Browse Health
Surgical Specialist
21 years of experience
Accepting new patients

Education ?

Medical School Score Rankings
University of Miami (1989)
  • Currently 3 of 4 apples
Top 50%

Awards & Distinctions ?

Associations
American Board of Surgery

Affiliations ?

Dr. Kopelman is affiliated with 5 hospitals.

Hospital Affilations

Score

Rankings

  • Arrowhead Community
    18701 N 67th Ave, Glendale, AZ 85308
    • Currently 4 of 4 crosses
    Top 25%
  • Maricopa Medical Center
    2601 E Roosevelt St, Phoenix, AZ 85008
    • Currently 2 of 4 crosses
  • West Valley Hospital Medical Center
  • Arizona Heart Hospital
  • Greenville Memorial Medical Center
  • Publications & Research

    Dr. Kopelman has contributed to 7 publications.
    Title Empiric, Broad-spectrum Antibiotic Therapy with an Aggressive De-escalation Strategy Does Not Induce Gram-negative Pathogen Resistance in Ventilator-associated Pneumonia.
    Date January 2011
    Journal Surgical Infections
    Excerpt

    Early, empiric, broad-spectrum antibiotics followed by de-escalation to pathogen-specific therapy is the standard of care for ventilator-associated pneumonia (VAP). In our surgical intensive care unit (SICU), imipenem-cilastatin (I-C) in combination with tobramycin (TOB) or levofloxacin (LEV) has been used until quantitative bronchoalveolar lavage results are finalized, at which time de-escalation occurs to pathogen-specific agents. With this practice, however, alterations in antimicrobial resistance remain a concern. Our hypothesis was that this strict regimen does not alter antimicrobial susceptibility of common gram-negative VAP pathogens in our SICU.

    Title Colostomy-sparing Fecal Diversion in a Child After Extensive Perianal Trauma.
    Date March 2010
    Journal The Journal of Trauma
    Title Significant Pediatric Morbidity and Mortality from Intracranial Ballistic Injuries Caused by Nonpowder Gunshot Wounds. A Case Series.
    Date September 2009
    Journal Pediatric Neurosurgery
    Excerpt

    Nonpowder (ball-bearing and pellet) weapons derive their source of energy from compressed air or carbon dioxide. Such weapons are dangerous toys that cause serious injuries and even death to children and adolescents. A retrospective chart review study was undertaken to describe nonpowder gun injuries at a southwestern US urban level I adult and pediatric trauma center. Specific emphasis was placed on intracranial injuries. Over the past 6 years, a total of 29 pediatric and 7 adult patients were identified as having nonpowder firearm injuries. The patient population was overwhelmingly male (89.7%; mean age, 11 years). Overall, 17 out of 29 pediatric patients (56.8%) sustained serious injury. Nine patients (30.0%) required operation, 6 (20.7%) sustained significant morbidity, and there were 2 deaths (6.9%). Injuries to the brain, eye, head, and neck were the most common sites of injury (65.6%). Specific intracranial injuries in 3 pediatric patients are described that resulted in the death of 2 children. We suggest that age warning should be adjusted to 18 years or older for unsupervised use to be considered safe of these potentially lethal weapons.

    Title The Utility of Diagnostic Laparoscopy in the Evaluation of Anterior Abdominal Stab Wounds.
    Date January 2009
    Journal American Journal of Surgery
    Excerpt

    To assess if diagnostic laparoscopy (DL) is superior to nonoperative modes (serial abdominal examination with/without computed axial tomography [CAT] and diagnostic peritoneal lavage) in determining the need for therapeutic laparotomy (TL) after anterior abdominal stab wound (ASW).

    Title The Relationship of Plasma Glucose and Glycosylated Hemoglobin A1c Levels Among Nondiabetic Trauma Patients.
    Date January 2008
    Journal The Journal of Trauma
    Excerpt

    OBJECTIVE:: Hyperglycemia (blood glucose >/=110 mg/dL) in trauma patients without a known history of diabetes mellitus (DM) is often attributed to the metabolic stress response of injury. We studied whether this hyperglycemia may actually indicate the presence of occult DM (ODM) as demonstrated by elevated glycosylated hemoglobin A1C (gHbA1C). METHODS:: After obtaining approval from the Institutional Review Board, a prospective, sequential case series study of nondiabetic adult patients presenting to an urban Level I trauma center from September 2006 to February 2007 was performed. In addition to basic demographics, all hyperglycemic patients had a measured gHbA1C. ODM was diagnosed when gHbA1C was >/=6%. RESULTS:: A total of 1,039 trauma patients were screened with 192 (18%) noted to be hyperglycemic. Of these 192 patients, 22% (n = 42) were found to have an elevated gHbA1C. Using logistic regression, being older (Odds ratio [OR] = 1.04; p < 0.004), having a higher body mass index (BMI) (OR = 1.12; p < 0.003), and being Native American (OR = 5.08; p < 0.017) were each identified as significant risk factors for elevated gHbA1C levels and the diagnosis of ODM. In contrast, the magnitude of observed hyperglycemia, gender, or other races were not shown to be significant risk factors for the presence of ODM. CONCLUSION:: Almost a quarter of nondiabetic trauma patients presenting with hyperglycemia were found to have elevated gHbA1C levels and ODM. Risk factors for ODM included advancing age and body mass index as well as being Native American. The hyperglycemia seen in trauma patients should not solely be attributed to the hormonal and metabolic response to injury; wider ODM screening for both acute management strategies and long-term health benefits is warranted.

    Title Can Empiric Broad-spectrum Antibiotics for Ventilator-associated Pneumonia Be Narrowed Based on Gram's Stain Results of Bronchoalveolar Lavage Fluid.
    Date December 2006
    Journal American Journal of Surgery
    Excerpt

    BACKGROUND: Although Gram's stain (GS) of bronchoalveolar lavage fluid is routinely obtained, its usefulness remains unclear. Our purpose was to assess the value of the GS in diagnosing ventilator-associated pneumonia (VAP) and to determine whether early antibiotic narrowing was feasible. METHODS: Retrospective study of critically ill surgical patients with clinical and quantitative evidence of VAP. GS and culture data were collated and analyzed. RESULTS: GS results correlated with cultured organisms in 60% of cases. Overall accuracy of GS in diagnosing VAP for any organism was 58%. Gram-negative rod staining yielded like pneumonia at a statistically higher rate than Gram-positive cocci. A lack of bacteria on GS demonstrated no growth on culture 26.5% of the time, revealing the poorest correlation of all. CONCLUSIONS: GS cannot be a reliable surrogate for quantitative culture. Altering antibiotic therapy based on GS could lead to inappropriate therapy and, presumably, greater morbidity and mortality.

    Title Current Management of Common Bile Duct Stones in a Teaching Community Hospital.
    Date August 2003
    Journal The American Surgeon
    Excerpt

    The advent of laparoscopic cholecystectomy (LC) has complicated management of common bile duct (CBD) stones. While LC is routine, laparoscopic CBD exploration (LCBDE) is not, and an algorithm to manage suspected choledocholithiasis has not been uniformly accepted. We evaluated current management of choledocholithiasis. Patients suspected of having CBD stones over a 2-year period were evaluated, and 42 studies in the literature were reviewed. Thirty-two patients were identified. Fourteen patients (44%) had LC with intraoperative cholangiogram (IOC) with no preoperative studies. IOC revealed CBD stones in nine (64%). Seven had CBD exploration (CBDE) at cholecystectomy, and two had postoperative endoscopic retrograde cholangiopancreatography (ERCP). CBDE was successful in five cases, and ERCP was successful in one. Eighteen patients (56%) underwent preoperative ERCP. Five (28%) had no CBD stones. ERCP removed stones in nine patients, and four had open CBDE after failed ERCP. Current literature supports LC with IOC without any preoperative studies. Laparoscopic CBDE is highly successful but depends on surgeon experience. Removing CBD stones with ERCP is also very successful but is associated with increased cost, hospital stay, and complications. We conclude that LC with IOC should be performed without preoperative ERCP when choledocholithiasis is suspected. If found, stones should be removed laparoscopically if possible.

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