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Book: Aids to undergraduate surgery

Mowschenson, Peter M.

1989

Author's details	von P. M. Mowschenson
Keywords	Surgery / outlines
Size	163 S.
Edition	3. ed.
Publisher	Churchill Livingstone
Publishing place	Edinburgh u.a.
Publishing country	United States
Document type	Book
HBZ-ID	HT003509880
ISBN	0-443-04037-0 ; 978-0-443-04037-5
Database	Catalogue ZB MED Medicine, Health

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Book: Chirurgie in Stichworten

Mowschenson, Peter M.

nach d. 2. engl. Aufl. übers

(Exa-med : Taschenbuch zur klinischen Medizin ; 36b)

1984

Title translation	Aids to undergraduate surgery
Author's details	von P. M. Mowschenson
Series title	Exa-med : Taschenbuch zur klinischen Medizin ; 36b Exa-med Exa-med ; Taschenbuch zur klinischen Medizin
Collection	Exa-med Exa-med ; Taschenbuch zur klinischen Medizin
Keywords	Surgery / outlines
Size	170 S. : Ill.
Edition	1. Aufl.
Publisher	Jungjohann
Publishing place	Neckarsulm
Document type	Book
HBZ-ID	HT003105489
ISBN	3-88454-421-7 ; 978-3-88454-421-1
Database	Catalogue ZB MED Medicine, Health

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1988 B 627	order for loan	Magazin

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Article ; Online: Can Cytologic and Sonographic Features Help Prevent Overtreatment of Bethesda V Thyroid Nodules?

Higgins, Sara / James, Benjamin C / Sacks, Barry / Mowschenson, Peter / Nishino, Michiya / Hasselgren, Per-Olof

The Journal of surgical research

2021 Volume 268, Page(s) 112–118

Abstract: Background: Although nearly half of thyroid nodules with Bethesda V cytology (suspicious for malignancy) may be benign or harbor low-grade neoplasms that can be sufficiently treated with lobectomy, many patients with Bethesda V cytology continue to be ... ...

Abstract	Background: Although nearly half of thyroid nodules with Bethesda V cytology (suspicious for malignancy) may be benign or harbor low-grade neoplasms that can be sufficiently treated with lobectomy, many patients with Bethesda V cytology continue to be treated with total thyroidectomy. The objectives of this study were to establish whether cytomorphologic and ultrasonographic features can determine appropriate surgery for thyroid nodules with Bethesda V cytology and how often patients are overtreated with total instead of partial thyroidectomy. Methods: Utilizing a 10-y prospective database starting January 1, 2004, cytomorphologic and ultrasonographic features of thyroid nodules with Bethesda V cytology were reviewed. Overtreatment was defined as total thyroidectomy when histopathology revealed benign nodule, noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP) or a unilateral < 4 cm low risk cancer. Results: Sixty-three patients were included in the study. Seventeen (27%) had benign, 14 (22%) NIFTP, and 32 (51%) malignant nodules. On cytology, nuclear pseudoinclusions, and on ultrasound, taller-than-wide configuration, were more common in malignant than benign or NIFTP nodules. Among 56 patients who underwent total thyroidectomy, 14 and 11 had a benign or NIFTP nodule, respectively, and 13 had a unilateral < 4 cm low risk cancer, suggesting that 68% (38/56) were overtreated. Conclusions: Total thyroidectomy for Bethesda V thyroid nodules may result in overtreatment in more than half of the patients. Although certain cytomorphologic and ultarsonographic features may be helpful in determining appropriate surgery for Bethesda V thyroid nodules, additional characteristics are needed to reduce overtreatment of these nodules.
MeSH term(s)	Adenocarcinoma, Follicular/diagnostic imaging ; Adenocarcinoma, Follicular/pathology ; Adenocarcinoma, Follicular/surgery ; Biopsy, Fine-Needle ; Humans ; Overtreatment ; Retrospective Studies ; Thyroid Neoplasms/diagnostic imaging ; Thyroid Neoplasms/pathology ; Thyroid Neoplasms/surgery ; Thyroid Nodule/diagnostic imaging ; Thyroid Nodule/pathology ; Thyroid Nodule/surgery
Language	English
Publishing date	2021-07-20
Publishing country	United States
Document type	Journal Article
ZDB-ID	80170-7
ISSN	1095-8673 ; 0022-4804
ISSN (online)	1095-8673
ISSN	0022-4804
DOI	10.1016/j.jss.2021.05.050
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Article ; Online: Rectal eversion: safe and effective way to achieve low transaction in minimally invasive Ileal pouch-anal anastomosis surgery, short- and long-term outcomes.

Cataneo, Jose / Mowschenson, Peter / Cataldo, Thomas E / Poylin, Vitaliy Y

Surgical endoscopy

2019 Volume 34, Issue 3, Page(s) 1290–1293

Abstract: Background: Ileal pouch-anal anastomosis remains a gold standard in restoring continence in patient with ulcerative colitis. Achieving low transection can be challenging and may require mucosectomy with a hand-sewn anastomosis. Rectal eversion (RE) ... ...

Abstract	Background: Ileal pouch-anal anastomosis remains a gold standard in restoring continence in patient with ulcerative colitis. Achieving low transection can be challenging and may require mucosectomy with a hand-sewn anastomosis. Rectal eversion (RE) technique provides a safe and effective alternative for both open and minimally invasive approaches. The purpose of this study is to evaluate short- and long-term outcomes of patients who underwent RE when compared to those who underwent conventional trans-abdominal transection. Materials and methods: This is a retrospective review performed at tertiary care center. Patients undergoing proctectomy and pouch surgery by either standard approach or with RE from November 2004 to January 2017 were evaluated. Demographics, post-operative complications, as well as 1- and 3-year functional outcomes were analyzed. Results: Total of 176 underwent proctocolectomy with creation of a J pouch and 88 (50%) had the RE technique utilized. The RE group had a higher rate of corticosteroid use at the time of surgery 59.1 versus 39.8% (p = 0.0156), but otherwise groups were statistically similar. 20 cases (26.1%) of RE group and 54 (61%) of conventional group cases were accomplished in minimally invasive fashion. There was no difference in the rates of 30- and 90-day complications. Functional outcomes data were available for up to 78.4% of patient with trans-abdominal approach and 64.7% in RE group. At 1 and 3 years after surgery, there was no difference in the number of bowel movements, fecal incontinence, or nocturnal bowel movements. The rates of returning to ileostomy or pouch revision were the same. Conclusion: RE technique is safe and effective way to achieve a low transaction in J pouch surgery. The technique provides similar functional outcomes at 1 and 3 years after surgery and can be particularly useful in minimally invasive approaches.
MeSH term(s)	Colitis, Ulcerative/surgery ; Colonic Pouches ; Defecation/physiology ; Fecal Incontinence/epidemiology ; Humans ; Minimally Invasive Surgical Procedures/adverse effects ; Minimally Invasive Surgical Procedures/methods ; Minimally Invasive Surgical Procedures/statistics & numerical data ; Postoperative Complications/epidemiology ; Proctocolectomy, Restorative/adverse effects ; Proctocolectomy, Restorative/methods ; Proctocolectomy, Restorative/statistics & numerical data ; Rectum/surgery ; Retrospective Studies ; Treatment Outcome
Language	English
Publishing date	2019-06-10
Publishing country	Germany
Document type	Journal Article
ZDB-ID	639039-0
ISSN	1432-2218 ; 0930-2794
ISSN (online)	1432-2218
ISSN	0930-2794
DOI	10.1007/s00464-019-06896-7
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Article ; Online: Rectal Eversion Technique: A Method to Achieve Very Low Rectal Transection and Anastomosis With Particular Value in Laparoscopic Cases.

Poylin, Vitaliy / Mowschenson, Peter / Nagle, Deborah / Cataldo, Thomas

Diseases of the colon and rectum

2017 Volume 60, Issue 12, Page(s) 1329–1331

Abstract: Introduction: Transection of the rectum at the anorectal junction is required for proper resection in ulcerative colitis and restorative proctocolectomy. Achieving stapled transection at the pelvic floor is often challenging, particularly during ... ...

Abstract	Introduction: Transection of the rectum at the anorectal junction is required for proper resection in ulcerative colitis and restorative proctocolectomy. Achieving stapled transection at the pelvic floor is often challenging, particularly during laparoscopic proctectomy. Transanal mucosectomy and handsewn anastomosis are frequently used to achieve adequate resection. Rectal eversion provides an alternative for low anorectal transection and maintains the ability to perform stapled anastomosis. Technique: The purpose of this article is to describe a technique for low anorectal transection. The work was conducted at tertiary care center by 2 colon and rectal surgeons on patients undergoing total proctocolectomy with creation of ileal pouch rectal anastomosis for ulcerative colitis. We measured the ability to achieve low stapled anastomosis. Results: Very low transection was achieved, allowing for creation of IPAA without leaving significant rectal cuff. This study was limited because it is an early experience that was not performed in the setting of a scientific investigation. No sphincter or bowel functional data were obtained or evaluated. Conclusions: Rectal eversion technique provides an alternative to mucosectomy when low pelvic transection is difficult to achieve. See Video at http://links.lww.com/DCR/A441.
MeSH term(s)	Adult ; Anastomosis, Surgical ; Colitis, Ulcerative/surgery ; Colonic Pouches ; Humans ; Ileostomy ; Laparoscopy/methods ; Male ; Proctocolectomy, Restorative ; Rectum/surgery ; Surgical Stapling
Language	English
Publishing date	2017-12
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	212581-x
ISSN	1530-0358 ; 0012-3706
ISSN (online)	1530-0358
ISSN	0012-3706
DOI	10.1097/DCR.0000000000000932
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Article ; Online: Long-term voice changes after thyroidectomy: Results from a validated survey.

Li, Chun / Lopez, Betzamel / Fligor, Scott / Broekhuis, Jordan M / Maeda, Anthony / Duncan, Sarah / Chen, Hao Wei / Choudhary, Anam / Budwani, Simran / Hasselgren, Per-Olof / Mowschenson, Peter / Mallur, Pavan S / James, Benjamin C

Surgery

2021 Volume 170, Issue 6, Page(s) 1687–1691

Abstract: Background: Long-term dysphonia may persist after thyroid surgery even in the absence of overt nerve injury. Therefore, we evaluated long-term dysphonia after thyroidectomy using a validated survey.: Methods: Patients undergoing thyroidectomy at a ... ...

Abstract	Background: Long-term dysphonia may persist after thyroid surgery even in the absence of overt nerve injury. Therefore, we evaluated long-term dysphonia after thyroidectomy using a validated survey. Methods: Patients undergoing thyroidectomy at a single institution from 1990 to 2018 were surveyed via telephone to complete the Voice Handicap Index-10 Survey. Individuals with documented nerve injury were excluded. Results: In total, 308 patients completed the survey (mean age 51 ± 14 years, 78% female). Median time since surgery was 10.7 (interquartile range 2.3-17.5) years. The mean Voice Handicap Index-10 Survey score was 2.6 ± 5.2. Of the 113 (37%) patients who reported subjective dysphonia, the mean Voice Handicap Index-10 Survey score was 7.1 ± 6.5. Twenty-two (7.1%) patients had a Voice Handicap Index-10 Survey score above the empiric normative cutoff of 11, with a mean score of 17.6 ± 6.8. The most frequent complaints included "The clarity of my voice is unpredictable" (N = 71, 23%), "People have difficulty understanding me in a noisy room" (N = 70, 23%), and "I feel as though I have to strain to produce voice" (N = 65, 21%). Conclusion: Long-term follow-up of patients after thyroidectomy suggests that more than 30% without nerve injury report dysphonia. Research to further assess the etiology and impact of these changes on quality of life is needed.
MeSH term(s)	Adult ; Aged ; Dysphonia/diagnosis ; Dysphonia/epidemiology ; Dysphonia/etiology ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Postoperative Complications/diagnosis ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Quality of Life ; Severity of Illness Index ; Surveys and Questionnaires/statistics & numerical data ; Thyroid Neoplasms/surgery ; Thyroidectomy/adverse effects ; Time Factors ; Voice Quality
Language	English
Publishing date	2021-07-31
Publishing country	United States
Document type	Journal Article
ZDB-ID	202467-6
ISSN	1532-7361 ; 0039-6060
ISSN (online)	1532-7361
ISSN	0039-6060
DOI	10.1016/j.surg.2021.04.060
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Article ; Online: Patient-Reported Financial Burden in Thyroid Cancer.

Broekhuis, Jordan M / Li, Chun / Chen, Hao Wei / Chaves, Natalia / Duncan, Sarah / Lopez, Betzamel / Maeda, Anthony H / Hasselgren, Per-Olaf / Mowschenson, Peter / James, Benjamin C

The Journal of surgical research

2021 Volume 266, Page(s) 160–167

Abstract: Background: The incidence of thyroid cancer is increasing at a rapid rate. Prior studies have demonstrated financial burden and decreased quality of life in patients with thyroid cancer. Here, we characterize patient-reported financial burden in ... ...

Abstract	Background: The incidence of thyroid cancer is increasing at a rapid rate. Prior studies have demonstrated financial burden and decreased quality of life in patients with thyroid cancer. Here, we characterize patient-reported financial burden in patients with thyroid cancer over a 28y period. Materials and methods: Patients who underwent thyroidectomy for thyroid cancer from 1990-2018 completed a phone survey assessing financial burden and its related psychological financial hardship. Descriptive statistics were performed to characterize these outcomes and correlation with sociodemographic data was assessed. Results: Respondents (N = 147) were 73% female, 75% white, and had a median follow up of 7 y. The majority had a full-time job (59%) and private insurance (81%) at the time of diagnosis. Overall, 16% of respondents reported financial burden and 50% reported psychological financial hardship. Those reporting financial burden were disproportionately impacted by psychological financial hardship (87% versus 43%, P < 0.001). One in four (25%) respondents reported not being adequately informed about costs. Conclusions: Financial burdens are important outcomes of thyroid cancer which occur even among patients with protective financial factors, suggesting an even greater impact on the general population of patients with thyroid cancer. Further research is needed to explore the intersection of financial burden, cost, and quality of life.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Cancer Survivors/psychology ; Carcinoma/economics ; Carcinoma/psychology ; Carcinoma/surgery ; Cost of Illness ; Cross-Sectional Studies ; Employment/statistics & numerical data ; Female ; Health Expenditures/statistics & numerical data ; Health Surveys ; Humans ; Insurance, Health/statistics & numerical data ; Logistic Models ; Male ; Middle Aged ; Patient Reported Outcome Measures ; Quality of Life ; Self Report ; Stress, Psychological/economics ; Stress, Psychological/etiology ; Thyroid Neoplasms/economics ; Thyroid Neoplasms/psychology ; Thyroid Neoplasms/surgery ; Thyroidectomy/economics ; Thyroidectomy/psychology ; United States
Language	English
Publishing date	2021-05-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	80170-7
ISSN	1095-8673 ; 0022-4804
ISSN (online)	1095-8673
ISSN	0022-4804
DOI	10.1016/j.jss.2021.03.051
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Article ; Online: The relationship between the follicular variant of papillary thyroid cancer and follicular adenomas.

Mehrzad, Raman / Nishino, Michiya / Connolly, James / Wang, Helen / Mowschenson, Peter / Hasselgren, Per-Olof

Surgery

2016 Volume 159, Issue 5, Page(s) 1396–1406

Abstract: Background: Reports suggest that the incidence of tumors diagnosed as follicular variant of papillary thyroid cancer (FVPTC) is increasing and that this increase may reflect changes in diagnostic criteria with tumors presently being diagnosed as FVPTC ... ...

Abstract	Background: Reports suggest that the incidence of tumors diagnosed as follicular variant of papillary thyroid cancer (FVPTC) is increasing and that this increase may reflect changes in diagnostic criteria with tumors presently being diagnosed as FVPTC previously being defined as follicular lesions, in particular follicular adenomas. Changes during recent years in the relationship between the incidence of FVPTC and follicular adenomas have not been reported. Herein, we have compared changes in the incidence of FVPTC with changes in the incidence of follicular adenomas. Methods: The study is a retrospective analysis of a prospective database of patients undergoing thyroid surgery between January 1, 2004, and December 31, 2013. Results: A total of 953 thyroid procedures performed in 851 patients were reviewed. The incidence of FVPTC increased approximately 4-fold during the study period when expressed as percentage of all thyroidectomies with the increase mainly reflecting an increase in the incidence of noninvasive FVPTC. The incidence of follicular adenomas decreased in a reverse fashion resulting in a >10-fold increase in the ratio between FVPTC and follicular adenomas during the study period. Conclusion: Although the present results suggest that some tumors previously diagnosed as follicular adenomas are increasingly classified as FVPTC, in particular noninvasive FVPTC, the possibility that the results at least in part also reflect a true increase in the incidence of FVPTC cannot be ruled out. If the increased incidence of FVPTC reflects a lowered threshold for the diagnosis of FVPTC it is possible that some tumors presently being classified as FVPTC are overdiagnosed as cancer and may currently be treated more aggressively than needed.
MeSH term(s)	Adenocarcinoma, Follicular/diagnosis ; Adenocarcinoma, Follicular/epidemiology ; Adenoma/diagnosis ; Adenoma/epidemiology ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Boston/epidemiology ; Carcinoma/diagnosis ; Carcinoma/epidemiology ; Carcinoma, Papillary ; Diagnosis, Differential ; Female ; Humans ; Incidence ; Male ; Middle Aged ; Retrospective Studies ; Thyroid Neoplasms/diagnosis ; Thyroid Neoplasms/epidemiology ; Young Adult
Language	English
Publishing date	2016-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	202467-6
ISSN	1532-7361 ; 0039-6060
ISSN (online)	1532-7361
ISSN	0039-6060
DOI	10.1016/j.surg.2015.11.026
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Article ; Online: Large parathyroid tumors have an increased risk of atypia and carcinoma.

O'Neal, Patrick / Mowschenson, Peter / Connolly, James / Hasselgren, Per-Olof

American journal of surgery

2011 Volume 202, Issue 2, Page(s) 146–150

Abstract: Background: Risk for atypia and carcinoma in large parathyroid tumors is not known. Atypia and carcinoma were determined in small (<2 g) and large (≥2 g) tumors in patients undergoing parathyroidectomy for primary hyperparathyroidism.: Methods: The ... ...

Abstract	Background: Risk for atypia and carcinoma in large parathyroid tumors is not known. Atypia and carcinoma were determined in small (<2 g) and large (≥2 g) tumors in patients undergoing parathyroidectomy for primary hyperparathyroidism. Methods: The study was a retrospective analysis of a 5-year prospective database. Tumor weight, histopathology, age, gender, calcium, and parathyroid hormone levels were registered. Patients with 4-gland disease were not included. Results: Among 353 parathyroid tumors, 313 weighed <2 g and 40 weighed ≥2 g. There was no difference in age between groups. Patients with large tumors were more frequently men and had higher calcium and parathyroid hormone levels. Atypia was found in 4 of 313 (1.3%) and 7 of 40 (17.5%) small and large tumors, respectively (P < .05). Corresponding figures for carcinoma were 1 of 313 (.3%) and 2 of 40 (5.0%) (P < .05). Conclusions: Large parathyroid tumors have increased risk for atypia and carcinoma. Even so, most large parathyroid tumors are benign.
MeSH term(s)	Adult ; Aged ; Biomarkers, Tumor/blood ; Calcium/blood ; Carcinoma/surgery ; Female ; Humans ; Hyperparathyroidism/surgery ; Hyperparathyroidism, Primary/surgery ; Male ; Middle Aged ; Parathyroid Hormone/blood ; Parathyroid Neoplasms/pathology ; Parathyroid Neoplasms/surgery ; Parathyroidectomy ; Prospective Studies ; Retrospective Studies
Chemical Substances	Biomarkers, Tumor ; Parathyroid Hormone ; Calcium (SY7Q814VUP)
Language	English
Publishing date	2011-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	2953-1
ISSN	1879-1883 ; 0002-9610
ISSN (online)	1879-1883
ISSN	0002-9610
DOI	10.1016/j.amjsurg.2010.06.003
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Book: Aids to undergraduate surgery

Mowschenson, Peter M

1994

Author's details	Peter M. Mowschenson
MeSH term(s)	General Surgery
Language	English
Size	163 p.
Edition	4th ed.
Publisher	Churchill Livingstone
Publishing place	Edinburgh ; New York
Document type	Book
Note	Includes index.
ISBN	9780443049668 ; 0443049661
Database	Catalogue of the US National Library of Medicine (NLM)

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