Here are what the editors at HealthDay consider to be the most important developments in Surgery for February 2011. 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.
Tranexamic Acid Lowers Post-Op Blood Loss in Neck Surgery
MONDAY, Feb. 28 (HealthDay News) -- Tranexamic acid (TXA) used in cervical laminoplasty significantly reduces perioperative blood loss, mainly through reduced postoperative bleeding, according to a study published online Feb. 1 in Spine.
Necrotizing Fasciitis Pathogen Can Predict Urgency
MONDAY, Feb. 28 (HealthDay News) -- Necrotizing fasciitis caused by Vibrio vulnificus progresses faster and is more clinically fulminant than infections caused by Staphylococcus aureus, according to a study published in the Feb. 2 issue of The Journal of Bone & Joint Surgery.
Green Practices Could Reduce Surgical Waste, Cost
FRIDAY, Feb. 25 (HealthDay News) -- Researchers have identified strategies for implementing environmentally friendly practices in operating rooms and other hospital facilities that could lead to much lower health care costs without risks to patient safety; their recommendations have been published in the February issue of the Archives of Surgery.
Diabetes Affects Outcomes of Spine Surgery
FRIDAY, Feb. 25 (HealthDay News) -- Patients with diabetes who undergo surgery for spine problems experience less improvement compared to those without diabetes, according to research published in the Feb. 15 issue of Spine.
Early Appendectomy Favored in Youths
THURSDAY, Feb. 24 (HealthDay News) -- Children with perforated appendicitis who undergo an appendectomy within 24 hours of hospital admission spend significantly less time away from normal activities and experience fewer adverse events compared to those who undergo removal six to eight weeks after diagnosis, according to a study published online Feb. 21 in the Archives of Surgery.
Laser Therapy Beneficial in Chronic Rhinosinusitis
WEDNESDAY, Feb. 23 (HealthDay News) -- Near-infrared laser illumination (NILI) is a safe and sustained method of treating chronic rhinosinusitis (CRS) and may not interfere with ciliary motility, according to a study published online Feb. 2 in Lasers in Surgery and Medicine.
Livers of Live or Dead Donors Offer Similar Survival
WEDNESDAY, Feb. 23 (HealthDay News) -- Recurrence and survival outcomes are similar for patients with hepatocellular carcinoma (HCC) following living donor liver transplant (LDLT) and deceased donor liver transplant (DDLT), according to a study published online Feb. 11 in Hepatology.
Gastric Bypass, Duodenum Exclusion Effective in Diabetes
TUESDAY, Feb. 22 (HealthDay News) -- Gastric bypass surgery with duodenum exclusion is more likely than sleeve gastrectomy without duodenum exclusion to result in remission of type 2 diabetes, according to a study published in the February issue of the Archives of Surgery. According to a related article in the same issue, laparoscopic Roux-en-Y gastric bypass (RYGB) has a better risk-benefit profile than laparoscopic gastric banding.
Kyphoplasty Effective for Vertebral Fractures
MONDAY, Feb. 21 (HealthDay News) -- Balloon kyphoplasty appears to be a safe and effective means for reducing pain and improving function in cancer patients with vertebral compression fractures (VCFs), according to research published online Feb. 17 in The Lancet Oncology.
Partial Nephrectomy Cuts Renal Cancer Death in Elderly
MONDAY, Feb. 21 (HealthDay News) -- Older patients are less likely to die of renal cell carcinoma when treated with partial nephrectomy; however, they are less likely to undergo partial nephrectomy than are younger patients, according to a study published in the February issue of The Journal of Urology.
Low Pay for New Female Doctors Tied to Gender, Not Job
MONDAY, Feb. 21 (HealthDay News) -- In 2008, male physicians who were newly trained in New York State made an average of $16,819 more than newly trained female physicians, compared to a $3,600 difference in 1999, according to a study published in the February issue of Health Affairs.
People Who Weigh Less Now Qualify for Gastric Device
THURSDAY, Feb. 17 (HealthDay News) -- The Lap-Band gastric banding device has been approved by the U.S. Food and Drug Administration for people who are less obese than previous candidates, device maker Allergan said.
Bevacizumab Monotherapy Effective for Infant Retinopathy
WEDNESDAY, Feb. 16 (HealthDay News) -- Bevacizumab, a vascular endothelial growth factor inhibitor, appears to be more beneficial for zone I stage 3+ retinopathy of prematurity than laser treatment, though more research is needed to determine the therapy's safety, according to research published in the Feb. 17 issue of the New England Journal of Medicine.
New U.S. Report on the Nation's Health 2010 Released
WEDNESDAY, Feb. 16 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention's National Center for Health Statistics' 34th annual report, presenting the latest information on health status and determinants, utilization of health care, health care resources, expenditures, and a special feature on death and dying, was published Feb. 16.
Thoracic Spine Screw Shift May Endanger the Aorta
WEDNESDAY, Feb. 16 (HealthDay News) -- Thoracic pedicle screws, used in surgical correction of scoliosis, may shift over time due to structural failure of bone, making the aorta susceptible to irritation or penetration from laterally oriented or breached screws, according to a study published in the Feb. 1 issue of Spine.
Most Recalled Medical Devices Given Lenient Approval
TUESDAY, Feb. 15 (HealthDay News) -- The majority of medical devices recalled from 2005 to 2009 for risk of serious health hazard or death were approved by the less strict 510(k) process intended for devices considered low or moderate risk, according to a study published online Feb. 14 in the Archives of Internal Medicine.
Researchers Explore Nature of Difficult Clinical Encounters
MONDAY, Feb. 14 (HealthDay News) -- Both patients and physicians can bring qualities to a clinical encounter that result in its being perceived as difficult, and patients involved in these types of encounters have worse short-term outcomes, according to research published online Jan. 25 in the Journal of General Internal Medicine.
One Cornea Can Be Split for Use in Two Patients
MONDAY, Feb. 14 (HealthDay News) -- A single donor cornea can be split and successfully transplanted into two recipients, according to a study published in the February issue of Ophthalmology.
Surgery for Migraines Has Long-Lasting Positive Impact
FRIDAY, Feb. 11 (HealthDay News) -- Long-term follow-up indicates that surgical manipulation of migraine trigger sites can reduce the frequency, duration, and intensity of migraines, according to a study published in the February issue of Plastic and Reconstructive Surgery.
Cosmetic Surgery Procedures on the Rise in U.S.
THURSDAY, Feb. 10 (HealthDay News) -- Cosmetic plastic surgery procedures in the United States increased in 2010, according to the Report of the 2010 Plastic Surgery Statistics published online Feb. 7 by the American Society of Plastic Surgeons (ASPS).
Shunt Increases Infection Risk in Scoliosis Surgery
THURSDAY, Feb. 10 (HealthDay News) -- The presence of a ventriculoperitoneal shunt is a significant risk factor for developing a wound infection following surgery for neuromuscular scoliosis, according to a study published in the Feb. 1 issue of Spine.
Public Sector Plays Big Role in Drug Research
WEDNESDAY, Feb. 9 (HealthDay News) -- Public-sector research institutions (PSRIs) appear to play a bigger role in drug discovery than was previously thought, contributing to the discovery of about 10 to 20 percent of drugs approved for new drug applications since 1990, according to research published in the Feb. 10 issue of the New England Journal of Medicine.
Prenatal Myelomeningocele Surgery Improves Outcomes
WEDNESDAY, Feb. 9 (HealthDay News) -- Prenatal surgery for myelomeningocele decreases the need for shunting and improves motor outcomes at 30 months, though it is linked to an increased risk of preterm delivery and uterine dehiscence at delivery, according to a study published online Feb. 9 in the New England Journal of Medicine.
Elevated Biomarkers Predict Mortality Post-Bypass Surgery
WEDNESDAY, Feb. 9 (HealthDay News) -- Increased levels of creatine-kinase (CK-MB) and troponin in the first 24 hours after coronary artery bypass graft (CABG) surgery are associated with increased intermediate and long-term mortality, according to a review published in the Feb. 9 issue of the Journal of the American Medical Association.
Axillary Lymph Node Dissection Does Not Affect Survival
TUESDAY, Feb. 8 (HealthDay News) -- Patients who have limited sentinel lymph node (SLN) metastatic breast cancer have similar survival rates when treated with sentinel lymph node dissection (SLND) or axillary lymph node dissection (ALND), according to a study published in the Feb. 9 issue of the Journal of the American Medical Association.
TXA Reduces Mortality Risk in Trauma Patients
MONDAY, Feb. 7 (HealthDay News) -- The administration of tranexamic acid (TXA) appears to reduce the risk of death due to bleeding in acute trauma patients, according to a literature review and analysis published in The Cochrane Library.
More Radiation in Minimally Invasive Than Open Surgery
MONDAY, Feb. 7 (HealthDay News) -- Surgeons are exposed to significantly more radiation during minimally invasive lumbar microdiscectomy compared to traditional open microdiscectomy, according to a study published in the Feb. 1 issue of Spine.
Improved Care Needed for Elderly in Trauma Centers
FRIDAY, Feb. 4 (HealthDay News) -- The use of an outcome-based performance review of trauma centers for elderly patients indicates there is potential to improve the quality of care, according to a study published in the January issue of the Annals of Surgery.
HIV Does Not Impact Survival After Liver Transplant
THURSDAY, Feb. 3 (HealthDay News) -- HIV status does not impair the likelihood of survival after liver transplant for liver cancer, according to a study published in the February issue of Hepatology.
CT Imaging Determines Stone Burden Better Than X-Ray
THURSDAY, Feb. 3 (HealthDay News) -- Computerized tomography (CT) determines proximal stone burden better than plain film X-rays do in patients with encrusted and retained ureteral stents, according to a study published in the February issue of The Journal of Urology.
Gastric Bypass Surgery Improves Cardiac Function
WEDNESDAY, Feb. 2 (HealthDay News) -- Marked weight loss after gastric bypass surgery (GBS) is associated with reversal of unfavorable cardiac remodeling and improved left and right ventricular function, according to a study published in the Feb. 8 issue of the Journal of the American College of Cardiology.
Tonsillectomy, Adenoidectomy Tied to Weight Gain
TUESDAY, Feb. 1 (HealthDay News) -- Normal and overweight children who undergo tonsillectomy or adenoidectomy gain a greater amount of weight than expected after the operation, according to a review published online Jan. 4 in Otolaryngology -- Head and Neck Surgery.
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