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Mikhail AR, Daniels L, Cobb D, Kawji Y, Issa C, Danos DM, LeBlanc K. Robotic hernia repair: the trainee "Drag" factor-a single-surgeon 9-year experience. Hernia 2024; 28:241-247. [PMID: 38123830 DOI: 10.1007/s10029-023-02935-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 11/17/2023] [Indexed: 12/23/2023]
Abstract
PURPOSE The use of robotic assisted surgery is increasing but training residents in its use may be associated with increased operative time and cost. The objective of this study is to compare the operative time of robotic incisional/ventral hernia repair (RIVHR) and robotic inguinal hernia repair (RIHR) when performed with and without a resident or fellow trainee. METHODS A review of prospectively collected data was performed on all patients who underwent RIVHR and RIHR by a single surgeon over a 9-year period (2014-2023). Study variables included presence of trainee (resident or fellow), procedure time, console time, and recurrent hernia. Primary outcomes include procedure time and console time. RESULTS A total of 402 surgeries were included for analysis. Residents assisted in 190 (47%) of the procedures, while fellows assisted in 97 (24%), and 115 (29%) were performed without a trainee. Median (IQR) console times in RIVHR assisted by fellows was 102 (72-145) minutes, compared to 90 (71-129) minutes among surgeries assisted by residents and 65 (52-82) minutes among surgeries performed without a trainee (p < 0.0001), a similar trend was observed for RIHR. The duration of hernia repair assisted by trainees was significantly longer than surgeries performed without a trainee. CONCLUSION Operative time for RIVHR and RIHR is significantly lower when performed without a trainee. However, RIHR assisted by residents showed a consistent decrease in operative time over the 9-year period.
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Affiliation(s)
- A R Mikhail
- Department of Surgery, Louisiana State University Health Science Center, Room 8105, 8th Floor, 2021 Perdido St, New Orleans, LA, 70112, USA.
| | - L Daniels
- Surgeons Group of Baton Rouge, Franciscan Health Physicians, 7777 Hennessy Blvd Ste 612, Baton Rouge, LA, 70808, USA
| | - D Cobb
- Surgeons Group of Baton Rouge, Franciscan Health Physicians, 7777 Hennessy Blvd Ste 612, Baton Rouge, LA, 70808, USA
| | - Y Kawji
- Department of Surgery, Louisiana State University Health Science Center, Room 8105, 8th Floor, 2021 Perdido St, New Orleans, LA, 70112, USA
| | - C Issa
- Department of Surgery, Louisiana State University Health Science Center, Room 8105, 8th Floor, 2021 Perdido St, New Orleans, LA, 70112, USA
| | - D M Danos
- School of Public, Health Louisiana State University, 3rd Floor, 2020 Gravier St, New Orleans, LA, 70112, USA
| | - K LeBlanc
- Department of Surgery, Louisiana State University Health Science Center, Room 8105, 8th Floor, 2021 Perdido St, New Orleans, LA, 70112, USA
- Surgeons Group of Baton Rouge, Franciscan Health Physicians, 7777 Hennessy Blvd Ste 612, Baton Rouge, LA, 70808, USA
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Issa C, Issa P, Allen WO, Pollard H, Bouquet M. Neurocutaneous melanosis and nevus of ota: a case report. Am J Med Sci 2023. [DOI: 10.1016/s0002-9629(23)00403-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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Bou Serhal R, Salameh P, Wakim N, Issa C, Kassem B, Abou Jaoude L, Saleh N. A New Lebanese Medication Adherence Scale: Validation in Lebanese Hypertensive Adults. Int J Hypertens 2018; 2018:3934296. [PMID: 29887993 PMCID: PMC5985068 DOI: 10.1155/2018/3934296] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2017] [Revised: 04/11/2018] [Accepted: 04/16/2018] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND A new Lebanese scale measuring medication adherence considered socioeconomic and cultural factors not taken into account by the eight-item Morisky Medication Adherence Scale (MMAS-8). Objectives were to validate the new adherence scale and its prediction of hypertension control, compared to MMAS-8, and to assess adherence rates and factors. METHODOLOGY A cross-sectional study, including 405 patients, was performed in outpatient cardiology clinics of three hospitals in Beirut. Blood pressure was measured, a questionnaire filled, and sodium intake estimated by a urine test. Logistic regression defined predictors of hypertension control and adherence. RESULTS 54.9% had controlled hypertension. 82.4% were adherent by the new scale, which showed good internal consistency, adequate questions (KMO coefficient = 0.743), and four factors. It predicted hypertension control (OR = 1.217; p value = 0.003), unlike MMAS-8, but the scores were correlated (ICC average measure = 0.651; p value < 0.001). Stress and smoking predicted nonadherence. CONCLUSION This study elaborated a validated, practical, and useful tool measuring adherence to medications in Lebanese hypertensive patients.
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Affiliation(s)
- R. Bou Serhal
- Department of Epidemiology and biostatistics, Faculty of Public Health, Lebanese University, Fanar, Lebanon
| | - P. Salameh
- Faculty of Pharmacy, Lebanese University, Al Hadath, Lebanon
| | - N. Wakim
- Department of Epidemiology and biostatistics, Faculty of Public Health, Lebanese University, Fanar, Lebanon
| | - C. Issa
- Department of Nutrition and Dietetics, Faculty of Public Health, Lebanese University, Fanar, Lebanon
| | - B. Kassem
- Department of Epidemiology and biostatistics, Faculty of Public Health, Lebanese University, Fanar, Lebanon
| | - L. Abou Jaoude
- Department of Epidemiology and biostatistics, Faculty of Public Health, Lebanese University, Fanar, Lebanon
| | - N. Saleh
- Department of Epidemiology and biostatistics, Faculty of Public Health, Lebanese University, Fanar, Lebanon
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Saab C, Issa C, Zantout MS, Azar ST. Contributions of overnight glycemia to the overall hyperglycemia of type 2 diabetic patients: variations with HbA1c levels. J Diabetes Sci Technol 2014; 8:619-20. [PMID: 24876628 PMCID: PMC4455441 DOI: 10.1177/1932296814525541] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Charles Saab
- Department of Endocrinology, Sacré Coeur University Hospital, Baabda, Lebanon
| | - Claire Issa
- Department of Internal Medicine, Division of Endocrinology and Metabolism, American University of Beirut-Medical Center, New York, NY, USA
| | - Mira S Zantout
- Department of Internal Medicine, Division of Endocrinology and Metabolism, American University of Beirut-Medical Center, New York, NY, USA
| | - Sami T Azar
- Department of Internal Medicine, Division of Endocrinology and Metabolism, American University of Beirut-Medical Center, New York, NY, USA
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Salameh P, Jomaa L, Issa C, Farhat G, Zeghondi H, Gerges N, Sabbagh M, Chaaya M, Barbour B, Waked M, Salamé J, Saadallah-Zeidan N, Baldi I. Assessment of health risk behaviours among university students: a cross-sectional study in Lebanon. International Journal of Adolescence and Youth 2012. [DOI: 10.1080/02673843.2012.733313] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Abstract
Osteoporosis is more common in women than in men. The prevalence in men is not defined yet; however it is becoming much more recognized as its prevalence and impact have become explicable. It is estimated that around 1% of bone mineral density is lost in men every year. Studies show that secondary osteoporosis is the major cause thus, making it important to define the disorders associated with male osteoporosis. Diabetes is a risk factor for bone fractures. In male patients with diabetes measures should be undertaken such as encouraging exercise, assuring adequate calcium and vitamin D intake, and treating diabetic complications.
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Affiliation(s)
- Claire Issa
- Department of Internal Medicine, Division of Endocrinology, American University of Beirut-Medical Center, P.O Box 11-0236, Riad El Solh, Beirut 1107 2020, Lebanon
| | - Mira S. Zantout
- Department of Internal Medicine, Division of Endocrinology, American University of Beirut-Medical Center, P.O Box 11-0236, Riad El Solh, Beirut 1107 2020, Lebanon
| | - Sami T. Azar
- Department of Internal Medicine, Division of Endocrinology, American University of Beirut-Medical Center, P.O Box 11-0236, Riad El Solh, Beirut 1107 2020, Lebanon,*Sami T. Azar:
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