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Surgical Prophylaxis News

'Nipple-Sparing' Mastectomies Don't Raise Odds of Cancer's Return: Study

Posted 8 days ago by Drugs.com

WEDNESDAY, July 19, 2017 – Surgeons performing mastectomies can offer a form of the procedure that allows women to retain the nipple for use in breast reconstruction. Now, a reassuring study finds that this type of mastectomy doesn't raise a woman's risk for breast cancer recurrence. "More women are requesting nipple-sparing mastectomy because of the superior cosmetic results. But doctors don't want to take any chances with breast cancer patients' safety for the sake of cosmetic improvement," explained lead researcher Dr. Barbara Smith. She's a surgical oncologist and director of the breast program at Massachusetts General Hospital in Boston. "Our study, which has one of the longest reported follow-ups after therapeutic nipple-sparing mastectomy in the United States, provides additional support that it's safe to leave the nipple intact during mastectomy with only a few exceptions," she ... Read more

Related support groups: Surgery, Breast Cancer, Breast Cancer - Adjuvant, Breast Cancer, Prevention, Surgical Prophylaxis, Osteolytic Bone Metastases of Breast Cancer, Breast Cancer - Male

McCain's Recovery Time After Surgery Uncertain, Experts Say

Posted 10 days ago by Drugs.com

MONDAY, July 17, 2017 – A pending pathology report will reveal the health risk posed by a blood clot that forced U.S. Sen. John McCain to undergo brain surgery last week, experts say. The future of the Affordable Care Act may rest on McCain's recovery and return to Congress. A Senate vote to repeal the ACA – often called Obamacare – was shelved after McCain, 80, underwent a minimally invasive craniotomy above his left eye Friday. Doctors drilled into his skull and removed a roughly 2-inch blood clot, according to a statement from his office. Senate Majority Leader Mitch McConnell needs McCain's support if he is to dismantle the ACA, a longstanding Republican goal. Repeal of the Obama health care act will require approval from 50 of the Senate's 52 Republicans, and two have already pledged to oppose the bill. McConnell has said voting will start when McCain, who is serving his sixth ... Read more

Related support groups: Ischemic Stroke, Head Injury, Transient Ischemic Attack, Ischemic Stroke - Prophylaxis, Surgical Prophylaxis, Coagulation Defects and Disorders

New Microscope Scans Breast Tumors During Surgery

Posted 28 Jun 2017 by Drugs.com

WEDNESDAY, June 28, 2017 – A new microscope could help surgeons remove breast tumors completely, reducing the number of women who must undergo repeat surgeries to remove cancer cells that were missed the first time. The microscope, developed by scientists and engineers at the University of Washington, effectively scans tumors and examines cells in three dimensions in under 30 minutes, researchers report. "Pathologists are currently very limited in how much they can look at on a glass slide," study co-author Adam Glaser, a postdoctoral fellow in the UW Molecular Biophotonics Laboratory, said in a university news release. "If we can give them three-dimensional data, we can give them more information to help improve the accuracy of a patient's diagnosis." When removing a breast tumor, known as a lumpectomy, surgeons attempt to remove the cancer but spare as much healthy tissue as ... Read more

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

Taking Opioids Before Knee Surgery Could Raise Pain Later

Posted 23 May 2017 by Drugs.com

TUESDAY, May 23, 2017 – If you're planning on having knee replacement surgery at some point in the future, it's a good idea to start talking to your doctor now about your options for controlling pain. That's because new research found that when people had taken powerful opioid painkillers before knee replacement surgery, they had greater pain after the procedure. Knee replacement is used to treat knee osteoarthritis. But patients spend an average of 13 years before surgery using non-surgical treatments such as physical therapy, injections and painkillers, the study authors noted. "Although each patient case is different, patients and physicians should discuss the potential impact of using opioids in patients with knee osteoarthritis who are likely to consider total knee replacement within the next two years," said lead author Elena Losina. She is co-director of the Orthopaedic and ... Read more

Related support groups: Oxycodone, Surgery, Hydrocodone, Percocet, OxyContin, Vicodin, Norco, Osteoarthritis, Lortab, Roxicodone, Knee Joint Replacement, Endocet, Acetaminophen/Hydrocodone, Percocet 10/325, Vicoprofen, Acetaminophen/Oxycodone, Hydromet, Roxicet, Tussionex Pennkinetic, Lorcet 10/650

Blood Test May Gauge Death Risk After Surgery

Posted 25 Apr 2017 by Drugs.com

TUESDAY, April 25, 2017 – A highly sensitive blood test can identify patients with a raised risk of death in the month after surgery, a large study suggests. On average, 1 percent of patients die within 30 days after noncardiac surgery – most from a heart attack, said researcher Dr. P.J. Devereaux, a professor at McMaster University in Ontario, Canada. Testing for a protein called troponin that's found in heart muscle can help identify those post-op patients most at risk, Devereaux and an international team of researchers reported. However, the study could not prove a direct cause-and-effect relationship between troponin levels and death risk. Surgery is a major stress to the body's organs. Troponin is released into the blood when the heart muscle has been damaged, Devereaux explained. "Most of the heart injuries happen in the first day-and-a-half after surgery, when most patients are ... Read more

Related support groups: Surgery, Heart Attack, Myocardial Infarction, Prevention of Cardiovascular Disease, Cardiovascular Risk Reduction, Surgical Prophylaxis, Cardiothoracic Surgery

Rude, Disrespectful Surgeons May Also Be More Error-Prone: Study

Posted 15 Feb 2017 by Drugs.com

WEDNESDAY, Feb. 15, 2017 – Surgeons with a history of patient complaints regarding their personalities or attitude are also more likely to make mistakes in the operating room, a new study finds. Researchers compared surgical outcomes with patient reports of unprofessional behavior by their doctors at several health systems in the United States. The investigators found that people treated by surgeons who had the most complaints had nearly 14 percent more complications in the month after surgery than patients treated by surgeons viewed as more respectful. Complications included surgical-site infections, pneumonia, kidney conditions, stroke, heart problems, blood clots, sepsis and urinary tract infections, according to the study led by Vanderbilt University Medical Center (VUMC) researchers. Lead author Dr. William Cooper said surgeons who are rude and disrespectful to patients might also ... Read more

Related support groups: Infections, Surgery, Orthopedic Surgery, Surgical Prophylaxis, Gastrointestinal Surgery

Half Report Severe Side Effects From Breast Cancer Therapy

Posted 24 Jan 2017 by Drugs.com

TUESDAY, Jan. 24, 2017 – About half of early stage breast cancer patients experience severe side effects from their treatment, a new study finds. "It's in patients' best interest to receive their treatments on time and on schedule, whenever possible, to give them the best possible outcome," said study author Dr. Steven Katz. He's professor of health management and policy at the University of Michigan. "Unscheduled care for toxicities [side effects] – including clinic visits, emergency department visits and hospital stays – are expensive, inconvenient and disruptive to both doctors and patients. We need to avoid them whenever possible," Katz said in a university news release. For the study, researchers surveyed almost 2,000 early stage breast cancer patients an average of seven months after diagnosis. The women were asked to rate the severity of seven common treatment side effects: ... Read more

Related support groups: Surgery, Breast Cancer, Fluorouracil, Efudex, Breast Cancer, Metastatic, Carac, Herceptin, Taxol, Breast Cancer - Adjuvant, Taxotere, Carboplatin, Breast Cancer, Prevention, Cyclophosphamide, Cytoxan, Paclitaxel, Doxorubicin, Adriamycin, Fluoroplex, Surgical Prophylaxis, Breast Cancer - Palliative

Should More Kids Have Their Tonsils Out?

Posted 17 Jan 2017 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, Sore Throat, Sleep Apnea, Head & Neck Surgery, Obstructive Sleep Apnea/Hypopnea Syndrome, Surgical Prophylaxis

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

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, Cardiothoracic Surgery, Prevention of Falls

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, Knee Joint Replacement, Hip 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, Anxiety and Stress, Surgery, Klonopin, Clonazepam, Ativan, Valium, Lorazepam, Alprazolam, Diazepam, Temazepam, Agitation, Librium, Restoril, Xanax XR, Oxazepam, Halcion, Serax, Triazolam

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