Here are what the editors at HealthDay consider to be the most important developments in Surgery for November 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.
Surgeons' Experience Tied to Prostatectomy Outcome
TUESDAY, Nov. 30 (HealthDay News) -- The proportion of surgeons with high annual radical prostatectomy (RP) caseloads has increased over the last decade, and patients undergoing RPs are at lower risk of complications or transfusions if their surgeons are in the high caseload tertile, according to research published in the December issue of The Journal of Urology.
Surgery to Remove Ingested Foreign Bodies Safe But Costly
FRIDAY, Nov. 26 (HealthDay News) -- The ingestion of foreign bodies (FBs) is a serious and recurring problem that rarely has endoscopic complications but can be expensive to treat, according to research published in the November issue of Clinical Gastroenterology and Hepatology.
Outcomes Better in Recent Hematopoietic Cell Recipients
WEDNESDAY, Nov. 24 (HealthDay News) -- Patients receiving allogeneic hematopoietic-cell transplants during a period in the mid-2000s had a variety of improved outcomes compared to patients during a period 10 years earlier, according to research published in the Nov. 25 issue of the New England Journal of Medicine.
Patient Harm Found Common, Unchanged in Hospitals
WEDNESDAY, Nov. 24 (HealthDay News) -- Harm to patients in several North Carolina hospitals was common in a recent six-year period, and it did not appear to decrease substantially during this time, according to research published in the Nov. 25 issue of the New England Journal of Medicine.
Genetics May Predict Outcome of Spine Surgery
MONDAY, Nov. 22 (HealthDay News) -- Genetic variation in the pain sensitivity gene catechol-O-methyltransferase (COMT) is associated with success or failure of surgical treatment for lumbar degenerative disc disease (DDD), according to research published in the November issue of The Spine Journal.
Novel Plastic Circumcision Template Trims Procedure Time
MONDAY, Nov. 22 (HealthDay News) -- Performing adult circumcision using a novel plastic template reduces procedure duration by almost 24 percent and delivers results similar to the standard sleeve procedure, according to a report in the October issue of Urology.
Combo Laser Treatment Helps in Leg Telangiectasias
MONDAY, Nov. 22 (HealthDay News) -- A novel treatment for leg telangiectasias using sequential pulses from combined long pulsed dye (LPDL) and Nd:YAG lasers produces good results with minimal side effects, according to a clinical report in the November issue of Lasers in Surgery and Medicine.
MetHb Detection Accurate Using 'Pulse CO-Oximeter'
FRIDAY, Nov. 19 (HealthDay News) -- A newly introduced "pulse CO-oximeter" device used by anesthesiologists can accurately measure both arterial oxygen saturation and methemoglobin (MetHb) levels, even in the setting of hypoxemia, according to research published in the November issue of Anesthesia & Analgesia.
U.S. Health Insurance Compared to 10 Other Nations
FRIDAY, Nov. 19 (HealthDay News) -- Adults in the United States spend more time and money on health insurance than those in many other developed nations, and ultimately deal with more coverage-related disputes and denials, according to research published online Nov. 18 in Health Affairs.
Intra-Abdominal Fat Predicts Hepatectomy Complications
THURSDAY, Nov. 18 (HealthDay News) -- Use of imaging to identify patients with intra-abdominal fat, as opposed to outer-abdominal fat or mere high body mass index (BMI), may help assess risk for increased complications, including death, following major hepatectomy, according to research published in the November issue of the Archives of Surgery.
Lymphedema Prominent in Early Breast Cancer Survivors
THURSDAY, Nov. 18 (HealthDay News) -- The incidence of breast cancer-related lymphedema (BCRL) is fairly high in early breast cancer survivors, and being African-American or more educated is related to a higher risk, according to research published in the November issue of the Archives of Surgery.
Fraud in Scientific Literature Appears Intentional
THURSDAY, Nov. 18 (HealthDay News) -- Scientific papers retracted after publication due to fraudulent data represent a calculated, deliberate effort to deceive, according to research published online Nov. 15 in the Journal of Medical Ethics.
Laparoscopic Liver Resection May Beat Open Surgery
THURSDAY, Nov. 18 (HealthDay News) -- Laparoscopic liver resection for malignant tumors appears to result in fewer complications than open surgery and is associated with at least comparable long-term survival, according to research published in the November issue of the Archives of Surgery.
Study Backs Kidney Transplants in People With HIV
WEDNESDAY, Nov. 17 (HealthDay News) -- Kidney transplantation appears feasible in certain patients with HIV, though better strategies for minimizing rejection may be needed, according to research published in the Nov. 18 issue of the New England Journal of Medicine.
Longer Surgery, Night Duty Tied to Stress Among Surgeons
WEDNESDAY, Nov. 17 (HealthDay News) -- Surgeons face stress associated with longer surgeries and decreased arousal following night shifts, according to research published online Nov. 15 in the Archives of Surgery.
Type of Consent Linked to Kidney Transplantation Rates
TUESDAY, Nov. 16 (HealthDay News) -- Countries with presumed consent -- common in Europe -- have higher rates of deceased donor kidney transplantation than countries with explicit consent, such as the United States, according to research published in the Nov. 16 issue of the Annals of Internal Medicine.
Foreign Bodies Increase Cost, Length of Stay, Not Mortality
TUESDAY, Nov. 16 (HealthDay News) -- The procedures during which foreign bodies are most likely to be left behind in pediatric patients tend to be gynecologic, and although these mishaps increase hospital stay and cost, they do not appear to increase mortality, according to research published in the November issue of the Archives of Surgery.
ED in Spinal Stenosis Worsens After Decompression Surgery
FRIDAY, Nov. 12 (HealthDay News) -- Lumbar spinal decompression improves pain and quality of life in patients with lumbar spinal stenosis, but the surgery appears to worsen already high levels of erectile dysfunction (ED) in men with the spine condition, according to a study in the Oct. 15 issue of Spine.
AAGL: Laparoscopic or Vaginal Hysterectomy Preferred
FRIDAY, Nov. 12 (HealthDay News) -- Most hysterectomies for benign disease should be performed either vaginally or laparoscopically, according to a position statement by the AAGL (formerly known as the American Association of Gynecologic Laparoscopists and now referred to only by its acronym) published online Nov. 9 in the Journal of Minimally Invasive Gynecology.
Physician-Industry Financial Ties Decreased Since 2004
FRIDAY, Nov. 12 (HealthDay News) -- Fewer physicians received drug samples, food and beverages, reimbursement, or payment for professional services in 2009 than in 2004, but a large majority of physicians still report financial relationships with industry, according to research published in the Nov. 8 issue of the Archives of Internal Medicine.
Surgery Checklist Linked to Lower Complications, Mortality
WEDNESDAY, Nov. 10 (HealthDay News) -- The use of a comprehensive, multidisciplinary surgical safety checklist in hospitals that already have a high standard of care appears to be associated with fewer surgical complications and lower mortality, according to research published in the Nov. 11 issue of the New England Journal of Medicine.
Computer Monitoring of Clinical Data Can Detect Safety Threats
TUESDAY, Nov. 9 (HealthDay News) -- Automated safety surveillance of clinical registries appears to be feasible and able to effectively provide early warnings about the safety of new cardiovascular devices, according to research published in the Nov. 10 issue of the Journal of the American Medical Association.
Silicone Beats Saline for Satisfaction With Implants
MONDAY, Nov. 8 (HealthDay News) -- Breast cancer patients who undergo post-mastectomy reconstruction report higher satisfaction with silicone implants than with saline implants, according to research published online Nov. 8 in Cancer.
Task Force Provides Guidelines for Post-Bariatric Surgery
MONDAY, Nov. 8 (HealthDay News) -- A new clinical practice guideline focuses on the nutritional and endocrine management of adults after bariatric surgery in an effort to prevent complications, weight regain, and progression of obesity-associated comorbidities, including diabetes. The guideline has been published in the November issue of the Journal of Clinical Endocrinology & Metabolism.
Outcomes Studied in Spinal Fusion With Anterior Support
FRIDAY, Nov. 5 (HealthDay News) -- While research has shown that providing anterior column support in lumbar spinal fusion delivers superior long-term patient outcomes, this can't be positively credited to reduced adjacent segment degeneration (ASD), according to research published in the Oct. 15 issue of Spine.
Heart Rate Over 90 Poor Prognostic Factor After CABG
THURSDAY, Nov. 4 (HealthDay News) -- Two months after coronary artery bypass grafting (CABG), having a heart rate greater than 90 beats per minute is a poor prognostic factor, according to research published in the Oct. 1 issue of the American Journal of Cardiology.
Obese Children Getting New Liver Face Long-Term Risk
THURSDAY, Nov. 4 (HealthDay News) -- Obese pediatric patients undergoing liver transplantation have a higher risk of late mortality than normal and overweight patients, while thin and extremely thin patients have higher risk of early mortality, according to research published in the November issue of Liver Transplantation.
Protocols Help With Finding Missing/Retained Objects in OR
WEDNESDAY, Nov. 3 (HealthDay News) -- Implementation of work protocols designed to enhance communication and collaboration within the operating room appears to have helped a Texas team improve their ability to locate missing surgical sponges, sharps, and instruments, and potentially improve patient outcomes, according to an article published in the October issue of the AORN Journal.
Very Elderly Women at Risk for Unneeded Catheter Placement
WEDNESDAY, Nov. 3 (HealthDay News) -- Women 80 years of age and older appear to be at high risk for inappropriate urinary catheter (UC) utilization in the emergency department, according to a study published in the November issue of the American Journal of Infection Control.
Hours, Nights on Call Linked to Burnout in Surgeons
MONDAY, Nov. 1 (HealthDay News) -- Among surgeons, longer hours and more nights on call are associated with burnout, depression, career satisfaction, and conflicts at work and home, according to research published in the November issue of the Journal of the American College of Surgeons.
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