Surgery Information Center Archive

Functional Nasal Surgery Can Improve Headache Symptoms

Eighty-five percent of patients report partial or complete resolution of headaches postoperatively.

Pediatric Anesthesia Does Not Affect Development Outcomes

Young children who have surgical procedures that require general anesthesia do not have an increased risk for adverse child development outcomes.

Removing Appendix May Lower Risk for Parkinson Disease

Healthy human appendix contains intraneuronal -synuclein aggregates, truncation products.

Greater Weight Loss With Gastric Bypass Than Other Bariatric Surgery

Roux-en-Y gastric bypass is associated with greater weight loss at 1, 3, and 5 years than sleeve gastrectomy or adjustable gastric banding.

Cataract Surgery Tied to Drop in Cognitive Decline in Seniors

Decline in episodic memory scores seen with older age slower after vs before cataract surgery.

ASA: Review Links Opioids With Complications Post-Spine Surgery

Higher postoperative pain score, worse quality of life for post-op pain management with opioids.

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

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

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

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

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

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.

Lumpectomy + Radiation May Cut Breast Cancer Mortality in DCIS

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

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.

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

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

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

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

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

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

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

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

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

Patients with Frontal Chronic Headaches May Benefit from Endoscopic Decompression Surgery

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

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

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

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

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

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

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

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

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

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

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

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

Longer anesthesia duration linked to increased surgical complications

Among patients undergoing microvascular reconstruction of the head and neck, increased anesthesia duration is associated with higher rates of complications.

Surgery may not improve outcomes in early-stage prostate cancer

A 20-year study found that patients with early-stage prostate cancer who have surgery to remove their tumor do not live longer than those who receive no treatment.

Rivaroxaban decreased VTE rate in high-risk orthopedic joint surgery patients

Researchers developed a protocol to demonstrate the efficacy of rivaroxaban in lowering the risk of venous thromboembolism among orthopedic joint surgery patients.

Updated guidelines for safe sedation of pediatric patients

Updated guidelines for safely sedating pediatric patients have been released by the AAP and AAPD.

Oral contraceptives increase surgery risk for women with Crohn disease

Women with Crohn disease who use oral contraceptives for more than 1 year have an increased risk of surgery.

Coronary bypass surgery reduces mortality for patients with heart failure

Patients with coronary artery disease who were previously not considered candidates for CABG may benefit from the surgery.

House calls from PAs reduce hospital readmissions after cardiac surgery

After adult cardiac surgery, patients are less likely to be readmitted to the hospital if they receive house calls from PAs.

Medical malpractice claims against anesthesiologists decreasing

The number of medical malpractice claims made against anesthesiologists has significantly decreased since 2005.

Medication errors, adverse drug reactions occur in half of surgeries

About 5% of medication administrations during the perioperative period include errors or adverse drug events.

Patients may have increased suicide risk after bariatric surgery

Changes in alcohol metabolism, substituting substances for food, and hormone changes may increase the risk for suicide after bariatric surgery.

Continuity of care improves survival after major surgery

After major surgery, returning to the same hospital for any complications increases survival.

Antibiotics may be alternative 
to appendectomy in some patients

Patients with uncomplicated appendicitis may be treated with antibiotics instead of surgery.

Defamation award results from operating room misconduct

Clinicians in the operating room were sued for defamation after insulting a patient while he was under anesthesia.

Nurse-practitioner led preoperative care reduced surgery cancellation

Offering preoperative testing and evaluations in one convenient location can significantly reduce surgical cancellation rates.

Report: Avoid cesarean delivery when possible

Cesarean delivery linked to more complications and lower chances of vaginal delivery for subsequent births.

Raplixa approved to help control surgical bleeding

Spray-dried fibrin sealant promotes clotting when other methods are "ineffective or impractical."

Nurse phone follow-up decreases post-surgery complications

Educational intervention improves patient outcomes after discharge from hospital.

Less common bariatric procedure better for weight loss

But 'duodenal switch' procedure also linked to more complications.

Surgeon's 'cognitive bias' responsible for deadly medical error

After a surgeon administered a dye that resulted in the death of a patient, cognitive bias was found to be the cause of the deadly hospital error.

Cesarean risk higher with low-delivery-volume obstetricians

The odds of cesarean delivery were two-fold higher for patients whose obstetricians performed fewer than 60 deliveries per year.

Post-cardiac-surgery stroke predictors identified

Most patients undergoing cardiac surgery have conditions such as hypertension, diabetes and atrial fibrillation.

PCP visits reduce surgical readmission rates

Readmission risk was significantly reduced with early PCP follow-up among patients who underwent high risk surgery.

BRCA gene testing impacts surgery decisions

In women with newly diagnosed breast cancer, the optimal time for referral to cancer genetic specialists is unknown.

Antibiotics may suffice in appendicitis

More than 80,000 children undergo appendectomies each year.

Ortho-trained PAs shorten hospital stays

Introducing a single full-time orthopedic trained PA in the hospital setting benefited patients undergoing total knee arthroplasty.

Cardiac surgery NP program may reduce readmission rates

A new study suggests that a transitional care program involving cardiac surgery NPs reduces readmission for discharged coronary artery bypass graft patients.

SLIP-2 tops original model for identifying ARDS risk

Compared with the original surgical lung injury prediction model, SLIP-2 may be a better tool for uncovering high-risk patients.

FDA warns against laparoscopy for uterine fibroids

Laparoscopic power morcellation pose a cancer risk, agency says.

Leeches help save woman's ear after dog mauling

Doctors successfully used leeches as a temporary drainage system until patient regenerated own veins.

Man wins appeal over stent left in body

California court of appeals reverses malpractice ruling on medical objects left in body.

Prostatectomy cuts mortality in early prostate CA

Risk of long-term mortality is lower compared with watchful waiting.

Blood transfusions adversely affect PCI outcomes

Transfusion receipt linked to adverse cardiovascular events, regardless of bleeding complications.

Room to improve post surgical site infection care

Relative to all-cause postsurgical visits, rates are low for clinically significant surgical site infections, but absolute number of affected patients still large.

Disc surgery is good but no surgery is not bad

Patients who underwent lumbar disc herniation had greater improvements in pain, functioning and disability than those treated nonoperatively, but the latter group also fared relatively well.

California tragedy used as pawn in battle over state malpractice caps

A teen is declared brain dead after complications following a routine tonsillectomy.

Sealant gel approved for cataract surgery

ReSure Sealant gel breaks down over seven days and is naturally flushed away by the eye's tears.

Family wins $5 million in Tufts malpractice suit

A jury sided with the parents of an injured child in their lawsuit against two physicians and a nurse practitioner at Tufts Medical Center.

Couple awarded $6.7 million for botched hernia surgery

A patient is permanently disabled after a surgeon perforated his small intestine during a hernia surgery and failed to repair the injury.

Heart surgery during infancy ups ADHD risk

The ADHD risk for patients who undergo early cardiac surgery should be conveyed to parents.

Anxiety amplifies post-surgical pain

Anxiety is psychological risk factor for chronic post-surgical pain, regardless of the type of surgery performed.

Neurosurgery patients potentially exposed to CJD at N.H. hospital

As many as eight neurosurgery patients may have been exposed to Creutzfeldt-Jakob disease, a rare incurable prion disease.

Imaging vital in treating Boston marathon injuries

Soft tissue and musculoskeletal trauma common in blast injuries.

Spinal radiosurgery ups vertebral fracture risk

Risk is greater for fractional radiation dose of 20 Gy or higher.

Post-op PTSD reduces spine surgery benefit

PTSD symptoms predict clinical benefit better than psychiatric diagnosis.

Post-op cervical fusion x-rays often unnecessary

Follow-up postoperative x-rays are rarely of value when patient history and exam are normal.

Surgery improves QOL scores for pediatric spondylolisthesis patients

Pediatric patients with spondylolisthesis who had lower baseline quality of life scores benefited most from surgery.

Cardiac complications more likely with lumbar fusion vs. decompression

Excess complications result in more hospitalizations, greater costs and higher mortality.

'Smart' knife IDs cancer during resection

The iKnife enables near-real-time characterization of human tissue, differentiating between histologic tumor types, primary and metastatic tumors.

Better pain control with epidural for spine surgery

Patients undergoing reconstructive spine surgery fared better with general anesthesia and epidural than anesthesia plus narcotics.

Phone call safe, efficient for post-op follow-up

Most patients undergoing ambulatory surgery accepted and were highly satisfied with telehealth.

Cervical spine surgery up, no mortality benefit

The volume of cervical spine surgeries, as well as associated costs increased from 2002 to 2009, without a significant improvement in mortality.

Patients satisfied with carpal tunnel surgery outcomes

Most patients are pleased and free of symptoms 13 years after open carpal tunnel release.

Preinjury opioid use may predict addictive behavior

Trauma patients more likely to fill more than one opioid Rx pre-injury and were more likely to be using opioids for longer than 12 weeks post-surgery.

Predictors of lumbar spine surgical outcomes ID'ed

Certain MRI findings may predict outcomes for patients with lumbar intervertebral disc herniation who undergo lumbar spine surgery.

Mt. Sinai surgeon removes wrong kidney

A surgeon mistakenly removed the wrong kidney from a 76-year-old patient at Mt. Sinai Hospital in New York City.

FDA approves Xgeva for giant cell bone tumors

Denosumab has been approved to treat cases in which the tumor can't be surgically removed, or might lead to a severe outcome such as loss of a limb.

Epidural steroid injections increase bone fragility

Vertebral fracture risk increases by 21% with each additional injection.

Minimally invasive lumbar fusion surgery beneficial

But advantages disappear over open surgery when a concomitant decompression is necessary.

Aspirin OK for extended VTE prophylaxis post hip replacement

Aspirin for 28 days is non-inferior to and as safe as dalteparin for preventing venous thromboembolism.

MRI reduces vertebral compression fracture misdiagnoses before cementing

MRI reduces the rate of misdiagnosis of acute lesions and hidden lesions before percutaneous cement augmentation procedures.

Long-detection intervals better in ICD therapy

Among patients receiving their first ICD, using long-detection intervals reduced the number of inappropriate shocks delivered.

Medical errors down in Minnesota

Surgical and medication errors down, but suicide up in Minnesota's annual adverse medical event report.

Wrestler Hulk Hogan files $50 million malpractice suit

Hogan alleges he underwent several unnecessary endoscopic procedures that destabilized his injured back and significantly damaged his earnings potential as a professional wrestler.

Surgical 'never events' occur at least 4,000 times annually

U.S. surgeons make mistakes, such as leaving a foreign object inside a patient's body or performing operations on the wrong part of the body, frequently.

Smoking impairs CABG vein grafts

Smoking associated with worse saphenous vein graft patency at one and two years after CABG.

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