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Surgery News

For Early Breast Cancer, More U.S. Women Choose Less Invasive Treatment

Posted 21 hours ago by

FRIDAY, Oct. 9, 2015 – American women with an early, noninvasive stage of breast cancer are increasingly opting for less extensive surgery, a new study says. But there was one exception to the trend: The number of patients who decide to have both breasts removed is growing, even though this method doesn't improve survival, according to the researchers. The study focused on what's known as ductal carcinoma in situ – a very early stage of breast cancer that indicates the presence of noninvasive, yet potentially early cancer cells. "With this analysis, we sought to determine what treatment women selected when diagnosed with [ductal carcinoma in situ], and whether there was any impact in mortality with the different treatments," said study senior author Dr. Shelley Hwang, chief of breast surgery at Duke Cancer Institute in Durham, N.C. The researchers analyzed data from more than 121,000 ... Read more

Related support groups: Surgery, Breast Cancer, Breast Cancer, Metastatic, Breast Cancer - Adjuvant, Breast Cancer, Prevention, Breast Cancer - Palliative, History - Radiation Therapy

Surgery May Raise Survival With Advanced Melanoma: Study

Posted 1 day 20 hours ago by

THURSDAY, Oct. 8, 2015 – New research suggests that for patients with melanoma that has spread to the abdomen, surgical removal of the tumor can extend survival. The study was led by Dr. Gary Deutsch, now a surgical oncologist at North Shore-LIJ Health System in Great Neck, N.Y. His team tracked outcomes for 1,600 patients, treated at some point between 1969 and 2014. According to the study, nearly one in four patients had surgery to remove the mass from their abdomen. Patients who underwent the surgery lived more than twice as long as those who received drug treatment alone – 18 months versus seven months, on average, the researchers reported. The study was to be presented Thursday at the annual meeting of the American College of Surgeons (ACS) in Chicago. According to the researchers, in the past, a melanoma that had spread to the liver or another organ in the abdomen was considered ... Read more

Related support groups: Surgery, Melanoma, Melanoma - Metastatic, Gastrointestinal Surgery

Surgeon's Experience Tied to Success of Thyroid Removal: Study

Posted 1 day 21 hours ago by

THURSDAY, Oct. 8, 2015 – Patients who undergo thyroid removal may be less likely to suffer complications if their surgeon performs many such surgeries each year, a new study says. Removal of the thyroid gland, located at the base of the neck, is a common operation. More than 72,300 total thyroidectomies are performed in the United States annually, usually to treat thyroid cancer or benign thyroid diseases, the study authors said. The authors examined data from nearly 17,000 American adults who had their thyroid removed between 1998 and 2009. About half these patients had cancer, and the other half had thyroid disease. Overall, 6 percent of the patients had complications after their surgery, such as damage to voice box nerves, excessive bleeding, poor wound healing, breathing or heart problems, hormone deficiency and death. Complication rates were 4 percent among patients whose surgeon ... Read more

Related support groups: Surgery, Thyroid Disease, Hypothyroidism, Underactive Thyroid, Hashimoto's Disease, Hypothyroidism - After Thyroid Removal, Hyperthyroidism, Thyroid Cancer, TSH Suppression, Goiter, Head & Neck Surgery, Thyroid Suppression Test, Graves' Disease, Thyroid Storm, Chronic Lymphocytic Thyroiditis, Thyroid Tumor, Myxedema Coma, Thyrotoxicosis, Myxedema, Thyroid Hemorrhage/Infarction

Some Blood Pressure Drugs May Be Risky for Certain Surgery Patients

Posted 5 days ago by

MONDAY, Oct. 5, 2015 – Some people on blood pressure drugs called beta blockers may face heightened risks of heart complications during non-cardiac surgeries, a new, large study suggests. The research involved over 55,000 surgery patients who were on various drugs to treat high blood pressure. The investigators found that those on beta blockers had a higher risk of heart attack, stroke or related death, compared to patients on other medications. Overall, 1.3 percent suffered one of those complications within 30 days of surgery, compared with 0.8 percent of patients on other blood pressure drugs. It's not certain that beta blockers, themselves, are to blame, said lead researcher Dr. Mads Jorgensen, of the University of Copenhagen, in Denmark. And, he stressed, the study included only people with "uncomplicated" high blood pressure – and not those with heart problems. Heart patients ... Read more

Related support groups: Surgery, Metoprolol, Atenolol, Propranolol, Bystolic, Carvedilol, Bisoprolol, Coreg, Inderal, Sotalol, Toprol-XL, Lopressor, Timolol, Nadolol, Labetalol, Tenormin, Metoprolol Succinate ER, Nebivolol, Coreg CR, Inderal LA

Obesity Won't Affect Joint Surgery Safety, Study Finds

Posted 8 days ago by

FRIDAY, Oct. 2, 2015 – Obese and overweight people who have joint replacement surgeries are less likely to need blood transfusions and are no more likely to face complications than normal weight patients, a new analysis finds. "It's a very complex issue," said study co-author Dr. Nolan Wessell, an orthopaedic surgery resident at Henry Ford Hospital in Detroit. "And this finding is somewhat surprising. "But it could just be that larger patients have a larger total blood value," he added. "And therefore lose a lower percentage of their blood than smaller patients during surgery. Essentially, it may be that they have a larger reserve in their tank, and can afford to lose a bit more blood without needing a transfusion. We don't know. But at least conceptually that makes sense." Still, senior study author Dr. Craig Silverton, vice chairman of orthopaedics at Henry Ford, cautioned that more ... Read more

Related support groups: Surgery, Obesity, Hip Replacement, Knee Joint Replacement, Orthopedic Surgery

Surgery Patients Like Online Follow-up, Study Finds

Posted 11 days ago by

TUESDAY, Sept. 29, 2015 – Online postoperative care is preferred over in-person care by a majority of patients who have routine, uncomplicated surgery, a new study finds. The study included 50 patients who had both online and in-person care visits after elective gallbladder removal or hernia repair. Seventy-six percent said online care was acceptable as the only form of followup. For 68 percent of the patients, online and in-person visits were equally effective, according to authors of the study published online Sept. 23 in the Journal of the American College of Surgeons. The researchers approached the study wondering whether postoperative care always needed to take place in-person, or whether online visits could sometimes be used, said lead author Dr. Kristy Kummerow Broman. She is a general surgical resident at Vanderbilt University Medical Center in Nashville. Patients in the study ... Read more

Related support groups: Surgery

Most of World's People Lack Access to Safe Cancer Surgery: Report

Posted 12 days ago by

MONDAY, Sept. 28, 2015 – Most cancer patients worldwide don't have access to needed surgeries, a new study finds. More than 80 percent of the 15 million people diagnosed with cancer in 2015 will require an operation, but fewer than a quarter of them will have access to safe and affordable surgical care. In low-income countries, as many as 95 percent of cancer patients do not receive basic cancer surgery, according to the findings of a new commission examining the state of global cancer surgery. The findings were published Sept. 27 in The Lancet Oncology and are to be presented simultaneously at the European Cancer Congress in Vienna. "With many competing health priorities and substantial financial constraints in many low- and middle-income countries, surgical services for cancer are given low priority within national cancer plans and are allocated few resources. As a result, access to ... Read more

Related support groups: Surgery, Cancer, Surgical Prophylaxis

With Liposuction, Weight Should Guide Fat Removal Limits: Study

Posted 15 days ago by

FRIDAY, Sept. 25, 2015 – Although there's no magic bullet for weight loss, new research suggests that surgeons may be able to safely remove more fat during liposuction surgery than previously believed. Right now, surgeons follow guidelines that set a maximum extraction limit of 5,000 milliliters of fat (11 pounds) for all patients, regardless of variations in weight or body fat status. But the new study suggests surgeons could use a patient's body mass index (BMI) to determine how much fat extraction is safe. BMI is a rough estimate of a person's body fat based on height and weight measurements. "The problem is that this guideline seems like it was picked out of a hat," said study co-author Dr. Karol Gutowski, a board-certified plastic surgeon and a clinical associate professor at the University of Illinois at Chicago. "And though the guideline itself is just a recommendation, not the ... Read more

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

Diabetes Should Be a Factor in Weight-Loss Surgery Decision: Study

Posted 17 Sep 2015 by

THURSDAY, Sept. 17, 2015 – Obese patients with type 2 diabetes might reap greater health-care savings after weight-loss surgery than obese patients without diabetes, researchers say. Most health-care systems use a high body mass index (BMI) to prioritize patients for weight-loss ("bariatric") surgery. BMI is a measure of body fat based on height and weight. But researchers who tracked thousands of obese Swedes for 15 years concluded that if containing health costs is the goal, then type 2 diabetes, especially newly diagnosed cases, should be added to the reasons to consider weight-loss surgery. "In obese patients with type 2 diabetes, the costs of bariatric surgery are largely offset by prevention of future health care and drug use," said study researcher Dr. Lena Carlsson, a researcher at the University of Gothenburg, Sweden. "In contrast, obese patients without diabetes treated by ... Read more

Related support groups: Surgery, Diabetes, Type 2, Obesity, Weight Loss, Gastric Bypass Surgery, Gastrointestinal Surgery

Hip-Fracture Surgery Risk Not Just Due to Age, Study Finds

Posted 15 Sep 2015 by

TUESDAY, Sept. 15, 2015 – People who need surgery for a broken hip face a higher risk of serious complications and death than those who undergo an elective hip replacement – and the disparity is not explained by fracture sufferers' older age or poorer health, a new study finds. Doctors have long known that hip-fracture surgery is a riskier procedure than elective hip replacements, which are done to treat severe arthritis. "Everyone has recognized that hip-fracture patients are having bad outcomes," said Dr. P.J. Devereaux, the senior researcher on the new study and a professor at McMaster University in Hamilton, Canada. "It's been assumed that it's because they're older and sicker." But his team's study, published in the Sept. 15 issue of the Journal of the American Medical Association, suggests that is not the whole story. "This raises the hope that we don't have to just accept those ... Read more

Related support groups: Surgery, Hip Replacement, Fracture, bone, Orthopedic Surgery, Surgical Prophylaxis

More Americans Getting Knees Replaced, And at Younger Ages

Posted 2 Sep 2015 by

WEDNESDAY, Sept. 2, 2015 – Aging baby boomers are getting bum knees replaced at a greater rate, and at a younger age, than ever before, a new U.S. study confirms. The data, from the National Hospital Discharge Survey, shows that between 2000 and 2010, more than 5.2 million total knee replacements were performed in the United States. By 2010, the operation had become the leading inpatient surgery performed on adults aged 45 and over. The rate at which middle-aged and older Americans got their knees replaced almost doubled over the years covered by the study, for men and women, the researchers found. People aren't putting off the procedure for as long, either. In 2000, the average knee replacement patient was about 69 years old, but by 2010 that age had dropped to just over 66, the findings showed. One expert said there's been a change in doctors' and patients' attitudes toward the ... Read more

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

More Men With Breast Cancer Having Second Breast Removed

Posted 2 Sep 2015 by

WEDNESDAY, Sept. 2, 2015 – There has been sharp rise in the number of American men with cancer in one breast who have surgery to remove their cancer-free breast, a new study said. The study authors said this is the first research to identify this trend in men, which has been occurring in American women for the past two decades. "The increase in the rate of this costly, serious procedure with no evidence of survival benefit comes, paradoxically, at a time of greater emphasis on quality and value in cancer care," said study leader Dr. Ahmedin Jemal, vice president of surveillance and health services research at the American Cancer Society. The study included more than 6,300 men who had surgery for cancer in one breast. Their surgeries occurred between 2004 and 2011. The percentage of men who also had their cancer-free breast removed rose from 3 percent in 2004 to 5.6 percent in 2011, the ... Read more

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

A Tired Surgeon Still a Good Surgeon, Study Finds

Posted 26 Aug 2015 by

WEDNESDAY, Aug. 26, 2015 – Don't panic if your doctor worked into the wee hours of the night before he operates on you, new research suggests. The risk of death, hospital readmission or complications following surgery was no more likely if the surgeon pulled a midnight shift before a daytime operation, the Canadian study showed. "I believe what we are seeing in our study reflects self-regulation – that surgeons plan around their schedules based on their individual ability to tolerate sleep deprivation," said senior study author Dr. Nancy Baxter, surgery division chief at St. Michael's Hospital in Toronto. "Given our findings, they seem to be doing a good job of it." The study was published online Aug. 26 in the New England Journal of Medicine. Baxter's team looked at results for almost 39,000 patients undergoing one of 12 daytime surgeries, including gallbladder removal and ... Read more

Related support groups: Surgery, Sleep Disorders, Fatigue, Shift Work Sleep Disorder

Most Don't Need 'Bridging' When They Stop Warfarin Temporarily

Posted 26 Aug 2015 by

WEDNESDAY, Aug. 26, 2015 – Heart patients on the clot-preventing drug warfarin usually have to stop the medication before having surgery. Now, a new study shows they can safely do that without taking another anti-clotting drug – and they may even be better off. The study, reported in the Aug. 27 New England Journal of Medicine, helps answer long-standing questions about how to manage patients taking warfarin (Coumadin) for an irregular heart rhythm known as atrial fibrillation. Because warfarin is a powerful anticoagulant – which means it prevents blood clots – it can also raise the risk of internal bleeding. That's why people typically have to stop using warfarin in the days before and after an elective surgery. But it hadn't been clear whether those patients need what doctors call "bridging anticoagulation." That means taking another type of anti-clotting medication that is ... Read more

Related support groups: Surgery, Warfarin, Coumadin, Atrial Fibrillation, Heparin, Prevention of Thromboembolism in Atrial Fibrillation, Hep-Pak, Surgical Prophylaxis, Jantoven, Heparin Sodium, Hep-Pak CVC

Seniors More Likely to Wind Up in Hospital After Outpatient Surgery: Study

Posted 25 Aug 2015 by

TUESDAY, Aug. 25, 2015 – Seniors are much more likely than younger people to find themselves in the hospital after outpatient surgery, a new study finds. "These seniors were supposed to stay out of the hospital since the procedures were performed in the ambulatory setting, but they were admitted to the hospital within 30 days," corresponding study author Dr. Gildasio De Oliveira Jr., an assistant professor in the Center for Healthcare Studies at Northwestern University's Feinberg School of Medicine in Chicago, said in a university news release. "Age was the biggest factor associated with readmission and complications. It's not because they are sicker, it's because they are older and have trouble understanding their discharge instructions and medication dosing, which often are not clearly explained," he said. Researchers analyzed data from more than 53,000 Americans who underwent ... Read more

Related support groups: Infections, Surgery, Bleeding Disorder, Influenza, Blood Transfusion, Postoperative Infection

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Ophthalmic Surgery, Surgical Prophylaxis, 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