 27710

Selected Publications

Concordance of financial disclosures among faculty at the 2018-2020 SAGES annual meetings.

Journal Article Surg Endosc · June 2023 BACKGROUND: Financial relationships with industry may bias educational content delivered by physicians. SAGES strives to mitigate potential bias, relying on physician self-reporting. Retrospective review of relationships is possible using the Open Payments ... Full text Open Access Link to item Cite

SAGES perspective: professional medical associations, commercial interests, and conflicts of interest.

Journal Article Surg Endosc · April 2023 BACKGROUND: Professional medical associations (PMAs) have an essential role in advancing medical care and health. PMAs promote skills training, clinical standards, and other important educational activities. Most often, PMAs are not-for-profit entities tha ... Full text Open Access Link to item Cite

Factors Associated with Mortality after Percutaneous Endoscopic Gastrostomy.

Journal Article JSLS · 2023 INTRODUCTION: Percutaneous endoscopic gastrostomy (PEG) is a common procedure performed world-wide on patients with different comorbidities, with many indications and overall low morbidity. However, studies showed an elevated early mortality in patients un ... Full text Open Access Link to item Cite

What Is the Connection Between Physician Relationships with Industry and Patient Care?

Chapter · January 1, 2022 Partnerships between physicians and the medical industry are invaluable for development of devices and procedures that improve patient care, but they also have the potential to negatively impact patient care when there are financial interests that are not ... Full text Cite

Ethical considerations for allocation of scarce resources and alterations in surgical care during a pandemic.

Journal Article Surg Endosc · May 2021 The COVID-19 pandemic caused by SARS-CoV-2 is unprecedented in modern history. Its effects on social behavior and health care delivery have been dramatic. The resultant burden of disease and critical illness has outpaced the diagnostic, therapeutic, and he ... Full text Open Access Link to item Cite

Which Cholecystectomy Technique Would Surgeons Prefer on Themselves?

Journal Article Surg Laparosc Endosc Percutan Tech · December 2020 BACKGROUND: As the minimally invasive surgery revolution approaches 30 years, many techniques are now available for cholecystectomy: open, conventional laparoscopy, ini-laparoscopy, single incision, robotic, and natural orifice. Although much has been publ ... Full text Open Access Link to item Cite

Informed consent: a shared decision-making process that creates a new professional obligation for care.

Journal Article Surg Endosc · November 2020 This statement on informed consent, developed by the SAGES Ethics Committee, has been reviewed and approved by the Board of Governors of SAGES. This statement is provided to offer guidance about the purpose and process of obtaining informed consent, and it ... Full text Open Access Link to item Cite

Survey of Social Media Use for Surgical Education During Covid-19.

Journal Article JSLS · 2020 OBJECTIVE: To evaluate the use of social media platforms by medical students, surgical trainees, and practicing surgeons for surgical education during the Covid-19 pandemic. METHODS: An online, 15-question survey was developed and posted on Facebook and Wh ... Full text Link to item Cite

Which Cholecystectomy do Medical Students Prefer?

Journal Article JSLS · 2019 INTRODUCTION: This study was undertaken to identify which minimally invasive technique medical students prefer for cholecystectomy and what factors determine their decision. METHODS: Brazilian medical students watched a video reviewing the advantages and d ... Full text Link to item Cite

Inguinal Hernia Repair with Mini-laparoscopic Instruments

Chapter · January 1, 2018 Surgical treatment of groin hernias has dramatically improved over the past century. Several contemporary tension-free techniques provide satisfactory results, including laparoscopic TAPP and TEP repairs. With the maturation of therapeutic laparoscopy has ... Full text Cite

The Science Behind Mini-Laparoscopic Cholecystectomy.

Journal Article Surg Technol Int · October 26, 2016 BACKGROUND: Mini-laparoscopy (Mini) was pioneered more than 20 years ago. Newer generation mini instruments have recently become available with improved effector tips, a choice of shaft diameters and lengths, better shaft insulation and electrosurgery capa ... Link to item Cite

Intragastric Balloon for Overweight Patients.

Journal Article JSLS · 2016 BACKGROUND AND OBJECTIVES: Current treatments for overweight adults include reduced-calorie diet, exercise, behavior modification, and selective use of medications. Many achieve suboptimal results with these measures and progress to obesity. Whether the in ... Full text Link to item Cite

Preface

Journal Article Sages Manual Ethics of Surgical Innovation · January 1, 2016 Cite

Informed Consent and Surgical Innovation

Chapter · January 1, 2016 The goal of the informed consent process is intended to lead either the patient or the research subject to make an informed (educated) and voluntary choice. That is to choose whether or not to have a particular clinical treatment/operation or whether or no ... Full text Cite

The SAGES Manual Ethics of Surgical Innovation

Book · January 1, 2016 This text provides a comprehensive review of the ethical issues involved with the development, evaluation, and introduction of new treatments of gastrointestinal diseases. How several landmark surgical innovations were developed are described to show the c ... Full text Cite

"Big Operations Using Mini Instruments": The Evolution of Mini Laparoscopy in the Surgical Realm.

Journal Article Surg Technol Int · November 2015 Laparoscopy using miniature (2-3.5 mm) instruments was introduced in the late 1980s and early 1990s. Though mini laparoscopy (Mini) created new opportunities for surgical diagnosis and therapy, the limitations of early instruments inhibited widespread adop ... Link to item Cite

Mini-Laparoscopy: Instruments and Economics.

Journal Article Surg Technol Int · November 2015 Mini-laparoscopy (Mini) was pioneered more than 20 years ago, initially with instruments borrowed from other specialties and subsequently with tools designed specifically for Mini. Early adoption of Mini was inhibited though by the limitations of these fir ... Link to item Cite

Morphing into Mini.

Journal Article Surg Technol Int · November 2015 Link to item Cite

Professionalism of surgery.

Journal Article Surg Endosc · August 2015 Full text Link to item Cite

A comprehensive process for disclosing and managing conflicts of interest on perceived bias at the SAGES annual meeting.

Journal Article Surg Endosc · June 2015 INTRODUCTION: The relationship between the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and its industry partners has been longstanding, productive technologically, and beneficial to patient care and education. In order to both main ... Full text Link to item Cite

Low-Friction Minilaparoscopy Outperforms Regular 5-mm and 3-mm Instruments for Precise Tasks.

Journal Article JSLS · 2015 BACKGROUND AND OBJECTIVES: Therapeutic laparoscopy was incorporated into surgical practice more than 25 y ago. Several modifications have since been developed to further minimize surgical trauma and improve results. Minilaparoscopy, performed with 2- to 3- ... Full text Link to item Cite

Ethical considerations regarding the implementation of new technologies and techniques in surgery.

Journal Article Surg Endosc · August 2014 Ethical considerations relevant to the implementation of new surgical technologies and techniques are explored and discussed in practical terms in this statement, including (1) How is the safety of a new technology or technique ensured?; (2) What are the t ... Full text Link to item Cite

Early report of a randomized comparative clinical trial of Strattice™ reconstructive tissue matrix to lightweight synthetic mesh in the repair of inguinal hernias.

Journal Article Hernia · April 2014 PURPOSE: Biologic grafts are rarely used for inguinal herniorrhaphy. The aim of this study was to compare the clinical outcomes between patients undergoing a Lichtenstein's hernioplasty with a porcine mesh versus a standard synthetic. METHODS: A prospectiv ... Full text Link to item Cite

The design of an industry-sponsored randomized controlled trial to compare synthetic mesh versus biologic mesh for inguinal hernia repair.

Journal Article Hernia · June 2011 PURPOSE: Biologic prostheses are designed to support tissue regeneration rather than just result in a strong scar plate, as is the case with synthetic mesh. It is not known if these newer materials will result in earlier return to normal activities and/or ... Full text Link to item Cite

DO LAPAROSCOPIC VR SIMULATORS DEMONSTRATE CONVERGENT VALIDITY?

Journal Article JOURNAL OF UROLOGY · April 1, 2010 Link to item Cite

The Kraske procedure: a critical analysis of a surgical approach for mid-rectal lesions.

Journal Article J Surg Oncol · September 1, 2006 BACKGROUND AND OBJECTIVES: To analyze the Kraske procedure as an approach to mid-rectal disease. METHODS: Twenty-two patients underwent a Kraske procedure at either Duke University Medical Center, the Durham Veterans Administration Medical Center, or the D ... Full text Link to item Cite

Analysis of the SAGES Outcomes Initiative groin hernia database.

Journal Article Surg Endosc · February 2006 BACKGROUND: In 1999, the Society of American Gastrointestinal Endoscopic Surgeons (SAGES) introduced the SAGES Outcomes Initiative as a way for its members to track their own outcomes. It contains perioperative and postoperative data on nearly 20,000 opera ... Full text Link to item Cite

Lack of enhancing effect of human anti-human immunodeficiency virus type 1 (HIV-1) antibody on HIV-1 infection of human blood monocytes and peritoneal macrophages.

Journal Article J Virol · August 1991 The influence of human anti-human immunodeficiency virus type 1 (HIV-1) antibody on HIV-1 infection of freshly isolated normal human peritoneal macrophages and blood monocytes was examined. Each of 14 HIV antibody-positive human serum samples was found to ... Full text Link to item Cite

Commercially available surgical gowns do not prevent penetration by HIV-1

Journal Article Surgical Forum · December 1, 1990 Cite

Identification of sites within gp41 that serve as targets for antibody-dependent cellular cytotoxicity by using human monoclonal antibodies.

Journal Article J Immunol · November 15, 1990 In an effort to determine the functional activity of anti-HIV-1 human mAb and to define the epitopes against which they are directed, supernatants from 10 EBV-transformed lymphoblastoid cell lines producing mAb to HIV were tested. Five clones producing mAb ... Link to item Cite

Conserved sequence and structural elements in the HIV-1 principal neutralizing determinant.

Journal Article Science · August 24, 1990 The principal neutralizing determinant (PND) of human immunodeficiency virus HIV-1 is part of a disulfide bridged loop in the third variable region of the external envelope protein, gp120. Analysis of the amino acid sequences of this domain from 245 differ ... Full text Link to item Cite