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Surgical Prophylaxis News

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

Posted 12 days ago 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, Carac, Breast Cancer, Metastatic, Herceptin, Taxol, Breast Cancer - Adjuvant, Taxotere, Carboplatin, Cytoxan, Cyclophosphamide, Paclitaxel, Breast Cancer, Prevention, Adriamycin, Breast Cancer - Palliative, Fluoroplex, Doxorubicin, Docetaxel

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, Sleep Apnea, Sore Throat, 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, Breast Cancer - Palliative, Surgical Prophylaxis

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, 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, Breast Cancer - Palliative, Surgical Prophylaxis, 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, Breast Cancer - Palliative, Surgical Prophylaxis, 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

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