JOURNAL OF SURGICAL RESEARCH

Volume 229, September 2018

CONTENTS
CARDIAC
Clinical Characteristics and Surgical Outcomes of Dysfunctional Quadricuspid Aortic Valve. Yi Lin,
Kanhua Yin, Yulin Wang, Danjuan Yang, Rongkui Luo, Lili Dong, Zhiqi Zhang, and
Chunsheng Wang . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223
ENDOCRINE
Thyroidectomy in Older Adults: An American College of Surgeons National Surgical Quality
Improvement Program Study of Outcomes. Zeyad T. Sahli, Ghedak Ansari, Merve Gurakar,
Joseph K. Canner, Dorry Segev, Martha A. Zeiger, and Aarti Mathur . . . . . . . . . . . . . . . . . . . . . . 20
EDUCATION AND CAREER DEVELOPMENT
Postoperative Surgical Trainee Opioid Prescribing Practices (Post Opp): An Institutional Study.
Kevin R. Olsen, David J. Hall, Juan C. Mira, Patrick W. Underwood, Ajay B. Antony,
Terrie Vasilopoulos, and George A. Sarosi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Structured Box Training Improves Stability of Retraction While Multitasking in Colorectal Surgery
Simulation. Jarek Kobiela, Piotr Spychalski, Dariusz Łaski, Agata Bła_zy nska-Spychalska,
Andrzej J. Łachi 
nski, Zbigniew Sledzi
nski, and Tracy Hull . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
H-Index and Academic Rank in General Surgery and Surgical Specialties in the United States.
Awais Ashfaq, Roshini Kalagara, and Nabil Wasif . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
How Academically Productive are Endocrine Surgeons in the United States? Evan F. Garner,
Nakul P. Valsangkar, Thomas N. Wang, John R. Porterfield, Leonidas G. Koniaris, and
Herbert Chen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122
Not All Operative Experiences are Created Equal: A 19-Year Analysis of a Single Center’s Case Logs.
Alexander R. Cortez, Vikrom K. Dhar, Jeffrey J. Sussman, Timothy A. Pritts, Michael J. Edwards,
and R. Cutler Quillin III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
Surgeons Have an Opportunity to Improve Teaching Quality Through Feedback Provision.
Katherine M. Heckman, Renaid B. Kim, Anderson Lee, Emma Chang, Niki Matusko,
Rishindra M. Reddy, David T. Hughes, and Gurjit Sandhu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164
Scholarly Activity in Academic Plastic Surgery: The Gender Difference. Sarah E. Sasor,
Julia A. Cook, Stephen P. Duquette, Scott N. Loewenstein, Sidhbh Gallagher, Sunil S. Tholpady,
Michael W. Chu, and Leonidas G. Koniaris . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 332
EMERGENCY SURGERY
A Systematic Review of Outcomes Reported in Small Bowel Obstruction Research. Katie Mellor,
Daniel Hind, and Matthew J. Lee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Population-Level Outcomes of Early Versus Delayed Appendectomy for Acute Appendicitis Using the
American College of Surgeons National Surgical Quality Improvement Program.
Elizabeth A. Alore, Jeremy L. Ward, S. Rob Todd, Chad T. Wilson, Stephanie D. Gordy,
Marcus K. Hoffman, and James W. Suliburk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234
GASTROINTESTINAL
Multidisciplinary Strategies in Bloodless Medicine and Surgery for Patients Undergoing
Pancreatectomy. Marian Khalili, William F. Morano, Luiz Marconcini, Mohammad F. Shaikh,
Elizabeth M. Gleeson, Michael Styler, Marcus Zebrower, and Wilbur B. Bowne . . . . . . . . . . . . . . 208
Clopidogrel Bisulfate (Plavix) Does Not Increase Bleeding Complications in Patients Undergoing
Rubber Band Ligation for Symptomatic Hemorrhoids. Nathan Hite, Aaron L. Klinger,
Peter Miller, David E. Beck, Charles B. Whitlow, Terry C. Hicks, Heather M. Green,
and David A. Margolin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230
Effects of Different Foods on Blood Glucose and Lipid in Type 2 Diabetes Mellitus in a Rat Model.
Bin Zhang, YaPeng Yang, BingLai Luo, and ShanGeng Weng . . . . . . . . . . . . . . . . . . . . . . . . . . . . 254
Comparability of Histological Outcomes in Rats and Humans in a Hernia Model.
Leontine C.L. van den Hil, Ruben R.M. Vogels, Kevin W.Y. van Barneveld,
Marion J.J. Gijbels, Carine J. Peutz-Kootstra, Jack P.M. Cleutjens, Marc H.F. Schreinemacher,
and Nicole D. Bouvy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 271
Patterns of Opioid Use and Prescribing for Outpatient Anorectal Operations. Abhishek Swarup,
Kristina A. Mathis, Maureen V. Hill, and Srinivas Joga Ivatury . . . . . . . . . . . . . . . . . . . . . . . . . . 283
Development of Murine Bariatric Surgery Models: Lessons Learned. Heather A. Frohman,
Piotr G. Rychahou, Jing Li, Tong Gan, and B. Mark Evers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 302
Risk Factors for Readmission Following Ileal Pouch–Anal Anastomosis: An American College of
Surgeons National Surgical Quality Improvement Program Analysis. Nicholas P. McKenna,
Elizabeth B. Habermann, Amy E. Glasgow, Kellie L. Mathis, and Amy L. Lightner . . . . . . . . . . . 324
GLOBAL HEALTH
Cost and Outcomes of Open Versus Laparoscopic Cholecystectomy in Mongolia. Sarah Lombardo,
Jenna S. Rosenberg, Jaewhan Kim, Sarnai Erdene, Orgoi Sergelen, Jonathan Nellermoe,
Samuel R. Finlayson, and Raymond R. Price . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186
Reducing Road Traffic Deaths: Where Should We Focus Global Health Initiatives? Ya-Ching Hung,
Yanik J. Bababekov, Sahael M. Stapleton, Swagoto Mukhopadhyay, Song-Lih Huang,
Susan M. Briggs, and David C. Chang . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 337
HEALTHCARE DELIVERY, QUALITY, AND SAFETY
Reducing Cost and Improving Operating Room Efficiency: Examination of Surgical Instrument
Processing. Adam R. Dyas, Kelly M. Lovell, Courtney J. Balentine, Thomas N. Wang,
John R. Porterfield Jr., Herbert Chen, and Brenessa M. Lindeman . . . . . . . . . . . . . . . . . . . . . . . . 15
The Impact of Individual Physicians on Outcomes After Trauma: Is it the System or the Surgeon?
N. Rhea Udyavar, Ali Salim, Joaquim M. Havens, Zara Cooper, Edward E. Cornwell III,
Stuart R. Lipsitz, John W. Scott, and Adil H. Haider . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Prolonged Operative Duration is Associated with Complications: A Systematic Review and
Meta-Analysis. Hang Cheng, Jeffrey W. Clymer, Brian Po-Han Chen, Behnam Sadeghirad,
Nicole C. Ferko, Chris G. Cameron, and Piet Hinoul . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134
Correlation of Payor Status and Pediatric Transfer for Acute Appendicitis. Ruth Ellen Jones,
Kristin M. Gee, Lorrie S. Burkhalter, and Alana L. Beres . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 216
Programmatic Change Leads to Enhanced Resource Utilization and Efficiency in Port Placement.
Vijay K. Venkatesan, Zachary D. McHenry, Audrey E. Ertel, Syed A. Ahmad, Jeffrey J. Sussman,
Dennis Hanseman, Shimul A. Shah, and Daniel E. Abbott . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 294
ONCOLOGY
Regional Diagnostic Rates, Treatments, and Outcomes Among Patients with Invasive Ductal
Carcinoma. Ambria S. Moten, Miriam N. Lango, Neha Goel, and Amy J. Goldberg . . . . . . . . . . . 114
Exposure to Bile Acids Alters the Intracellular Location and Function of MnSOD in Barrett’s
Esophagus. Yan Li, Guozhen Cui, Russell Farmer, Kevin Jacob, Harshul Pandit, Xuanyi Li,
and Robert C.G. Martin II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156
PEDIATRIC/CONGENITAL/DEVELOPMENTAL
Can Ultrasound Reliably Identify Complicated Appendicitis in Children? Dani O. Gonzalez,
Amy E. Lawrence, Jennifer N. Cooper, Richard Sola Jr., Erin Garvey, Blake C. Weber,
Shawn D. St. Peter, Daniel J. Ostlie, Jonathan E. Kohler, Charles M. Leys, Katherine J. Deans, and
Peter C. Minneci . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Using Bradford’s Law of Scattering to Identify the Core Journals of Pediatric Surgery. Nidhi Desai,
Laura Veras, and Ankush Gosain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Outpatient Curettage and Electrocautery as an Alternative to Primary Surgical Closure for
Pediatric Gastrocutaneous Fistulae. Naomi-Liza Denning, Ibrahim Abd El-Shafy, John Hagen,
Steven Stylianos, Jose M. Prince, and Aaron M. Lipskar. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Impaired Growth Outcomes in Children with Congenital Colorectal Diseases. Laura V. Veras,
Pranit N. Chotai, Andrew Z. Tumen, and Ankush Gosain. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Facilitating Factors in Same-Day Discharge After Pediatric Laparoscopic Appendectomy.
Olivia Cheng, Linda Cheng, and Sathyaprasad Burjonrappa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Fetal Tracheal Occlusion in Mice: A Novel Transuterine Method. Emrah Aydin, Rashika Joshi,
Marc Oria, Brian Michael Varisco, Foong-Yen Lim, and Jose Luis Peiro . . . . . . . . . . . . . . . . . . . . 311
Clinical Factors and High-Resolution Manometry Predicting Response to Surgery for Achalasia in
Children. Robert J. Vandewalle, Christian C. Frye, Matthew P. Landman, Joseph M. Croffie, and
Frederick J. Rescorla . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 345
Is Less More? Laparoscopic Versus Open Ladd’s Procedure in Children with Malrotation.
Mubina A. Isani, Christopher Schlieve, Jeremy Jackson, Melissa Elizee, Grace Asuelime,
David Rosenberg, and Eugene S. Kim . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 351
SHOCK/SEPSIS/TRAUMA/CRITICAL CARE
Quantification of Rib Fractures by Different Scoring Systems. Alexander Fokin, Joanna Wycech,
Maggie Crawford, and Ivan Puente . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Impact and Treatment Success of New-Onset Atrial Fibrillation with Rapid Ventricular Rate
Development in the Surgical Intensive Care Unit. McKenzie Brown, Sean Nassoiy,
Whitney Chaney, Timothy P. Plackett, Robert H. Blackwell, Fred Luchette, Milo Engoren, and
Joseph Posluszny Jr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
The Association Between Angioembolization and Splenic Salvage for Isolated Splenic Injuries.
Graeme M. Rosenberg, Thomas G. Weiser, Paul M. Maggio, Timothy D. Browder,
Lakshika Tennakoon, David A. Spain, and Kristan L. Staudenmayer . . . . . . . . . . . . . . . . . . . . . . 150
Repair of Injured Urethras with Silk Fibroin Scaffolds in a Rabbit Model of Onlay Urethroplasty.
Khalid Algarrahi, Saif Affas, Bryan S. Sack, Xuehui Yang, Kyle Costa, Catherine Seager,
Carlos R. Estrada Jr., and Joshua R. Mauney . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 192
Trauma and Hemorrhagic Shock Activate Molecular Association of 5-Lipoxygenase and
5-Lipoxygenase–Activating Protein in Lung Tissue. Geoffrey R. Nunns, John R. Stringham,
Fabia Gamboni, Ernest E. Moore, Miguel Fragoso, Gregory R. Stettler, Christopher C. Silliman,
and Anirban Banerjee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 262
Comparison of Two Different Models of Sepsis Induced by Cecal Ligation and Puncture in Rats.
Linlin Song, Yanjie Zou, and Zhongping Cao. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 277
Anemia and Blood Transfusion in Elderly Trauma Patients. Tyler J. Loftus,
Scott C. Brakenridge, Travis W. Murphy, Linda L. Nguyen, Frederick A. Moore, Philip A. Efron,
and Alicia M. Mohr . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 288
Assessment of the Predictive Value of the International Classification of Diseases Injury Severity
Score for Trauma Mortality in Urban India. Alice Claeson, Mattias Sterner, Jonathan Attergrim,
Monty Khajanchi, Vineet Kumar, Makhan lal Saha, and Martin Gerdin Warnberg € . . . . . . . . . . . 357
THORACIC
Postoperative Outcomes of Esophagectomy for Cancer in Elderly Patients. Francisco Schlottmann,
Paula D. Strassle, Apoorve Nayyar, Fernando A.M. Herbella, Bruce A. Cairns, and Marco G. Patti 9
Analysis of Risk Factors and Classification of Aortic Fistula After Esophagectomy. Yuanda Cheng,
Yang Gao, Ruimin Chang, Abdillah N. Juma, Wei Chen, and Chunfang Zhang . . . . . . . . . . . . . . 316
TRANSPLANTATION/IMMUNOLOGY
CRISPR/Cas and Recombinase-Based Human-To-Pig Orthotopic Gene Exchange for
Xenotransplantation. Rafael Miyashiro Nunes dos Santos, Luiz Augusto Carneiro D’Albuquerque,
Luz M. Reyes, Jose L. Estrada, Zheng-Yu Wang, Matthew Tector, and A. Joseph Tector . . . . . . . 28
 VASCULAR
Sex-Dependent Outcomes Following Elective Endovascular Aortic Repair. Connie Truong,
Nathan W. Kugler, Peter J. Rossi, Parag J. Patel, Robert A. Hieb, Kellie R. Brown, Brian D. Lewis,
Gary Seabrook, and Cheong J. Lee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
WOUND HEALING/PLASTIC SURGERY
Detection of Free Flap Pedicle Thrombosis by Infrared Surface Temperature Imaging. Cherng-
Kang Perng, Hsu Ma, Yu-Jen Chiu, Pei-Hsin Lin, and Chi-Han Tsai . . . . . . . . . . . . . . . . . . . . . . 169
Surgical Management of Hidradenitis Suppurativa: Procedural Trends and Risk Factors.
Qing Zhao Ruan, Austin D. Chen, Dhruv Singhal, Bernard T. Lee, and Eugene Y. Fukudome . . 200
Adipose Stem Cells Enhance Excisional Wound Healing in a Porcine Model. Isaac James,
Debra Bourne, Mayara Silva, Emmanuelle Havis, Kassandra Albright, Liyong Zhang,
Nataliya Kostereva, Sheri Wang, Gabriella DiBernardo, Rachel Guest, Jenny Lei,
Aurora Almadori, Latha Satish, Kacey Marra, and J. Peter Rubin . . . . . . . . . . . . . . . . . . . . . . . . 243

On the Cover: Drawing showing a type B quadricuspid aortic valve, which is characterized by three equal cusps and
one small cusp and is the most common dysfunctional subtype. See related article: Lin Y, Yin K, Wang Y, Yang D, Luo
R, Dong L, Zhang Z, Wang C. Clinical characteristics and surgical outcomes of dysfunctional quadricuspid aortic
valve. J Surg Res 2018; 229, pp. 223–229. The editor thanks Scott A. Weldon, MA, CMI, for assistance with the cover
layout.