• Stapled versus handsewn: a prospective emergency surgery study (SHAPES). An American Association for the Surgery of Trauma multi-institutional study (March 2017)

    Brandon Robert Bruns, MD, David S. Morris, MD, Martin Zielinski, MD, Nathan T. Mowery, MD, Preston R. Miller, MD, Kristen Arnold, MD, Herb A. Phelan, MD, Jason Murry, MD, David Turay, MD, John Fam, MD, John S. Oh, MD, Oliver L. Gunter, MD, MPH, Toby Enniss, MD, Joseph D. Love, DO, MS, David Skarupa, MD, Matthew Benns, MD, Alisan Fathalizadeh, MD, MPH, Pak Shan Leung, MD, MS, Matthew M. Carrick, MD, Brent Jewett, MD, Joseph Sakran, MD, MPH, MPA, Lindsay O’Meara, CRNP, Anthony V. Herrera, MS, Hegang Chen, PhD, Thomas M. Scalea, MD, and Jose J. Diaz, MD
    CME 1 CME Credit(s)

    Learning Objectives:

    The reader should be able to quantify the overall risk of anastomotic failure in emergency general surgery patients undergoing urgent/emergent anastomoses and identify the clinical scenarios associated with increased anastomotic failure rates. Specifically, the reader should understand the difference between handsewn and stapled techniques in this unique patient population. Additionally, understanding anastomosis timing and risk of failure in the patients managed with an open abdomen should be obtained after reading this work.

    Impact Statement:

    This work represents a fifteen-institution collaboration examining 595 patients with 649 urgent/emergent anastomoses (comparing handsewn and stapled techniques) performed for emergency general surgery indications over a 2.5 year period, which is the largest study to date addressing this topic.

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    This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the American College of Surgeons and the American Association for the Surgery of Trauma. The American College of Surgeons is accredited by the ACCME to provide continuing medical education (CME) for physicians.

    AMA PRA Category 1 Credits™

    The American College of Surgeons designates this journal-based activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Of the AMA PRA Category 1 Credits™ listed above, a maximum of 1 credit meets the requirements for Self-Assessment.

    1 Credit(s) Access This Course