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Surgery Blog

Music Soothes Cats During Surgery

Posted 2 Apr 2015 by Drugs.com

THURSDAY, April 2, 2015 – Hearing music – especially classical music – may help cats relax during surgery, a new small study reports. The research included 12 female pet cats who were being spayed. The felines were outfitted with headphones while under anesthesia. They heard two minutes of silence, followed by two minutes each of a classical music piece, a pop song and a heavy metal song. Relaxation was measured by the cats' respiratory rates and pupil diameters. The classical music put the cats in the most relaxed state, followed by the pop music, and then the heavy metal music, according to the researchers at the University of Lisbon in Portugal. The findings suggest that playing certain types of music while pets are having surgery may help them relax and reduce the amount of anesthesia they require, thereby reducing the risk of harmful side effects. The study was published March ... Read more

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Study Supports Use of Laparoscopic Surgery for Rectal Cancer

Posted 2 Apr 2015 by Drugs.com

WEDNESDAY, April 1, 2015 – Patients with localized rectal cancer may achieve similar survival rates by having minimally invasive laparoscopic surgery, instead of more invasive open surgery, a European study finds. According to the American Cancer Society, close to 40,000 new cases of rectal cancer are diagnosed each year in the United States. In standard open surgery, surgeons must make a large incision in the patient's abdomen. Using the laparoscopic procedure, they make only a small incision through which an instrument is passed to remove the cancerous tumor. This results in shorter time to recovery with less pain and a shorter hospital stay, explained study lead author Dr. H. Jaap Bonjer, chairman of the department of surgery at VU University Medical Center in Amsterdam. For the study, Bonjer's team randomly assigned more than a thousand patients with rectal cancer, seen at 30 ... Read more

Related support groups: Surgery, Colorectal Cancer

Stiff Shoulder No Reason to Delay Rotator Cuff Surgery: Study

Posted 29 Mar 2015 by Drugs.com

SATURDAY, March 28, 2015 – It may not be necessary to delay rotator cuff surgery in patients with shoulder stiffness, a new study suggests. Researchers compared 170 people who had rotator cuff surgery with 25 people who underwent a glenohumeral joint capsule release procedure to relieve shoulder stiffness at the same time they had rotator cuff surgery. Rotator cuff surgery is done to repair a torn tendon in the shoulder. A glenohumeral joint capsule release involves arthroscopic manipulation of a patient's shoulder while under anesthesia. "Physicians may be inclined to postpone surgery on patients with shoulder stiffness, but our research suggests that may not be the best treatment approach," study author Jordan McGrath, of St. George Hospital in Sydney, Australia, said in a news release from the American Orthopaedic Society for Sports Medicine. In the study, both groups of patients ... Read more

Related support groups: Surgery, Muscle Pain

Young People At Risk of Second Injury After Knee Surgery

Posted 29 Mar 2015 by Drugs.com

SATURDAY, March 28, 2015 – One-third of young athletes who have surgery to repair the anterior cruciate ligament (ACL) in the knee suffer another ACL injury later in life, new research finds. "Our study shows that young knees are more prone to re-injury than the adult population when compared to other research in this area, and is the first study to examine the incidence and risk factors for further ACL injury in a solely juvenile population over the long term," study author Dr. Justin Roe, of the North Sydney Orthopaedic and Sports Medicine Centre in Australia, said in a society news release. "While surgery still may be the best option for many ACL injuries, it brings to light the important factors physicians must consider when treating the younger population," he added. The Australian researchers looked at nearly 250 athletes who had ACL reconstruction surgery between 1993 and 1998. ... Read more

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Surgery Patients Might Not Need Sedative Before Anesthesia

Posted 3 Mar 2015 by Drugs.com

TUESDAY, March 3, 2015 – A new French study questions the need for giving a sedative to surgical patients to calm them down before anesthesia is administered. The investigators found that the sedative lorazepam (Ativan) did not improve patients' experience, and was tied to a lower rate of early mental recovery. "I was not surprised with these results," said Dr. J.P. Abenstein, president of the American Society of Anesthesiologists, who had no part in the study. "Lorazepam is a long-acting sedative lasting about 12 hours." Abenstein said lorazepam is not generally used for surgery in the United States, but is used to treat people who have serious anxiety problems and for alcoholics to help them deal with alcohol withdrawal. "It is not the common drug used for sedation before surgery," he said. When a sedative is called for, the most commonly used drug is midazolam, which is a ... Read more

Related support groups: Surgery, Ativan, Lorazepam, Lorazepam Intensol

New Techniques Outline Tumors' Location in the Brain

Posted 15 Feb 2015 by Drugs.com

FRIDAY, Feb. 13, 2015 – Brain tumors are notoriously tricky for surgeons, who may leave too much cancerous tissue behind or cut into vital, healthy brain tissue. However, two new studies describe devices that help surgeons and nonsurgical physicians better understand the outline and location of cancerous tissue in the brain, potentially improving outcomes for patients. One device, a handheld fiber optic probe, could help surgeons see cancer cells lying at the margins of brain tumors in real time, so they can be removed with more accuracy. The other device is a PET scan that allows doctors to gauge the size and area of a brain tumor. Seeing the outlines of tumors more accurately might help physicians better assess the benefits of chemotherapy or radiation treatment, the researchers explained. Both studies came as welcome news to experts. "We are always happy to see new research that is ... Read more

Related support groups: Surgery, Brain Tumor, Diagnosis and Investigation

Internal Tissue Adhesive Approved

Posted 4 Feb 2015 by Drugs.com

WEDNESDAY, Feb. 4, 2015 – The U.S. Food and Drug Administration has approved the first tissue adhesive for internal use. Known as TissuGlu, surgeons can use the urethane-based adhesive to connect tissue flaps created during surgery to remove extra fat or skin, or to restore weak or separated abdominal muscles (abdominoplasty). The new adhesive may reduce or eliminate the need for surgical drains to remove fluid between such flaps, the agency said in a news release. "The FDA's approval of the first synthetic adhesive for internal use will help some abdominoplasty patients get back to their daily routine after surgery more quickly than if surgical drains had been inserted," Dr. William Maisel, deputy director for science at FDA's Center for Devices and Radiological Health, said in the news release. The product was evaluated in a clinical trial of 130 people who had elective ... Read more

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Medicare Patients Aren't Benefitting From Surgical Report Cards: Study

Posted 3 Feb 2015 by Drugs.com

TUESDAY, Feb. 3, 2015 – Report cards on the quality of surgical care provided by hospitals don't appear to benefit Medicare patients, a new study finds. The report cards have been issued under the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) since the early 2000s. Trained nurses at participating hospitals record and submit data about every operation. The goal is to prompt hospitals to make improvements in areas where they perform poorly. But this study found this approach is doing little to help older patients. Researchers analyzed data from 1.2 million Medicare patients who had one of 11 major types of surgery over a decade. The operations were performed at more than 250 hospitals receiving report cards and more than 500 hospitals not involved in the program. There was no differences in surgical safety or cost savings between the two groups of ... Read more

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Infection Most Likely Cause of Hospital Readmission After Surgery

Posted 3 Feb 2015 by Drugs.com

TUESDAY, Feb. 3, 2015 – Infections are the most likely reason people end up back in the hospital after surgery, a new study finds. Of nearly 500,000 operations studied, 6 percent of the patients were readmitted for surgical complications within a month after their surgery, researchers found. The number one complication leading to readmission was surgical wound infection, said lead researcher Dr. Karl Bilimoria, an assistant professor of surgery at Northwestern University Feinberg School of Medicine in Chicago. "Readmissions after surgery are not due to mismanagement or poor care. They are related to well-known and well-accepted complications after surgery," Bilimoria said. He added that knowing why readmissions happen is the first step in reducing them. Currently, the U.S. Centers for Medicare & Medicaid Services can penalize hospitals for excessive readmission rates. "We don't have ... Read more

Related support groups: Surgery, Bacterial Infection

Breast Reconstruction Complications Similar for Older, Younger Women

Posted 31 Jan 2015 by Drugs.com

FRIDAY, Jan. 30, 2015 – The overall risk of complications from breast reconstruction after breast removal is only slightly higher for older women than for younger women, a new study indicates. Researchers looked at data from nearly 41,000 women in the United States who had one breast removed between 2005 and 2012. Of those patients, about 11,800 also underwent breast reconstruction. Patients aged 65 and older were less likely to have breast reconstruction than younger women. About 11 percent of older women chose to have the surgery compared to nearly 40 percent of women under 65, the study found. Women who had breast reconstruction had more complications – such as longer hospital stays and repeat surgeries – than those who did not have breast reconstruction. However, overall complication rates after breast reconstruction were similar. About 7 percent of older women had complications, ... Read more

Related support groups: Surgery, Breast Cancer

Blood Transfusions During Heart Surgery May Up Pneumonia Risk

Posted 27 Jan 2015 by Drugs.com

TUESDAY, Jan. 27, 2015 – Receiving a blood transfusion during heart bypass surgery may raise a patient's risk of pneumonia, researchers report. "The ability to store and transfuse blood is one of medicine's greatest accomplishments, but we are continuing to see that receiving a blood transfusion may alter a patient's ability to fight infection," Dr. James Edgerton, of The Heart Hospital, Baylor Plano in Texas, said in a Society of Thoracic Surgeons news release. He was not involved in the study. For the current study, investigators looked at data on more than 16,000 patients who had heart bypass surgery. The surgeries took place at 33 U.S. hospitals between 2011 and 2013. Nearly 40 percent of those surgical patients received red blood cell transfusions, the findings showed. Just under 4 percent of the entire group developed pneumonia. People given one or two units of red blood cells ... Read more

Related support groups: Surgery, Blood Transfusion

Morphine After Tonsillectomy Tied to Breathing Problems in Study

Posted 26 Jan 2015 by Drugs.com

MONDAY, Jan. 26, 2015 – Using morphine at home to treat pain in children after tonsil and/or adenoid removal may cause life-threatening respiratory problems, according to a new study. "The evidence here clearly suggests children with obstructive sleep apnea should not be given morphine for postoperative pain. We already know that they should not get codeine either," Dr. Gideon Koren, one of the study's authors and a senior scientist at the Hospital for Sick Children in Toronto, said in a McMaster University news release. "The good news is that we now have evidence that indicates ibuprofen [Motrin, Advil] is safe for these kids, and is just as effective in controlling their pain, so there's a good alternative available for clinicians to prescribe," he added. In recent years, many doctors began prescribing morphine to young tonsillectomy patients after Canadian and U.S. health officials ... Read more

Related support groups: Surgery, Morphine, Tonsillitis/Pharyngitis, MS Contin, Kadian, Avinza, M O S, Roxanol, MSIR, Morphine IR, Statex, MS/S, Oramorph SR, Morphine Sulfate ER, Morphine Sulfate SR, M-Eslon, Morphine LP Epidural, Duramorph, Roxanol-T, Roxanol 100

FDA Medwatch Alert: 0.9 Percent Sodium Chloride Injection USP in 100 mL MINI-BAG PLUS Container by Baxter: Recall - Particulate Matter

Posted 16 Dec 2014 by Drugs.com

ISSUE: Baxter International Inc. initiated a recall in the United States of two lots of 0.9% Sodium Chloride Injection USP in 100 mL MINI-BAG PLUS Container to the hospital/user level. The recall is being initiated as a result of two complaints (one per lot) of particulate matter that was identified as a fragment of the frangible from the vial adapter. The issue was identified upon standard visual inspection prior to patient administration. This recall affects lot numbers P317842 and P317891.   Intravenous administration of a solution containing sterile particulate matter may lead to adverse health consequences. The extent and severity of harm depends on the size, number, and composition of the foreign material, and the patient's underlying medical condition. In the absence of in-line filtration, particles may cause: local vein irritation, inflammatory reaction, aggravation of ... Read more

Related support groups: Surgery, Sodium Chloride, Hyper-Sal, NebuSal, Thermoject, Normal Saline Flush

Patients Given Less Blood During Surgery Do Fine, Study Reports

Posted 12 Dec 2014 by Drugs.com

FRIDAY, Dec. 12, 2014 – Heart disease patients who receive smaller amounts of blood during surgery do as well as those who get more blood, a new study finds. The research included more than 2,000 heart disease patients who were followed for as long as four years after surgery. Half received larger amounts of blood during surgery and half received up to two-thirds less blood. Those who received less blood did not have an increased risk of death from heart disease, cancer or severe infection, according to the findings published online Dec. 9 in The Lancet. "There has been a steady decline in the amount of blood in transfusions given to patients in the past three to five years," study leader Dr. Jeffrey Carson, chief of the internal medicine division at Rutgers University Robert Wood Johnson Medical School, said in a university news release. "I think it is very reassuring that we have ... Read more

Related support groups: Surgery, Blood Transfusion

Mastectomy Rates Rising Among Women Eligible for Lumpectomy

Posted 19 Nov 2014 by Drugs.com

WEDNESDAY, Nov. 19, 2014 – When confronted with early stage breast cancer, surgical removal of the tumor alone (lumpectomy) – which conserves the breast – can be a less drastic option than total mastectomy. However, a new study shows that a rising number of early stage breast cancer patients who are eligible for lumpectomy are nonetheless undergoing mastectomy. Researchers led by Dr. Kristy Kummerow, of Vanderbilt University Medical Center in Nashville, tracked data from the National Cancer Data Base. They found that the percentage of early stage breast cancer patients who were eligible for breast conservation surgery but underwent mastectomy rose from just over 34 percent in 1998 to nearly 38 percent in 2011. The largest increases were among patients with lymph node-negative, contained cancers – tumors that did not show evidence of spreading, according to the study published online ... Read more

Related support groups: Surgery, Breast Cancer

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