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Surgery News

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

Posted 8 days ago 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, Tip-Lok Diluent, Normal Saline Flush, Swabflush, Lymphoseek Diluent, Saljet Sterile, NebuSal, PulmoSal, Broncho Saline, Saljet Rinse, Thermoject

Surgery May Beat Drugs for Ulcerative Colitis: Study

Posted 15 days ago 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 18 days ago 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

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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, Cardiothoracic Surgery, Pitavastatin

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

More Breast Cancer Patients Opting for Lumpectomy: Study

Posted 17 Jun 2015 by Drugs.com

WEDNESDAY, June 17, 2015 – The percentage of women with early stage breast cancer who choose to have the breast-conserving surgery known as lumpectomy has risen slowly in recent years, new research shows. In 1998, slightly more than 54 percent of eligible women chose the surgery. But, the number had passed the 60 percent mark by 2011, according to study author Dr. Isabelle Bedrosian, an associate professor of surgical oncology at the University of Texas M.D. Anderson Cancer Center in Houston. "The big picture shows most women with early stage breast cancer are opting for breast-conserving surgery," she said. Previous research has found that mastectomy, where the entire breast is removed, was chosen as often as lumpectomy among women with early stage breast cancer who were candidates for lumpectomy and the radiation that typically follows it. Bedrosian views the new findings as good ... Read more

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

Study Questions Value of Arthroscopic Knee Surgery for Older Patients

Posted 17 Jun 2015 by Drugs.com

WEDNESDAY, June 17, 2015 – Arthroscopic surgery to relieve chronic knee pain in middle-aged and older patients is only temporarily effective and might be harmful, a new analysis suggests. Researchers who reviewed 18 studies recommended against the procedure as a treatment for arthritis pain or a torn meniscus – the shock-absorbing cartilage between the knee bones – in older adults. "We found you improve regardless of if you have surgery or nonsurgical treatment," said one of the researchers, Ewa Roos, a professor in the department of sports science and clinical biomechanics at the University of Southern Denmark. Dr. David Teuscher, president of the American Academy of Orthopaedic Surgeons, agrees that for this type of knee pain, arthroscopic surgery has no benefit. In fact, doctors in the U.S. no longer use this procedure to relieve knee pain, he said. "We did the research on this ... Read more

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

Appendicitis Can Often Be Treated With Antibiotics

Posted 16 Jun 2015 by Drugs.com

TUESDAY, June 16, 2015 – Although surgical removal of the appendix has long been a standard treatment, a new study found that almost three-quarters of people treated with antibiotics could be spared the invasive procedure known as appendectomy. "For more than a century, appendectomy has been the standard treatment," said the study's lead author Dr. Paulina Salminen, of Turku University Hospital in Finland. But about 80 percent of patients with an inflamed appendix, commonly called appendicitis, don't need to have their appendix surgically removed, and those who ultimately do need the surgery aren't hurt by waiting, according to Salminen. She thinks that this and other studies will change how appendicitis is treated. "Now we know that only a small proportion of appendicitis patients need an emergency operation," Salminen said. However, there are two types of appendicitis – one that ... Read more

Related support groups: Surgery, Metronidazole, Bactrim, Flagyl, Bactrim DS, Polymyxin B, Xifaxan, Septra, Zyvox, Sulfamethoxazole/Trimethoprim, Rifaximin, Bacitracin, Metro, Septra DS, Cotrimoxazole, Chloramphenicol, Sulfatrim, SMZ-TMP DS, Flagyl IV, Flagyl IV RTU

Doctors Can Cut Back on Antibiotics After Abdominal Surgery: Study

Posted 11 Jun 2015 by Drugs.com

THURSDAY, June 11, 2015 – The length of antibiotic treatment for abdominal infections can be cut in half and still be equally effective, a new study suggests. Doing so could help efforts to battle the growing problem of antibiotic resistance, the study authors said. The study – led by researchers at the University of Virginia – included more than 500 patients in the United States and Canada with abdominal infections. First, the source of the infection was treated, such as the removal of an inflamed appendix. After surgery, half of the patients took antibiotics for eight days. The other half took antibiotics for only four days. Outcomes in both groups were similar, the study found. "It's important for physicians to realize the most important aspect of the management of these patients is controlling the source of infection," Dr. Robert Sawyer, from the departments of surgery and ... Read more

Related support groups: Surgery, Metronidazole, Bactrim, Flagyl, Bactrim DS, Polymyxin B, Xifaxan, Septra, Zyvox, Sulfamethoxazole/Trimethoprim, Rifaximin, Bacitracin, Metro, Septra DS, Chloramphenicol, Cotrimoxazole, Sulfatrim, SMZ-TMP DS, Flagyl IV, Flagyl IV RTU

More Evidence That General Anesthesia May Affect Young Brains

Posted 8 Jun 2015 by Drugs.com

MONDAY, June 8, 2015 – Having general anesthesia during surgery at a very young age may be linked to poorer brain development, new research suggests. Children who had received general anesthesia during surgery before they turned 4 years of age later scored slightly lower on listening comprehension and parts of an IQ test, compared to children who had never had general anesthesia, the researchers found. The children's overall IQ scores, however, remained within the normal range. "It is difficult to see whether this decrease had any functional effect for an individual child," said study author Dr. Andreas Loepke, a professor of clinical anesthesia and pediatrics at the University of Cincinnati College of Medicine. But, he added, "these concerns make it obvious that a lot more research is needed to better understand the effects of anesthetics on brain development." The findings, published ... Read more

Related support groups: Surgery, Anesthesia

Surgery May Boost Survival in Certain Advanced Lung Cancers

Posted 4 Jun 2015 by Drugs.com

THURSDAY, June 4, 2015 – Certain patients with lung cancer that's spread throughout the chest could live longer by undergoing surgery to remove diseased lung tissue, instead of receiving only chemotherapy and radiation, new research suggests. The study was based on a review of data on more than 9,000 patients with stage 3b non-small cell lung cancer – tumors that have spread to lymph nodes or other organs in the chest. The researchers found that those who underwent a combination of surgery, chemotherapy and radiation treatment lived an average of almost 10 months longer than those receiving chemo and radiation alone. Typically, surgery isn't offered to patients with such advanced cases of non-small cell lung cancer, physicians said, and some may also be too ill to undergo the procedure. However, "we think our study reignites a question that was initially asked in the 1980s and 1990s ... Read more

Related support groups: Surgery, Lung Cancer, Non-Small Cell Lung Cancer, Surgical Prophylaxis, Cardiothoracic Surgery

Resuming Blood Pressure Meds After Surgery Linked to Better Outcomes

Posted 4 Jun 2015 by Drugs.com

THURSDAY, June 4, 2015 – People with high blood pressure who resume taking their medication soon after surgery may have a lower risk of complications and death, a new study suggests. Researchers reviewed information from more than 30,000 patients taking a particular type of high blood pressure medication before surgery. All were taking drugs from a class of medications known as angiotensin receptor blockers (ARBs). These drugs are widely used to treat high blood pressure. None of the surgeries was for heart-related problems, according to the researchers. About one-third of those people didn't restart taking their high blood pressure medication within two days of surgery. The study found this group was linked to a higher risk of death within 30 days compared to people who immediately resumed their medication. The increased risk of death in people who didn't start taking their blood ... Read more

Related support groups: Surgery, Heart Disease, Losartan, Benicar, Diovan, Cozaar, Micardis, Valsartan, Avapro, Atacand, Irbesartan, Telmisartan, Candesartan, Olmesartan, Edarbi, Cardiovascular Risk Reduction, Teveten, Eprosartan, Azilsartan medoxomil

Double Mastectomy Benefits May Be Overrated for Some

Posted 4 Jun 2015 by Drugs.com

THURSDAY, June 4, 2015 – Many breast cancer patients wrongly believe that having both breasts removed – a double mastectomy – will improve their chance of survival, a new study finds. "Our finding that so many women are receiving much more extensive surgery than needed to treat their disease is striking," study lead author Dr. Reshma Jagsi, associate professor of radiation oncology at the University of Michigan Medical School in Ann Arbor, said in a university news release. Researchers surveyed more than 1,900 women treated for breast cancer. They found that nearly half had considered having a double mastectomy, but only about one in five underwent the procedure. Many who had the more aggressive surgery had no risk factors, such as family history of breast cancer, that would increase their odds for cancer in the second breast. Of those who considered the surgery, 37 percent knew that ... Read more

Related support groups: Surgery, Breast Cancer, Breast Cancer, Prevention, Surgical Prophylaxis

Surgery Not Always Needed for Early Form of Breast Cancer: Study

Posted 3 Jun 2015 by Drugs.com

WEDNESDAY, June 3, 2015 – Surgery for a very early type of breast cancer does not significantly improve outcomes for patients, according to research that raises questions about the overuse of surgery for the condition. Investigators examined data on more than 50,000 cases of what's known as ductal carcinoma in situ (DCIS), a very early form of cancer of the milk ducts. According to a team from Brigham and Women's Hospital in Boston, DCIS is the most common type of noninvasive breast cancer. The approximately 60,000 women diagnosed with DCIS each year in the United States represent 20 to 25 percent of all breast cancer cases, the researchers said. Surgery remains the standard of care for all grades of DCIS, but the investigators questioned that approach. The study was led by Dr. Yasuaki Sagara, a surgeon at Brigham and Women's Hospital and Dana-Farber/Brigham and Women's Cancer Center. ... Read more

Related support groups: Surgery, Breast Cancer, Breast Cancer, Prevention, Surgical Prophylaxis

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Surgical Prophylaxis, Ophthalmic Surgery, 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