2017
Selective Nonoperative Management of Abdominal Gunshot Wounds from Heresy to Adoption: A Multicenter Study of the Research Consortium of New England Centers for Trauma (ReCoNECT)
Peponis T, Kasotakis G, Yu J, Alouidor R, Burkott B, Maung AA, Johnson DC, Saillant N, Walden H, Salim A, Bryant E, Dorfman JD, Klein EN, Elefant R, Tabrizi MB, Bugaev N, Arabian SS, Velmahos GC. Selective Nonoperative Management of Abdominal Gunshot Wounds from Heresy to Adoption: A Multicenter Study of the Research Consortium of New England Centers for Trauma (ReCoNECT). Journal Of The American College Of Surgeons 2017, 224: 1036-1045. PMID: 28259545, DOI: 10.1016/j.jamcollsurg.2016.12.055.Peer-Reviewed Original ResearchConceptsSelective nonoperative managementAbdominal gunshot woundsImmediate laparotomyNonoperative managementTrauma centerGunshot woundsLevel IFailure of SNOMLower median injury severity scoreMedian Injury Severity ScoreInjury Severity ScoreGunshot wound patientsAcceptable methodLaparotomy patientsHospital stayShorter ICUNontherapeutic laparotomyOverall incidenceMulticenter studySeverity scoreMedical recordsLower incidenceWound patientsLaparotomyPatients
2013
Successful Nonoperative Management of the Most Severe Blunt Renal Injuries: A Multicenter Study of the Research Consortium of New England Centers for Trauma
van der Wilden GM, Velmahos GC, Joseph DK, Jacobs L, DeBusk MG, Adams CA, Gross R, Burkott B, Agarwal S, Maung AA, Johnson DC, Gates J, Kelly E, Michaud Y, Charash WE, Winchell RJ, Desjardins SE, Rosenblatt MS, Gupta S, Gaeta M, Chang Y, de Moya MA. Successful Nonoperative Management of the Most Severe Blunt Renal Injuries: A Multicenter Study of the Research Consortium of New England Centers for Trauma. JAMA Surgery 2013, 148: 924-931. PMID: 23945834, DOI: 10.1001/jamasurg.2013.2747.Peer-Reviewed Original ResearchConceptsBlunt renal injuriesNonoperative managementNOM failureRenal injuryGrade IVFailure of NOMSevere blunt renal injuryRenal salvage rateSevere renal injuryRetrospective case seriesUrinary tract infectionMechanism of injurySuccessful nonoperative managementYears of ageRoad traffic crashesHemodynamic instabilityKidney injuryAdult patientsRenal failureStable patientsTract infectionsIndependent predictorsSalvage rateCase seriesNonoperative approach
2012
Evaluation and management of small-bowel obstruction
Maung AA, Johnson DC, Piper GL, Barbosa RR, Rowell SE, Bokhari F, Collins JN, Gordon JR, H. JH, Kerwin AJ. Evaluation and management of small-bowel obstruction. Journal Of Trauma And Acute Care Surgery 2012, 73: s362-s369. PMID: 23114494, DOI: 10.1097/ta.0b013e31827019de.Peer-Reviewed Original ResearchConceptsSmall bowel obstructionManagement of SBODate evidence-based recommendationsComplete small bowel obstructionWater-soluble contrast studyRemainder of patientsEvidence of ischemiaEvaluation of patientsLevel I evidenceInitial nonoperative managementSurgery of TraumaEvidence-based recommendationsClinical deteriorationContinuous painGeneralized peritonitisLaparoscopic treatmentSurgical admissionsNonoperative managementI evidenceMetabolic acidosisTomographic scanSurgical techniqueContrast studiesCritical carePlain filmsSuccessful Nonoperative Management of the Most Severe Blunt Liver Injuries: A Multicenter Study of the Research Consortium of New England Centers for Trauma
van der Wilden GM, Velmahos GC, Emhoff T, Brancato S, Adams C, Georgakis G, Jacobs L, Gross R, Agarwal S, Burke P, Maung AA, Johnson DC, Winchell R, Gates J, Cholewczynski W, Rosenblatt M, Chang Y. Successful Nonoperative Management of the Most Severe Blunt Liver Injuries: A Multicenter Study of the Research Consortium of New England Centers for Trauma. JAMA Surgery 2012, 147: 423-428. PMID: 22785635, DOI: 10.1001/archsurg.2012.147.Peer-Reviewed Original ResearchConceptsBlunt liver injurySuccessful nonoperative managementFailure of NOMNonoperative managementLiver injuryF-NOMIndependent predictorsSevere blunt liver injuryTrial of NOMGrade 4Level II trauma centerLiver-specific complicationsLife-threatening complicationsAbdominal organ injuriesRetrospective case seriesSystolic blood pressureLife-threatening eventsHemodynamic instabilityAdult patientsMajor sequelaeBlood pressureOrgan injuryCase seriesTrauma centerMulticenter study