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Selected Works of John Romanelli MD

General Surgery

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About John Romanelli MD

Present	General Surgery, Baystate Health
Institution Organization Position Type Position Title Time Period to Options Current Position Affiliate my profile with this Institution

Medicine and Health Sciences

Baystate General Surgery
Medical Office Building
2 Medical Center Drive
Suite 308
Springfield, MA 01199

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Per-oral endoscopic myotomy for the treatment of non-achalasia esophageal dysmotility disorders: experience from a single high-volume center (Timothy Morley, Matthew Mikulski, Matthew Rade, et al.) All Scholarly Works (2022)

Background: Achalasia is a rare disorder of esophageal motility that induces progressive intolerance to oral intake. Other esophageal dysmotility disorders include esophagogastric junction outflow obstruction (EGJOO), distal esophageal spasm (DES), hypercontractile esophagus (HE), and other ...

Long-Term, Prospective, Multicenter Study of Poly-4-hydroxybutyrate Mesh (Phasix Mesh) for Hernia Repair in Cohort at Risk for Complication: 60-Month Follow-Up (John Romanelli) All Scholarly Works (2022)

Introduction: Long-term resorbable mesh represents a promising technology for ventral and incisional hernia repair (VIHR). This study evaluates poly-4-hydroxybutyrate mesh (P4HB, Phasix™ Mesh) among comorbid patients with CDC Class 1 wounds. Study design: This prospective, ...

Use of minimally invasive surgery for the management of hollow viscus traumatic injuries (Andrew Litwin, Aixa Perez Coulter, John Romanelli, et al.) All Scholarly Works (2022)

Background: The objective of this study is to assess surgical outcomes following the initial use of laparoscopy versus laparotomy when managing patients with hollow viscus injuries due to trauma. Methods: Using the database from the ...

Comment on: The impact of bariatric surgery on breastfeeding: a systematic review (John Romanelli) All Scholarly Works (2021)

Validation of a simple technique of volumetric analysis of complex incisional hernias without 3D CT scan reconstruction (Mazen Al-Mansour, Jacqueline Wu, Greg Gagnon, et al.) All Scholarly Works (2021)

Purpose: Volumetric analysis is being increasingly utilized in the preoperative evaluation of complex incisional hernias. Three-dimensional (3D) reconstruction of abdominal computed tomography (CT) scan has been used to obtain surface area (SA) and volume (Vol.) ...

Validation of a simple technique of volumetric analysis of complex incisional hernias without 3D CT scan reconstruction (Mazen Al-Mansour, Jacqueline Wu, Greg Gagnon, et al.) All Scholarly Works (2021)

Purpose: Volumetric analysis is being increasingly utilized in the preoperative evaluation of complex incisional hernias. Three-dimensional (3D) reconstruction of abdominal computed tomography (CT) scan has been used to obtain surface area (SA) and volume (Vol.) ...

Linear versus volumetric CT analysis in predicting tension-free fascial closure in abdominal wall reconstruction (Mazen Al-Mansour, Jacqueline Wu, Greg Gagnon, et al.) All Scholarly Works (2021)

Background: Improved outcomes of abdominal wall reconstruction (AWR) have been shown when tension-free fascial closure (TFFC) is achieved. Our objective was to determine the clinical and radiologic predictors of TFFC in patients undergoing AWR. Study ...

Prospective, multicenter study of P4HB (Phasix™) mesh for hernia repair in cohort at risk for complications: 3-Year follow-up (John Romanelli) All Scholarly Works (2020)

Background: This study represents a prospective, multicenter, open-label study to assess the safety, performance, and outcomes of poly-4-hydroxybutyrate (P4HB, Phasix™) mesh for primary ventral, primary incisional, or multiply-recurrent hernia in subjects at risk for complications. ...

Impedance planimetry values for predicting clinical response following peroral endoscopic myotomy (John Romanelli) All Scholarly Works (2020)

Background: There is growing interest in developing impedance planimetry as a tool to enhance the clinical outcomes for endoscopic and surgical management of achalasia. The primary aim of this study was to determine whether impedance ...

The COVID-19 reset: lessons from the pandemic on Burnout and the Practice of Surgery (John Romanelli) All Scholarly Works (2020)

Background: Burnout among physicians is an increasing concern, and surgeons are not immune to this threat. The ongoing COVID-19 pandemic has caused dramatic changes to surgeon workflow, often leading to redeployment to other clinical areas, ...

SAGES Primer for Taking Care of Yourself During and After the COVID-19 Crisis (John Romanelli) All Scholarly Works (2020)

COVID-19 is a pandemic which has affected almost every aspect of our life since starting globally in November 2019. Given the rapidity of spread and inadequate time to prepare for record numbers of sick patients, ...

Systematic review of management of gallbladder disease in patients undergoing minimally invasive bariatric surgery (John Romanelli) All Scholarly Works (2019)

The introduction and subsequent widespread adaptation of minimally invasive approaches for bariatric surgery have not only changed the outcomes of bariatric surgery but also called into question the management of co-morbid surgical conditions, in particular ...

S054: incidence and management of jejunojejunal intussusception after Roux-en-Y gastric bypass: a large case series (Georgios Orthopoulos, Heather Grant, Parth Sharma, et al.) All Scholarly Works (2019)

INTRODUCTION: Jejunojejunal intussusception after Roux-en-Y gastric bypass (RYGBP) for morbid obesity is a rare but potentially catastrophic complication. There are limited data regarding the incidence of intussusception and the different surgical options for management of ...

Public reporting and transparency: a primer on public outcomes reporting (John Romanelli) All Scholarly Works (2019)

INTRODUCTION: Healthcare consumers seeking accurate information about where to find quality surgical care face a confusing constellation of rating systems that lack transparency or consistency of opinion. For example, a 2016 report in Health Affairs ...

Public reporting and transparency: a primer on public outcomes reporting (John Romanelli) All Scholarly Works (2019)

INTRODUCTION: Healthcare consumers seeking accurate information about where to find quality surgical care face a confusing constellation of rating systems that lack transparency or consistency of opinion. For example, a 2016 report in Health Affairs ...

Developing minimally invasive procedure quality metrics: one step at a time (John Romanelli) All Scholarly Works (2019)

BACKGROUND: Despite extensive first-hand surgical experience, rank and file members of surgical societies are generally not trained in and have not therefore been included in surgical quality measure development. The purpose of this exercise was ...

Myotomy length informed by high-resolution esophageal manometry (HREM) results in improved per-oral endoscopic myotomy (POEM) outcomes for type III achalasia (Erica Kane, Vikram Budhraja, David Desilets, et al.) All Scholarly Works (2018)

INTRODUCTION: High-resolution esophageal manometry (HREM) is essential in characterizing achalasia subtype and the extent of affected segment to plan the myotomy starting point during per-oral endoscopic myotomy (POEM). However, evidence is lacking that efficacy is ...

The NOVEL trial: natural orifice versus laparoscopic cholecystectomy-a prospective, randomized evaluation (John Romanelli and David Desilets) All Scholarly Works (2018)

INTRODUCTION: The evolution of Natural Orifice Translumenal Endoscopic Surgery® (NOTES®) represents a case study in surgical procedural evolution. Beginning in 2004 with preclinical feasibility studies, and followed by the creation of the NOSCAR® collaboration between ...

Treatment of Achalasia with Per-Oral Endoscopic Myotomy: Analysis of 50 Consecutive Patients (Erica Kane, David Desilets, Donna M Wilson, et al.) All Scholarly Works (2018)

BACKGROUND: Peroral endoscopic myotomy (POEM) has become an acceptable incisionless treatment for achalasia based on encouraging outcomes in multiple series worldwide. This report reflects our early experience. METHODS: Data were collected prospectively on all patients ...

An international multicenter study evaluating the clinical efficacy and safety of per-oral endoscopic myotomy in octogenarians (John Romanelli and David Desilets) All Scholarly Works (2018)

BACKGROUND AND AIMS: Per-oral endoscopic myotomy (POEM) for achalasia is particularly appealing in the elderly because it is minimally invasive. However, data in patients aged ≥80 years are scarce. The aim of this study was ...

Prospective evaluation of poly-4-hydroxybutyrate mesh in CDC class I/high-risk ventral and incisional hernia repair: 18-month follow-up (David Earle and John Romanelli) All Scholarly Works (2018)

BACKGROUND: Long-term resorbable mesh represents a promising technology for complex ventral and incisional hernia repair (VIHR). Preclinical studies indicate that poly-4-hydroxybutyrate (P4HB) resorbable mesh supports strength restoration of the abdominal wall. This study evaluated outcomes ...

Prospective evaluation of poly-4-hydroxybutyrate mesh in CDC class I/high-risk ventral and incisional hernia repair: 18-month follow-up (David Earle and John Romanelli) All Scholarly Works (2018)

BACKGROUND: Long-term resorbable mesh represents a promising technology for complex ventral and incisional hernia repair (VIHR). Preclinical studies indicate that poly-4-hydroxybutyrate (P4HB) resorbable mesh supports strength restoration of the abdominal wall. This study evaluated outcomes ...

Comparison of peritoneal closure versus non-closure in laparoscopic trans-abdominal preperitoneal inguinal hernia repair with coated mesh (Erica Kane, Marc Leduc, Kathryn Schlosser, et al.) All Scholarly Works (2018)

BACKGROUND: Peritoneal closure during laparoscopic trans-abdominal preperitoneal (TAPP) inguinal hernia repair has been the standard of care to prevent bowel obstruction due to adhesions generated by contact with mesh. However, with newer coated meshes, leaving ...

Efficacy and Safety of Peroral Endoscopic Myotomy for Treatment of Achalasia After Failed Heller Myotomy (John Romanelli and David Desilets) All Scholarly Works (2017)

BACKGROUND & AIMS: In patients with persistent symptoms after Heller myotomy (HM), treatment options include repeat HM, pneumatic dilation, or peroral endoscopic myotomy (POEM). We evaluated the efficacy and safety of POEM in patients with ...

SAGES quality initiative: an introduction (John Romanelli) All Scholarly Works (2017)

The Medicare program has transitioned to paying healthcare providers based on the quality of care delivered, not on the quantity. In May 2015, SAGES held its first ever Quality Summit. The goal of this meeting ...