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Surgery Blog

Young Athletes With ACL Injuries Often Need Repeat Surgery: Study

Posted 6 days ago by

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 13 days ago by

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

Local Anesthesia May Be Best for Infants During Surgery

Posted 14 days ago by

THURSDAY, May 14, 2015 – New research suggests infants may recover better after some kinds of surgery if they receive local anesthesia – which only numbs part of the body – instead of being "knocked out" completely with general anesthesia. Young patients who had local anesthesia were less likely to suffer from disrupted breathing following hernia surgery, the study found. "Our research provides the strongest evidence to date on how babies should have anesthesia for hernia repair, the most common procedure among infants," said lead author Dr. Andrew Davidson, an associate professor at Royal Children's Hospital in Melbourne, Australia. "We found that spinal [local] anesthesia is safer than general anesthesia," Davidson explained in a news release from the American Society of Anesthesiologists. There's long been uncertainty about the use of general anesthesia in infants and toddlers. ... Read more

Related support groups: Surgery, Lidocaine, Xylocaine, Bupivacaine, Marcaine, Septocaine, Novocain, Procaine, Prilocaine, Tetracaine, Carbocaine, Bupivacaine/Epinephrine, Marcaine HCl, Polocaine, Epinephrine/Lidocaine, Marcaine Spinal, Articaine/Epinephrine, Naropin, Mepivacaine, Chirocaine

Pregnancy Doesn't Make General Surgery More Dangerous: Study

Posted 15 days ago by

WEDNESDAY, May 13, 2015 – Being pregnant does not raise a woman's risk for death or complications after undergoing general surgery, a new study finds. "Pregnant patients undergoing emergency and non-emergency general surgery do not appear to have elevated rates of [illness or death]," Dr. Robert Meguid, of the University of Colorado, and colleagues wrote. "Therefore, general surgery appears to be as safe in pregnant as it is in non-pregnant women," the researchers concluded. For the study, the investigators looked at more than 2,700 pregnant women in the United States who had general surgery between 2006 and 2011, and compared them with nearly 517,000 women who were not pregnant when they had general surgery. Pregnant women were more likely than non-pregnant women to have inpatient surgery (75 percent versus 60 percent, respectively) and more likely to have emergency surgery (50.5 ... Read more

Related support groups: Surgery, Delivery, Labor Induction

'Wiser' Surgeries for Those With Terminal Cancers

Posted 17 days ago by

MONDAY, May 11, 2015 – While surgery rates for patients with late-stage, terminal cancers have stayed about the same in recent years, complications and deaths for these patients have fallen because surgeons are more selective about who has surgery, a new study finds. "Surgeons are becoming wiser," study author Dr. Sarah Bateni, a surgery resident at the University of California, Davis, said in a university news release. "Our research suggests that surgeons may be operating on healthier patients who are more likely to recover well from an operation," she said. "These are patients who can perform activities of daily living without assistance, for example." As Bateni explained, there are a number of reasons why surgeons might operate on late-stage cancer patients. "Some of it has to do with the patients and families," she said. "If the patient is uncomfortable, the family wants a ... Read more

Related support groups: Surgery, Cancer, Colorectal Cancer, Head & Neck Surgery, Neurosurgery, Surgical Prophylaxis, Gastrointestinal Surgery, Cardiothoracic Surgery, Solid Tumors, Biliary Tract Surgery

Obesity Tied to Risk of Complications After Plastic Surgery

Posted 4 May 2015 by

MONDAY, May 4, 2015 – Obese people who choose to have plastic surgery are 35 percent more likely than normal-weight people to have to visit the emergency room or be admitted to the hospital within 30 days after their operation, new research suggests. The findings highlight the importance of telling obese patients about the risks involved with such surgical procedures, the study authors said. "It is important to educate overweight and obese patients regarding their risk of complications" before they undergo the procedure, the researchers wrote. And doctors should more carefully manage existing health conditions these patients may have, the study authors cautioned. "Because most insurance companies will not cover complications associated with elective cosmetic procedures, these additional costs [of treating complications] may fall on the patient," they added. The researchers, led by Dr. ... Read more

Related support groups: Surgery, Obesity

Nipple-Sparing Mastectomy as Good as Full Breast Removal: Study

Posted 1 May 2015 by

FRIDAY, May 1, 2015 – Women with early stage breast cancer who chose to preserve the nipple during a mastectomy had similar survival or recurrence rates to women who underwent full breast removal, a new study found. "Nipple-sparing surgery is oncologically safe in carefully selected women with early stage breast cancer," said Dr. Lucy De La Cruz, a researcher at the University of Miami. She was scheduled to present her findings Thursday at the American Society of Breast Surgeons annual meeting, in Orlando, Fla. Studies presented at medical meetings are considered preliminary until published in a peer-reviewed journal. In nipple-sparing surgery, the nipple and the darkened area around the nipple – the areola – are left in place. The breast tissue is taken from underneath the nipple area, according to the American Cancer Society (ACS). Although the nipple area is preserved, blood flow ... Read more

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

Breast Reconstruction Often Involves Multiple Operations

Posted 30 Apr 2015 by

THURSDAY, April 30, 2015 – Most women undergoing breast reconstruction after a mastectomy will need several operations, a new study finds. Among nearly 4,000 women studied, 88 percent had at least two breast reconstruction operations, 65 percent had more than two, and 39 percent had four or more, the Canadian researchers reported. "Women undergoing breast reconstruction should expect to have an average of two operations," lead researcher Dr. Amanda Roberts, a clinical research fellow at the University of Toronto, said during a Thursday morning news conference. Roberts said that some "re-operations" are expected. These can involve replacing a tissue expander with a permanent breast implant, or recreating a nipple, she explained. The expander is a temporary measure used to stretch breast skin and muscle. However, some operations are unexpected and deal with long-term complications, such ... Read more

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

FDA Approves Raplixa (fibrin sealant [human]) to Control Bleeding During Surgery

Posted 30 Apr 2015 by

April 30, 2015 – The U.S. Food and Drug Administration today approved Raplixa (fibrin sealant [human]), the first spray-dried fibrin sealant approved by the agency. It is used to help control bleeding during surgery. Raplixa is a biological product approved for use in adults to help control bleeding from small blood vessels when standard surgical techniques, such as suture, ligature or cautery, are ineffective or impractical. When applied to a bleeding site, Raplixa is dissolved in the blood and a reaction starts between the fibrinogen and thrombin proteins. This results in the formation of blood clots to help stop the bleeding. Raplixa contains fibrinogen and thrombin, two proteins found in human plasma, the liquid portion of blood. The two protein components are individually purified using a manufacturing process that includes virus inactivation and removal steps to help reduce the ... Read more

Related support groups: Surgery, Bleeding, Hemostasis, Fibrin Sealant (Human, Raplixa

Music Soothes Cats During Surgery

Posted 2 Apr 2015 by

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

Related support groups: Surgery

Study Supports Use of Laparoscopic Surgery for Rectal Cancer

Posted 2 Apr 2015 by

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

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

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

Related support groups: Surgery

Surgery Patients Might Not Need Sedative Before Anesthesia

Posted 3 Mar 2015 by

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

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

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