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Surgery News

More Americans Getting Knees Replaced, And at Younger Ages

Posted 1 day 18 hours ago by Drugs.com

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 1 day 18 hours ago by Drugs.com

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 9 days ago by Drugs.com

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: Sleep Disorders, Surgery, Fatigue, Shift Work Sleep Disorder

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

Posted 9 days ago by Drugs.com

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 9 days ago by Drugs.com

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

FDA Medwatch Alert: Compounded Drugs Stored in Becton-Dickinson (BD) 3 ml and 5 ml Syringes: FDA Warning - Do Not Use

Posted 16 days ago by Drugs.com

ISSUE: FDA is alerting health care professionals not to administer to patients compounded or repackaged drugs that have been stored in 3 milliliter (ml) and 5ml syringes manufactured by Becton-Dickinson (BD) unless there is no suitable alternative available. Preliminary information indicates that drugs stored in these syringes may lose potency over a period of time due to a possible interaction with the rubber stopper in the syringe. If you have been using products packaged in these syringes, be aware that using a substitute product may require a dosage adjustment in case the patient has been receiving a subpotent product, or adverse consequences could occur. BD’s 10ml, 20ml and 30ml syringes may also contain the same rubber stopper. The company is alerting their customers not to use these syringes as a closed container system for compounded and repackaged drugs. BACKGROUND: FDA has cl ... Read more

Related support groups: Surgery, Methadone, Morphine, Fentanyl, MS Contin, Diskets, Duragesic, Kadian, Atropine, Avinza, Actiq, Methadose, M O S, Fentanyl Transdermal, Roxanol, Fentora, MSIR, Methadone Diskets, Duragesic-100, Morphine IR

Tuning Into Your Favorite Music May Boost Post-Op Recovery

Posted 12 Aug 2015 by Drugs.com

WEDNESDAY, Aug. 12, 2015 – Mozart, Madonna or Eminem: Whatever your taste, music may help you recover from a surgery, according to a new review of data on the subject. "More than 51 million operations are performed every year in the U.S.," lead author Dr. Catherine Meads, of Brunel University in the United Kingdom, said in a news release from The Lancet, which published the findings Aug. 12. "Music is a non-invasive, safe, cheap intervention that should be available to everyone undergoing surgery," she said. "Patients should be allowed to choose the type of music they would like to hear to maximize the benefit to their well-being." The only caveat: "Care needs to be taken that music does not interfere with the medical team's communication," Meads said. In their research, her team reviewed data from 72 studies that included nearly 7,000 patients. The investigators found that listening ... Read more

Related support groups: Surgery, Knee Joint Replacement, Hip Replacement, Orthopedic Surgery, Head & Neck Surgery, Surgical Prophylaxis, Vascular Surgery, Gastrointestinal Surgery, Cardiothoracic Surgery

FDA Medwatch Alert: 0.9 Percent Sodium Chloride Injection, USP (AUTO-C) by Baxter International: Recall - Potential For Leaking Containers, Particulate Matter and Missing Port

Posted 3 Aug 2015 by Drugs.com

ISSUE:  Baxter International Inc. announced a voluntarily recall of one lot of intravenous (IV) solution to the hospital/user level due to the potential for leaking containers, particulate matter and missing port protectors. Leaking containers, particulate matter and missing port protectors could result in contamination of the solution. If not detected, this could lead to a bloodstream infection or other serious adverse health consequences. Injecting a product containing particulate matter, in the absence of in-line filtration, may result in blockage of blood vessels, which can result in stroke, heart attack or damage to other organs such as the kidney or liver. There is also the possibility of allergic reactions, local irritation and inflammation in tissues and organs. BACKGROUND: The lot being recalled was distributed to customers and distributors nationwide between January 22, 2015 ... Read more

Related support groups: Surgery, Sodium Chloride, Hyper-Sal, Broncho Saline, Saljet Rinse, Thermoject, Tip-Lok Diluent, Normal Saline Flush, Swabflush, Lymphoseek Diluent, Saljet Sterile, NebuSal, PulmoSal

Mountain Biker Survives After Neck Impaled by Tree Branch

Posted 31 Jul 2015 by Drugs.com

FRIDAY, July 31, 2015 – A day out mountain biking went terribly wrong for one middle-aged man in New Mexico: He ended up with a tree branch impaled in his neck. Fortunately for the unnamed man, he had the good sense to leave the branch where it was and quickly seek help, according to a new case study published recently in the New England Journal of Medicine. The 40-year-old, who was in good health, initially set off on his mountain bike to ride an off-road trail in New Mexico. At some point during the ride, he fell from the bike onto a tree branch, which got lodged in his neck. The tree branch – roughly three-quarters of an inch in diameter – lodged more than half an inch deep into the left side of his neck, his doctors said. Attending physician Dr. Lev Deriy, an assistant professor in the department of anesthesiology and critical care at the University of New Mexico (UNM) in ... Read more

Related support groups: Surgery, Head Injury

FDA Medwatch Alert: 0.9 Percent Sodium Chloride Injection, USP, 50mL and 100mL by Baxter: Recall - Particulate Matter

Posted 20 Jul 2015 by Drugs.com

ISSUE: Baxter International Inc. announced it is voluntarily recalling two lots of intravenous (IV) solutions to the hospital/user level due to the potential presence of particulate matter. The particulate matter in each case was determined to be an insect and was identified as a result of a customer complaint. The matter was identified prior to patient administration and there have been no adverse events associated with this issue reported to Baxter.   Injecting a product containing particulate matter, in the absence of in-line filtration, may result in blockage of blood vessels, which can result in stroke, heart attack or damage to other organs such as the kidney or liver. There is also the possibility of allergic reactions, local irritation and inflammation in tissues and organs.   This recall affects Lot Numbers P319921 and P327635. BACKGROUND: The lots being recalled were d ... Read more

Related support groups: Surgery, Sodium Chloride, Hyper-Sal, Broncho Saline, Saljet Rinse, Thermoject, Tip-Lok Diluent, Normal Saline Flush, Swabflush, Lymphoseek Diluent, Saljet Sterile, NebuSal, PulmoSal

Surgery May Beat Drugs for Ulcerative Colitis: Study

Posted 13 Jul 2015 by Drugs.com

MONDAY, July 13, 2015 – Surgery may extend the lives of older adults with the inflammatory bowel disease ulcerative colitis, new research suggests. A study of thousands of adults with the condition compared results of surgery to those of long-term drug treatment. It found that surgery's survival benefit was greatest for those 50 and older who had advanced disease. "Surgery has always been an option," said study leader Dr. Meenakshi Bewtra, but many experts look at it as a last resort. Bewtra, assistant professor of medicine and epidemiology at the University of Pennsylvania Perelman School of Medicine, used data from Medicare and Medicaid for the study. She and her colleagues followed 830 patients who had elective surgery – known as colectomy – and more than 7,500 who took medicine to manage the condition. Surgery involves removal of the colon, sometimes followed by additional ... Read more

Related support groups: Surgery, Ulcerative Colitis, Ulcerative Colitis - Active, Ulcerative Colitis - Maintenance, Gastrointestinal Surgery

'Fat Grafting' Widely Used During Facelift Surgery

Posted 10 Jul 2015 by Drugs.com

FRIDAY, July 10, 2015 – Most U.S. plastic surgeons use a procedure called "fat grafting" to enhance the effects of facelifts, a new study reports. This technique involves transferring small amounts of fat from one part of a patient's body to another. The fat is obtained from the belly or thighs through liposuction. The fat is then injected into specific areas of the face to provide more volume. The researchers surveyed a random sample of members of the American Society of Plastic Surgeons about their use of fat grafting for facelifts. Just over 300 members responded. The investigators found that 85 percent of the surgeons polled reported using fat grafting during facelifts. Meanwhile, more than 70 percent of the doctors surveyed said they began using fat grafting to the face within the past decade. Results were published in the July issue of Plastic and Reconstructive Surgery. Fat was ... Read more

Related support groups: Surgery

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

Posted 6 Jul 2015 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 26 Jun 2015 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, Altoprev, Atorvastatin/Ezetimibe

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

Posted 18 Jun 2015 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, Ophthalmic Surgery, Spleen Removal, Gastrointestinal Surgery, Vascular Surgery, Cardiothoracic Surgery, Genitourinary Surgical and Other Conditions

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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