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Surgical Prophylaxis News

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

Older Surgery Patients Should Be Screened for Frailty: Study

Posted 6 Oct 2016 by Drugs.com

THURSDAY, Oct. 6, 2016 – Screening older surgery patients for frailty could improve their outcomes and chances for survival, researchers say. But frailty often goes unrecognized in these patients, according to a study published online Oct. 6 in The Annals of Thoracic Surgery. "Patients with frail health have less ability to overcome stressors such as illness, falls and injury, and have a higher risk of adverse effects from medications, procedures and surgery," study co-author Dr. Angela Beckert said in a journal news release. Beckert is an assistant professor in the division of geriatrics and gerontology at the Medical College of Wisconsin, in Milwaukee. "If a patient is more robust, with better physical performance and vigor – in other words, less frail – then I believe surgical outcomes would be better," she added. Beckert's team screened 125 patients for signs of frailty; their ... Read more

Related support groups: Surgery, Fatigue, Weight Loss, Weight Loss/Failure to Thrive, Surgical Prophylaxis, Prevention of Falls, Cardiothoracic Surgery

Encouraging Surgical ICU Patients to Get Moving Pays Off

Posted 2 Oct 2016 by Drugs.com

FRIDAY, Sept. 30, 2016 – Getting out of bed and moving around as soon as possible benefits surgical intensive care unit patients, a new study shows. Among 200 surgical ICU patients in the United States, Germany and Austria, those encouraged to move around sooner than usual were discharged from the ICU and the hospital earlier than others, researchers found. "We have become much more successful in making sure patients hospitalized after serious injury or major surgery survive their stays in surgical ICUs," said study leader Dr. Matthias Eikermann, of Massachusetts General Hospital in Boston. "But many patients who spend a long time in the ICU develop muscle weakness that can lead to prolonged rehabilitation requirements, with some being unable to walk or take care of themselves up to a year after hospital discharge," he said in a hospital news release. Setting daily goals for each ... Read more

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

More Breast Cancer Patients Should Get Radiation, New Guidelines Say

Posted 21 Sep 2016 by Drugs.com

WEDNESDAY, Sept. 21, 2016 – New guidelines issued by three leading cancer organizations suggest that more breast cancer patients should get radiation therapy after a mastectomy. Overall, the guidelines say there's enough evidence to show radiation treatment after a mastectomy decreases the risk of breast cancer recurrence, and that even women with smaller tumors and three or fewer lymph nodes involved can benefit from the therapy. "The new guidelines say there is clear evidence that the benefit of [post-mastectomy radiation therapy] extends to women with limited lymph node involvement," said Dr. Stephen Edge. He is vice president for health care outcomes and policy at Roswell Park Cancer Institute in Buffalo, N.Y. Edge was co-chair of the panel that developed the new guidelines. One radiation treatment expert welcomed the updated recommendations. "The guideline is timely," said Dr. ... Read more

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

iPads Calm Surgery-Bound Kids as Well as Sedatives

Posted 30 Aug 2016 by Drugs.com

TUESDAY, Aug. 30, 2016 – Savvy parents probably already suspect it: iPads work as well as sedative drugs to calm anxious kids before surgery, a new study shows. Researchers assessed 112 children between 4 and 10 years old in France who had day surgery requiring general anesthesia. Twenty minutes before receiving the anesthesia, 54 kids were given the sedative midazolam and 58 were handed an iPad to distract them. Anxiety levels in both groups of kids and their parents were similar, but iPads conferred none of the side effects of sedatives, the researchers said. Also, they said the kids given iPads were easier to anesthetize. "Our study showed that child and parental anxiety before anesthesia are equally blunted by midazolam or use of the iPad," said Dr. Dominique Chassard and colleagues at Hopital Femme-Mere-Enfant in Bron, France. "However, the quality of induction of anesthesia, as ... Read more

Related support groups: Anxiety, Xanax, Surgery, Anxiety and Stress, Klonopin, Clonazepam, Ativan, Valium, Lorazepam, Alprazolam, Diazepam, Temazepam, Agitation, Librium, Restoril, Xanax XR, Oxazepam, Halcion, Serax, Triazolam

Cancer Surgeons Advise Against Removal of Healthy Breast

Posted 31 Jul 2016 by Drugs.com

FRIDAY, July 29, 2016 – Only certain women with cancer in one breast should have their healthy breast removed in an attempt to prevent cancer, a leading group of breast surgeons maintains. The new position statement from the American Society of Breast Surgeons comes at a time when more breast cancer patients are asking doctors to remove the unaffected breast – a procedure known as contralateral prophylactic mastectomy. "Contralateral prophylactic mastectomy is a growing trend that has generated significant discussion among physicians, patients, breast cancer advocates and media," said position statement lead author Dr. Judy Boughey. She is professor of surgery at Mayo Clinic in Rochester, Minn. However, "it is important for patients to understand it does not improve their cancer outcome and for them to understand the pros, cons and alternatives to [contralateral prophylactic ... Read more

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

Repaired ACL More Likely to Tear Again in Young Women

Posted 9 Jul 2016 by Drugs.com

THURSDAY, July 7, 2016 – Female athletes younger than 25 have the highest risk for a repeat tear of the knee's anterior cruciate ligament (ACL) after surgery to repair it, a new study says. The study included just over 500 male and female athletes who underwent ACL reconstruction with a hamstring graft and were followed for two years. Their average age was 27. They were allowed to return to sports six to 12 months after surgery if they were pain-free, had equal quadriceps/hamstring strength, and had finished a rehabilitation program. "Our research noted that female patients under the age of 25 with a [smaller] graft size of less than 8 millimeters have an increased chance of re-tearing their ACL following reconstruction," study lead author Dr. Duong Nguyen said in an American Orthopaedic Society of Sports Medicine news release. He is an orthopedic surgeon and adjunct clinical professor ... Read more

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

1 in 5 Ovarian Cancer Patients Doesn't Get Life-Extending Surgery: Study

Posted 4 Jun 2016 by Drugs.com

FRIDAY, June 3, 2016 – Surgery may significantly extend ovarian cancer patients' lives, but one in five women does not have the procedure, a new study finds. "Though surgery isn't right for every patient, we suspect that some women do not receive beneficial surgical treatment because they have poor access to specialty care," said lead researcher Dr. David Shalowitz. He is a fellow in gynecologic oncology at the Perelman School of Medicine at the University of Pennsylvania in Philadelphia. "While some women may benefit more from non-surgical treatment, the results of our study showed that on average, women who received surgery lived more than four years, compared to less than one year for those who received only non-surgical treatment," he said in a university news release. The researchers analyzed data from more than 210,000 women diagnosed with ovarian cancer in the United States ... Read more

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

Refugees Aren't Getting Needed Surgeries

Posted 3 Jun 2016 by Drugs.com

THURSDAY, June 2, 2016 – Millions of refugees aren't getting the surgery they need, researchers report. "When planning to take care of refugees, much thought is put into how to house and feed and clothe people who are far from home for circumstances often beyond their control. But surgery is a basic need and nobody talks about this," said Dr. Adam Kushner, leader of a new study conducted at the Johns Hopkins Bloomberg School of Public Health in Baltimore. An analysis of data from the United Nations and other sources estimates that the roughly 60 million refugees worldwide may need at least 2.8 million surgeries a year. But their circumstances make it difficult to receive that type of medical care, the researchers added. The types of surgeries required range from broken bones and hernia repair to cesarean sections, cleft lips, gallbladder removal and burn care, the study found. The ... Read more

Related support groups: Surgery, Hip Replacement, Knee Joint Replacement, Orthopedic Surgery, Hiatal Hernia, Inguinal Hernia, Surgical Prophylaxis, Cesarean Section, Cardiothoracic Surgery

Severe Obesity May Boost Infection Risk After Heart Surgery

Posted 1 Jun 2016 by Drugs.com

WEDNESDAY, June 1, 2016 – Severely obese people may have a higher risk of certain complications after heart bypass surgery than normal-weight patients, a new study suggests. The researchers found that severe obesity was linked to much higher odds of developing an infection soon after heart bypass surgery. And severely obese patients were also more likely to have longer hospital stays than normal-weight patients. For the study, the investigators reviewed data from more than 7,500 Canadians who had coronary artery bypass surgery between 2003 and 2014. This surgery redirects blood flow to the heart around clogged arteries. People with a body mass index (BMI) of 40 or more were considered severely obese. BMI is a rough estimate of a person's body fat based on height and weight. A BMI between 35 and 39.9 is considered severe obesity, while 30 to 34.9 is obesity. A normal BMI is 18.5 to ... Read more

Related support groups: Infections, Surgery, Obesity, Surgical Prophylaxis, Vascular Surgery, Cardiothoracic Surgery

Fastballs a Fast Track to 'Tommy John Surgery'?

Posted 26 May 2016 by Drugs.com

THURSDAY, May 26, 2016 – A new study finds that throwing a lot of fastballs may increase a pitcher's risk of an elbow injury requiring "Tommy John surgery." "Our findings suggest that throwing a high percentage of fastballs rather than off-speed pitches puts more stress on the elbow," said study author Dr. Robert Keller. "This leads to elbow fatigue, overuse and, subsequently, injury," Keller, chief resident in the department of orthopedic surgery at Henry Ford Hospital in Detroit, said in a hospital news release. Tommy John surgery is named after the big league pitcher who was the first to undergo the operation more than 40 years ago. Its medical name is ulnar collateral ligament (UCL) reconstruction. The procedure involves replacing the UCL in the medial elbow with a tendon from the same arm or the hamstring area. The researchers found that 83 Major League Baseball pitchers who ... Read more

Related support groups: Surgery, Orthopedic Surgery, Surgical Prophylaxis, Epicondylitis - Tennis Elbow

Early Stage Breast Cancer Does Need Treatment, Study Finds

Posted 15 Apr 2016 by Drugs.com

FRIDAY, April 15, 2016 – Early stage breast cancers known as DCIS (ductal carcinoma in situ) should be treated with surgery, not a "wait-and-watch" approach, according to new research. Experts have debated whether to treat early DCIS or simply monitor it to see if it progresses. The new study suggests excision of DCIS – cancer confined to the milk ducts in the breast – is best in nearly all cases. "Regardless of [tumor] grade, surveillance alone without surgery is not adequate," said Dr. Sadia Khan, advisor to the breast cancer program at Hoag Memorial Hospital Presbyterian in Newport Beach, Calif. She presented the study results Thursday at the American Society of Breast Surgeons meeting in Dallas. Grade describes the degree of tumor-tissue abnormality and how likely it is to grow. Lower grades have better outlooks. With treatment, survival from DCIS is nearly 100 percent, Khan ... Read more

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

FDA Proposes Ban on Powdered Medical Gloves

Posted 21 Mar 2016 by Drugs.com

MONDAY, March 21, 2016 – The U.S. Food and Drug Administration wants to ban most powdered medical gloves, saying they pose serious health risks to patients and health care providers alike. The proposed ban, announced Monday, would apply to powdered surgeon's gloves, powdered patient examination gloves and absorbable powder for lubricating a surgeon's gloves. "This ban is about protecting patients and health care professionals from a danger they might not even be aware of," Dr. Jeffrey Shuren, director of the FDA's Center for Devices and Radiological Health, said in an agency news release. "We take bans very seriously and only take this action when we feel it's necessary to protect the public health," he added. Powder is sometimes added to gloves so they're easier to put on and take off. But powder on natural rubber latex gloves can contain proteins that cause allergic reactions that ... Read more

Related support groups: Surgery, Allergic Reactions, Surgical Prophylaxis

1 in 4 Breast Cancer Lumpectomies Requires Follow-Up Surgery

Posted 17 Feb 2016 by Drugs.com

WEDNESDAY, Feb. 17, 2016 – Women with early stage breast cancer who opt for a breast-conserving surgery known as a lumpectomy have a one in four chance they will need a second operation within 90 days, researchers report. "The chance of getting a second surgery has gone down a little, but it is still high and it is substantial," said study author Dr. Art Sedrakyan. He is a professor of health care policy and research at Weill Cornell Medical Center in New York City. In a lumpectomy, the tumor tissue, along with a margin of surrounding tumor-free tissue, is removed. However, if the tissue in the margin is not completely free of tumor cells, a second operation is needed. During the study period, which ran from 2003 through 2013, the overall rate of re-operation within 90 days was almost 31 percent, Sedrakyan said. It declined from nearly 40 percent in 2003 through 2004, to 23 percent ... Read more

Related support groups: Surgery, Breast Cancer, Tamoxifen, Breast Cancer - Adjuvant, Breast Cancer, Prevention, Surgical Prophylaxis, Breast Cancer - Palliative, Vascular Surgery, Tamoxifen Hexal, Nolvadex, Soltamox, Tamone, Tamoxen, Genox, Nolvadex D, Tamofen, Tamosin, Emblon

Surgical Safety Checklists May Shorten Hospital Stays, Save Lives

Posted 3 Feb 2016 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

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