Here are what the editors at HealthDay consider to be the most important developments in Surgery for March 2010. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
Curve Correction Not Influenced By Implant Density in Scoliosis
TUESDAY, March 30 (HealthDay News) -- Segmental fixation via pedicle screw constructs assists in curve correction during scoliosis surgery, with unilateral or alternate attachment yielding results similar to the more extensive bilateral attachment, according to research published in the March 1 issue of Spine.
Parathyroid Procedure Linked to Scar-Related Benefits
TUESDAY, March 30 (HealthDay News) -- The use of video-assisted parathyroidectomy (VAP) may lead to better scar outcomes compared to bilateral cervical exploration (BCE), according to research published in the March issue of the Archives of Otolaryngology -- Head & Neck Surgery.
Diabetes Ups Post-Op Mortality Risk in Cancer Patients
MONDAY, March 29 (HealthDay News) -- Cancer patients with preexisting diabetes have a greater risk of dying after surgery compared to patients without diabetes, according to research published in the April issue of Diabetes Care.
Irradiated Homologous Rib Grafts Work for Rhinoplasty
MONDAY, March 29 (HealthDay News) -- Irradiated homologous rib grafts are safe for use in rhinoplasty, but should be avoided when patients require a shield graft, according to a study in the March/April issue of the Archives of Facial Plastic Surgery.
Fewer Organ Donors But Higher Transplant Success Rates
FRIDAY, March 26 (HealthDay News) -- The number of organs available for donation from both living and deceased donors is decreasing, but survival rates for transplant surgery have increased, according to a study in the April issue of the American Journal of Transplantation.
Bailout Stenting Safe and Effective in Newborns
FRIDAY, March 26 (HealthDay News) -- In newborns with aortic coarctation, a congenital narrowing of the aorta, bailout stenting and later stent removal and corrective surgery can be safe and effective, according to a study in the March 1 issue of Catheterization and Cardiovascular Interventions.
VSD Closure in Adults Linked to Low Mortality, Morbidity
THURSDAY, March 25 (HealthDay News) -- Ventricular septal defect (VSD) closure in adults results in low mortality and morbidity, and patch closure and intraoperative transesophageal echocardiography are linked to better surgical outcomes, according to research published in the March issue of the Journal of the American College of Cardiology: Cardiovascular Interventions.
Intensive Program Can Reduce Large Hospitals' MRSA Burden
THURSDAY, March 25 (HealthDay News) -- Over the long term, the use of an intensive program can reduce the burden of methicillin-resistant Staphylococcus aureus (MRSA) in a large hospital institution, according to research published in the March 22 issue of the Archives of Internal Medicine.
Surgery May Be More Beneficial Than Drugs for Esophageal Reflux
WEDNESDAY, March 24 (HealthDay News) -- Surgery improves quality of life and relieves symptoms better than drugs in patients with gastro♠esophageal reflux disease (GERD), at least in the short and medium term, according to a review in the March issue of the Cochrane Database of Systematic Reviews.
Many Kidney Donors, Recipients Favor Information Exchange
TUESDAY, March 23 (HealthDay News) -- Potential kidney transplant recipients and donors generally favor the exchange of personal health information, suggesting that future policies should weigh which information is relevant, how to use it in context, and how to get consent from all the parties involved, according to research published online March 18 in the Clinical Journal of the American Society of Nephrology.
Options for Sirolimus-Eluting Stent Restenosis Evaluated
TUESDAY, March 23 (HealthDay News) -- Patients with sirolimus-eluting stent (SES) restenosis can be treated equally well with a repeat SES or a paclitaxel-eluting stent (PES), according to a study published online March 10 in the Journal of the American College of Cardiology.
Substrate Leading to Atrial Arrhythmia May Be Reversed
MONDAY, March 22 (HealthDay News) -- The use of mitral commissurotomy may reverse the substrate that contributes to atrial arrhythmia due to chronic atrial stretch, according to research published in the March 23 issue of the Journal of the American College of Cardiology.
Implant Technique Increases Lip Fullness and Redness
FRIDAY, March 19 (HealthDay News) -- Lip augmentation using neck muscle and fascia harvested during a facelift leads to long-term enhancement of lip fullness and redness, according to research published in the March/April issue of the Archives of Facial Plastic Surgery.
Racial Disparities in Neuro-Oncologic Care Worsen
THURSDAY, March 18 (HealthDay News) -- Access to high-quality neuro-oncologic care has worsened over time for Hispanics and blacks in the United States, even though access has improved overall, according to research in the March issue of the Archives of Surgery.
More Information Helps Parents Recall Pediatric Surgery Risks
THURSDAY, March 18 (HealthDay News) -- Giving parents of children undergoing ear, nose and throat surgery detailed information about the procedure and its risks helps boost their recall of risk information, according to a study published in the March issue of the Archives of Otolaryngology -- Head & Neck Surgery.
Concerns About Paid Kidney Donors May Be Unfounded
THURSDAY, March 18 (HealthDay News) -- Empirical evidence does not support theoretical concerns that paying living kidney donors may hinder altruistic donation or present unjust or undue inducement to donate, according to a study in the March 16 issue of the Annals of Internal Medicine.
Bilateral Oophorectomy May Do More Harm Than Good
WEDNESDAY, March 17 (HealthDay News) -- The decision to perform prophylactic bilateral oophorectomy at the same time as hysterectomy should be made with caution, as it may do more harm than good, especially in women not at high risk for development of ovarian or breast cancers, according to a review published in the March issue of the Journal of Minimally Invasive Gynecology.
Plastic Surgery Demand Drops 2 Percent From 2008 to 2009
WEDNESDAY, March 17 (HealthDay News) -- Despite the recession, almost 10 million cosmetic procedures were performed in the United States in 2009 -- only 2 percent fewer than the year before -- at a cost of almost $10.5 billion, according to a report by the American Society for Aesthetic Plastic Surgery.
Hospital Admissions After Prostate Biopsy Up in Canada
WEDNESDAY, March 17 (HealthDay News) -- The rate of hospital admission after transrectal ultrasound-guided biopsy for suspected prostate cancer increased significantly between 1996 and 2005, primarily due to an increasing rate of post-procedure infection, according to a Canadian study in the March issue of The Journal of Urology.
Staples Riskier Than Sutures After Orthopedic Surgery
WEDNESDAY, March 17 (HealthDay News) -- In patients who undergo orthopedic surgery -- especially those who undergo hip surgery -- wound closure with staples is associated with a significantly increased infection risk compared to wound closure with sutures, according to a study published March 16 in BMJ.
Predictors of Hysterectomy Use and Satisfaction Identified
FRIDAY, March 12 (HealthDay News) -- In women with non-cancerous uterine conditions that could be treated with hysterectomy, factors such as their sexual function and attitudes regarding hysterectomy may help determine which patients are most likely to benefit from the surgery, according to research published in the March issue of Obstetrics & Gynecology.
Panel Finds Vaginal Birth After Cesarean Is Usually Safe
THURSDAY, March 11 (HealthDay News) -- Most women who have had a cesarean section can safely undergo a subsequent vaginal delivery, according to an independent panel convened by the National Institutes of Health.
Type of Specialist Seen Affects Prostate Cancer Treatment
WEDNESDAY, March 10 (HealthDay News) -- Treatment choice for prostate cancer appears to be strongly influenced by the type of specialist a patient sees, and patients seen by a primary care physician are more likely to choose expectant care, according to research published in the March 8 issue of the Archives of Internal Medicine.
Obesity Linked to Higher Mortality Rate in Colon Cancer
TUESDAY, March 9 (HealthDay News) -- In patients with colon cancer, obesity was associated with higher rates of cancer recurrence and mortality, according to research published online March 9 in Clinical Cancer Research.
Live Kidney Donation Considered Safe for Donor
TUESDAY, March 9 (HealthDay News) -- Live kidney donation does not impact the long-term survival of the donor and can be considered safe, although certain groups are at higher risk of death shortly after surgery, according to research published in the March 10 issue of the Journal of the American Medical Association.
Rapid Freezing Ups Immunity in Breast Cancer Mouse Model
TUESDAY, March 9 (HealthDay News) -- Rapid freezing of breast cancers kills the tumor and generates a tumor-specific immune response that reduces metastases and improves survival compared with surgery in mice, according to a study published online Dec. 22 ahead of the print edition of the Annals of Surgical Oncology.
Pre-Surgery C-Reactive Protein Linked to Long-Term Mortality
MONDAY, March 8 (HealthDay News) -- Surgical patients undergoing primary, non-emergent coronary artery bypass graft-only surgery with elevated preoperative levels of C-reactive protein (CRP) are at heightened risk for longer hospital stays and long-term mortality, according to a study in the March issue of Anesthesiology.
Oral Drug for Post-Knee Surgery Thromboprophylaxis Assessed
FRIDAY, March 5 (HealthDay News) -- Patients who undergo knee replacement surgery can be given the oral medication apixaban for thromboprophylaxis instead of enoxaparin, and it is effective and confers no additional risk of bleeding, according to a study in the March 6 issue of The Lancet.
Embolic Protection Device May Be Beneficial After Stenting
WEDNESDAY, March 3 (HealthDay News) -- An embolic protection device that captures and removes embolic material is associated with low rates of stroke in high-risk patients undergoing carotid artery stenting, according to a study published in Catheterization and Cardiovascular Interventions.
Study Assesses Costs Related to Poor Discectomy Outcomes
MONDAY, March 1 (HealthDay News) -- The costs related to poor outcomes following discectomy may be underappreciated, and technologies to improve outcomes could be cost-neutral even at a considerable price, according to research published in the February issue of The Spine Journal.
Safety, Efficacy of Propofol During Endoscopy Evaluated
MONDAY, March 1 (HealthDay News) -- With careful attention paid to maintaining clear and effective airways, the sedative propofol can be safely used to induce deep sedation in patients for advanced endoscopic procedures, according to a study in the February issue of Clinical Gastroenterology and Hepatology.
Cystectomy for Elderly Bladder Cancer Patients Questioned
MONDAY, March 1 (HealthDay News) -- It is questionable whether elderly patients with invasive bladder cancer benefit from radical cystectomy, as the period of overall survival is heavily dependent on tumor stage and age, according to a study published in the February issue of Urology, while a second study found that comorbidities play a significant role in survival odds for invasive bladder cancer patients.
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