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Category: Surgery | Monthly Briefing

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June 2012 Briefing - Surgery

Last Updated: July 02, 2012.

 

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

Six Sigma Techniques Improve Operating Room Patient Flow

FRIDAY, June 29 (HealthDay News) -- Adoption of strategies such as Six Sigma methodology in hospital operating rooms (ORs) leads to improvements in patient flow and employee engagement, according to a study published in the July issue of the AORN Journal.

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Survivorship of Uncemented Acetabular Parts Compared

FRIDAY, June 29 (HealthDay News) -- For total hip arthroplasty revisions, titanium wire mesh cups and cross-linked polyethylene liners are among new uncemented acetabular components that improve long-term implant survival, according to a study published in the June 20 issue of The Journal of Bone & Joint Surgery.

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Few Retears After Partial-, Full-Thickness Rotator Cuff Repair

FRIDAY, June 29 (HealthDay News) -- Retear rates after arthroscopic repair of both partial-thickness and full-thickness rotator cuff tears are low, with no difference in the retear rate or postoperative shoulder stiffness rate for tear thickness, according to a study published in the June 20 issue of The Journal of Bone & Joint Surgery.

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Supreme Court Upholds Health Care Reform Law

THURSDAY, June 28 (HealthDay News) -- The U.S. Supreme Court voted June 28 to uphold the constitutionality of the Patient Protection and Affordable Care Act (PPACA), which has been the subject of debate and multiple lawsuits since its 2010 inception.

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Exercise Training After Lung Transplant Found Beneficial

THURSDAY, June 28 (HealthDay News) -- A three-month supervised exercise training program improves daily walking time, quadriceps force, six-minute walking distance, physical functioning, and 24-hour ambulatory blood pressure for lung transplant patients who experience an uncomplicated postoperative period, according to research published in the June issue of the American Journal of Transplantation.

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Risk of Rupture Increases With Size of Cerebral Aneurysm

THURSDAY, June 28 (HealthDay News) -- The natural course of unruptured cerebral aneurysms varies according to their size, location, and shape, according to a study published in the June 28 issue of the New England Journal of Medicine.

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Early Surgery Ups Outcomes in Infective Endocarditis

WEDNESDAY, June 27 (HealthDay News) -- For patients with infective endocarditis and large vegetations, early surgery reduces death from any cause and embolic events, compared with conventional treatment, according to a study published in the June 28 issue of the New England Journal of Medicine.

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iPad May Alter Programmable Shunt Valve Settings

WEDNESDAY, June 27 (HealthDay News) -- Exposure to a tablet device may result in a change to programmable shunt valve settings when the tablet is very close to the valve, according to a study published online June 26 in the Journal of Neurosurgery: Pediatrics.

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Nomogram Developed to Estimate Early Breast Cancer Survival

WEDNESDAY, June 27 (HealthDay News) -- A nomogram has been developed to predict five- and 10-year mastectomy-free survival (MFS) in older women with early breast cancer and estimate the predicted benefit of radiation therapy (RT) following conservative surgery (CS), according to research published online June 25 in the Journal of Clinical Oncology.

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Duplicate Payments by Federal Government Increasing

WEDNESDAY, June 27 (HealthDay News) -- The federal government spends a substantial and increasing amount on individuals who are dually enrolled in separate managed care programs (the Veterans Affairs health care system [VA] and Medicare Advantage plan [MA]), according to a study published online June 26 in the Journal of the American Medical Association to coincide with presentation at the Annual Research Meeting of AcademyHealth, held from June 24 to 26 in Orlando, Fla.

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Use of Electronic Records Tied to Fewer Malpractice Claims

TUESDAY, June 26 (HealthDay News) -- Use of electronic health records (EHRs) is associated with fewer medical malpractice claims among physicians from multiple surgical and medical specialties, according to a research letter published online June 25 in the Archives of Internal Medicine.

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Regional Anesthesia Linked to Better Hip Fracture Outcomes

TUESDAY, June 26 (HealthDay News) -- Regional anesthesia is associated with a lower risk of death and pulmonary complications compared with general anesthesia in patients undergoing surgery for hip fracture, with improved outcomes specific to patients with intertrochanteric fractures, according to a study published in the July issue of Anesthesiology.

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Steroid-Free Regimen Post-Pediatric Renal Transplant Safe

TUESDAY, June 26 (HealthDay News) -- A steroid-free approach to immunosuppression following pediatric renal transplants is safe and effective, according to a study published online June 13 in the American Journal of Transplantation.

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Similar Outcomes for Robot-Aided, Conventional Nephrectomy

FRIDAY, June 22 (HealthDay News) -- Robot-assisted and conventional laparoscopic partial nephrectomies have similar outcomes and complication rates, according to a study published in the July issue of The Journal of Urology.

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Half of Residents Report Working While Sick

THURSDAY, June 21 (HealthDay News) -- About half of residents have worked while sick, with many reporting feeling obligated to colleagues and patients, according to a research letter published online June 18 in the Archives of Internal Medicine.

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Laparoscopic Safer Than Open Surgery for Gastric Bypass

THURSDAY, June 21 (HealthDay News) -- Laparoscopic Roux-en-Y gastric bypass (LRYGB) is safer than open Roux-en-Y gastric bypass (ORYGB), even after adjusting for patient-level variables, according to research published in the June issue of the Archives of Surgery.

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IVC Filters Confirmed Effective for Patients at Embolism Risk

THURSDAY, June 21 (HealthDay News) -- Inferior vena cava (IVC) filters are safe for use in patients at higher risk for venous thromboembolic events (VTEs) while undergoing major spinal surgery, according to research published in the June issue of the Journal of Spinal Disorders & Techniques.

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Deep Brain Stimulation Aids Motor Function in Parkinson's

THURSDAY, June 21 (HealthDay News) -- The globus pallidus interna (GPi) and subthalamic nucleus (STN) are both viable deep brain stimulation (DBS) targets for the treatment of motor symptoms in patients with Parkinson's disease, providing stable improvements over 36 months, according to a study published online June 20 in Neurology.

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Prophylactic Midurethral Sling Reduces Urinary Incontinence

WEDNESDAY, June 20 (HealthDay News) -- For women without preoperative stress incontinence, placement of a midurethral sling at the time of vaginal prolapse surgery correlates with reduced rates of urinary incontinence at three and 12 months as well as increased rates of adverse events, according to a study published in the June 21 issue of the New England Journal of Medicine.

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Pedicle Breach Rate 6.2 Percent With 2D Fluoroscopy

WEDNESDAY, June 20 (HealthDay News) -- A two-dimensional (2D) fluoroscopic technique is safe for percutaneous placement of pedicle screws during transforaminal lumbar interbody fusion (TLIF), with a pedicle breach rate of 6.2 percent, according to a study published online June 7 in the Journal of Spinal Disorders & Techniques.

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Surgical Interns Concerned About Duty-Hour Restrictions

TUESDAY, June 19 (HealthDay News) -- Surgical interns have significant concerns about the impact of new Accreditation Council for Graduate Medical Education (ACGME) core competency duty-hour restrictions on the quality of their training, according to a study published in the June issue of the Archives of Surgery.

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Mental Imagery Doesn't Improve Surgeon Performance

MONDAY, June 18 (HealthDay News) -- Mental imagery (MI) training does not result in an improvement in objective surgical assessment of novice gynecological surgeons performing vaginal hysterectomies (VHs), but does correlate with improvements in resident self-confidence, according to a study published online June 7 in BJOG: An International Journal of Obstetrics and Gynaecology.

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Patient-Rated Elbow Evaluation Most Responsive Instrument

MONDAY, June 18 (HealthDay News) -- The Patient-Rated Elbow Evaluation form (PREE) is the most responsive instrument to identify and quantify elbow joint-specific changes before and after total elbow arthroplasty, according to a study published online June 5 in Arthritis Care & Research.

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Coexistent Lumbar Disorders Complicate Hip Arthroplasty

MONDAY, June 18 (HealthDay News) -- Patients undergoing total hip arthroplasty (THA) who have coexistent lumbar spine disorders (LSDs) do not report as much improvement in pain and function after arthroplasty compared with patients without lumbar disorders, according to a study published in the May issue of The Spine Journal.

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Factors ID'd in Healing Failure of Diabetic Foot Ulcers

FRIDAY, June 15 (HealthDay News) -- Patients with diabetes whose foot ulcers fail to heal have increased inflammation and aberrant growth factor levels, according to a study published online June 11 in Diabetes.

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Autologous Recellularization of a Vein Transplant Feasible

THURSDAY, June 14 (HealthDay News) -- A new technique involving recellularization of a deceased donor vein graft with autologous stem cells may be a viable option for patients who require a vein graft, according to a proof-of-concept study published online June 14 in The Lancet.

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Trend Shows Early Menopause Linked to Cerebral Aneurysm

THURSDAY, June 14 (HealthDay News) -- Younger age of menopause is associated with a trend toward an increased likelihood of cerebral aneurysm, according to a study published online June 13 in the Journal of NeuroInterventional Surgery.

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Pregnancy Deemed Feasible After Liver Transplant

THURSDAY, June 14 (HealthDay News) -- For liver transplant (LT) recipients, pregnancy is feasible, but the rates of obstetric complications, including preeclampsia, cesarean section delivery, and preterm delivery, are higher than in the general population, according to a study published in the June issue of Liver Transplantation.

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Gender Gap Exists in Physician Researchers' Salaries

TUESDAY, June 12 (HealthDay News) -- A survey of mid-career academic physician researchers shows that gender differences in salary exist even after adjusting for differences in specialty, institutional characteristics, academic productivity, academic rank, and work hours, according to a study published in the June 13 issue of the Journal of the American Medical Association.

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Genital Reconstruction Reduces Pain, Restores Pleasure

TUESDAY, June 12 (HealthDay News) -- Following female genital mutilation, reconstructive surgery is associated with improvements or no worsening in pain, and restoration of pleasure, for most women, according to a study published online June 12 in The Lancet.

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Higher Risk of VTE in CKD Surgical Patients on Enoxaparin

FRIDAY, June 8 (HealthDay News) -- For patients with chronic kidney disease (CKD) who undergo total hip replacement (THR), the rate of major venous thromboembolism (VTE) is significantly higher in those treated with enoxaparin compared to those treated with desirudin, according to a study published online June 4 in the Journal of Thrombosis and Haemostasis.

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Three Percent of Hip, Knee Replacements Need Critical Care

FRIDAY, June 8 (HealthDay News) -- Three percent of patients who undergo knee and hip replacements require critical care services (CCS), and they are more likely to be older and have more comorbidities than those who do not require CCS, according to a study published online May 24 in Anesthesiology.

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Early Physical Therapy Beneficial for Low Back Pain

THURSDAY, June 7 (HealthDay News) -- Early physical therapy, within 14 days of diagnosis, for the treatment of newly diagnosed low back pain is associated with a reduced risk of subsequent health care utilization and associated costs, compared with delayed physical therapy, according to research published online May 18 in Spine.

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Procedure Restores Pigmentation for Patients With Vitiligo

WEDNESDAY, June 6 (HealthDay News) -- The melanocyte-keratinocyte transplantation procedure (MKTP) is well tolerated and is effective for restoring skin pigmentation for some patients with vitiligo, according to a study published in the May issue of the Journal of the American Academy of Dermatology.

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Aspirin Ups Risk of Bleeding in All But Diabetes Patients

TUESDAY, June 5 (HealthDay News) -- Aspirin use is associated with an increased risk of major bleeding, while patients with diabetes have a high risk of bleeding, independent of aspirin use, according to a study published in the June 6 issue of the Journal of the American Medical Association.

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Troponin T May Help Predict Death After Noncardiac Surgery

TUESDAY, June 5 (HealthDay News) -- Elevated peak troponin T (TnT) measurements in the first three days after noncardiac surgery are associated with an increased risk of 30-day mortality, according to a study published in the June 6 issue of the Journal of the American Medical Association.

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Circulating Nurses Recover Errors in Cardiovascular OR

TUESDAY, June 5 (HealthDay News) -- Circulating perioperative nurses can help reduce surgical errors and incidents in the cardiovascular operating room (OR) and improve patient safety, especially with regard to surgical prepping and aseptic technique, according to research published in the June issue of the AORN Journal.

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Morbid Obesity Ups Complication Rate in Spinal Fusion Surgery

MONDAY, June 4 (HealthDay News) -- Morbid obesity increases the risk of multiple complications in spinal fusion surgery, particularly in patients undergoing anterior cervical or posterior lumbar procedures, according to research published in the May 15 issue of Spine.

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Spondylolisthesis Linked to Spinous Process Fractures

FRIDAY, June 1 (HealthDay News) -- There is a strong association between degenerative spondylolisthesis and spinous process fracture in patients undergoing interspinous process spacer (IPS) surgery, according to a study published online May 24 in The Spine Journal.

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Acellular Dermal Matrix Safe, Useful in Breast Reconstruction

FRIDAY, June 1 (HealthDay News) -- Acellular dermal matrices provide good outcomes for patients undergoing breast reconstruction following mastectomy, but the human AlloDerm matrix has a higher seroma rate than porcine Strattice matrix, according to a study published in the June issue of Plastic and Reconstructive Surgery.

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