Shannon F.R. Small, FACS, MD
Cards
About
Titles
Assistant Professor of Surgery (General, Trauma & Surgical Critical Care)
Appointments
General Surgery, Trauma & Surgical Critical Care
Assistant ProfessorPrimary
Other Departments & Organizations
Education & Training
- Surgical Critical Care Fellow
- Wayne State University
- General Surgery Resident
- Virginia Commonwealth University Health System
- Surgical Fellow, Immunotherapy and Surgical Oncology
- National Institute of Health
- General Surgery Intern
- Virginia Commonwealth University Health System
- MD
- Wake Forest University School of Medicine
- BA
- Duke University, English/Poetry
Research
Publications
2017
Laparoscopic gastroesophageal dissociation in neurologically impaired children with gastroesophageal reflux disease
DeAntonio J, Parrish D, Rosati S, Oiticica C, Lanning D. Laparoscopic gastroesophageal dissociation in neurologically impaired children with gastroesophageal reflux disease. Journal Of Pediatric Surgery 2017, 53: 30-35. PMID: 29103790, DOI: 10.1016/j.jpedsurg.2017.10.010.Peer-Reviewed Original ResearchSevere gastroesophageal reflux diseaseGastroesophageal reflux diseaseNeurologically impaired childrenQuality of lifeImprove quality of lifeReflux diseaseHealthcare visitsRetrospective case series reviewNeurologically impaired patientsEstimated blood lossCase series reviewCohort of patientsGram negative sepsisGroup of patientsDuration of operationLevel IV evidenceLength of stayImpaired patientsBlood lossRetrospective reviewNegative sepsisImpaired childrenPediatric patientsPostoperative dayCase series
2016
Thoracoscopic Repair of a Congenital Diaphragmatic Hernia in a 4 Kg Infant
Rosati S, Maarouf R, Lanning D, Oiticica C. Thoracoscopic Repair of a Congenital Diaphragmatic Hernia in a 4 Kg Infant. Journal Of Laparoendoscopic & Advanced Surgical Techniques 2016, 26 DOI: 10.1089/vor.2015.0289.Peer-Reviewed Original ResearchCongenital diaphragmatic herniaMediastinal shiftDiaphragmatic herniaAxillary lineLeft-sided congenital diaphragmatic herniaNo competing financial interestsNeonatal intensive care unitRight lateral decubitus positionIntercostal spaceThoracoscopic CDH repairWeeks gestational ageMinimal blood lossEarly surgical interventionSignificant respiratory distressHours of lifeShorter postoperative courseAnterior diaphragmatic defectHemodynamically stable infantsLateral decubitus positionEvening of surgeryPosterior axillary lineChest X-rayIntensive care unitCDH repairGestational age
2015
Thoracoscopic Resection of a Bronchogenic Cyst in a Premature Infant
Rosati S, Maarouf R, Nishitani M, Oiticica C, Lanning D. Thoracoscopic Resection of a Bronchogenic Cyst in a Premature Infant. Journal Of Laparoendoscopic & Advanced Surgical Techniques 2015, 25 DOI: 10.1089/vor.2015.0282.Peer-Reviewed Original ResearchBronchogenic cystPremature infantsThoracoscopic approachMediastinal cystsNeonatal ICUCongenital pulmonary airway malformationPostoperative chest X-rayNo competing financial interestsIntercostal spaceBenign congenital anomalyCongenital mediastinal cystsGentle blunt dissectionPosterior mediastinal cystMinimal blood lossEarly surgical interventionPostoperative day 2Shorter postoperative courseChest CT scanForegut duplication cystCompression of local structuresLeft main stem bronchusPosterior axillary lineSignificant air trappingChest X-rayMain stem bronchusCombined Laparoscopic and Robot-Assisted Gastroesophageal Dissociation for Recurrent Gastroesophageal Reflux Disease
Parrish D, Rosati S, Oiticica C, Lange P, Lanning D. Combined Laparoscopic and Robot-Assisted Gastroesophageal Dissociation for Recurrent Gastroesophageal Reflux Disease. Journal Of Laparoendoscopic & Advanced Surgical Techniques 2015, 25 DOI: 10.1089/vor.2014.0210.Peer-Reviewed Original ResearchGastroesophageal reflux diseaseRecurrent gastroesophageal reflux diseaseRecurrent reflux symptomsEndo-GIA staplerPlacement of suturesEndo-GIARobotic trocarsReflux symptomsNissen fundoplicationReflux diseaseNo competing financial interestsVagus nerveSevere gastroesophageal reflux diseasePostoperative day 6Pediatric intensive care unitPostoperative day 2End-to-side mannerLaparoscopic Nissen fundoplicationRoux limbLong-term resultsGastrostomy tube sitePosterior vagus nerveIntensive care unitDa Vinci robotLigament of TreitzRobot-Assisted Resection of a Large Posterior Mediastinal Mass
Parrish D, Rosati S, Oiticica C, Lange P, Lanning D. Robot-Assisted Resection of a Large Posterior Mediastinal Mass. Journal Of Laparoendoscopic & Advanced Surgical Techniques 2015, 25 DOI: 10.1089/vor.2014.0245.Peer-Reviewed Original ResearchRobot-assisted resectionRobotic trocarsChest tubeHorner's syndromeAxillary lineLeft chestArticulating instrumentsNo competing financial interestsRobot-assisted thoracic surgeryLeft anterior axillary lineNeural crest cell originLeft arm numbnessLeft chest massPostoperative day 1Postoperative day 2Chest CT scanPosterior axillary lineAnterior axillary lineSymptoms of Horner's syndromeChest X-rayShortness of breathLeft upper chestFinal pathologyEndocatch bagChest painA treatment program for babies with esophageal atresia in Belize
Rosati S, Maarouf R, Oiticica C, Lange P, Haynes J, Lanning D. A treatment program for babies with esophageal atresia in Belize. Journal Of Surgical Research 2015, 199: 72-76. PMID: 26227676, DOI: 10.1016/j.jss.2015.06.065.Peer-Reviewed Original ResearchConceptsEsophageal atresiaCongenital anomaliesWorld Pediatric ProjectPediatric surgical servicesMiddle-income countriesTracheoesophageal fistulaChildren's HospitalOperative correctionAtresiaEsophagealMortality rateInfantsMultiple organsSurgical servicesTreatment programsLack of medical facilitiesChildrenPediatric ProjectInternational careMedical facilitiesFistulaCareSurgeonsBabiesTracheoesophagealThe Use of Robotic Surgery Allows for Improved Dexterity and Visualization During Thoracoscopic Thymectomy
Rosati S, Parrish D, Oiticica C, Lange P, Lanning D. The Use of Robotic Surgery Allows for Improved Dexterity and Visualization During Thoracoscopic Thymectomy. Journal Of Laparoendoscopic & Advanced Surgical Techniques 2015, 25 DOI: 10.1089/vor.2014.0212.Peer-Reviewed Original ResearchThoracoscopic thymectomyMyasthenia gravisRobotic trocarsLower neckPhrenic nervePostoperative chest X-rayMinimal blood lossMinimally invasive approachRight phrenic nerveRobot-assisted approachAnterior axillary lineLeft lateral aspectLeft phrenic nerveLeft midclavicular lineChest X-rayEntire left lobeDegree of morbidityAutoimmune neuromuscular diseaseOperating room tableMaryland grasperGeneralized MGEndocatch bagHook cauteryRight pleuraThoracoscopic approachImplementation of pediatric cervical spine clearance guidelines at a combined trauma center
Rosati S, Maarouf R, Wolfe L, Parrish D, Poppe M, Manners R, Brown K, Haynes J. Implementation of pediatric cervical spine clearance guidelines at a combined trauma center. Journal Of Trauma And Acute Care Surgery 2015, 78: 1117-1121. PMID: 26151510, DOI: 10.1097/ta.0000000000000643.Peer-Reviewed Original ResearchConceptsNational Emergency X-Radiography Utilization StudyGuideline implementationClearance guidelinesNational Emergency X-Radiography Utilization Study criteriaComputed tomographyCervical spine clearanceTrauma centerCare management studyAdult trauma centersSpine clearanceCT clearanceUtilization studiesCT usageCT scanLevel IVImmediate effectsGuidelinesPatientsClearanceCareCenterImplementationTomographyMonthsRadiography30 (RF). Peak Ankle Velocities and Average Ankle Velocities Utilized For Identifying Critical Limb Ischemia
Brown J, Rosati S, Newton D, Peysha J, Amendola M, Wolfe L, Levy M. 30 (RF). Peak Ankle Velocities and Average Ankle Velocities Utilized For Identifying Critical Limb Ischemia. Annals Of Vascular Surgery 2015, 29: 636. DOI: 10.1016/j.avsg.2015.04.032.Peer-Reviewed Original ResearchHistrelin for central precocious puberty—a single surgeon experience
Rosati S, Maarouf R, Brown K, Poppe M, Parrish D, Haynes J, Lanning D. Histrelin for central precocious puberty—a single surgeon experience. Journal Of Surgical Research 2015, 198: 355-359. PMID: 25899147, DOI: 10.1016/j.jss.2015.03.071.Peer-Reviewed Original ResearchConceptsCentral precocious pubertyPrecocious pubertySurgeon experienceTreatment of central precocious pubertyTreated with monthly injectionsIdiopathic central precocious pubertyInstitutional review board approvalSingle surgeon's experienceReview board approvalHistrelin acetateHistrelin implantMonthly injectionsImplant insertionRetrospective reviewSubcutaneous implantationImplant treatmentBoard approvalHistrelinAverage ageAlternative treatmentPatient satisfactionPubertyImplantationPatientsTreatment
Clinical Care
Overview
Shannon F.R. Small, MD, is a surgeon who specializes in trauma, emergency surgery, and critical care.
Dr. Small treats a wide range of cases, from gunshot wounds and car crash injuries to small bowel obstructions and appendicitis. She also manages critical care patients in the intensive care unit (ICU) and performs elective surgeries, including hernia repairs.
She says she was drawn to her specialty because of its variety. “It’s unpredictable in that I could be handling a trauma case or conducting an elective surgery,” she says. “It’s also constantly evolving, which is exciting. I’ve recently incorporated robotic surgery into my practice, which has reinvigorated my work. I primarily use it for gallbladder surgeries, bowel perforations, and hernia repairs. The robot offers increased dexterity, allowing for minimally invasive procedures that reduce patients’ pain and the length of their hospital stay.”
One of the most rewarding aspects of her job, Dr. Small says, is offering support to patients and families during difficult times. “I follow the golden rule: treat others how you would want to be treated. This principle guides my practice and ensures I provide compassionate and equitable care,” she says. “I strive to ensure that all patients receive care that I would want for my own family. This mindset informs my practice and drives my commitment to patient care. Plus, my roles as a wife and mother of two young children are critically important to me and I feel make me a better clinician.”
Additionally, Dr. Small says she enjoys serving as a mentor to future generations of surgeons. She is a strong proponent of inclusive excellence and ensuring that all people have access to the health care they need.
Dr. Small’s research is focused on patient outcomes (such as improving pain management for rib fractures) and access to care.
Clinical Specialties
Board Certifications
Surgery General
- Certification Organization
- AB of Surgery
- Original Certification Date
- 2017
Surgical Critical Care Surgery
- Certification Organization
- AB of Surgery
- Original Certification Date
- 2017
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Locations
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