Scholars@Duke
Young Kim

Young Kim

Assistant Professor of Surgery
Surgery, Vascular and Endovascular Surgery
Box 3538 Med Ctr, Durham, NC 27710
7680A Hosp North Hafs Building, Durham, NC 27710

Selected Publications

Predicting the future caretakers of traumatic vascular injury management via operative exposure among surgical trainees.

Journal Article J Vasc Surg · January 2025 BACKGROUND: The management of vascular trauma requires specialized training and expertise. Although traumatic vascular injury is treated currently by both vascular and trauma surgeons in modern practice, it remains unclear who will inherit the role of mana ... Full text Link to item Cite

Postoperative Bleeding Complications are Common among Patients Undergoing Transcarotid Artery Revascularization.

Journal Article Ann Vasc Surg · January 2025 BACKGROUND: Current practice guidelines recommend dual antiplatelet therapy for at least 30 days postoperatively after transcarotid artery revascularization (TCAR) to promote stent patency. However, many patients are already taking other antithrombotic med ... Full text Link to item Cite

Understanding the Scope of Acute Care Vascular Surgery at a Tertiary Academic Medical System.

Journal Article Ann Vasc Surg · January 2025 BACKGROUND: The restructuring of nonelective general surgery and nationwide implementation of the acute care surgery paradigm has improved patient outcomes and healthcare resource utilization. Although vascular surgery maintains one of the highest acuity r ... Full text Link to item Cite

Defining the Value of Vascular Surgery Service at a Tertiary Academic Medical Center.

Journal Article Ann Vasc Surg · December 2024 BACKGROUND: Vascular surgeons play a critical role in the functioning of a healthcare system. As a service line, vascular surgery not only performs its own complex operations but also provides support to other surgical specialties by assisting in the manag ... Full text Link to item Cite

Impact of Wound Closure Technique on Surgical Site Infection After Lower Extremity Bypass Surgery.

Journal Article Ann Vasc Surg · December 2024 BACKGROUND: Surgical site infections (SSIs) are among the most common complications after lower extremity bypass (LEB). Both patient and hospital-related factors have been associated with SSI after LEB; however, the impact of surgical closure technique on ... Full text Link to item Cite

Prophylactic Sartorius Flap Reconstruction is Associated With Reduced Vascular Graft Infection.

Journal Article J Surg Res · November 8, 2024 INTRODUCTION: Complications in the femoral area following vascular surgery are frequent and linked to considerable morbidity, including the risk of underlying graft infection. Sartorius muscle flaps are an important adjunct for the treatment of wound compl ... Full text Link to item Cite

Successfully transitioning to attending life as a new vascular surgeon

Journal Article JVS-Vascular Insights · November 2024 Full text Cite

A multi-institutional study from the United States Resident OPerative Experience (ROPE) Consortium examining factors influencing vascular surgery specialization among general surgery residents.

Journal Article J Vasc Surg · September 30, 2024 OBJECTIVE: There remains a progressive projected deficit in the vascular surgery (VS) workforce for decades. Despite the expanding integrated VS residency pathway, the fellowship training model remains critical in supporting our future workforce. Therefore ... Full text Link to item Cite

The Diversity of Surgical Trainees Index identifies racial and ethnic disparities among surgical specialties.

Journal Article J Vasc Surg · September 2024 OBJECTIVE: Racial and ethnic disparities have been well-described among surgical specialties; however, variations in underrepresented in medicine (URiM) representation between these specialties have not previously been quantified. METHODS: Data collected f ... Full text Link to item Cite

Surgical outcomes of patients with inferior vena cava leiomyosarcoma.

Journal Article J Vasc Surg Venous Lymphat Disord · July 2024 INTRODUCTION: Primary vascular leiomyosarcomas are incredibly rare and have a poor prognosis. The purpose of this study was to analyze the surgical outcomes of patients with primary inferior vena cava (IVC) leiomyosarcoma. METHODS: We performed a retrospec ... Full text Link to item Cite

Impact of Integrated Vascular Surgery Residency on General Surgery Resident and Vascular Fellow Operative Volume: A National Analysis.

Journal Article Vasc Endovascular Surg · April 2024 BACKGROUND: The impact of integrated vascular surgery (VS) residency (0 + 5) programs on general surgery (GS) resident and VS fellow (5 + 2) operative volume has not been investigated on a national scale. METHODS: Accreditation Council for Graduate Medical ... Full text Link to item Cite

Concerning Trends in Vascular Surgery Trainee Operative Experience in Venous Disease.

Journal Article Ann Vasc Surg · March 2024 BACKGROUND: Comprehensive vascular care includes both arterial and venous disease management. However, operative training in venous disease is often significantly overshadowed by arterial procedures, despite the public health burden of acute and chronic ve ... Full text Link to item Cite

Defining the Value of Vascular Surgery in a Tertiary Academic Medical System

Journal Article Annals of Vascular Surgery · March 2024 Full text Cite

Multi-institutional outcomes after femoropopliteal bypass in octogenarians.

Journal Article Vascular · February 2024 OBJECTIVES: Open lower extremity revascularization is controversial among octogenarians; however, the indications for surgical bypass are higher in the elderly population. The aim of the study was to compare postoperative outcomes between octogenarians and ... Full text Link to item Cite

Risk factors and consequences of wound complications following sartorius flap reconstruction.

Journal Article J Vasc Surg · February 2024 OBJECTIVE: Groin wound complications are common following vascular surgery and can lead to significant patient morbidity. Sartorius muscle flap coverage may help to prevent vascular graft infection in the setting of wound dehiscence or infection. However, ... Full text Link to item Cite

Surgical Specialty Impacts Quality of Operative Training in Carotid Endarterectomy.

Journal Article Ann Vasc Surg · February 2024 BACKGROUND: Carotid endarterectomy (CEA) is currently performed by multiple surgical specialties. The impact of surgical specialty and operative volume on post-CEA outcomes has been well described. However, it is unclear whether trainees of different surgi ... Full text Link to item Cite

Failure-to-Salvage After Femoropopliteal Bypass Surgery is Associated With Nonmodifiable Risk Factors.

Journal Article J Surg Res · January 2024 INTRODUCTION: Bypass graft failure and major amputation are among the worst complications after femoropopliteal bypass surgery. In this large multicenter analysis, we examined our incidence and risk factors for failure-to-salvage (FTS) following either byp ... Full text Link to item Cite

Prosthetic Conduit Use Does Not Adversely Impact Outcomes after Open Repair of Popliteal Artery Aneurysms.

Journal Article Ann Vasc Surg · January 2024 BACKGROUND: Single segment, greater saphenous vein (GSV) conduit is considered the optimal bypass conduit among patients undergoing bypass surgery for peripheral artery disease (PAD). While this data has been extrapolated to patients undergoing bypass for ... Full text Link to item Cite

Branding yourself through social media in vascular surgery

Journal Article JVS-Vascular Insights · 2024 Full text Cite

A national analysis of vascular surgery resident operative experience in peripheral artery disease.

Journal Article J Vasc Surg · December 2023 BACKGROUND: Endovascular and hybrid interventions have played an increasingly prominent role in the treatment of peripheral arterial disease (PAD) in the past decade. This shift has prompted concerns about the adequacy of open surgical training for current ... Full text Link to item Cite

Preoperative Anemia is Associated with Poorer Postoperative Outcomes in Patients Undergoing Infrainguinal Bypass Surgery.

Journal Article Ann Vasc Surg · November 2023 BACKGROUND: Preoperative anemia is an important, modifiable risk factor among surgical patients. However, data are scarce on the impact of preoperative anemia on postoperative outcomes after infrainguinal bypass. METHODS: In this multi-institutional analys ... Full text Link to item Cite

Sex-based differences in outcomes after lower extremity bypass for chronic limb-threatening ischemia.

Journal Article Atherosclerosis · November 2023 BACKGROUND AND AIMS: Lower extremity bypass surgery is an effective treatment option for patients with chronic limb-threatening ischemia (CLTI). Recent studies have suggested that sex-based differences may impact patient outcomes following lower extremity ... Full text Link to item Cite

Outcomes of symptomatic penetrating aortic ulcer and intramural hematoma in the endovascular era.

Journal Article J Vasc Surg · November 2023 BACKGROUND: Although endovascular technology has resulted in a paradigm shift in treatment, medical management remains the standard of care for penetrating aortic ulcer (PAU) and intramural hematoma (IMH). This study aimed to detail the short- and long-ter ... Full text Link to item Cite

Surgical Outcomes of Patients With Inferior Vena Cava Leiomyosarcoma

Journal Article Journal of Vascular Surgery · October 2023 Full text Cite

The Opportunity for Impactful Integration of Vascular and Podiatric Care.

Journal Article J Clin Med · September 27, 2023 BACKGROUND: The importance of collaboration between vascular and podiatric surgeons has been well-established. High-level partnerships are integral to the development of multidisciplinary programs and wound care centers, ultimately resulting in improved pa ... Full text Link to item Cite

Inferior mesenteric artery revascularization can supplement salvage of mesenteric ischemia.

Journal Article J Vasc Surg Cases Innov Tech · September 2023 The inferior mesenteric artery (IMA) has often been overlooked in favor of the celiac or superior mesenteric artery in arterial mesenteric ischemia, owing to the typically robust visceral collateral networks. In the present report, we have described a case ... Full text Link to item Cite

Trends in Incidence of Abdominal Aortic Aneurysm Rupture, Repair, and Mortality in Nova Scotia.

Journal Article Ann Vasc Surg · September 2023 BACKGROUND: The purpose of this study was to examine sex-based trends in incidence of elective abdominal aortic aneurysm (AAA), ruptured AAA, ruptured AAA repair, and AAA-related mortality. METHODS: A retrospective analysis of patients presenting with AAA ... Full text Link to item Cite

Reassuring Intraoperative Parameters Do Not Obviate the Need for Infrainguinal Bypass Completion Angiograms.

Journal Article Ann Surg · May 1, 2023 OBJECTIVE: To determine if routine completion angiography for lower extremity bypasses using vein conduit results in lower rates of postoperative bypass occlusion. SUMMARY OF BACKGROUND DATA: With the increasing availability of on-table angiography and sig ... Full text Link to item Cite

28-Year Experience with Ruptured and Symptomatic Type I-III Thoracoabdominal Aortic Aneurysms at a Large Tertiary Referral Center.

Journal Article Ann Vasc Surg · May 2023 BACKGROUND: Given the relative rarity of ruptured and symptomatic type I-III thoracoabdominal aortic aneurysms (TAAA), data is scarce with regard the outcomes of those who survive to repair. The goal of this study was to determine short and long-term outco ... Full text Link to item Cite

Infrainguinal Bypass Graft Occlusion and Its Relation To Occult Malignancy

Journal Article Journal of the American College of Surgeons · May 2023 Full text Cite

Effect of after-hours presentation in ruptured abdominal aortic aneurysm.

Journal Article J Vasc Surg · April 2023 OBJECTIVE: Ruptured abdominal aortic aneurysms (RAAAs) are surgical emergencies that require immediate and expert treatment. It has been unclear whether presentation during evenings and weekends, when "on call" teams are primarily responsible for patient c ... Full text Link to item Cite

Factors Influencing Hospital Readmission after Lower Extremity Bypass for Chronic Limb-Threatening Ischemia.

Journal Article Vasc Endovascular Surg · April 2023 Objectives: Unplanned hospital readmission is a leading source of hospital resource expenditure, and preventing readmission may improve both patient quality of life and healthcare costs. The factors influencing hospital readmission after lower extremity by ... Full text Link to item Cite

Celiac Artery Coverage During TEVAR for Dissection and Acute Aortic Injury is Not Associated with Worse Outcomes.

Journal Article Ann Vasc Surg · April 2023 BACKGROUND: Studies have previously identified increased morbidity and mortality with celiac artery coverage during thoracic endovascular aortic repair (TEVAR) for aneurysmal disease. This study aimed to delineate the risks associated with celiac artery co ... Full text Link to item Cite

A Systematic Review of Clopidogrel Resistance in Vascular Surgery: Current Perspectives and Future Directions.

Journal Article Ann Vasc Surg · April 2023 BACKGROUND: Clopidogrel resistance is a well-described phenomenon that has been linked to adverse cardiovascular events in patients with coronary artery disease. The impact of clopidogrel resistance in patient outcomes after vascular and endovascular surge ... Full text Link to item Cite

Dying to Get There: Patients Who Reside at Increased Distance from Tertiary Center Experience Increased Mortality Following Abdominal Aortic Aneurysm Rupture.

Journal Article Ann Vasc Surg · April 2023 BACKGROUND: Centralization of vascular surgery care for Ruptured Abdominal Aortic Aneurysms (RAAAs) to high-volume tertiary centers may hinder access to timely surgical intervention for patients in remote areas. The objective of this study was to determine ... Full text Link to item Cite

Open reconstruction of Salmonella aortitis associated with a pseudoaneurysm of the infrarenal aorta

Journal Article Annals of Vascular Surgery - Brief Reports and Innovations · March 1, 2023 Infectious aortitis is an uncommon vascular pathology that can be associated with development of pseudoaneurysms and mycotic aneurysms of the thoracic or abdominal aorta. Non-typhoidal Salmonellae most commonly cause gastroenteritis in adults and can rarel ... Full text Cite

Variability of antiplatelet response in patients with peripheral artery disease.

Journal Article J Vasc Surg · January 2023 OBJECTIVE: Antiplatelet therapy has been a pillar of management for peripheral artery disease (PAD). However, a significant subset of patients with PAD will be resistant to certain antiplatelet medications and, therefore, have an increased risk of graft an ... Full text Link to item Cite

Identifying Sex Dimorphism in Peripheral Artery Disease with Platelet Mapping.

Journal Article Ann Vasc Surg · January 2023 BACKGROUND: Clinical outcomes in women with peripheral artery disease (PAD) after revascularization procedures are worse compared to men, yet there is little in the existing literature as why this may be the case. Platelet Mapping is an emerging point-of-c ... Full text Link to item Cite

Surgical exposure of the lower extremity arteries

Chapter · December 8, 2022 Mary T. Hawn, Aurora D. Pryor, Steven J. Hughes, Michael S. Sabel, Kellie R. Brown and Amy J. Goldberg, this comprehensive, two-volume surgical atlas focuses on the steps of each technique, rapidly directing you to the information you need ... ... Cite

Outcomes of Femoropopliteal Bypass for Lifestyle-Limiting Claudication in the Endovascular Era.

Journal Article J Surg Res · November 2022 INTRODUCTION: Outcomes after femoropopliteal bypass for intermittent claudication (IC) remain unclear in the endovascular era. METHODS: A multi-institutional database was retrospectively queried for all femoropopliteal bypass procedures performed between 1 ... Full text Link to item Cite

Utilization of Thromboelastography with Platelet Mapping to Predict Infection and Poor Wound Healing in Postoperative Vascular Patients.

Journal Article Ann Vasc Surg · November 2022 BACKGROUND: Postoperative infection and wound dehiscence rates are higher than expected in peripheral artery disease and contribute significantly to limb loss and mortality. Microvascular pathology characterized by microthrombi and increased platelet aggre ... Full text Link to item Cite

Impact of anticoagulation/antiplatelet therapy on femoropopliteal bypass graft outcomes.

Journal Article J Vasc Surg · October 2022 BACKGROUND: Anticoagulant and antiplatelet (AC/AP) medications have been reported to improve bypass graft patency, however, the optimal AC/AP strategy remains unclear in the heterogenous peripheral artery disease population. METHODS: A multi-institutional ... Full text Link to item Cite

Derivation and Validation of a Risk Score for Abdominal Compartment Syndrome after Endovascular Aneurysm Repair for Ruptured Abdominal Aortic Aneurysms.

Journal Article Ann Vasc Surg · August 2022 BACKGROUND: Abdominal compartment syndrome (ACoS) is a devastating complication after endovascular aneurysm repair for ruptured abdominal aortic aneurysms (rEVAR). This study sought to develop a risk score for ACoS to identify patients who would benefit fr ... Full text Link to item Cite

Distal Bypass Versus Infrageniculate Endovascular Intervention for Chronic Limb-Threatening Ischemia.

Journal Article Vasc Endovascular Surg · July 2022 Chronic limb-threatening ischemia (CLTI) carries a high risk of amputation and warrants urgent intervention. CLTI involving the infrageniculate vessels, in particular, carries a considerably higher risk of major limb amputation. Open surgical bypass is the ... Full text Link to item Cite

Risk factors and consequences of graft infection after femoropopliteal bypass: A 25-year experience.

Journal Article J Vasc Surg · July 2022 OBJECTIVE: In this multi-institutional series, we aimed to determine the incidence, risk factors, and long-term outcomes of graft infection in patients post-femoropopliteal bypass. METHODS: A multi-institutional database was retrospectively queried for all ... Full text Link to item Cite

The current status of the diversity pipeline in surgical training.

Journal Article Am J Surg · July 2022 OBJECTIVE: Recent initiatives have emphasized the importance of diversity, equity, and inclusion in academic surgery. Racial/ethnic disparities remain prevalent throughout surgical training, and the "diversity pipeline" in resident recruitment and retentio ... Full text Link to item Cite

Pregnancy conditions and complications associated with the development of varicose veins.

Journal Article J Vasc Surg Venous Lymphat Disord · July 2022 BACKGROUND: Pregnancy is a known risk factor for developing varicose veins (VV). However, pregnancy is often considered a homogeneous entity and few studies have examined if specific characteristics and complications of pregnancy may influence VV formation ... Full text Link to item Cite

Trends in Femoropopliteal Stenting and Associated Effects on Limb Outcomes

Journal Article Journal of Vascular Surgery · June 2022 Full text Cite

Outcomes After Femoropopliteal Bypass in Octogenarians

Journal Article Journal of Vascular Surgery · June 2022 Full text Cite

The Weekend Effect in Femoropopliteal Bypass

Journal Article Journal of Vascular Surgery · June 2022 Full text Cite

The Weekend Effect in Carotid Endarterectomy for Symptomatic Carotid Stenosis.

Journal Article Vasc Endovascular Surg · April 2022 BackgroundRecent studies report a limited window in which carotid endarterectomy (CEA) provides the greatest benefit for symptomatic carotid stenosis. Given the time-sensitive nature of CEA for symptomatic stenosis, it is important to understand whether pa ... Full text Link to item Cite

The massachusetts general hospital clinical approach to vascular ultrasound: Protocols and procedures

Book · March 16, 2022 This book is designed to provide easy to reference, up to date protocols and procedures for vascular ultrasound. The text also delineates how to interpret imaging findings and implement results for optimal patient care outcomes. Chapters thoroughly cover a ... Full text Cite

Lower extremity arterial aneurysm evaluation

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretations of a lower extremity arterial duplex exam in the evaluation of lower extremity arterial aneurysms. It discusses how to prepare the patient and perform the ultrasound. It also evaluates ... Full text Cite

Lower extremity bypass duplex

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretation of a lower extremity bypass duplex exam. It discusses how to prepare the patient and perform the ultrasound from a technologist's perspective. It also addresses the clinical criteria use ... Full text Cite

Upper and lower extremity vein mapping for bypass graft conduit

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretation of an upper and lower extremity vein mapping for bypass graft conduit. It discusses how to prepare the patient and perform the ultrasound from a technician's perspective. It also evaluat ... Full text Cite

Mesenteric artery duplex

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretations of the mesenteric artery duplex exam. It discusses how to prepare the patient and perform the ultrasound with associated with maneuvers. It also evaluates the clinical utility of a mese ... Full text Cite

Lower extremity venous duplex

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretations of a lower extremity venous duplex exam. It discusses how to prepare the patient and perform the ultrasound. It also evaluates the clinical utility of a lower extremity venous duplex in ... Full text Cite

Upper extremity arterial duplex

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretations of an upper extremity arterial duplex exam. It discusses how to prepare the patient and perform the ultrasound. It also addresses the clinical utility of the duplex in the evaluation of ... Full text Cite

Pelvic venous duplex

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretations of a pelvic venous duplex, specifically in the evaluation of venous structures in the pelvis that may cause pelvic congestion. It discusses how to prepare the patient and perform the ul ... Full text Cite

Transcranial doppler (non-imaging)

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretations of the transcranial Doppler. It discusses how to prepare the patient and perform the ultrasound. It also evaluates the clinical utility of a transcranial Doppler in the evaluation of pl ... Full text Cite

Building a vascular laboratory

Chapter · March 16, 2022 Building a vascular laboratory is a highly ambitious endeavor. Whether you are starting a new practice, expanding a current practice, or undertaking new clinical research capabilities, the creation of a vascular laboratory is no small undertaking. Approval ... Full text Cite

Abdominal aortoiliac duplex

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretation of abdominal aortic and iliac artery duplex. It discusses how to prepare the patient and perform the ultrasound from a technologist's perspective. It also evaluates the clinical utility ... Full text Cite

Lower extremity peripheral arterial physiologic testing

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretations of a lower extremity peripheral arterial physiologic testing. It discusses how to prepare the patient and perform the ultrasound. It also evaluates the clinical utility of a lower extre ... Full text Cite

Upper extremity arterial physiologic testing

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretations of upper extremity arterial physiologic testing. It discusses how to prepare the patient and perform the ultrasound. It also addresses the clinical utility of the ultrasound in the eval ... Full text Cite

Temporal artery duplex evaluation

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretations of a temporal artery duplex exam. It discusses how to prepare the patient and perform the ultrasound. It also addresses the clinical utility of the duplex for the evaluation of giant ce ... Full text Cite

Renal artery duplex

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretations of a renal artery duplex exam. It discusses how to prepare the patient and perform the ultrasound. It also evaluates the clinical utility of a renal artery duplex in the evaluation of r ... Full text Cite

Upper extremity venous duplex

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretations of an upper extremity venous duplex exam. It discusses how to prepare the patient and perform the ultrasound. It also addresses the clinical utility of the duplex on the evaluation of a ... Full text Cite

Lower extremity arterial duplex

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretations of the lower extremity arterial duplex exam. It discusses how to prepare the patient and perform the ultrasound. It also evaluates the clinical utility of a lower extremity arterial dup ... Full text Cite

Hemodialysis fistula mapping

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretation of a hemodialysis fistula mapping ultrasound. It discusses how to prepare the patient and perform the ultrasound from a technician's perspective. It also addresses the anatomic and physi ... Full text Cite

Lower extremity venous reflux study

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretation of a lower extremity venous reflux study. It discusses how to prepare the patient and perform the ultrasound with associated maneuvers. It also evaluates the clinical criteria used to id ... Full text Cite

Extracranial cerebrovascular duplex

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretations of an extracranial cerebrovascular duplex exam. It discusses how to prepare the patient and perform the ultrasound. It also addresses the clinical utility of the duplex in the evaluatio ... Full text Cite

Palmar arch (Allen's) test

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretation of a palmar arch (Allen's) test. It discusses how to prepare the patient and perform the ultrasound from a technician's perspective. It also evaluates the clinical utility of the Allen's ... Full text Cite

Hemodialysis fistula duplex

Chapter · March 16, 2022 This chapter reviews the indications, limitations, and interpretation of a hemodialysis fistula duplex exam. It discusses how to prepare the patient and perform the ultrasound from a technologist's perspective. It also evaluates the clinical utility of a h ... Full text Cite

A systematic review of thromboelastography utilization in vascular and endovascular surgery.

Journal Article J Vasc Surg · March 2022 OBJECTIVE: Thromboelastography (TEG) is diagnostic modality that analyzes real-time blood coagulation parameters. Clinically, TEG primarily allows for directed blood component resuscitation among patients with acute blood loss and coagulopathy. The utiliza ... Full text Link to item Cite

Natural history of penetrating atherosclerotic ulcers in aortic branch vessels.

Conference J Vasc Surg · December 2021 OBJECTIVE: Penetrating atherosclerotic ulcers (PAUs) in aortic branch vessels are rare. There is a paucity of data regarding their long-term natural history and associated management. This study aimed to determine the prevalence and natural history of aort ... Full text Link to item Cite

Prognostication of Asymptomatic Penetrating Aortic Ulcers: A Modern Approach.

Journal Article Circulation · October 5, 2021 BACKGROUND: Literature detailing the natural history of asymptomatic penetrating aortic ulcers (PAUs) is sparse and lacks long-term follow-up. This study sought to determine the rate of asymptomatic PAU growth over time and adverse events from asymptomatic ... Full text Link to item Cite

Relationship between blood type and outcomes following COVID-19 infection.

Journal Article Semin Vasc Surg · September 2021 Since the onset of the COVID-19 pandemic, a concentrated research effort has been undertaken to elucidate risk factors underlying viral infection, severe illness, and death. Recent studies have investigated the association between blood type and COVID-19 i ... Full text Link to item Cite

The VSITE Review

Book · August 5, 2021 This is a short and comprehensive handbook of current management of vascular surgery. This review is well-organized and aims to cover all topics in vascular surgery. Each of the disease processes encountered in vascular surgery are divided into their etiol ... Cite

Defining the human and health care costs of chronic venous insufficiency.

Journal Article Semin Vasc Surg · March 2021 Chronic venous insufficiency (CVI) affects more than 25 million adults in the United States alone, and more 6 million with advanced stages of venous disease. The high incidence of CVI and the increasing costs of care, place a heavy financial burden on the ... Full text Link to item Cite

The Changing Demographics of Surgical Trainees in General and Vascular Surgery: National Trends over the Past Decade.

Journal Article J Surg Educ · 2021 OBJECTIVE: Recent initiatives have targeted the issue of gender and ethnic/racial disparities in general surgery and vascular surgery. However, the prevalence of these disparities in general and vascular surgical training programs is unknown. DESIGN: A ret ... Full text Link to item Cite

The impact of opioid use on human and health care costs in surgical patients.

Journal Article Surg Open Sci · April 2020 BACKGROUND: Preoperative narcotic use impacts hospital cost and outcomes in surgical patients, but the underlying reasons are unclear. METHODS: A single-center retrospective analysis was performed on surgical patients admitted with intestinal obstruction ( ... Full text Link to item Cite

Early Identification of Acute Lung Injury in a Porcine Model of Hemorrhagic Shock.

Journal Article J Surg Res · March 2020 BACKGROUND: Acute lung injury (ALI) is a frequent complication after severe trauma. Lung-protective ventilation strategies and damage control resuscitation have been proposed for the prevention of ALI; however, there are no clinical or laboratory parameter ... Full text Link to item Cite

Long-term outcomes in patients with obesity and renal disease after sleeve gastrectomy.

Journal Article Am J Transplant · February 2020 Morbid obesity is a barrier to kidney transplant in patients with end-stage renal disease (ESRD). Laparoscopic sleeve gastrectomy (SG) is an increasingly considered intervention, but the safety and long-term outcomes are uncertain. We reviewed prospectivel ... Full text Link to item Cite

Microparticles from aged packed red blood cell units stimulate pulmonary microthrombus formation via P-selectin.

Journal Article Thromb Res · January 2020 INTRODUCTION: During storage, packed red blood cells undergo a series of physical, metabolic, and chemical changes collectively known as the red blood cell storage lesion. One key component of the red blood cell storage lesion is the accumulation of microp ... Full text Link to item Cite

Kidney transplantation after sleeve gastrectomy in the morbidly obese candidate: results of a 2-year experience.

Journal Article Surg Obes Relat Dis · January 2020 BACKGROUND: Morbid obesity serves as a barrier to kidney transplantation (KT) due to potential suboptimal posttransplant outcomes. Laparoscopic sleeve gastrectomy (LSG) has previously been shown to improve transplant eligibility through weight loss. OBJECT ... Full text Link to item Cite

Liver transplantation at safety net hospitals: Potentially vulnerable patients with noninferior outcomes.

Journal Article Surgery · December 2019 BACKGROUND: Patients undergoing complex surgery at safety net hospitals have been shown to suffer inferior short-term outcomes. Liver transplantation, one of the most complex surgical interventions, is offered at certain safety net hospitals. We sought to ... Full text Link to item Cite

The management of pruritus ani

Chapter · November 27, 2019 Helps you achieve better outcomes and ensure faster recovery times for your patients. Provides a quick, efficient review prior to surgery and when preparing for surgical boards and ABSITEs."--Publisher ... Cite

Delayed Sleeve Gastrectomy Following Liver Transplantation: A 5-Year Experience.

Journal Article Liver Transpl · November 2019 Obesity has become an epidemic in the United States over the past decade, and recent studies have shown this trend in the liver transplantation (LT) population. These patients may be candidates for laparoscopic sleeve gastrectomy (LSG) to promote significa ... Full text Link to item Cite

Sialocele Following Traumatic Dental Procedure: A Case Report and Review of Dental Complications.

Journal Article Pediatr Emerg Care · September 2019 We present a case of a 17-year-old girl with sialadenitis and sialocele due to trauma sustained from a dental procedure. Our objectives are to review relevant literature and anatomy of the floor of the mouth and salivary glands and discuss potential compli ... Full text Link to item Cite

Surgical management of post-traumatic transvaginal herniation of small intestine in a third-world country.

Journal Article BMJ Case Rep · May 9, 2019 We present a case of a 26-year-old woman with a small bowel herniating from her vagina following traumatic injury from a road traffic accident. The patient was taken immediately to operating theatre for repair of her uterine defect and small bowel resectio ... Full text Link to item Cite

Surgical management of compound skull fracture with exposed brain matter in a third-world country.

Journal Article J Surg Case Rep · May 2019 We hereby present a case of a 6-year-old boy with exposed brain matter following traumatic injury from a road traffic accident, in a third-world country with poor healthcare resources. The patient was taken immediately to operating theater where two genera ... Full text Link to item Cite

Surgical management of fungating penile mass in a third-world country.

Journal Article J Surg Case Rep · April 2019 We present a 82-year-old man who presented with a 3-week history of a fungating penile mass with urinary leakage. Our objectives are to detail our global health experience providing surgical care in a low-resource, third-world environment. ... Full text Link to item Cite

Amitriptyline Treatment Mitigates Sepsis-Induced Tumor Necrosis Factor Expression and Coagulopathy.

Journal Article Shock · March 2019 During sepsis, the early innate response and inflammatory cytokine cascade are associated with activation of the coagulation cascade. Acute hypercoagulability can contribute to lethal sequela of vascular thrombosis, tissue ischemia, and organ failure. We i ... Full text Link to item Cite

Predictors of medical student success on the surgery clerkship.

Journal Article Am J Surg · January 2019 INTRODUCTION: Predictors of student performance on clerkship rotations are limited. In this study, we aim to identify predictors of success on the surgery clerkship. METHODS: 62 third-year medical students completed an institution-specific clerkship survey ... Full text Link to item Cite

The Importance of Safety-Net Hospitals in Emergency General Surgery.

Journal Article J Gastrointest Surg · December 2018 INTRODUCTION: Safety-net hospitals provide care to an inherently underprivileged patient population. These hospitals have previously been shown to have inferior surgical outcomes after complex, elective procedures, but little is known about how hospital pa ... Full text Link to item Cite

Platelet Function Changes in a Time-Dependent Manner Following Traumatic Brain Injury in a Murine Model.

Journal Article Shock · November 2018 Traumatic brain injury (TBI) results in systemic changes in coagulation and inflammation that contribute to post-traumatic morbidity and mortality. The potential interaction of platelets and pro-inflammatory cytokines in the modulation of coagulation, micr ... Full text Link to item Cite

Variability in blood transfusions after pancreaticoduodenectomy: A national analysis of the University HealthSystem Consortium.

Conference Surgery · October 2018 BACKGROUND: Variability in blood use after pancreaticoduodenectomy and the associated impact on readmission, mortality, and cost is not well understood at the national level. METHODS: The University HealthSystem Consortium database was queried for all panc ... Full text Link to item Cite

Impact of Preoperative Opioid Use After Emergency General Surgery.

Journal Article J Gastrointest Surg · June 2018 BACKGROUND: Preoperative exposure to narcotics has recently been associated with poor outcomes after elective major surgery, but little is known as to how preoperative opioid use impacts outcomes after common, emergency general surgical procedures (EGS). M ... Full text Link to item Cite

Cost of achieving equivalent outcomes in sicker patients after liver transplant.

Journal Article HPB (Oxford) · March 2018 BACKGROUND: We aimed to characterize variability in cost after straightforward orthotopic liver transplant (OLT). METHODS: Using the University HealthSystem Consortium and Scientific Registry of Transplant Recipients databases, we identified patients who u ... Full text Link to item Cite

Benefit of social media on patient engagement and satisfaction: Results of a 9-month, qualitative pilot study using Facebook.

Conference Surgery · March 2018 BACKGROUND: Despite the potential benefits of social media, health care providers are often hesitant to engage patients through these sites. Our aim was to explore how implementation of social media may affect patient engagement and satisfaction. METHODS: ... Full text Link to item Cite

Endocytosis of Red Blood Cell Microparticles by Pulmonary Endothelial Cells is Mediated By Rab5.

Journal Article Shock · March 2018 Microparticles are submicron vesicles shed from aging erythrocytes as a characteristic feature of the red blood cell (RBC) storage lesion. Exposure of pulmonary endothelial cells to RBC-derived microparticles promotes an inflammatory response, but the mech ... Full text Link to item Cite

Laparoscopic sleeve gastrectomy improves renal transplant candidacy and posttransplant outcomes in morbidly obese patients.

Journal Article Am J Transplant · February 2018 Morbid obesity is a barrier to kidney transplantation due to inferior outcomes, including higher rates of new-onset diabetes after transplantation (NODAT), delayed graft function (DGF), and graft failure. Laparoscopic sleeve gastrectomy (LSG) increases tra ... Full text Link to item Cite

Understanding the "Weekend Effect" for Emergency General Surgery.

Journal Article J Gastrointest Surg · February 2018 BACKGROUND: Several studies have identified a "weekend effect" for surgical outcomes, but definitions vary and the cause is unclear. Our aim was to better characterize the weekend effect for emergency general surgery using mortality as a primary endpoint. ... Full text Link to item Cite

Microparticles from stored red blood cells promote a hypercoagulable state in a murine model of transfusion.

Journal Article Surgery · February 2018 BACKGROUND: Red blood cell-derived microparticles are biologically active, submicron vesicles shed by erythrocytes during storage. Recent clinical studies have linked the duration of red blood cell storage with thromboembolic events in critically ill trans ... Full text Link to item Cite

Equivalent Treatment and Survival after Resection of Pancreatic Cancer at Safety-Net Hospitals.

Journal Article J Gastrointest Surg · January 2018 BACKGROUND: Due to disparities in access to care, patients with Medicaid or no health insurance are at risk of not receiving appropriate adjuvant treatment following resection of pancreatic cancer. We have previously shown inferior short-term outcomes foll ... Full text Link to item Cite

Surgical history and physical examination

Chapter · 2018 Essential reading for residents and medical students, this popular handbook is a must-have resource for convenient, quick access to information on managing common surgical problems. ... Cite

Surgical risk assessment

Chapter · 2018 Essential reading for residents and medical students, this popular handbook is a must-have resource for convenient, quick access to information on managing common surgical problems. ... Cite

Downstaging therapy followed by liver transplantation for hepatocellular carcinoma beyond Milan criteria.

Journal Article Surgery · December 2017 BACKGROUND: Orthotopic liver transplantation is a curative treatment for hepatocellular carcinoma within Milan criteria, but these criteria preclude many patients from transplant candidacy. Recent studies have demonstrated that downstaging therapy can redu ... Full text Link to item Cite

Laparoscopic subtotal cholecystectomy compared to total cholecystectomy: a matched national analysis.

Journal Article J Surg Res · October 2017 BACKGROUND: Laparoscopic subtotal cholecystectomy (LSC) is considered a safe alternative to laparoscopic cholecystectomy (LC) if biliary anatomy is obscured by inflammation. While case series studies have observed low morbidity rates with LSC, the impact o ... Full text Link to item Cite

The management of locally advanced non-metastatic pancreatic cancer

Chapter · September 27, 2017 This book provides a comprehensive, state-of-the art review of current and new therapies in treating pancreatic cancer. ... Cite

Addressing the challenges of sleeve gastrectomy in end-stage renal disease: Analysis of 100 consecutive renal failure patients.

Conference Surgery · August 2017 BACKGROUND: While previous studies have demonstrated short-term efficacy of laparoscopic sleeve gastrectomy in candidates awaiting renal transplantation, the combination of morbid obesity and end-stage renal disease presents unique challenges to perioperat ... Full text Link to item Cite

The gastrointestinal tract

Chapter · July 30, 2017 With the expertise of an author panel of leading clinicians in the field of surgery, trauma, critical care and geriatrics the new edition of this text addresses the explosion in knowledge on the impact aging has on injury, acute illness and ... ... Cite

Cryopreserved packed red blood cells in surgical patients: past, present, and future.

Journal Article Blood Transfus · July 2017 Since the advent of anticoagulation and component storage of human blood products, allogeneic red blood cell transfusion has been one of the most common practices in modern medicine. Efforts to reduce the biochemical effects of storage, collectively known ... Full text Link to item Cite

The center volume-outcome effect in pancreas transplantation: a national analysis.

Journal Article J Surg Res · June 1, 2017 BACKGROUND: Although increased hospital volume has been correlated with improved outcomes in certain surgical procedures, the effect of center volume on pancreas transplantation (PT) is less understood. Our study aims to establish whether a volume-outcome ... Full text Link to item Cite

pH modulation ameliorates the red blood cell storage lesion in a murine model of transfusion.

Journal Article J Surg Res · May 15, 2017 BACKGROUND: Prolonged storage of packed red blood cells (pRBCs) induces a series of harmful biochemical and metabolic changes known as the RBC storage lesion. RBCs are currently stored in an acidic storage solution, but the effect of pH on the RBC storage ... Full text Link to item Cite

Case mix-adjusted cost of colectomy at low-, middle-, and high-volume academic centers.

Conference Surgery · May 2017 BACKGROUND: Efforts to regionalize surgery based on thresholds in procedure volume may have consequences on the cost of health care delivery. This study aims to delineate the relationship between hospital volume, case mix, and variability in the cost of op ... Full text Link to item Cite

Erythrocyte-Derived Microparticles Activate Pulmonary Endothelial Cells in a Murine Model of Transfusion.

Journal Article Shock · May 2017 Erythrocyte-derived microparticles (MPs) are sub-micrometer, biologically active vesicles shed by red blood cells as part of the biochemical changes that occur during storage. We hypothesized that MPs from stored red blood cells would activate endothelial ... Full text Link to item Cite

Does radiologic response correlate to pathologic response in patients undergoing neoadjuvant therapy for borderline resectable pancreatic malignancy?

Journal Article J Surg Oncol · March 2017 BACKGROUND AND OBJECTIVES: In patients with borderline resectable pancreas cancers, clinicians frequently consider radiographic response as the primary driver of whether patients should be offered surgical intervention following neoadjuvant therapy (NT). W ... Full text Link to item Cite

The impact of morbid obesity on resource utilization after renal transplantation.

Conference Surgery · December 2016 BACKGROUND: A growing number of renal transplant recipients have a body mass index ≥40. While previous studies have shown that patient and graft survival are significantly decreased in renal transplant recipients with body mass indexes ≥40, less is known a ... Full text Link to item Cite

Early Recurrence and Omission of Adjuvant Therapy after Pancreaticoduodenectomy Argue against a Surgery-First Approach.

Journal Article Ann Surg Oncol · December 2016 BACKGROUND: Sequencing therapy for patients with periampullary malignancy is controversial. Clinical trial data report high rates of adjuvant therapy completion, though contemporary, real-world rates remain incomplete. We sought to identify patients who fa ... Full text Link to item Cite

In Brief

Journal Article Current Problems in Surgery · August 1, 2016 Full text Cite

Role of Leukoreduction of Packed Red Blood Cell Units in Trauma Patients: A Review.

Journal Article Int J Hematol Res · June 2016 Hemorrhagic shock is a leading cause of mortality within the trauma population, and blood transfusion is the standard of care. Leukoreduction filters remove donor leukocytes prior to transfusion of blood products. While the benefits of leukocyte depletion ... Full text Link to item Cite

High-Yield Absite Review: A Resident-to-Resident Guide

Book · May 20, 2016 This High-Yield ABSITE Review is the perfect study aid for surgical residents who aim to excel on the American Board of Surgery In-Training Examination (ABSITE). This study guide was created by residents who have done well on the ABSITE during their clinic ... Cite

Pedal Artery Revascularization: Where Are We in 2021?

Internet Publication An overview of current data and suggested indications for pedal artery revascularization. ... Link to item Cite