Surgery

Celecoxib Offers Pain Relief Comparable to Ketorolac After Robotic Hysterectomy

Celecoxib Offers Pain Relief Comparable to Ketorolac After Robotic Hysterectomy

Patients undergoing robotic hysterectomy were found to report comparable pain scores when receiving celecoxib perioperatively or ketorolac postoperatively.

Anti-Reflux Surgery Promising in Idiopathic Pulmonary Fibrosis

Anti-Reflux Surgery Promising in Idiopathic Pulmonary Fibrosis

In phase 2 study, surgery for abnormal acid GER in IPF patients was safe, well-tolerated.

Postoperative Complications of Pediatric Appendicitis Increase Risk for Adverse Events, Greater Hospital Resource Use

Postoperative Complications of Pediatric Appendicitis Increase Risk for Adverse Events, Greater Hospital Resource Use

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Complicated appendicitis in pediatric patients may result in surgical site infections, revisits, increased length of stay, and increased cumulative cost from all encounters.

PT Better After Hip Surgery Than Opioids in Younger Adults

PT Better After Hip Surgery Than Opioids in Younger Adults

Benefits include lower hip-related downstream costs and lower opioid use after arthroscopic surgery.

Prescription Drug Monitoring Program May Not Cut Opioid Use

Prescription Drug Monitoring Program May Not Cut Opioid Use

No significant reduction in percentage of patients prescribed opioids after general surgery.

Information Deficits, Moral Stances Contribute to Lack Interest in Organ Donation

Information Deficits, Moral Stances Contribute to Lack Interest in Organ Donation

A person's unwillingness to become an organ donor may be explained by a significant information deficit, mistrust for the medical establishment, or a moral opposition to killing.

ASMBS Pediatric Committee Updates Guidelines on Bariatric Surgery in Teens

ASMBS Pediatric Committee Updates Guidelines on Bariatric Surgery in Teens

The American Society for Metabolic and Bariatric Surgery Pediatric Committee has updated their 2012 evidence-based guidelines.

Lumpectomy + Radiation May Cut Breast Cancer Mortality in DCIS

Lumpectomy + Radiation May Cut Breast Cancer Mortality in DCIS

Lumpectomy, radiotherapy tied to reduction in breast cancer mortality vs lumpectomy, mastectomy.

Majority of Patients With Liver Metastases From Colorectal Cancer Eligible for Laparoscopy

Majority of Patients With Liver Metastases From Colorectal Cancer Eligible for Laparoscopy

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In high-volume centers, patients with liver metastases from colorectal cancer may often be eligible for minimally invasive liver surgery via laparoscopy, thereby reducing potential morbidity risks associated with open surgery.

Opioid Dependence More Common Before Spine Surgery

Opioid Dependence More Common Before Spine Surgery

Findings based on large study of patients having surgery for degenerative spondylolisthesis.

Elevated Late Mortality Persists After Blood or Marrow Transplant

Elevated Late Mortality Persists After Blood or Marrow Transplant

But in past 3 decades, decrease in late mortality seen among those who underwent BMT in childhood.

Wide Variations in Opioid Prescribing Practices for Surgical Procedures

Wide Variations in Opioid Prescribing Practices for Surgical Procedures

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Variation exists in opioid prescribing practices among clinicians in single-hospital systems, which prompts concern about the potential for opioid overprescribing.

Restricting perioperative fluid for abdominal surgery patients does not reduce complications: The RELIEF trial

Among patients at increased risk for complications undergoing abdominal surgery, those randomized to perioperative fluid restriction did not have increased disability-free survival at one year compared to patients who received liberal perioperative fluid management.

Pediatric Kidney Recipients Often Have Subclinical Inflammation

Pediatric Kidney Recipients Often Have Subclinical Inflammation

Associated with increased risk of composite end point of acute rejection, allograft failure

Adenoid, Tonsil Removal May Affect Later Respiratory Risks

Adenoid, Tonsil Removal May Affect Later Respiratory Risks

Surgeries by age 9 associated with higher long-term risks of respiratory, infectious, allergic diseases

Mortality Still High After Surgery for Congenital Heart Defects

Mortality Still High After Surgery for Congenital Heart Defects

Long-term mortality elevated even for mild defects; overall survival improved over time

Regional Anesthesia Tied to Lower Opioid Use in TKA, Hip Arthroplasty

Regional Anesthesia Tied to Lower Opioid Use in TKA, Hip Arthroplasty

Findings based on comparison to general anesthesia for knee and hip arthroplasty

Patients with Frontal Chronic Headaches May Benefit from Endoscopic Decompression Surgery

Patients with Frontal Chronic Headaches May Benefit from Endoscopic Decompression Surgery

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Oral medication, botulinum toxin type A injections, and endoscopic decompression surgery were all compared in the treatment of patients with frontal secondary headaches due to STN and SON configuration.

Many Patients Have Unused Opioids After Spine, Joint Surgery

Many Patients Have Unused Opioids After Spine, Joint Surgery

Many patients reported unsafe storage and failure to dispose of opioids at one- and 6-month follow-up

Intraoperative Opioid Doses and Rates of Hospital Readmission

Intraoperative Opioid Doses and Rates of Hospital Readmission

The use of high doses of opioids — particularly long-acting opioids — during surgery may increase the risk for 30-day readmission.

Eight Factors Predict Pain After Spine Surgery

Eight Factors Predict Pain After Spine Surgery

Post-op pain strongly linked to number of classes of non-opioid analgesics used, remifentanil use

Aortic valve replacement linked to increased mortality in elderly

Aortic valve replacement linked to increased mortality in elderly

Aside from age, other high mortality factors included left ventricular dysfunction, atrial fibrillation, COPD, and diabetes.

Better glycemic control, weight reduction with surgical treatment for youths with T2D, severe obesity

Better glycemic control, weight reduction with surgical treatment for youths with T2D, severe obesity

For adolescents with type 2 diabetes and severe obesity, surgical therapy facilitates glycemic control and weight reduction better than medical therapy.

Patent foramen ovale associated with stroke risk after noncardiac surgery

Patent foramen ovale associated with stroke risk after noncardiac surgery

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Patients diagnosed with PFO prior to noncardiac surgery have an elevated ischemic stroke risk.

Ovarian cancer patients may benefit from added hyperthermic intraperitoneal chemotherapy

Ovarian cancer patients may benefit from added hyperthermic intraperitoneal chemotherapy

The addition of HIPEC resulted in longer recurrence-free and overall survival among patients with ovarian cancer.

Postsurgical death risk greater in black children

Postsurgical death risk greater in black children

Preoperative risk factors were greater in African-American children compared with white children.

Practice patterns differ in university vs nonuniversity-based residency surgeons

Practice patterns differ in university vs nonuniversity-based residency surgeons

Nonuniversity-based residency-trained surgeons and university-based residency-trained surgeons have distinct practice patterns.

Mechanically expanded TAVR may benefit high-risk aortic stenosis patients

Mechanically expanded TAVR may benefit high-risk aortic stenosis patients

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MEV aortic valve replacement is noninferior to SEV aortic valve replacement in high-risk patients with aortic stenosis.

Robotically assisted surgical device for laparoscopic procedures cleared by FDA

Robotically assisted surgical device for laparoscopic procedures cleared by FDA

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The FDA has cleared the Senhance System, which allows surgeons to control robotic arms for gynecologic and colorectal procedures.

Postoperative mortality lower among patients treated by female surgeons

Postoperative mortality lower among patients treated by female surgeons

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Fewer patients treated by female surgeons died, were readmitted to the hospital, or had complications within 30 days of surgery.

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