American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

V38N1: Rural Surgery

Baldini G, Bagry H, Aprikian A, et al. Postoperative urinary retention: anesthetic and perioperative considerations. Anesthesiology. 2009;110(5):1139-1157.

This is a detailed and clearly written review dealing with the pathophysiology, diagnosis, and management of urinary retention in the perioperative period.

Barnhart KT. Clinical practice. Ectopic pregnancy. N Engl J Med. 23 2009;361(4):379-387.

This article is a clearly written review of the diagnosis and management of ectopic pregnancy.

Block EF, Rudloff B, Noon C, et al. Regionalization of surgical services in central Florida: the next step in acute care surgery. J Trauma. 2010;69(3):640-643; discussion 643-644.

This article and the accompanying editorial comment clarify selected issues dealing with regionalization and networking for the support of rural surgeons.

Deveney K, Hunter J. Education for rural surgical practice: the Oregon Health & Science University model. Surg Clin North Am. 2009;89(6):1303-1308, viii.

This article supplies a description of one successful approach to residency training for surgeons interested in rural practice.

Goodman DC, Fisher ES. Physician workforce crisis? Wrong diagnosis, wrong prescription. N Engl J Med. 2008;358(16):1658-1661. Free full-text

Goodman and Fisher provide a provocative perspective on potential unintended consequences that may occur if the popular approaches to the looming surgeon shortage are implemented.

Hofmeyr JG, Novikova N, Mathai M, et al. Techniques for cesarean section. Am J Obstet Gynecol. 2009;201(5):431-444. 

This article supplies a clear review of techniques of caesarian delivery.

Kemp JA, Zuckerman RS, Finlayson SR. Trends in adoption of laparoscopic cholecystectomy in rural versus urban hospitals. J Am Coll Surg. 2008;206(1):28-32.

This study presents data that confirm the rapid adoption of laparoscopic surgical techniques by surgeons practicing in rural locations.

King J, Fraher EP, Ricketts TC, et al. Characteristics of practice among rural and urban general surgeons in North Carolina. Ann Surg. 2009;249(6):1052-1060.

This analysis of rural practice patterns in a single state confirms the impression that rural surgeons perform more endoscopic and gynecologic procedures than their urban counterparts.

Padgett JK. Cutaneous lesions: benign and malignant. Facial Plast Surg Clin North Am. 2005;13(2):195-202, v.

This article is a useful review of common cutaneous lesions that may be encountered by rural surgeons.

Repici A, Pellicano R, Strangio G, et al. Endoscopic mucosal resection for early colorectal neoplasia: pathologic basis, procedures, and outcomes. Dis Colon Rectum. 2009;52(8):1502-1515.

This article is a detailed review of the training, experience, equipment, and support needed to conduct safe and effective endoscopic resection of larger colonic lesions.

Valentine RJ, Jones A, Biester TW, et al. General surgery workloads and practice patterns in the United States, 2007 to 2009: a 10-year update from the American Board of Surgery. Ann Surg.  011;254(3):520-526.

This analysis of caseload experience submitted by surgeons applying for recertification by the American Board of Surgery provides useful data regarding rural versus urban surgical practice patterns.

Zelop CM. Uterine rupture during a trial of labor after previous cesarean delivery. Clin Perinatol. 2011;38(2):277-284. 

Uterine rupture is the most feared complication of vaginal birth after caesarian delivery.This article provides a valuable review of this topic.