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Surgery News

U.S. Deaths From Cervical Cancer May Be Underestimated

Posted 6 hours ago by Drugs.com

MONDAY, Jan. 23, 2017 – The number of women who die from cervical cancer in the United States may be higher than previously believed, and the risk is greatest among older and black women, a new study finds. "This is a preventable disease and women should not be getting it, let alone dying from it," study leader Anne Rositch, an assistant professor of epidemiology at Johns Hopkins University in Baltimore, said in a Hopkins news release. Due to big advances in early detection, such as the Pap test, it's long been thought that cervical cancer had made a big retreat in the United States. But the researchers note that prior estimates of cervical cancer death had included women who'd already had a hysterectomy – which can include removal of the uterus and cervix. One in five women in the United States has had a hysterectomy, according to the researchers. Preventive screening such as the Pap ... Read more

Related support groups: Surgery, Cancer, Hysterectomy, Cervical Cancer, Genitourinary Surgical and Other Conditions

Many With Advanced Lung Cancer Don't Get Treatments That Might Help

Posted 3 days ago by Drugs.com

FRIDAY, Jan. 20, 2017 – Many U.S. patients with late-stage lung cancer do not receive treatments that could prolong their lives, a new study finds. Researchers at the University of California, Davis Comprehensive Cancer Center analyzed 1998-2012 data from the U.S. National Cancer Database. They found that more than one in every five patients with non-small cell lung cancer (NSCLC) – by far the leading form of the disease – did not undergo any treatment. That included chemotherapy, radiotherapy or surgery, the researchers said. Many of the untreated patients were women, elderly, minorities, low-income and uninsured, according to the research team. The researchers found that the number of untreated patients with late-stage NSCLC even rose slightly during the study period. The reasons why some patients went untreated remain unclear, the researchers said. "We were able to identify a ... Read more

Related support groups: Surgery, Cancer, Lung Cancer, Non-Small Cell Lung Cancer, Small Cell Lung Cancer, Merkel Cell Carcinoma, Malignant Pleural Effusion, Bronchogenic Carcinoma

Plastic Surgeons Often Miss Patients' Mental Disorders

Posted 5 days ago by Drugs.com

WEDNESDAY, Jan. 18, 2016 – Nearly one in 10 patients seeking facial plastic surgery suffers from a mental illness that distorts their perception of physical defects, but doctors often don't spot the problem, new research suggests. Researchers found that plastic surgeons correctly identified the diagnosis of body dysmorphic disorder (BDD) in less than 5 percent of patients who screened positive for the disorder. According to published reports, many specialists suspect that the late superstar Michael Jackson – who underwent repeated plastic surgeries that dramatically changed his appearance – struggled with body dysmorphic disorder. Those affected with BDD, considered a type of obsessive-compulsive disorder, are overly preoccupied with perceived body defects that are actually miniscule and commonly involve the nose, eyes, skin or hair, the study authors said. "We all knew patients with ... Read more

Related support groups: Surgery, Psychiatric Disorders, Facial Wrinkles, Body Dysmorphic Disorder, Head & Neck Surgery, Facial Lipoatrophy, Lip Augmentation, Orbicularis Oculi

Steep Bills Surprise Patients Who Go 'Out-of-Network'

Posted 6 days ago by Drugs.com

TUESDAY, Jan. 17, 2017 – Patients using specialists outside their health-plan network often receive surprise bills for services that cost far more than what Medicare considers a fair rate, a new study suggests. Most insurers use rates set by Medicare – the publicly funded insurance program for the elderly – as the benchmark for what they'll pay health care providers. But a look at 400,000 U.S. physicians' charges found many doctors bill their private-paying patients two, three, even six times more than what Medicare pays for the same services, the study revealed. The highest markups – four or more times greater than the Medicare rate – were for certain specialty services, including anesthesiology, interventional radiology, emergency medicine and pathology. Anesthesiologists had the highest markup, charging six times what Medicare considers a reasonable amount, the researchers ... Read more

Related support groups: Surgery, Lidocaine, Sedation, Anesthesia, Propofol, Ketamine, Xylocaine, Prevention of Cardiovascular Disease, Local Anesthesia, Cardiovascular Risk Reduction, Bupivacaine, Marcaine, Diprivan, Novocain, Septocaine, Anesthetic Adjunct, Nitrous Oxide, Procaine, Light Anesthesia, Light Sedation

Should More Kids Have Their Tonsils Out?

Posted 6 days ago by Drugs.com

TUESDAY, Jan. 17, 2017 – Because of stringent tonsillectomy guidelines, some kids who could benefit from tonsil removal surgery aren't getting it, two new reviews suggest. To qualify for the surgery, a child must have many recurring throat infections within a short span of time or severe sleep disturbances, said Dr. Sivakumar Chinnadurai, a co-author of the reviews. An evaluation of current medical evidence suggests more kids would receive significant short-term improvement in their daily life if the guidelines were relaxed, said Chinnadurai, a pediatric otolaryngologist with Vanderbilt University Medical Center in Nashville. Children experienced nearly half as many sore throats when they underwent a tonsillectomy, even if they didn't meet the guidelines, Chinnadurai and his colleagues found. The kids also missed fewer days of school and were less likely to need medical care. However, ... Read more

Related support groups: Surgery, Sleep Apnea, Sore Throat, Obstructive Sleep Apnea/Hypopnea Syndrome, Head & Neck Surgery, Surgical Prophylaxis

Heavy Kids Fare Worse in One Way After Surgery

Posted 10 days ago by Drugs.com

FRIDAY, Jan. 13, 2017 – Here's yet another reason to watch your child's weight: Overweight and obese kids seem to be more likely than others to develop a wound infection after surgery, a new study suggests. Researchers have already documented this connection in adults. But, "research on this topic among children and adolescents is scarce," said study co-author Dr. Catherine Hunter, one of the study authors. "The information from this first-of-its-kind study can now be used in assessing and counseling preoperative pediatric surgical patients and their families," said Hunter. She's a pediatric surgeon at Ann & Robert H. Lurie Children's Hospital of Chicago. In the United States, childhood obesity has nearly tripled since the 1970s, which suggests more children may face these infections, she and her colleagues said. Using statistics from a U.S. surgical database, the researchers focused ... Read more

Related support groups: Infections, Surgery, Obesity, Weight Loss

Many With Breast Cancer Unnecessarily Choose Double Mastectomy: Study

Posted 22 Dec 2016 by Drugs.com

WEDNESDAY, Dec. 21, 2016 – Many women with early stage breast cancer choose to have their healthy opposite breast removed, even when there are no medical indications that such a step is necessary, a new survey finds. That's especially true when the surgeon doesn't offer a recommendation either way, the researchers said. "We are seeing that one in six breast cancer patients are choosing bilateral mastectomy when this aggressive procedure is not going to benefit them in terms of survival," said Dr. Reshma Jagsi. Jagsi, who led the study, is a professor and deputy chair of radiation oncology at the University of Michigan School of Medicine. Cancer specialists say no compelling evidence suggests a survival advantage for most patients to chose a double mastectomy. Also, the risk of getting cancer in the opposite healthy breast is low for most patients, they note. However, after actress ... Read more

Related support groups: Surgery, Breast Cancer, Breast Cancer, Metastatic, Breast Cancer - Adjuvant, Breast Cancer, Prevention, Breast Cancer - Palliative, Osteolytic Bone Metastases of Breast Cancer

Emergency Surgery Riskier for Kids in Poorer Countries

Posted 13 Dec 2016 by Drugs.com

TUESDAY, Dec. 13, 2016 – Children in poorer countries are much more likely to die after emergency abdominal surgery than those in wealthy nations, a new study finds. Researchers analyzed the outcomes of more than 1,400 children in 43 countries who had emergency abdominal surgery in 2014. The surgeries were for conditions such as appendicitis, congenital abnormalities and hernia. Compared to children in wealthy countries, those in middle-income nations were four times more likely to die within 30 days of surgery, and those in poor countries were seven times more likely to die, the study found. Rates of serious complications were just over 11 percent among children in poor countries, compared with just over 6 percent for those in middle-income and rich countries. Rates of wound infection were 21 percent for children in poor countries, 9.6 percent for those in middle-income countries, and ... Read more

Related support groups: Surgery, Appendectomy, Surgical Prophylaxis, Vascular Surgery, Gastrointestinal Surgery

Strength Training May Prevent Side Effect of Breast Cancer Surgery

Posted 9 Dec 2016 by Drugs.com

FRIDAY, Dec. 9, 2016 – Strength training might benefit breast cancer survivors who've undergone surgery, researchers suggest. In a small study, weightlifting appeared to help prevent swelling in the arms and chest, a common side effect of breast cancer treatment. The study included 27 breast cancer survivors who did supervised moderate-intensity strength workouts twice a week. Each woman's regimen was matched to her ability. The women were checked every two weeks. Three had reductions in swelling and the rest did not develop any swelling. Many of the women also said they were better able to perform everyday tasks, such as opening jars or lifting heavy objects. "At one time, women were told they shouldn't do upper-body activities after surgery and treatment because doctors thought it could actually cause swelling to become worse," said study author Lynn Panton. She is a professor of ... Read more

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

Plastic Surgeons Urge Giving Up E-Cigs Before Procedure

Posted 2 Dec 2016 by Drugs.com

FRIDAY, Dec. 2, 2016 – Plastic surgery patients should avoid smoking e-cigarettes for at least four weeks before their procedures, two plastic surgeons advise. Patients who smoke are believed to face a higher risk of skin flap failure, apparently because nicotine reduces blood flow, the surgeons said. "Based on our current best knowledge, it seems reasonable to advise plastic surgery candidates to cease e-cigarette use," said Dr. Peter Taub,, of Mount Sinai Medical Center and Dr. Alan Matarasso of Albert Einstein College of Medicine. Both are in New York City. "Refraining from [e-cigarette] use four weeks before surgery is a prudent course of action, despite the fact that it has yet to be determined if the effects are similar to traditional cigarettes," they added. The doctors noted that there are still plenty of unanswered questions about the safety of e-cigarettes, which produce ... Read more

Related support groups: Surgery, Smoking, Skin Infection, Smoking Cessation, Nicotine, Nicorette, Nicoderm CQ, Nicotrol Inhaler, Squamous Cell Carcinoma, Commit, Habitrol, Vascular Surgery, History - Skin Cancer, Nicotrol NS, ProStep, Nicotrol TD, Nicorelief, Nicorette DS

Can Surgery Trigger Rare Muscle Disorder?

Posted 23 Nov 2016 by Drugs.com

WEDNESDAY, Nov. 23, 2016 – Patients who've recently undergone surgery – especially those with cancer or autoimmune diseases – experience slightly higher risks of developing a rare muscle disorder soon afterward, new research suggests. Evaluating 20 years of data, Mayo Clinic scientists found that 15 percent of patients who developed Guillain-Barre syndrome had undergone a surgical procedure in the prior eight weeks. Guillain-Barre is a rare syndrome affecting only about one in 100,000 people. Symptoms include increasing muscle weakness that sometimes leads to total paralysis, according to the U.S. National Institutes of Health. It can be fatal if it interferes with breathing. "I don't think patients for any reason should be dissuaded from undergoing a surgical procedure they need because of this [research]," said study author Dr. Sara Hocker. She is an associate professor of ... Read more

Related support groups: Surgery, Cancer, Guillain-Barre Syndrome, Vaccination and Prophlaxis

A Benefit of Back Pain Surgery: Better Sex

Posted 22 Nov 2016 by Drugs.com

TUESDAY, Nov. 22, 2016 – Surgery for back pain can often improve patients' sex lives, researchers report. "The impetus behind our study was to initiate the process of understanding how back surgery affects patients' lives," wrote the researchers led by orthopedic surgeon Dr. Shane Burch, from the University of California, San Francisco. "An important aspect for many patients includes sex life," the researchers said. The study included 825 patients with degenerative spinal disease. Of those, 531 underwent some kind of surgery while 294 received nonsurgical treatment. Before treatment, 55 percent of the patients said they had back pain that affected lovemaking. Three months after treatment, less than 20 percent of surgery patients still had back pain during sex, compared with 40 percent of those who had nonsurgical therapy, the study found. The improvement among back surgery patients ... Read more

Related support groups: Surgery, Back Pain, Sciatica, Herniated Disc, Scoliosis, Orthopedic Surgery, Sexual Deviations or Disorders, Radiculopathy

Anesthesia Before Age 4 May Have Slight Impact on Later School Performance

Posted 8 Nov 2016 by Drugs.com

MONDAY, Nov. 7, 2016 – A new Swedish study suggests that children exposed to surgical anesthesia before the age of 4 may have slightly lower school grades and IQ scores in their late teen years. But the study didn't prove that exposure to anesthesia was responsible. Dr. Pia Glatz, from the Karolinska Institute in Stockholm, and colleagues examined the medical records of 2 million children born in Sweden from 1973 through 1993. The researchers focused on approximately 33,500 children who had one surgery and one exposure to anesthesia before the age of 4 and then didn't undergo surgery or hospitalization again until at least age 16. The researchers compared those children to approximately 160,000 children who didn't undergo surgery or anesthesia before the age of 16. The researchers also looked at 3,640 children who underwent more than one surgical procedure with anesthesia. The ... Read more

Related support groups: Surgery, Anesthesia

Surgery Not the Answer for Most Back Pain, Sports Doctor Says

Posted 3 Nov 2016 by Drugs.com

WEDNESDAY, Nov. 2, 2016 – Back pain is a common problem, but most cases can be treated without surgery, a sports medicine specialist says. Sometime during their lives, up to 80 percent of people will have back pain that lasts more than three days. The first step in treating back pain is understanding it, according to Dr. Gregory Billy, a physical medicine and rehabilitation specialist with Penn State Sports Medicine. "A physician should ask about the history of your pain, including its exact location, what makes it feel better or worse and what may have caused it," Billy said in a university news release. "A physical exam helps isolate the cause of the pain – for example, what happens when you stand, sit, lift your leg or walk?" While an MRI can help with a diagnosis, it has limitations. "Because the back changes with age, MRIs of many older adults are likely to depict damage, but the ... Read more

Related support groups: Pain, Surgery, Back Pain, Chronic Pain, Orthopedic Surgery, Head & Neck Surgery

Robotic Surgical Tools Tough to Keep Clean

Posted 1 Nov 2016 by Drugs.com

TUESDAY, Nov. 1, 2016 – Even with repeated cleanings, it's virtually impossible to remove all contamination from robotic surgical instruments, a new study suggests. "One of the top priorities for hospitals is to treat patients safely and with minimal risk of infection," said study author Yuhei Saito, an assistant professor at the University of Tokyo Hospital in Japan. "Our results show that surgical instruments could be placing patients at risk due to current cleaning procedures. One way to address this issue is to establish new standards for cleaning surgical instruments, including multi-part robotic tools," Saito said in a news release from the Society for Healthcare Epidemiology of America. Over the course of 21 months, the researchers assessed protein residue on 132 robotic and standard surgical instruments that were cleaned according to manufacturers' instructions. The cleanings ... Read more

Related support groups: Infections, Surgery, Bacterial Infection, Hepatitis C, Hepatitis B, Hepatitis A, Surgical Prophylaxis, Gastrointestinal Surgery, Cardiothoracic Surgery

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