Point-of-care access to clinical guidelines may improve management of incidental findings in the primary care setting
Chandler A. Annesi, BS¹, Stephanie D. Talutis, MD, MPH², Anna L. Goldman, MD, MPA, MPH^4,5, Ellen Childs, PhD⁶, Philip E. Knapp, MD, MS^4,5, David McAneny, MD^3,4, Frederick Thurston Drake, MD, MPH^3,4
1Boston University School of Medicine, Boston, MA, USA; ²University of California Los Angeles, Department of Surgery, Division of Vascular Surgery, Los Angeles, CA, USA; ³Boston University School of Medicine, Department of Surgery, Division of Endocrine Surgery, Boston, MA, USA; ⁴Boston Medical Center, Boston, MA, USA; ⁵Boston University School of Medicine, Department of Medicine, Division of Endocrinology, Boston, MA, USA; ⁶Abt Associates, Rockville, MD, USA

Management and Outcomes of Upper Extremity Compartment Syndrome Transfers from the Community
April Hou, MD, Rachel Lister, Aixa Perez-Coulter, MS, MPH, Aparajit Naram, MD, FACS
UMass Chan Medical School, Baystate Medical Center, Springfield, MA

Robotic-assisted versus Laparoscopic Cholecystectomy – A nationwide propensity score-matched analysis of outcomes, costs, and readmissions
Dias Argandykov, MD, Jefferson A. Proaño-Zamudio, MD, Mary Bokenkamp, MD, Angela M. Renne, BS, May Abiad, MD, Charudutt N. Paranjape, MD, MBBS, John O. Hwabejire, MD, MPH, Jonathan Parks, MD, Haytham M.A. Kaafarani, MD, MPH, George Velmahos, MD, PhD
Division of Trauma, Emergency Surgery, and Surgical Critical Care, Department of Surgery, Massachusetts General Hospital, Boston, MA. USA

A Comparison of Clinical Outcomes and Costs Between Robotic and Open Ventral Hernia Repair- A 9-year Experience
Georges Kaoukabani, MD, MSc^1,2, Naseem Bou-Ayash, MD², Alexander Friedman, MD², Kelly Vallar, MD, FACS¹, Fahri Gokcal, MD^1,2, Omar Yusef Kudsi, MD, MBA, FACS^1,2
1Good Samaritan Medical Center, Brockton, MA, USA; ²Tufts Medical Center, Boston, MA, USA

An Implementation Framework-Based Evaluation of a Virtual Simulation to Develop Non-Technical Skills in the Operating Room
Rashid, Gazi MD¹, Roussin, Christopher MS, PhD², Jung, James J. MD, PhD³, Healy, Michael G. Ed.D.⁴, Gee, Denise, MD^4
1University of Massachusetts, Dept. of Surgery, Worcester, MA; ²Massachusetts General Hospital, Dept. of Anesthesia, Critical Care, and Pain Medicine, Boston, MA; ³University of Toronto, Dept. of Surgery, Toronto, ON Canada; ⁴Massachusetts General Hospital, Dept. of Surgery, Boston, MA

Social determinants of health associated with urgent versus elective cholecystectomy
Sara Myers, MD, Crisanto Torres, MD, MPH, Lisa Allee, Tracey Dechert, MD, Tejal Brahmbhatt, MD, Sabrina Sanchez, MD, MPH
Boston Medical Center, Boston MA

Impact of American Academy of Pediatrics Age-Specific Guidelines for Asymptomatic Umbilical Hernia Referral on Early Repair Rates and Associated Disparities
Katherine He, MD, MS¹, Dionne A. Graham, PhD², Jonathan L. Hills-Dunlap, MD, MPH³, Shawn J. Rangel, MD, MSCE^1
1Boston Children’s Hospital, Department of Surgery, Boston, MA, ²Boston Children’s Hospital, Center for Applied Pediatric Quality Analytics, Boston, MA; ³Children’s Hospital Colorado, Department of Surgery, Aurora, CO

Re-Thinking the Need and Value of Cross-Sectional Torso Imaging in Trauma Patients who Sustain a Ground-Level Fall and Present with Altered Mental Status: Outcomes from a Level 1 Trauma Center
Brendin R. Beaulieu-Jones, MD, MBA^1,2, Max Zhu, BS², Shamsh Shaik, BS²,Tejal S. Brahmbhatt, MD^1,2, Dane Scantling, DO, MPH^1,2, Sabrina E Sanchez, MD, MPH^1,2
1Department of Surgery, Boston Medical Center, Boston, MA; ²Boston University School of Medicine, Boston, MA

Tight Junction Proteins Are Deficient in the Ganglionic and Aganglionic Colon in Children with Hirschsprung Disease
Lorena Rincon-Cruz¹, Shabnam Abhati², Jerrold Turner², Prathima Nandivada^1
1Boston Children's Hospital, Boston, MA; ²Brigham and Women's Hospital, Boston, MA

Next Generation RNA-Seq Implicates New Pathways in Pathogenesis of Intestinal Failure-Associated Liver Disease in a Preterm Piglet Model
Scott C. Fligor^1,2, Savas T. Tsikis^1,2, Thomas I. Hirsch², Asish Jain³, Liang Sun³, Shira Rockowitz³, Amy Pan¹, Kathleen M. Gura^2,4, Mark Puder^1,2
1Vascular Biology Program, Department of Surgery, Boston Children’s Hospital, Boston, MA, USA; ²Harvard Medical School, Boston, MA, USA; ³The Manton Center for Orphan Disease Research, Boston Children’s Hospital, Boston, MA, USA; ⁴Department of Pharmacy and the Division of Gastroenterology and Nutrition, Boston Children's Hospital, Boston, MA, USA

Pubertal Onset and Metabolic Bone Disease in Pediatric Intestinal Failure
Emily Nes, MD^1,2, Katherine Culbreath, MD^1,2, Gregory Keefe, MD^1,2, Steven J. Staffa, MS², Sam M. Han, MD^1,2, E. Reese, MPH, RDN, LDN^1,4, Biren P. Modi, MD, MPH^1,2, Tom Jaksic, MD, PhD^1,2, Christopher P. Duggan, MD, MPH¹, Christina M. Jacobsen, MD, PhD³, Alexandra N. Carey, MD^1,4
1Center for Advanced Intestinal Rehabilitation, Boston Children’s Hospital and Harvard Medical School, Boston, MA, USA; ²Department of Surgery, Boston Children’s Hospital and Harvard Medical School, Boston, MA, USA; ³Division of Endocrinology, Boston Children’s Hospital and Harvard Medical School, Boston, MA, USA; ⁴Division of Gastroenterology, Hepatology, and Nutrition, Boston Children’s Hospital and Harvard Medical School, Boston, MA, USA

Peritoneal Dialysis Catheter Utilization and Related Complications at an Urban Safety-Net Hospital
Noreen Siddiqi¹, Luise I. Pernar^2
1Boston University School of Medicine, Boston, MA; ²Boston University School of Medicine, Boston Medical Center, Boston, MA

Cost Analysis of Cleft Care in the First Year of Life: Implications for Development and Feasibility of Bundled Payments for Multidisciplinary Treatment of Cleft Lip/Palate
Ingrid M. Ganske, MD, MPA, Jason W. Yu, MD, DMD, Eric Wenzinger, MD, Karl Sanchez, BA, Olivia Langa, BA, Alex Cappitelli, BA, Tyler T. Nguyen, BS, John Meara, MD, DMD, MBA
Department of Plastic and Oral Surgery, Boston Children’s Hospital and Harvard Medical School, Boston, MA

Complication Profiles of Pedicled Thigh and Free Cutaneous Flaps in Gender Affirming Phalloplasty
Miguel I. Dorante, MD, MBE¹, Michael M. Jonczyk, MD, MS¹, Sachin Vallamkonda, BS², Nicholas C. Bene, MD¹, Brian B. Freniere, MD^1
1Lahey Hospital and Medical Center, Burlington, MA; ²Tufts University Medical School, Boston, MA

Team cognitive load and clinical performance during medical events in a spaceflight simulator
Sandra Park^1,6, Mahdi Ebnali^1,5, Steven Yule^1,2,3,4, Roger Dias^1,5
1STRATUS Center for Medical Simulation, Brigham and Women’s Hospital, Boston, MA, USA; ²Center for Surgery & Public Health, Brigham & Women’s Hospital, Boston, MA, USA; ³Department of Surgery, Brigham & Women’s Hospital/ Harvard Medical School, Boston, MA, USA; ⁴Department of Clinical Surgery, The University of Edinburgh, Scotland; ⁵Department of Emergency Medicine, Harvard Medical School, Boston, MA, USA; ⁶Harvard Medical School, Boston, MA, USA

Practice Makes Perfect: Team-Based Practice was the Key to Success for Massachusetts "Top Gun" Surgical Skills Competition
Nicholas Jonas, MD, Caroline Ricard, MD, Deanna Plewa, MD, Tasneem Zaihra, PhD, Dmitry Nepomnayshy, MD, FACS
Beth Israel Lahey Health, Burlington, MA

Revisiting mesenteric ischemia: is abdominal closure associated with improved outcome?
Jefferson A. Proaño-Zamudio, MD, Dias Argandykov, MD, Emanuele Lagazzi, MD, Angela Renne, BS, Charudutt N. Paranjape, MD,Stephanie J. Maroney, MD, Haytham M. A. Kaafarani, MD, MPH, David R. King, MD, George C. Velmahos, MD, PhD, John O. Hwabejire, MD, MPH
Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, Boston, MA

Evaluation of an Extubation Protocol Incorporating Neostigmine on Ventilation Time After Cardiac Surgery
Dominic Recco, MD¹, Sumedh Kaul, MS², Michelle Doherty, MSN, RN¹, Dawn McDougal, APN¹, Kamal R. Khabbaz, MD^1
1Department of Surgery, Division of Cardiac Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA; ²Department of Surgery, FIRST Program, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA

The Adoption of Oncoplastic Surgery: Is There a Learning Curve?
Manish M. Karamchandani, MD¹, Michael M. Jonczyk, MD, MS², Gabriel De La Cruz Ku, MD³, Kerry A. Gaffney, MD¹, Carly Wareham, MD¹, Sarah M. Persing, MD, MPH^4,5, Christopher Homsy, MD⁴, Abhishek Chatterjee, MD, MBA^4,5
1Department of Surgery, Tufts Medical Center, Boston, MA; ²Department of Surgery, Lahey Hospital & Medical Center, Burlington, MA; ³Department of Surgery, UMass Memorial Medical Center, Worcester, MA; ⁴Division of Plastic and Reconstructive Surgery, Department of Surgery, Tufts Medical Center, Boston, MA; ⁵Division of Surgical Oncology, Department of Surgery, Tufts Medical Center, Boston, MA

Postoperative Disability and One-Year Outcomes for Patients Suffering a Stroke After Carotid Endarterectomy
Scott R. Levin, MD, MSc¹, Alik Farber, MD, MBA¹, Elizabeth G. King, MD¹, Mohammad H. Eslami, MD, MPH², Karan Garg, MD³, Virendra I. Patel, MD, MPH⁴, Caron B. Rockman, MD³, Denis Rybin, PhD⁵, Jeffrey J. Siracuse, MD, MBA^1
1Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston University School of Medicine, Boston, MA; ²Division of Vascular and Endovascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA; ³Division of Vascular and Endovascular Surgery, NYU Langone Health, New York, NY; ⁴Section of Vascular Surgery and Endovascular Interventions, NYP-Columbia University Irving Medical Center, New York, NY; ⁵Department of Biostatistics, Boston University School of Public Health, Boston, MA

Mining for Gold – The Personal Statement in General Surgery Residency Candidate Selection
Gordana Rasic, MD, Aaron Richman, MD, Donald Hess, MD, Luise I. Pernar, MD, MHPE
Boston Medical Center, Boston, MA

Transamniotic Fetal mRNA Delivery as a Novel Perinatal Therapy: Potential Applicability to Cystic Fibrosis-Associated Meconium Ileus
Kamila Moskowitzova, Ashlyn E. Whitlock, Yash Shroff, David Zurakowski, Dario O. Fauza
Department of Surgery, Boston Children’s Hospital and Harvard Medical School, Boston, MA

The Impact of Trainee Involvement in Bariatric Surgery on Patient Outcomes
Darian Hoagland MD^1,3, Jaisa Olasky MD^1,2, Tara S Kent MD^1,3, R. Wesley Vosburg MD^1,2
1Harvard Medical School, Boston, MA; ²Department of Surgery Mount Auburn Hospital, Cambridge, MA; ³Department of Surgery Beth Israel Deaconess Medical Center, Boston MA

Quantitative Measures of Teamwork in the OR Reveal an Unexpected Gender Bias
Nicholas Jonas, Darlene Bourgeois, Tasneem Zaihra, Deanna Plewa, Zoe Nepomnayshy, Haleila Harrison, Johanna Matulonis, Augustus Gleason, Dmitry Nepomnayshy
Lahey Hospital and Medical Center, Burlington, MA