2022
Association Between Antibiotic Redosing Before Incision and Risk of Incisional Site Infection in Children With Appendicitis
Cramm S, Chandler N, Graham D, Kunisaki S, Russell R, Blakely M, Lipskar A, Allukian M, Aronowitz D, Campbell B, Collins D, Commander S, Cowles R, DeFazio J, Esparaz J, Feng C, Griggs C, Guyer R, Hanna D, Kahan A, Keane O, Lamoshi A, Lopez C, Pace E, Regan M, Santore M, Scholz S, Tracy E, Williams S, Zhang L, Rangel S. Association Between Antibiotic Redosing Before Incision and Risk of Incisional Site Infection in Children With Appendicitis. Annals Of Surgery 2022, 278: e863-e869. PMID: 36317528, DOI: 10.1097/sla.0000000000005747.Peer-Reviewed Original ResearchMeSH KeywordsAnti-Bacterial AgentsAppendectomyAppendicitisCefoxitinChildHumansRetrospective StudiesSurgical Wound InfectionTreatment OutcomeConceptsIncisional surgical site infectionHour of incisionPediatric National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramSite infectionQuality Improvement ProgramAntibiotic redosingIncisional surgical site infection rateMulticenter retrospective cohort studyDisease severityDiagnosis of appendicitisSurgical site infectionRetrospective cohort studyRedosing of antibioticsOperative report dataMultivariate logistic regressionHospital-level clusteringIncreased disease severityAntibiotic regimensInitial doseAntibiotic administrationPatient demographicsAntibiotic utilizationChart reviewAssociation of Gangrenous, Suppurative, and Exudative Findings With Outcomes and Resource Utilization in Children With Nonperforated Appendicitis
Cramm SL, Lipskar AM, Graham DA, Kunisaki SM, Griggs CL, Allukian M, Russell RT, Chandler NM, Santore MT, Aronowitz DI, Blakely ML, Campbell B, Collins DT, Commander SJ, Cowles RA, DeFazio JR, Echols JC, Esparaz JR, Feng C, Guyer RA, Hanna DN, He K, Kahan AM, Keane OA, Lamoshi A, Lopez CM, McLean SE, Pace E, Regan MD, Scholz S, Tracy ET, Williams SA, Zhang L, Rangel SJ, Chang A, Fitzgerald M, Middlesworth W, Finck C, Hackam D, Engwall-Gill A, Gerall C, Orlas C, Hwang R, Dantes G. Association of Gangrenous, Suppurative, and Exudative Findings With Outcomes and Resource Utilization in Children With Nonperforated Appendicitis. JAMA Surgery 2022, 157: 685-692. PMID: 35648410, PMCID: PMC9161124, DOI: 10.1001/jamasurg.2022.1928.Peer-Reviewed Original ResearchConceptsSurgical site infectionSite infectionExudative findingsPostoperative lengthOperative reportsNonperforated appendicitisNational Surgical Quality Improvement ProgramMultivariable mixed-effects regressionPostoperative surgical site infectionSurgical Quality Improvement ProgramPediatric National Surgical Quality Improvement ProgramMean postoperative lengthOrgan space infectionMulticenter cohort studyMedical record reviewCohort of childrenQuality Improvement ProgramPostoperative antibioticsCohort studyInpatient managementPatient characteristicsSecondary outcomesSpace infectionPrimary outcomeHospital revisits
2021
Trends in fundoplication volume for pediatric gastroesophageal reflux disease
Maassel NL, Shaughnessy MP, Solomon DG, Cowles RA. Trends in fundoplication volume for pediatric gastroesophageal reflux disease. Journal Of Pediatric Surgery 2021, 56: 1495-1499. PMID: 33745746, DOI: 10.1016/j.jpedsurg.2021.02.045.Peer-Reviewed Original ResearchMeSH KeywordsChildEsophagoplastyFundoplicationGastroesophageal RefluxGastrostomyHumansLaparoscopySpecialties, SurgicalTreatment OutcomeConceptsGastro-esophageal reflux diseasePediatric Health Information SystemPediatric surgery fellowsReflux diseaseSurgical volumeCase volumeSevere gastro-esophageal reflux diseasePediatric gastroesophageal reflux diseaseICD-9/ICDTotal operative volumeGastroesophageal reflux diseaseGraduate Medical Education caseFellow case logsPatient characteristicsPatient demographicsPediatric surgeonsOperative volumePediatric surgical trainingSecondary analysisHealth information systemsAbstractTextCase logsFundoplicationNational dataRecent dataLaparoscopy is increasingly used for pediatric inguinal hernia repair
Shaughnessy MP, Maassel NL, Yung N, Solomon DG, Cowles RA. Laparoscopy is increasingly used for pediatric inguinal hernia repair. Journal Of Pediatric Surgery 2021, 56: 2016-2021. PMID: 33549307, DOI: 10.1016/j.jpedsurg.2021.01.032.Peer-Reviewed Original ResearchMeSH KeywordsChildFemaleHernia, InguinalHerniorrhaphyHospitals, PediatricHumansLaparoscopyProspective StudiesTreatment OutcomeUnited StatesConceptsLaparoscopic inguinal hernia repairInguinal hernia repairHernia repairLaparoscopic repairCHA HospitalProcedure typePediatric Health Information SystemPediatric inguinal hernia repairStudy periodDefinitive prospective studiesLong-term outcomesTotal hospital costsUse of laparoscopyTen-year study periodIHR groupLaparoscopic groupYounger patientsProspective studyHospital costsOperative approachSurgeon preferencePediatric surgeonsHealth information systemsAbstractTextLaparoscopy
2019
Guidelines for the management of postoperative soiling in children with Hirschsprung disease
Saadai P, Trappey AF, Goldstein AM, Cowles RA, De La Torre L, Durham MM, Huang EY, Levitt MA, Rialon K, Rollins M, Rothstein DH, Langer JC. Guidelines for the management of postoperative soiling in children with Hirschsprung disease. Pediatric Surgery International 2019, 35: 829-834. PMID: 31201486, DOI: 10.1007/s00383-019-04497-y.Peer-Reviewed Original ResearchConceptsHirschsprung's diseasePostoperative soilingMethods of diagnosisObstructive symptomsSphincter controlOptimize outcomesRational approachTreatment approachesExpert consensusMost childrenDiseaseChildrenSymptomsAbnormalitiesDiagnosisCauseCommon problemStepwise algorithmLiterature reviewGuidelinesSurgeryGroup discussionsManagementSoilingStooling
2000
Efficacy of the laparoscopic approach for anterior lumbar spinal fusion
Cowles R, Taheri P, Sweeney J, Graziano G. Efficacy of the laparoscopic approach for anterior lumbar spinal fusion. Surgery 2000, 128: 589-596. PMID: 11015092, DOI: 10.1067/msy.2000.108055.Peer-Reviewed Original ResearchMeSH KeywordsAdultBlood Loss, SurgicalFemaleHumansLaparoscopyLumbar VertebraeMaleMiddle AgedPostoperative ComplicationsSpinal FusionTreatment OutcomeConceptsAnterior lumbar spinal fusionLumbar spinal fusionLess blood lossLaparoscopic proceduresSpinal fusionBlood lossOpen procedureShorter operating room timeShorter postoperative ileusCharts of patientsImmediate postoperative outcomesImmediate postoperative resultsOperating room timePostoperative ileusPostoperative coursePostoperative outcomesLaparoscopic approachOperative timePostoperative resultsPatientsRoom timeLearning curveIleusLaparoscopic