Artem Shmelev

SUNY: Stony Brook University, Surgery, Faculty Member

Bakoulev Center for Cardiovascular Surgery RAMS, Laboratory of Modeling and Research of Cardiac and Vascular Pathology with an operation unit and vivarium, Post-Doc

Columbia University, Surgery, Faculty Member

First Moscow Medical State University, Department of Surgery, Alumnus

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Clinical fellow at Division of Abdominal Wall Surgery at CUIMC
#Sechenov #1MSMU alumni, @SaintAgnesMD general surgery graduate '22

Enjoying caring for my patients, big data research, statistical programming, outdoors activities, music, and my family
He/Him/His ☮️ ⚛️
Address: Stony Brook, NY

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Meghann Ormond

Wageningen University

Remo Caponi

University of Cologne

Richard Sullivan

King's College London

Trias Mahmudiono

Universitas Airlangga

Eszter Banffy

Hungarian Academy of Sciences

Erhan Akdogan

Yildiz Technical University

Peter Delobelle

University of Cape Town

Ahmed El-Agwany

Alexandria University

Sze Li Siow

University Malaysia Sarawak

Alberto N Ramos Jr

Universidade Federal do Ceará

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Papers by Artem Shmelev

Assessing Patient-Reported Experiences for In-Person and Telemedicine-Based Preoperative Evaluations

Telemedicine Journal and E-health, Aug 24, 2023

Surgeon volumes: preserving appropriate surgical outcomes in higher-risk patient populations undergoing abdominal wall reconstruction

Surgical Endoscopy and Other Interventional Techniques, Jul 17, 2023

Background It is increasingly recognized that complex abdominal wall reconstruction (cAWR) necess... more Background It is increasingly recognized that complex abdominal wall reconstruction (cAWR) necessitates specialized training. No studies have been conducted to assess whether a volume-outcomes relationship is present in cAWR. We sought to determine if outcomes for patients undergoing cAWR varied based on surgeon volume among participants in the Abdominal Core Health Quality Collaborative (ACHQC). Methods All patients with ventral hernias undergoing elective cAWR with component separation (lateral component release) were selected from ACHQC database. Surgeons were ranked based on annual number of cAWR procedures performed and then grouped in tertiles. Patient characteristics, hernia risk factors, operative details, and 30-days outcomes were evaluated. Results A total of 9206 patients were identified, of which 310 (3.4%), 723 (7.9%) and 8173 (88.7%) cAWRs were performed by low (105 surgeons), medium (49) and high-volume (66) surgeons, respectively. Patients operated upon by high-volume surgeons tended to have more comorbidities and higher ASA class (72.5% of class ≥ III, vs 53.5%). Hernia characteristics demonstrated that high-volume surgeons more commonly operated on patients presenting with recurrent hernias (50.2% vs 42%), wider hernias (13.5 cm vs 10.5 cm), associated ostomies (13% vs 3.6%), and prior of surgical site infections (32% vs 26%, P = 0.035). High-volume surgeons more commonly performed posterior component separation procedures (92% vs 84%), utilized permanent mesh (92% vs 88%), and placed mesh in sublay position. In spite of operating on more advanced hernias, high-volume surgeons achieved comparable rates (all P > 0.4) of 30-day surgical site infections (SSI: 6.9% vs 7.1%) and surgical site occurrences requiring procedural intervention (SSO-PI: 8.9% vs 10%). Conclusions High-volume surgeons maintain comparable outcomes following cAWR despite performing operations on patients with more comorbidities and advanced hernia disease. These findings should be integrated into the debates related to regionalizing abdominal wall reconstruction procedures among high-volume surgeons.

Artem Shmelev

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