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Surgery Blog

When New Doctors 'Train' During Surgery, Risks Don't Rise: Study

Posted 1 day 2 hours ago by Drugs.com

MONDAY, July 6, 2015 – People undergoing brain or spine surgery are at no greater risk if doctors-in-training – called residents – assist during the operation, a new study suggests. Researchers found that residents are supervised and their assistance doesn't increase the risk for complications or death. "Patients often ask whether a resident is going to be involved in their case, and they're usually not looking to have more residents involved," Dr. Mohamad Bydon, a resident in neurosurgery at the Johns Hopkins Hospital in Baltimore, said in a hospital news release. "Some people have a fear of being treated in a hospital that trains doctors." To see if there was any basis for the concern, the researchers looked at results of more than 16,000 brain and spine surgeries performed between 2006 and 2012. The information was from the database of the American College of Surgeons National ... Read more

Related support groups: Surgery, Orthopedic Surgery, Head & Neck Surgery, Neurosurgery, Brain Anomalies incl Congenital

Statins Might Reduce Complications After Major Lung Surgery

Posted 11 days ago by Drugs.com

FRIDAY, June 26, 2015 – Widely used cholesterol-lowering drugs known as statins might help reduce major complications after lung surgery, new research suggests. Statins have been linked to fewer complications after heart surgery, and researchers at Memorial Sloan Kettering Cancer Center in New York City theorized they might also benefit patients undergoing major lung surgery. The researchers randomly assigned more than 160 study participants to receive the statin Lipitor (atorvastatin) or an inactive placebo before and after lung resection – removal of part of the lung. Complications – such as pneumonia, heart attack and acute respiratory failure – were reported in 22 percent of patients receiving placebo, compared with 12 percent taking statins. Statins were also linked to a nearly 50 percent reduction in post-surgery rates of atrial fibrillation (abnormal heart rhythm), the ... Read more

Related support groups: Surgery, Atrial Fibrillation, Lipitor, Simvastatin, Crestor, Pravastatin, Atorvastatin, Zocor, Lovastatin, Rosuvastatin, Red Yeast Rice, Livalo, Pravachol, Caduet, Cardiovascular Risk Reduction, Lescol, Lescol XL, Mevacor, Amlodipine/Atorvastatin, Altoprev

Using Same Hospital for Complications After Surgery Lowers Death Risk: Study

Posted 19 days ago by Drugs.com

THURSDAY, June 18, 2015 – Surgery patients who suffer complications after discharge from a hospital are more likely to die if they're readmitted to a different hospital than where they had their original operation, a new study finds. University of Utah researchers reviewed information on millions of Medicare patients who underwent one of 12 major surgical procedures between 2001 and 2011. They found that up to one-fifth of the patients were readmitted to a hospital within 30 days due to complications. Up to 83 percent of patients with complications were readmitted to the same hospital where they had their initial surgery. Overall, readmission to the same hospital was associated with a 26 percent lower risk of death within 90 days, the study revealed. For specific types of surgeries, the risk of death associated with readmission to the same hospital ranged from 44 percent lower for ... Read more

Related support groups: Surgery, Knee Joint Replacement, Hip Replacement, Gastric Bypass Surgery, Orthopedic Surgery, Head & Neck Surgery, Appendectomy, Neurosurgery, Spleen Removal, Ophthalmic Surgery, Vascular Surgery, Gastrointestinal Surgery, Cardiothoracic Surgery, Genitourinary Surgical and Other Conditions

More Breast Cancer Patients Opting for Lumpectomy: Study

Posted 17 Jun 2015 by Drugs.com

WEDNESDAY, June 17, 2015 – The percentage of women with early stage breast cancer who choose to have the breast-conserving surgery known as lumpectomy has risen slowly in recent years, new research shows. In 1998, slightly more than 54 percent of eligible women chose the surgery. But, the number had passed the 60 percent mark by 2011, according to study author Dr. Isabelle Bedrosian, an associate professor of surgical oncology at the University of Texas M.D. Anderson Cancer Center in Houston. "The big picture shows most women with early stage breast cancer are opting for breast-conserving surgery," she said. Previous research has found that mastectomy, where the entire breast is removed, was chosen as often as lumpectomy among women with early stage breast cancer who were candidates for lumpectomy and the radiation that typically follows it. Bedrosian views the new findings as good ... Read more

Related support groups: Surgery, Breast Cancer, Breast Cancer, Prevention, Breast Cancer - Palliative

Study Questions Value of Arthroscopic Knee Surgery for Older Patients

Posted 17 Jun 2015 by Drugs.com

WEDNESDAY, June 17, 2015 – Arthroscopic surgery to relieve chronic knee pain in middle-aged and older patients is only temporarily effective and might be harmful, a new analysis suggests. Researchers who reviewed 18 studies recommended against the procedure as a treatment for arthritis pain or a torn meniscus – the shock-absorbing cartilage between the knee bones – in older adults. "We found you improve regardless of if you have surgery or nonsurgical treatment," said one of the researchers, Ewa Roos, a professor in the department of sports science and clinical biomechanics at the University of Southern Denmark. Dr. David Teuscher, president of the American Academy of Orthopaedic Surgeons, agrees that for this type of knee pain, arthroscopic surgery has no benefit. In fact, doctors in the U.S. no longer use this procedure to relieve knee pain, he said. "We did the research on this ... Read more

Related support groups: Surgery, Knee Joint Replacement, Orthopedic Surgery, Surgical Prophylaxis

Appendicitis Can Often Be Treated With Antibiotics

Posted 16 Jun 2015 by Drugs.com

TUESDAY, June 16, 2015 – Although surgical removal of the appendix has long been a standard treatment, a new study found that almost three-quarters of people treated with antibiotics could be spared the invasive procedure known as appendectomy. "For more than a century, appendectomy has been the standard treatment," said the study's lead author Dr. Paulina Salminen, of Turku University Hospital in Finland. But about 80 percent of patients with an inflamed appendix, commonly called appendicitis, don't need to have their appendix surgically removed, and those who ultimately do need the surgery aren't hurt by waiting, according to Salminen. She thinks that this and other studies will change how appendicitis is treated. "Now we know that only a small proportion of appendicitis patients need an emergency operation," Salminen said. However, there are two types of appendicitis – one that ... Read more

Related support groups: Surgery, Metronidazole, Bactrim, Flagyl, Bactrim DS, Polymyxin B, Xifaxan, Septra, Sulfamethoxazole/Trimethoprim, Zyvox, Rifaximin, Bacitracin, Metro, Septra DS, Cotrimoxazole, Chloramphenicol, Sulfatrim, SMZ-TMP DS, Flagyl IV, Flagyl IV RTU

Doctors Can Cut Back on Antibiotics After Abdominal Surgery: Study

Posted 11 Jun 2015 by Drugs.com

THURSDAY, June 11, 2015 – The length of antibiotic treatment for abdominal infections can be cut in half and still be equally effective, a new study suggests. Doing so could help efforts to battle the growing problem of antibiotic resistance, the study authors said. The study – led by researchers at the University of Virginia – included more than 500 patients in the United States and Canada with abdominal infections. First, the source of the infection was treated, such as the removal of an inflamed appendix. After surgery, half of the patients took antibiotics for eight days. The other half took antibiotics for only four days. Outcomes in both groups were similar, the study found. "It's important for physicians to realize the most important aspect of the management of these patients is controlling the source of infection," Dr. Robert Sawyer, from the departments of surgery and ... Read more

Related support groups: Surgery, Metronidazole, Bactrim, Flagyl, Bactrim DS, Polymyxin B, Xifaxan, Septra, Sulfamethoxazole/Trimethoprim, Zyvox, Rifaximin, Bacitracin, Metro, Septra DS, Cotrimoxazole, Chloramphenicol, Sulfatrim, SMZ-TMP DS, Flagyl IV, Flagyl IV RTU

More Evidence That General Anesthesia May Affect Young Brains

Posted 8 Jun 2015 by Drugs.com

MONDAY, June 8, 2015 – Having general anesthesia during surgery at a very young age may be linked to poorer brain development, new research suggests. Children who had received general anesthesia during surgery before they turned 4 years of age later scored slightly lower on listening comprehension and parts of an IQ test, compared to children who had never had general anesthesia, the researchers found. The children's overall IQ scores, however, remained within the normal range. "It is difficult to see whether this decrease had any functional effect for an individual child," said study author Dr. Andreas Loepke, a professor of clinical anesthesia and pediatrics at the University of Cincinnati College of Medicine. But, he added, "these concerns make it obvious that a lot more research is needed to better understand the effects of anesthetics on brain development." The findings, published ... Read more

Related support groups: Surgery, Anesthesia

Surgery May Boost Survival in Certain Advanced Lung Cancers

Posted 4 Jun 2015 by Drugs.com

THURSDAY, June 4, 2015 – Certain patients with lung cancer that's spread throughout the chest could live longer by undergoing surgery to remove diseased lung tissue, instead of receiving only chemotherapy and radiation, new research suggests. The study was based on a review of data on more than 9,000 patients with stage 3b non-small cell lung cancer – tumors that have spread to lymph nodes or other organs in the chest. The researchers found that those who underwent a combination of surgery, chemotherapy and radiation treatment lived an average of almost 10 months longer than those receiving chemo and radiation alone. Typically, surgery isn't offered to patients with such advanced cases of non-small cell lung cancer, physicians said, and some may also be too ill to undergo the procedure. However, "we think our study reignites a question that was initially asked in the 1980s and 1990s ... Read more

Related support groups: Surgery, Lung Cancer, Non-Small Cell Lung Cancer, Surgical Prophylaxis, Cardiothoracic Surgery

Resuming Blood Pressure Meds After Surgery Linked to Better Outcomes

Posted 4 Jun 2015 by Drugs.com

THURSDAY, June 4, 2015 – People with high blood pressure who resume taking their medication soon after surgery may have a lower risk of complications and death, a new study suggests. Researchers reviewed information from more than 30,000 patients taking a particular type of high blood pressure medication before surgery. All were taking drugs from a class of medications known as angiotensin receptor blockers (ARBs). These drugs are widely used to treat high blood pressure. None of the surgeries was for heart-related problems, according to the researchers. About one-third of those people didn't restart taking their high blood pressure medication within two days of surgery. The study found this group was linked to a higher risk of death within 30 days compared to people who immediately resumed their medication. The increased risk of death in people who didn't start taking their blood ... Read more

Related support groups: Surgery, Heart Disease, Losartan, Benicar, Diovan, Cozaar, Micardis, Valsartan, Avapro, Atacand, Irbesartan, Telmisartan, Candesartan, Olmesartan, Edarbi, Cardiovascular Risk Reduction, Teveten, Azilsartan medoxomil, Eprosartan

Double Mastectomy Benefits May Be Overrated for Some

Posted 4 Jun 2015 by Drugs.com

THURSDAY, June 4, 2015 – Many breast cancer patients wrongly believe that having both breasts removed – a double mastectomy – will improve their chance of survival, a new study finds. "Our finding that so many women are receiving much more extensive surgery than needed to treat their disease is striking," study lead author Dr. Reshma Jagsi, associate professor of radiation oncology at the University of Michigan Medical School in Ann Arbor, said in a university news release. Researchers surveyed more than 1,900 women treated for breast cancer. They found that nearly half had considered having a double mastectomy, but only about one in five underwent the procedure. Many who had the more aggressive surgery had no risk factors, such as family history of breast cancer, that would increase their odds for cancer in the second breast. Of those who considered the surgery, 37 percent knew that ... Read more

Related support groups: Surgery, Breast Cancer, Breast Cancer, Prevention, Surgical Prophylaxis

Surgery Not Always Needed for Early Form of Breast Cancer: Study

Posted 3 Jun 2015 by Drugs.com

WEDNESDAY, June 3, 2015 – Surgery for a very early type of breast cancer does not significantly improve outcomes for patients, according to research that raises questions about the overuse of surgery for the condition. Investigators examined data on more than 50,000 cases of what's known as ductal carcinoma in situ (DCIS), a very early form of cancer of the milk ducts. According to a team from Brigham and Women's Hospital in Boston, DCIS is the most common type of noninvasive breast cancer. The approximately 60,000 women diagnosed with DCIS each year in the United States represent 20 to 25 percent of all breast cancer cases, the researchers said. Surgery remains the standard of care for all grades of DCIS, but the investigators questioned that approach. The study was led by Dr. Yasuaki Sagara, a surgeon at Brigham and Women's Hospital and Dana-Farber/Brigham and Women's Cancer Center. ... Read more

Related support groups: Surgery, Breast Cancer, Breast Cancer, Prevention, Surgical Prophylaxis

Lifts, Tucks Often Follow Weight-Loss Surgery, Study Finds

Posted 1 Jun 2015 by Drugs.com

MONDAY, June 1, 2015 – The rapidly rising number of weight-loss surgeries in the United States may be leading to greater demand for cosmetic surgery, a new report suggests. In 2014, cosmetic procedures associated with major weight loss – such as tummy tucks and thigh, breast and upper arm lifts – increased the most in four years, echoing a similar rise in weight-loss surgeries, according to the American Society of Plastic Surgeons. "We think there is a correlation between the two types of procedures, and we expect that trend to continue," Dr. Scot Glasberg, society president, said in a news release from the group. The report said that 179,000 Americans had weight-loss surgery in 2013, an average of nearly 500 procedures a day. That's the most since 2009 and the third most on record. Thigh lifts and upper arm lifts both rose 9 percent in 2014, the largest single-year increase in five ... Read more

Related support groups: Surgery, Obesity, Weight Loss, Gastric Bypass Surgery

Young Athletes With ACL Injuries Often Need Repeat Surgery: Study

Posted 22 May 2015 by Drugs.com

FRIDAY, May 22, 2015 – Many young athletes who undergo surgery for a torn anterior cruciate ligament (ACL) need a second operation later on, a new study shows. Torn ACLs are widespread among people younger than 21, said researchers at the Hospital for Special Surgery in New York City. "This is the first study to evaluate, on a population level, the percentage of patients under age 21 who had subsequent ACL or non-ACL knee surgery following a primary anterior cruciate ligament reconstruction," lead investigator Dr. Emily Dodwell, a pediatric orthopedic surgeon, said in a hospital news release. Using a New York state database, her team identified 23,912 cases of ACL reconstruction in patients younger than 21. Of these patients, 8 percent needed a second surgery on this ligament, and 14 percent needed another knee surgery that didn't involve their ACL. The median time between surgeries ... Read more

Related support groups: Surgery, Knee Joint Replacement, Orthopedic Surgery, Surgical Prophylaxis

Clowning Around May Be Good Medicine for Kids Facing Surgery

Posted 15 May 2015 by Drugs.com

FRIDAY, May 15, 2015 – If laughter is the best medicine, that may be doubly true for kids undergoing surgery who were cheered up by visiting clowns, a new Israeli study suggests. This study included children ages 2 to 16 undergoing outpatient urologic surgery at Shaare Zedek Medical Center in Jerusalem. The children were divided into two groups – in one group, the surgical team included a "medical clown" in the operating room to help entertain the kids. The results suggest a funny intervention can make a serious impact on kids' well-being: The clown's antics were tied to less anxiety for kids before and after surgery, less time in the operating room, lower levels of pain, and shorter time to discharge from the hospital, the study found. There was even a financial bonus: Related reductions in surgery and recovery time led to a cost savings of more than $461 per patient, the researchers ... Read more

Related support groups: Surgery

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Surgical Prophylaxis, Ophthalmic Surgery, Head & Neck Surgery, Neurosurgery, Orthopedic Surgery, Cardiothoracic Surgery, Gastrointestinal Surgery, Postoperative Albumin Loss, Vascular Surgery, Genitourinary Surgical and Other Conditions, Biliary Tract Surgery, Extracorporeal Perfusion