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Surgery News

Surgical Safety Checklists May Shorten Hospital Stays, Save Lives

Posted 5 days ago by Drugs.com

WEDNESDAY, Feb. 3, 2016 – A surgical safety checklist reduced patients' risk of death over 90 days and shortened their hospital stay, a new study found. The findings suggest that surgical safety checklists can reduce health care costs by reducing the risk of complications or additional surgery to correct problems, said Dr. Matthias Bock, of Bolzano Central Hospital in Italy, and colleagues. The researchers examined outcomes for more than 10,700 surgery patient in the six months before and after a 17-to-24-item surgical safety checklist was introduced at a hospital in Italy. The study did not include heart surgery patients. The death rate within 90 days of surgery was 2.4 percent before and 2.2 percent after the checklist was introduced. The 30-day death rate fell from 1.4 percent to 1.3 percent. Average length of hospital stay was 10.4 days before and 9.6 days after the checklist was ... Read more

Related support groups: Surgery, Orthopedic Surgery, Neurosurgery, Surgical Prophylaxis, Vascular Surgery, Gastrointestinal Surgery, Cardiothoracic Surgery

Patient Care Doesn't Suffer When Surgical Residents Work More: Study

Posted 5 days ago by Drugs.com

TUESDAY, Feb. 2, 2016 – Long hours for surgical residents don't seem to put patients at risk when the doctors-in-training are allowed to work longer shifts, a new study finds. In fact, patients likely benefit, especially if the residents stay with their patients through the end of an operation or help to stabilize them in critical situations, the study authors said. "It's counterintuitive to think it's better for doctors to work longer hours," said principal investigator Dr. Karl Bilimoria, director of the Surgical Outcomes and Quality Improvement Center at Northwestern University Feinberg School of Medicine in Chicago. "But when doctors have to hand off their patients to other doctors at dangerous, inopportune times, that creates vulnerability to the loss of critical information, a break in the doctor-patient relationship and unsafe care," he explained in a university news release. ... Read more

Related support groups: Surgery, Surgical Prophylaxis

'Til Weight Loss Do Us Part?

Posted 9 days ago by Drugs.com

FRIDAY, Jan. 29, 2016 – Married people shed fewer pounds than singles after weight-loss surgery, and some marriages deteriorate after the operation, researchers report. The Ohio State University research team based the findings on a review of 13 studies of weight-loss surgery that were published between 1990 and 2014. "Food is so central to family routines and celebrations, and when you undergo a surgery that so vastly impacts your ability to eat as you did before, family members take notice," review leader Megan Ferriby said in a university news release. Ferriby is a graduate student in human sciences. Four of six studies that focused on marriage found that married weight-loss surgery patients lost less weight than single patients. One study found that married patients were 2.6 times less likely to have reached their target weight a year after surgery. Another study found that single ... Read more

Related support groups: Surgery, Obesity, Weight Loss

Weight May Influence Outcomes After Lung Cancer Surgery

Posted 13 days ago by Drugs.com

TUESDAY, Jan. 26, 2016 – Lung cancer surgery patients are most likely to have complications and to die if they're either too thin or fat, a new study suggests. The study included more than 41,000 people who had lung cancer surgery between 2009 and 2014. Patients were categorized according to their body mass index (BMI) – an estimate of body fat based on weight and height. While the study couldn't prove cause-and-effect, people who were either underweight or severely obese had the highest rates of complications and death following surgery, according to the study. The findings were to be presented Tuesday at the annual meeting of the Society of Thoracic Surgeons in Phoenix. Weight "is associated with a patient's overall physiology and health, but overweight people need to have more muscle to carry the extra weight around," study co-leader Dr. Trevor Williams of the University of ... Read more

Related support groups: Surgery, Obesity, Lung Cancer, Non-Small Cell Lung Cancer, Small Cell Lung Cancer, Vascular Surgery, Bronchogenic Carcinoma

Frail Seniors Face Increased Death Risk After Surgery, Study Suggests

Posted 18 days ago by Drugs.com

THURSDAY, Jan. 21, 2016 – Physical frailty among older people who have elective surgery is linked to a greater risk of death one year later, a new study suggests. Canadian researchers found the one-year death rate for frail older patients having certain surgeries was at least one death for every five people. To make informed treatment decision, doctors, patients and their families should be aware of this heightened risk, the team advised. "While the choice to proceed with an elective surgery must be weighed on a case-by-case basis, our findings support the need for thorough considerations of risk vs. benefit and the overall goals of care in frail patients considering major surgery," study leader Dr. Daniel McIsaac, of the University of Ottawa in Ontario, and colleagues wrote. "Our findings suggest specific areas of focus for clinical and research efforts aimed at improving the care and ... Read more

Related support groups: Surgery

Study Pinpoints Best Timing for Rectal Cancer Surgery

Posted 18 days ago by Drugs.com

THURSDAY, Jan. 21, 2016 – Researchers say they've pinpointed the best length of time to wait to perform surgery for rectal cancer after chemotherapy and radiation treatment have been completed. The researchers examined outcomes among 11,760 U.S. patients with stage 2 or 3 localized rectal cancer who had combined chemotherapy and radiation therapy (chemoradiotherapy) and surgery between 2006 and 2012. Patients who had surgery precisely eight weeks (56 days) after they completed chemoradiotherapy had the best survival rates and successful removal of their tumors. Waiting any longer may increase the risk of tumor regrowth, the study found. The time between chemoradiotherapy and surgery ranged from 43 to 63 days in the study. Compared to those who had surgery within 55 days of chemoradiotherapy, those who had surgery after 56 days were slightly older (59 versus 58 years of age) and more ... Read more

Related support groups: Surgery, Colonoscopy, Colorectal Cancer, Surgical Prophylaxis, Genitourinary Surgical and Other Conditions

Anesthesia After 40 Not Linked to Mental Decline Later, Study Finds

Posted 18 days ago by Drugs.com

WEDNESDAY, Jan. 20, 2016 – Receiving general anesthesia for surgery after age 40 doesn't appear to raise the risk for mild thinking and memory problems later in life, a new study finds. Mayo Clinic researchers followed more than 1,700 people in Minnesota, aged 70 to 89, who had normal mental function when the study began in 2004. About 85 percent of the participants had at least one surgery requiring general anesthesia after age 40. The study participants were evaluated every 15 months. "The bottom line of our study is that we did not find an association between exposure to anesthesia for surgery and the development of mild cognitive [mental] impairment in these patients," study senior author and anesthesiologist Dr. David Warner said in a Mayo news release. Of the participants, 31 percent developed mild thinking and memory problems during the study period, but it was not associated ... Read more

Related support groups: Surgery, Dementia, Alzheimer's Disease, Mild Cognitive Impairment, Arteriosclerotic Dementia, Diagnosis and Investigation, Lewy Body Dementia

Low-Cost Mosquito Mesh Good Alternative for Hernia Repair in Poor Countries: Study

Posted 13 Jan 2016 by Drugs.com

WEDNESDAY, Jan. 13, 2016 – Hernia repair with mosquito netting may be a viable alternative in countries where commercial mesh is too expensive, a new study says. Synthetic mesh is the preferred method for repairing groin hernias, because it carries a lower risk of infection than stitches, the researchers explained. But this operation is performed infrequently in poor countries because surgical mesh is too costly, said study author Dr. Jenny Lofgren, who's with the department of surgical and perioperative sciences at Umea University in Sweden. "In these settings, the surgical quality is compromised due to the lack of resources," said Lofgren. "The mesh that is used in high-income settings to reinforce the abdominal wall, and to minimize the risk of recurrence of the hernia, is not affordable to either the health care systems or to the patients," she explained. However, her team found ... Read more

Related support groups: Surgery, Hiatal Hernia, Inguinal Hernia

Some Women Face Geographic Barriers to Breast Reconstruction

Posted 7 Jan 2016 by Drugs.com

WEDNESDAY, Jan. 6, 2016 – Long distances to treatment centers are a significant obstacle for some women seeking breast reconstruction after a mastectomy, a new study finds. "While greater patient awareness and insurance coverage have contributed to greater breast reconstruction rates in the United States, geographic barriers to access this service remain, particularly to academic centers," wrote the study's authors, led by Dr. Evan Matros from Memorial Sloan Kettering Cancer Center in New York City. The researchers used the National Cancer Database to examine the association between breast reconstruction and the travel distance of more than 1 million American women who had a mastectomy between 1998 and 2011. During this time period, the overall rate of immediate breast reconstruction jumped from about 11 percent to more than 32 percent, the investigators found. The upward trend may ... Read more

Related support groups: Surgery, Breast Cancer, Breast Cancer, Metastatic

Side Effects Seen With One Method of Weight-Loss Surgery: Study

Posted 6 Jan 2016 by Drugs.com

WEDNESDAY, Jan. 6, 2016 – While most people who undergo a type of weight-loss surgery say their well-being has improved, high rates of side effects and hospitalization are also reported, a new study finds. Roux-en-Y gastric bypass surgery reduces the size of the stomach to a small pouch. This pouch is then attached directly to the small intestine, which affects how the digestive tract absorbs food, according to the U.S. National Institute of Diabetes and Digestive and Kidney Diseases. Surveys completed by more than 1,400 people in Denmark who underwent Roux-en-Y surgery between 2006 and 2011 showed that only 7 percent reported reduced well-being after their procedure. But 89 percent of patients reported one or more side effects such as abdominal pain and fatigue almost five years after surgery, and 29 percent of patients were hospitalized, the study found. Sixty-eight percent of the ... Read more

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

FDA Tightens Rules for Using Mesh Implants in Women's Surgery

Posted 4 Jan 2016 by Drugs.com

MONDAY, Jan. 4, 2016 – The U.S. Food and Drug Administration has strengthened rules regarding the use of vaginal mesh implants to treat pelvic organ prolapse in women. The devices were reclassified on Monday from a "moderate" to "high" risk category. Manufacturers must now submit pre-market approval applications to the FDA to help the agency better assess the implants' safety and effectiveness. Pelvic organ prolapse involves a weakening or stretching of internal structures that support organs such as the bladder, bowel and uterus. It can happen in women after childbirth, a hysterectomy or menopause. It can cause pelvic pain, constipation and urinary leakage, and often affects sexual activity. Surgeons have long used the mesh implants to reinforce weakened pelvic floor muscles and repair pelvic organ prolapse. But, problems afterwards such as pain, infection, bleeding, urinary problems ... Read more

Related support groups: Surgery, Pelvic Infections, Genitourinary Surgical and Other Conditions

Weight-Loss Surgery Lowered Risk of Heart Attack, Type 2 Diabetes in Study

Posted 22 Dec 2015 by Drugs.com

TUESDAY, Dec. 22, 2015 – Weight-loss surgery can reduce the risk of heart attack, type 2 diabetes and other obesity-related health problems, a new study says. "Bariatric surgery is safe and produces unrivaled health benefits that are life-changing for patients and cost-saving [for Britain's National Health Service]," said study co-author Rachel Batterham, head of the Bariatric Centre for Weight Management and Metabolic Surgery at University College London Hospital. She is also a professor at the Centre for Obesity Research at University College London in England. "Unfortunately, less than 1 percent of the patients who could benefit from this surgery currently receive surgery. This represents a major missed opportunity in terms of improving health and economic savings. Action is now needed to remedy this situation," she said in a news release from the London School of Hygiene & Tropical ... Read more

Related support groups: Surgery, Diabetes, Type 2, Gastric Bypass Surgery, Cardiovascular Risk Reduction, Gastrointestinal Surgery

How to Prepare Your Child for Surgery

Posted 18 Dec 2015 by Drugs.com

FRIDAY, Dec. 18, 2015 – Parents can do a number of things to prepare their children for surgery, experts say. Children, especially younger ones, may experience separation anxiety and fear. They're also likely to pick up on their parents' feelings, according to Dr. Dorothy Rocourt, a pediatric surgeon at Penn State Hershey Children's Hospital. "If the parents are super nervous, the children are just as nervous. When they are comfortable with what's going on and with the provider, they send off those vibes or cues to their child," Rocourt said in a hospital news release. One way to relieve anxiety is to keep the child well-informed about the surgery. This can include specialists explaining the procedure in a way youngsters can understand, such as through playful interaction. "Parents can use simple words to help their child understand why they are going to the hospital or why they need ... Read more

Related support groups: Anxiety, Surgery, Anxiety and Stress

Surgery May Beat Radiation for Men With Early Stage Prostate Cancer

Posted 15 Dec 2015 by Drugs.com

TUESDAY, Dec. 15, 2015 – Men with prostate cancer that's still confined to the organ are more likely to survive if they have surgery rather than radiation therapy, a new Canadian study suggests. This type of "localized" prostate cancer is the most common form of the disease, accounting for about 80 percent of cases, said a team led by Dr. Robert Nam of the Odette Cancer Centre at Sunnybrook Research Institute in Toronto. The most common treatments for localized prostate cancer are surgery and radiation therapy. But which works best to keep the disease at bay? To find out, Nam's team looked over data from 19 studies that included a total of nearly 119,000 men with localized prostate cancer. Findings from 15 of the studies showed that those who received radiation therapy were twice as likely to die from prostate cancer as those who had surgery. Findings from 10 of the studies also showed ... Read more

Related support groups: Surgery, Prostate Cancer, History - Radiation Therapy, Genitourinary Surgical and Other Conditions

FDA Approves Otiprio (ciprofloxacin otic suspension) for the Treatment of Pediatric Patients Undergoing Tympanostomy Tube Placement Surgery

Posted 11 Dec 2015 by Drugs.com

SAN DIEGO, Dec. 11, 2015 (GLOBE NEWSWIRE) – Otonomy, Inc. (Nasdaq:OTIC), a biopharmaceutical company focused on the development and commercialization of innovative therapeutics for diseases and disorders of the ear, today announced that the U.S. Food and Drug Administration (FDA) has approved Otiprio (ciprofloxacin otic suspension) for the treatment of pediatric patients with bilateral otitis media with effusion undergoing tympanostomy tube placement. Otiprio is a single-dose, physician-administered antibacterial and the first product approved by the FDA for this indication. "The approval of Otiprio, our first product, is a landmark moment in the history of Otonomy, and provides important validation for our proprietary drug delivery technology that combines a thermosensitive gel with drug microparticles to enable single dose treatment by a physician," said David A. Weber, Ph.D., ... Read more

Related support groups: Surgery, Ciprofloxacin, Otitis Media, Ear, Ear Conditions, Tympanostomy Tubes, Otiprio

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Surgical Prophylaxis, Ophthalmic Surgery, 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