Surgery

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.

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.

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.

Longer anesthesia duration linked to increased surgical complications

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

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

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

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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 safe sedation of pediatric patients

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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

Oral contraceptives increase surgery risk for women with Crohn disease

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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

Coronary bypass surgery reduces mortality for patients with heart failure

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

Wrist pain after a fall: a simple fracture?

Wrist pain after a fall: a simple fracture?

After a fall on an outstretched hand, wrist injuries are common, but ligament tears should also be considered in adults.

Carcinoid appendix


Carcinoid appendix


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A patient with a history of a carcionid tumor on their appendix did not return to a physician for follow up.

House calls from PAs reduce hospital readmissions after cardiac surgery

House calls from PAs reduce hospital readmissions after cardiac surgery

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

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