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Surgical Prophylaxis News

Easy Fix for Post-Op Shivers?

Posted 23 Oct 2017 by Drugs.com

SATURDAY, Oct. 21, 2017 – Giving patients acetaminophen during surgery may reduce their risk of shivering when they wake up, according to a small study. Up to half of patients have shivers and chills when they regain consciousness after surgery. The cause is unknown, but may be linked to the body cooling down, according to the study authors. "Postoperative shivering is a frequent complication in patients recovering from general anesthesia. It causes significant pain and discomfort," said lead researcher Dr. Takahiro Tadokoro. He's a physician anesthesiologist at the University of the Ryukyus in Okinawa, Japan. "Postoperative shivering can also put a strain on the cardiovascular system. Therefore, we need to prevent it, especially in patients with cardiopulmonary risk," Tadokoro added in a news release from the American Society of Anesthesiologists. The study included 37 gynecologic ... Read more

Related support groups: Surgery, Percocet, Vicodin, Norco, Lortab, Tylenol, Acetaminophen, Paracetamol, Fioricet, Excedrin, Endocet, Darvocet-N 100, Tylenol PM, Acetaminophen/Hydrocodone, Percocet 10/325, Tylenol with Codeine, Tylenol with Codeine 3, DayQuil, Daytime, Acetaminophen/Oxycodone

With Skin Cancer Surgery, Insurance Matters

Posted 16 Oct 2017 by Drugs.com

MONDAY, Oct. 16, 2017 – Surgery is the main treatment for melanoma – a dangerous form of skin cancer – but a patient's insurance could affect whether or not that cancer is quickly removed, new research suggests. After reviewing thousands of melanoma cases, researchers at the University of North Carolina Lineberger Comprehensive Cancer Center reported that patients with Medicaid were more likely to face delays in scheduling their surgery than those with private insurance. Medicaid is the federally funded health insurance program for poor and needy people. "The primary treatment for most melanoma is surgical excision, which can be curative," said study author Dr. Ade Adamson, a clinical instructor in the UNC School of Medicine's department of dermatology. "These delays in care are concerning, particularly if they disproportionately affect those who might be the most vulnerable, such as ... Read more

Related support groups: Surgery, Skin Cancer, Melanoma, Melanoma - Metastatic, Surgical Prophylaxis, History - Skin Cancer

Does Healthy Skin Around Suspicious Moles Need Removal?

Posted 2 Oct 2017 by Drugs.com

MONDAY, Oct. 2, 2017 – If you're having a suspicious mole removed, the doctor should consider removing about 2 millimeters of healthy skin from around the mole. Doing so could avoid the need for a second surgery if the mole turns out to be cancerous, according to a new report. In the study, researchers removed about 150 suspicious moles from nearly 140 men and women. All of them had at least 2 millimeters (mm) of skin removed around the outside edges of the moles. Doctors call that healthy skin from around the mole "the margin." "Although the vast majority of suspicious-looking skin moles do not turn out to be cancerous melanomas, once a decision has been made to remove a mole, there should be a clearer standard margin," said senior study investigator Dr. David Polsky. He is a dermatologist and professor of dermatologic oncology at NYU Langone Health in New York City. Polsky noted that ... Read more

Related support groups: Basal Cell Carcinoma, Skin Cancer, Melanoma, Melanoma - Metastatic, Squamous Cell Carcinoma, Diagnosis and Investigation, Surgical Prophylaxis, Merkel Cell Carcinoma, History - Skin Cancer

U.S. Military Surgeons Helped More Than 6,000 Afghan Adults

Posted 13 Sep 2017 by Drugs.com

WEDNESDAY, Sept. 13, 2017 – In addition to their regular duties caring for U.S. armed forces in the region, American military surgeons provided humanitarian care to nearly 6,000 Afghan adult civilians over 11 years, a new study reports. Between January 2002 and March 2013, more than 9,400 surgical procedures were performed on 5,786 local civilians ages 15 and older at U.S. military treatment facilities in Afghanistan. About 3,300 of the operations were considered essential surgical procedures for developing countries, as defined by the World Health Organization's Disease Control Priorities. There were similar rates of war-related and non-war-related surgeries. The most common operations involved broken bones and soft tissue and nervous system problems. The study was published Sept. 13 in the journal JAMA Surgery. Dr. Peter Learn is a colonel in the U.S. Air Force and a department head ... Read more

Related support groups: Surgery, Orthopedic Surgery, Neurosurgery, Surgical Prophylaxis

Surgeons Play Big Role in Women's Choices for Breast Cancer Care

Posted 13 Sep 2017 by Drugs.com

WEDNESDAY, Sept. 13, 2017 – A breast cancer patient's choice of surgeon can have a major effect on her treatment, according to a new study. That's because surgeons have a strong influence on whether early stage cancer patients have both breasts removed even when cancer is found in only one breast – a procedure called contralateral prophylactic mastectomy (CPM). Researchers surveyed more than 3,300 women with early stage breast cancer and 349 surgeons who treated them. About 16 percent of the patients had both breasts removed. Only 4 percent of those whose surgeons heavily favored breast-saving surgery and were most reluctant to remove both breasts had the procedure. That compared to 34 percent of patients whose surgeons were most willing to do the surgery, the study found. "That difference is huge. Even for a procedure that is very patient-driven, we see that surgeons account for a ... Read more

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

Many Americans Getting Medical Care They Don't Need

Posted 6 Sep 2017 by Drugs.com

WEDNESDAY, Sept. 6, 2017 – Unnecessary medical care is common in the United States, and a fear of malpractice seems to be a main driver for ordering unneeded tests and treatments, a new survey finds. Other factors include patient demand and doctors' desire to boost profits, the researchers said. "Unnecessary medical care is a leading driver of the higher health insurance premiums affecting every American," said study senior author Dr. Martin Makary, professor of surgery and health policy at Johns Hopkins University School of Medicine in Baltimore. Unneeded medical care accounts for the largest chunk of wasted health care resources and costs in the United States and leads to about $210 billion in extra spending each year, according to the National Academy of Medicine. The researchers surveyed more than 2,000 U.S. doctors in a wide variety of specialties and found that most believed 15 ... Read more

Related support groups: Surgery, Prevention of Cardiovascular Disease, Cardiovascular Risk Reduction, Diagnosis and Investigation, Surgical Prophylaxis

Obesity Slows Recovery for Heart Surgery Patients: Study

Posted 10 Aug 2017 by Drugs.com

THURSDAY, Aug. 10, 2017 – Obese heart surgery patients spend more time in intensive care and take longer to recover than those who aren't obese, a new Canadian study finds. Researchers examined data from nearly 5,400 patients who had heart surgery at the New Brunswick Heart Center between January 2006 and December 2013. Of those, 36 percent were obese. After heart surgery, obese patients were four times more likely to need extra time in the ICU; three times more likely to need extra time on mechanical ventilation; and three times more likely to be readmitted to the ICU, the study showed. Obese patients also had longer overall hospital stays and were more likely to be discharged with home care. It all adds up to more labor-intensive and costly care for these patients, according to the researchers. The study was published online Aug. 10 in The Annals of Thoracic Surgery. "Obesity is a ... Read more

Related support groups: Surgery, Obesity, Prevention of Cardiovascular Disease, Cardiovascular Risk Reduction, Cardiovascular Conditions and Disorders, Surgical Prophylaxis, Cardiothoracic Surgery

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

Posted 19 Jul 2017 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 17 Jul 2017 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, Breast Cancer - Palliative, Surgical Prophylaxis

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, Vicodin ES

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, Breast Cancer, Prevention, Carboplatin, Cytoxan, Cyclophosphamide, Paclitaxel, Doxorubicin, Breast Cancer - Palliative, Fluoroplex, Adriamycin, Epirubicin

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

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