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Category: Surgery | Monthly Briefing

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January 2012 Briefing - Surgery

Last Updated: February 01, 2012.

 

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Here are what the editors at HealthDay consider to be the most important developments in Surgery for January 2012. 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.

Breast Reexcision Rates Vary With Surgeon, Institution

TUESDAY, Jan. 31 (HealthDay News) -- For women with invasive breast cancer who undergo partial mastectomy and have negative margins, reexcision rates vary substantially depending on the surgeon and institution, according to a retrospective chart review published in the Feb. 1 issue of the Journal of the American Medical Association.

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Sixty Percent Burn Size Crucial Threshold in Children

TUESDAY, Jan. 31 (HealthDay News) -- Children with burns covering 60 percent of their body or more are at much higher risk for complications and death and should receive specialized care, according to a study published online Jan. 31 in The Lancet.

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Warm Saline Enhances Shoulder Tendinitis Treatment

TUESDAY, Jan. 31 (HealthDay News) -- The use of a warm saline solution improves outcomes and reduces procedure time for patients undergoing double-needle ultrasonography (US)-guided percutaneous treatment for rotator cuff calcific tendinitis (RCCT), according to a study published in the February issue of Radiology.

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Laparoscopy Acceptable for Staging Uterine Cancer

TUESDAY, Jan. 31 (HealthDay News) -- Comprehensive surgical staging of endometrial cancer can be performed laparoscopically with relatively small differences in recurrence rates compared to laparotomy, according to a study published online Jan. 30 in the Journal of Clinical Oncology.

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Similar Morbidity for Robotic, Laparoscopic Hysterectomy

TUESDAY, Jan. 31 (HealthDay News) -- While complication rates are similar between robotic and laparoscopic hysterectomies for the treatment of endometrial cancer, robotic treatment is significantly more costly than laparoscopic treatment, according to a study published online Jan. 30 in the Journal of Clinical Oncology.

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High-Fiber Diet May Not Lower Risk of Diverticulosis

TUESDAY, Jan. 31 (HealthDay News) -- High dietary fiber intake was not associated with a lower prevalence of diverticulosis. In fact, people who ate a high-fiber diet and those having 15 or more bowel movements per week had a higher, not lower, prevalence of diverticulosis, according to research published in the February issue of Gastroenterology.

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Cyberknife Effective in Treating Trigeminal Neuralgia

TUESDAY, Jan. 31 (HealthDay News) -- Cyberknife stereotactic radiosurgery is effective in the treatment of trigeminal neuralgia (TN), according to a small study published online Jan. 25 in the Journal of NeuroInterventional Surgery.

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Antiretroviral Medications Linked to Cleft Deformities

MONDAY, Jan. 30 (HealthDay News) --Antiretroviral drugs prescribed for HIV-infected pregnant women to reduce risk of mother-to-child disease transmission may be linked to cleft lip and palate disorders in newborns, according to a study published in the January issue of Cleft Palate-Craniofacial Journal.

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Hemi-CC7 Transfer Poor Option for Brachial Plexus Injury

MONDAY, Jan. 30 (HealthDay News) -- The use of hemi-contralateral C7 (CC7) transfer alone for either restoration of shoulder function or transfer to the median nerve is not recommended in patients with posttraumatic brachial plexus injury, according to a study published in the Jan. 18 issue of The Journal of Bone & Joint Surgery.

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Disc Degeneration More Likely in Overweight, Obese Adults

MONDAY, Jan. 30 (HealthDay News) -- Overweight and obese adults are significantly more likely to have lumbar disc degeneration compared with those who have a normal body mass index (BMI), according to a study published online Jan. 27 in Arthritis & Rheumatism.

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Self-Rated Health Status Predicts Mortality Among CVD Patients

FRIDAY, Jan. 27 (HealthDay News) -- Self-rated health status is a risk factor for future vascular events and mortality in patients with cardiovascular diseases, particularly in those with asymptomatic atherosclerotic disease, according to a study published online Jan. 18 in the Journal of Internal Medicine.

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New PCR-Based Assay Better Predicts Lung Cancer Survival

FRIDAY, Jan. 27 (HealthDay News) -- A new quantitative polymerase chain reaction (PCR)-based assay can better identify which patients with early-stage non-small-cell lung cancer (NSCLC) are at higher risk of mortality after surgical resection, according to a study published online Jan. 27 in The Lancet.

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Polypectomy Outcomes Similar to Surgical Resection

FRIDAY, Jan. 27 (HealthDay News) -- For patients with malignant colonic polyps who have similar clinical characteristics, management with either polypectomy or surgical resection results in comparable outcomes, according to a study published in the Feb. 1 issue of Cancer.

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No Complications From Using Stored Red Blood Cells

FRIDAY, Jan. 27 (HealthDay News) -- There is no significant difference in early complications, including measures of pulmonary function, immunologic status, or coagulation status, after using fresh versus standard issue red blood cell (RBC) transfusions, according to a study published online Jan. 26 in the American Journal of Respiratory and Critical Care Medicine.

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Decline in Rate of Diabetic Lower-Extremity Amputation

THURSDAY, Jan. 26 (HealthDay News) -- From 1996 to 2008 there was a decline in the rates of hospitalization for nontraumatic lower-extremity amputation (NLEA) in the U.S. population with diabetes, according to a study published in the February issue of Diabetes Care.

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Radiation Benefits Mixed After Breast-Preserving Surgery

THURSDAY, Jan. 26 (HealthDay News) -- Treatment with radiation therapy after excision of ductal carcinoma in situ (DCIS) in women age 60 is associated with a slight improvement in survival, but may increase the likelihood of eventual mastectomy, according to a study published in the Feb. 1 issue of Cancer.

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Sildenafil Shows Potential for Lymphatic Malformations

WEDNESDAY, Jan. 25 (HealthDay News) -- Treatment with sildenafil results in regression of lymphatic malformations in children, according to three cases presented in a letter published in the Jan. 26 issue of the New England Journal of Medicine.

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Sex Differences Exist in Disease-Linked Pain Intensity

WEDNESDAY, Jan. 25 (HealthDay News) -- Sex differences exist in specific disease-associated pain intensity, with women suffering a higher prevalence of pain for musculoskeletal, neuropathic, abdominal, and migraine-related conditions, according to a study published online Jan. 16 in The Journal of Pain.

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Imaging May Spare Nerves in Prostate Cancer Surgery

WEDNESDAY, Jan. 25 (HealthDay News) -- The use of preoperative magnetic resonance imaging (MRI) can help guide surgical decisions that may spare nerves in men with prostate cancer undergoing robotic-assisted laparoscopic prostatectomy (RALP), according to a study published online Jan. 24 in Radiology.

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Adrenalectomy Rates Remain High in Radical Nephrectomy

WEDNESDAY, Jan. 25 (HealthDay News) -- During a recent 10-year period, the rate of ipsilateral adrenalectomy at the time of radical nephrectomy decreased slightly, according to a study published in the February issue of The Journal of Urology.

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Overuse of Health Care Services Understudied

WEDNESDAY, Jan. 25 (HealthDay News) -- Overuse of health care services in the United States is an understudied problem, with the majority of research limited to a few interventions, according to a review published in the Jan. 23 issue of the Archives of Internal Medicine.

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Unemployed Have Poorer Mental and Physical Health

TUESDAY, Jan. 24 (HealthDay News) -- Unemployed adults are about half as likely to have health insurance as employed individuals; have poorer mental and physical health, regardless of their insurance status; and are less likely to receive needed medical care and prescriptions, according to a January data brief issued by the National Center for Health Statistics.

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HealthGrades IDs Notable Hospitals for Clinical Excellence

TUESDAY, Jan. 24 (HealthDay News) -- The top 5 percent of U.S. hospitals has more than a 30 percent lower risk-adjusted mortality across 17 procedures and diagnoses, compared with other hospitals, according to the 10th annual HealthGrades Hospital Quality and Clinical Excellence study published online Jan. 24.

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Stem Cell-Derived Retinal Cells Safe for Transplant

TUESDAY, Jan. 24 (HealthDay News) -- Retinal cells derived from human embryonic stem cells (hESCs) can be safely transplanted into people and may improve vision in patients with diseases such as macular degeneration, according to a study published online Jan. 23 in The Lancet.

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Recent Shift in Indication for Total Elbow Arthroplasty

TUESDAY, Jan. 24 (HealthDay News) -- The most common indication for total elbow arthroplasty in New York State changed from inflammatory conditions in 1997 to trauma in 2006, with revision and complication rates remaining high, according to a study published in the Jan. 18 issue of The Journal of Bone & Joint Surgery.

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Chlorhexidine Erases More of Preoperative Skin Markings

MONDAY, Jan. 23 (HealthDay News) -- Use of a chlorhexidine-based solution for preoperative skin marking is associated with more erasure of skin markings than an iodine-based alternative, according to a study published in the Jan. 18 issue of The Journal of Bone & Joint Surgery.

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Lamina Closure Has No Long-Term Impact in Laminoplasty

MONDAY, Jan. 23 (HealthDay News) -- Lamina closure has no significant impact on the long-term surgical outcomes of laminoplasty performed for cervical myelopathy, according to a study published online Jan. 12 in Spine.

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Gender, Family, Ambivalence Impact Live Liver Donation

MONDAY, Jan. 23 (HealthDay News) -- Gender, relationship to the recipient, and ambivalence toward donation all impact living liver donor's decisions, motives, and post-donation outcomes, according to a study published in the January issue of the American Journal of Transplantation.

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Variability in Number of Lymph Nodes After Surgery Probed

FRIDAY, Jan. 20 (HealthDay News) -- In two pathology departments in different hospitals, significant differences have been seen in the number of lymph nodes found following pelvic lymph node dissection for bladder cancer, according to a study published in the February issue of The Journal of Urology.

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Matted Lymph Nodes ID Poor Oropharyngeal SCC Prognosis

FRIDAY, Jan. 20 (HealthDay News) -- Patients with oropharyngeal squamous cell carcinoma (SCC) who present with matted nodes have a worse prognosis than those without matted nodes, according to a study published online Jan. 13 in Head & Neck.

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Retroperitoneal Sarcoma Loses Prognostic Factors Over Time

FRIDAY, Jan. 20 (HealthDay News) -- The current staging system and postoperative nomograms, which are based on patient and tumor characteristics and predict prognosis after resection of retroperitoneal sarcoma (RPS), are no longer significant one year after survival, according to a study published online Jan. 13 in Cancer.

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Warfarin Patients With Head Trauma Need Second CT Scan

FRIDAY, Jan. 20 (HealthDay News) -- For patients on warfarin with minor head trauma who have an initial negative computed tomography (CT) scan, 24-hour observation followed by an additional CT scan identifies the majority of cases of delayed bleeding, according to a study published online Jan. 16 in the Annals of Emergency Medicine.

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Rates of Post-Arthroplasty Symptomatic VTE Identified

WEDNESDAY, Jan. 18 (HealthDay News) -- The rates of postoperative symptomatic venous thromboembolism (VTE) are 1.09 percent after total or partial knee arthroplasty (TPKA) and 0.53 percent after total or partial hip arthroplasty (TPHA), according to a review published in the Jan. 18 issue of the Journal of the American Medical Association.

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Peds Liver Transplant Patients Tolerate Drug Withdrawal

WEDNESDAY, Jan. 18 (HealthDay News) -- For pediatric recipients of a living donor liver transplant, immunosuppression withdrawal is feasible, with most patients able to remain off therapy for at least one year with normal graft function, according to a pilot study published in the Jan. 18 issue of the Journal of the American Medical Association.

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Platelet Inhibition Maintained With Pre-CABG Cangrelor

TUESDAY, Jan. 17 (HealthDay News) -- For patients who discontinue thienopyridine treatment before coronary artery bypass graft (CABG) surgery, the use of cangrelor as a bridge is associated with higher maintenance of platelet inhibition compared with placebo, according to a study published in the Jan. 18 issue of the Journal of the American Medical Association.

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Tool Predicts Improved Function After Hip Arthroplasty

TUESDAY, Jan. 17 (HealthDay News) -- Preoperative patient characteristics and radiographic assessment can be used to predict expected functional improvement for patients undergoing total hip arthroplasty (THA), according to a study published online Jan. 9 in Arthritis Care & Research.

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Superior Weight Loss With Roux-en-Y Gastric Bypass

TUESDAY, Jan. 17 (HealthDay News) -- Compared with laparoscopic gastric banding (GB), the Roux-en-Y gastric bypass (RYGBP) surgical procedure results in better weight loss and fewer long-term complications, according to a study published online Jan. 16 in the Archives of Surgery.

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Comorbidities Affect Hospital Costs After Hip Fracture

TUESDAY, Jan. 17 (HealthDay News) -- For older Americans with hip fracture, the presence of comorbidities is associated with increased cost of hospitalization, according to a study published in the Jan. 4 issue of The Journal of Bone & Joint Surgery.

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Endovascular Graft Approved for Tears of Aorta

MONDAY, Jan. 16 (HealthDay News) -- The U.S. Food and Drug Administration has expanded approval of an endovascular graft to include ruptures of the aorta.

tears of the aorta

Patients With Breast Cancer Lack Knowledge of the Disease

MONDAY, Jan. 16 (HealthDay News) -- Many early-stage breast cancer survivors lack knowledge about their disease and report not being involved in treatment decisions, although most receive treatment consistent with their goals, according to a study published in the January issue of the Journal of the American College of Surgeons.

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Preoperative Tracheal Exercise Cuts Post-Op Dysphagia

MONDAY, Jan. 16 (HealthDay News) -- For patients with multiple-level fusion after anterior spinal surgery, postoperative dysphagia can be reduced by use of preoperative tracheal/esophageal traction exercise (TTE) treatment, according to a study published online Jan. 5 in Spine.

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Increased Pathologic Fracture Risk in Staph Osteomyelitis

MONDAY, Jan. 16 (HealthDay News) -- Children with osteomyelitis secondary to Staphylococcus aureus infection have increased risk of pathologic fracture, according to a study published in the Jan. 4 issue of The Journal of Bone & Joint Surgery.

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Surgery Beats Non-Op Care for Intervertebral Disc Herniation

FRIDAY, Jan. 13 (HealthDay News) -- Surgery is more effective than nonoperative treatment for patients with intervertebral disc herniation (IDH), with marital status, joint problems, and symptom trend at baseline identified as significant modifiers of treatment effect, according to a study published in the Jan. 15 issue of Spine.

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U.S. Health Care Expenditure Still Unevenly Distributed

FRIDAY, Jan. 13 (HealthDay News) -- Health care expenditure in the United States is still unevenly distributed, with 1 percent of the population accounting for approximately 20 percent of expenditure in 2008 and 2009, according to a January statistical brief published by the Agency for Healthcare Research and Quality (AHRQ).

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Surgical Techniques Affect Outcome in Scoliosis Surgery

FRIDAY, Jan. 13 (HealthDay News) -- For patients with adolescent idiopathic scoliosis (AIS), eight factors correlate significantly with maintenance of kyphosis, according to a study published online Jan. 5 in Spine.

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Thromboprophylaxis Rate Low for Knee Arthroplasty in Taiwan

FRIDAY, Jan. 13 (HealthDay News) -- Pharmacologic thromboprophylaxis for Taiwanese patients undergoing total knee arthroplasty (TKA) is very low, at 2.2 percent, which may correlate with the low incidence of post-surgery venous thromboembolism (VTE), according to a study published in the January issue of the Journal of Thrombosis and Haemostasis.

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Patients Give High Marks to Ankle Replacement Surgery

THURSDAY, Jan. 12 (HealthDay News) -- Patients who undergo Scandinavian Total Ankle Replacement (STAR) arthroplasty for treatment of end-stage arthritis report significant intermediate to long-term improvement in pain, function, and quality-of-life scores, according to a study published in the Jan. 4 issue of The Journal of Bone & Joint Surgery.

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CDC: 2010 Saw Decrease in Age-Adjusted Death Rates

WEDNESDAY, Jan. 11 (HealthDay News) -- From 2009 to 2010, age-adjusted death rates decreased and life expectancy increased, according to a Jan. 11 report published by the U.S. Centers for Disease Control and Prevention.

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Surgeons Aged 35 to 50 Years Perform Best Thyroidectomies

WEDNESDAY, Jan. 11 (HealthDay News) -- Surgeons aged 35 to 50 years appear to perform thyroidectomies better than their younger or older colleagues, according to a study published online Jan. 11 in BMJ.

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Conscious Sedation Feasible for Ambulatory Spine Procedures

TUESDAY, Jan. 10 (HealthDay News) -- Conscious sedation in the ambulatory interventional spine setting is associated with a low rate of adverse events comparable to that observed with local anesthesia alone, according to a study published in the December issue of The Spine Journal.

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Ped Heart Surgery Deaths Higher at Low Volume Centers

MONDAY, Jan. 9 (HealthDay News) -- Postoperative mortality rates from complications after pediatric heart surgery are higher at centers with a lower volume of cases, according to a study published online Jan. 9 in Pediatrics.

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New Criteria ID Fewer Cases of Post-Op Diabetes Remission

FRIDAY, Jan. 6 (HealthDay News) -- Fewer patients with type 2 diabetes achieve diabetes remission following weight loss surgery, when employing the new, stricter criteria for diabetes remission issued by the American Diabetes Association (ADA), according to a study published in the January issue of the British Journal of Surgery.

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In-Hospital, 30-Day Standardized Mortality Measures Differ

THURSDAY, Jan. 5 (HealthDay News) -- The mean risk-standardized mortality rates (RSMRs) differ for in-hospital and 30-day models, with wide variability across U.S. hospitals, according to a study published in the Jan. 3 issue of the Annals of Internal Medicine.

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Potential Genetic Marker of Colorectal Cancer Risk Found

THURSDAY, Jan. 5 (HealthDay News) -- There is an association between an increase in the degree of germline allele-specific expression (ASE) of the adenomatous polyposis coli (APC) gene and the risk of common forms of colorectal cancer (CRC), according to a study published in the January issue of Gastroenterology.

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Spinal Manipulation Superior to Medication for Neck Pain

THURSDAY, Jan. 5 (HealthDay News) -- For patients with acute and subacute nonspecific neck pain, symptoms improved with spinal manipulation therapy (SMT), medication, and home exercise, but spinal manipulation was found to be the most effective method for both short-term and long-term pain relief, according to a study published online Jan. 2 in the Annals of Internal Medicine.

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Cancer-Related Mortality Continues to Decrease

WEDNESDAY, Jan. 4 (HealthDay News) -- Overall cancer rates have decreased for men and remained stable for women, but mortality from cancer has declined for both men and women, according to a report from the American Cancer Society published online Jan. 4 in CA: A Cancer Journal for Clinicians.

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Donor Bisphosphonate Use OK With Demineralized Bone Matrix

WEDNESDAY, Jan. 4 (HealthDay News) -- Demineralized bone matrix (DBM) derived from donors who used bisphosphonates is safe and effective in its ability to induce bone formation, according to a study published in the Dec. 21 issue of The Journal of Bone & Joint Surgery.

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Vasoepididymostomy Ups Patency in Obstructive Azoospermia

WEDNESDAY, Jan. 4 (HealthDay News) -- For men with idiopathic obstructive azoospermia, longitudinal intussusception vasoepididymostomy (LIVE; microsurgical vasoepididymostomy) achieves good patency rates, according to a study published in the January issue of Urology.

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Bariatric Surgery Tied to Reduced CVD Events, Mortality

TUESDAY, Jan. 3 (HealthDay News) -- For obese individuals, bariatric surgery is associated with significantly reduced incidence of cardiovascular events, and decreased cardiovascular death, versus usual care, according to a study published in the Jan. 4 issue of the Journal of the American Medical Association.

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Epidural Steroids Temporarily Up Blood Glucose in Diabetes

TUESDAY, Jan. 3 (HealthDay News) -- Epidural steroid injections (ESIs) significantly increase the blood glucose levels in patients with diabetes mellitus, but the effect lasts less than two days, according to a study published in the Jan. 1 issue of Spine.

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Prostatic Urethral Lift Relieves Lower Urinary Tract Symptoms

TUESDAY, Jan. 3 (HealthDay News) -- Use of a prostatic urethral lift procedure, a minimally invasive treatment for lower urinary tract symptoms (LUTS) resulting from benign prostatic hyperplasia (BPH), preserves sexual function, according to a study published online Dec. 16 in The Journal of Sexual Medicine.

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GLP-1 Plays Role in Glucose Control After Gastric Bypass

TUESDAY, Jan. 3 (HealthDay News) -- There is a positive association between glucagon-like peptide-1 (GLP-1) concentrations and insulin concentrations following gastric bypass (GBP) surgery in patients with type 2 diabetes, suggesting a role for GLP-1 in glucose control, according to a study published in the January issue of Diabetes Care.

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Standardized Count Practices Reduce Retained Surgical Items

MONDAY, Jan. 2 (HealthDay News) -- Implementation of quality improvement strategies to standardize count practices can reduce the incidence of unintentional retained surgical items (RSIs) in operating rooms (ORs), according to a study published in the January issue of the AORN Journal.

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