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Category: Surgery | Monthly Briefing

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July 2012 Briefing - Surgery

Last Updated: August 01, 2012.

 

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

Cataract Surgery Tied to Lower Hip Fracture Risk in Elderly

TUESDAY, July 31 (HealthDay News) -- Elderly patients with cataract who receive cataract surgery have a reduced likelihood of subsequent hip fracture, compared with those who do not undergo surgery, according to a study published in the Aug. 1 issue of the Journal of the American Medical Association.

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Anesthesia Regimen Linked to Post-Orthognathic Op Pain

TUESDAY, July 31 (HealthDay News) -- Patients undergoing orthognathic maxillofacial surgery experience more pain postoperatively if they receive anesthesia with propofol and remifentanil versus inhalational agents and longer-acting opioids, according to a study published in the Summer 2012 issue of Anesthesia Progress.

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Pre-Op Statin Use Ups Insulin Resistance in Heart Surgery

TUESDAY, July 31 (HealthDay News) -- Patients without diabetes who are taking statins prior to cardiac surgery experience increased insulin resistance compared with those not taking statins, according to a study published online July 24 in Diabetes Care.

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Infrapopliteal Nitinol Stent Safe for Critical Limb Ischemia

TUESDAY, July 31 (HealthDay News) -- For patients with critical limb ischemia (CLI), use of infrapopliteal nitinol stenting (Xpert self-expanding nitinol stent) is safe and improves clinical outcomes at six and 12 months, according to a study published online July 24 in Catheterization & Cardiovascular Interventions.

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Good Long-Term Limb Salvage for Diabetic Foot Patients

FRIDAY, July 27 (HealthDay News) -- For patients with diabetic foot ulcers (DFUs), long-term limb salvage is favorable; however, long-term survival remains poor, particularly for those with peripheral artery disease (PAD) or chronic renal insufficiency, according to a study published online July 18 in Diabetes Care.

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Quality of Life Good After Salvage Nasopharyngectomy

FRIDAY, July 27 (HealthDay News) -- For patients with residual or recurrent nasopharyngeal carcinoma who undergo salvage nasopharyngectomy using a maxillary swing approach, postoperative quality of life is generally good, according to a study published in the Aug. 1 issue of Cancer.

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New Cervical Spine Stability Procedure Described

THURSDAY, July 26 (HealthDay News) -- A "skip" corpectomy, in which the middle vertebra is left intact, may prove to be a good alternative to the standard three-level corpectomy procedure for cervical spine stability, according to a study published online July 13 in the Journal of Spinal Disorders & Techniques.

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InteguSeal Does Not Reduce Scoliosis Surgery Infections

THURSDAY, July 26 (HealthDay News) -- Preoperative cyanoacrylate sealant (InteguSeal) application does not reduce the risk of surgical site infection for patients undergoing scoliosis surgery, according to a study published online July 18 in Spine.

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Pediatric Stem-Cell-Based Tracheal Transplant Viable

THURSDAY, July 26 (HealthDay News) -- Pediatric stem-cell-based, tissue-engineered tracheal transplant seems to be feasible, with positive outcome at two years of follow-up, according to a case report published online July 26 in The Lancet.

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Neurosurgeon Availability Affects Motor Vehicle Deaths

WEDNESDAY, July 25 (HealthDay News) -- In the United States, counties with a higher population density of neurosurgeons report significantly fewer deaths due to motor vehicle accidents (MVAs), according to research published online July 24 in the Journal of Neurosurgery.

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Curettage Alone Not Advised for Sacral Giant Cell Tumors

WEDNESDAY, July 25 (HealthDay News) -- For patients with sacral giant cell tumors (GCTs), curettage alone is not recommended for surgical management, according to a study published online July 16 in The Spine Journal.

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Peri-Op Antidepressant Use Safe for Face-Lift Surgery

FRIDAY, July 20 (HealthDay News) -- For patients undergoing face-lift surgery, perioperative use of selective serotonin reuptake inhibitors (SSRIs) seems safe and does not adversely affect outcome, according to a study published in the July/August issue of the Archives of Facial Plastic Surgery.

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Most Doctors Satisfied With Electronic Health Records

THURSDAY, July 19 (HealthDay News) -- Although only 55 percent of physicians had adopted electronic health records (EHRs) in 2011, most are somewhat or very satisfied with their system and most report enhanced patient care, according to a July data brief issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Poorer Patient Experience at Safety-Net Hospitals

THURSDAY, July 19 (HealthDay News) -- Safety-net hospitals (SNHs) perform worse on nearly every measure of patient experience, according to a study published online July 16 in the Archives of Internal Medicine.

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Post-Pneumonectomy, New Lung Growth ID'd in Adult Patient

THURSDAY, July 19 (HealthDay News) -- New lung growth can occur in adult humans, according to a case report published in the July 19 issue of the New England Journal of Medicine.

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Swedish Study Questions Value of Mammography Screening

THURSDAY, July 19 (HealthDay News) -- County-specific mortality statistics from Sweden indicate little benefit of mammography screening on breast cancer mortality, according to a study published online July 17 in the Journal of the National Cancer Institute.

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~12,000 Preventable Deaths in English Hospitals Annually

THURSDAY, July 19 (HealthDay News) -- Approximately 12,000 hospital deaths in England each year are preventable, according to research published online July 7 in BMJ Quality & Safety.

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Racial Disparity Exists in Larynx Preserving Surgery

WEDNESDAY, July 18 (HealthDay News) -- Racial disparities exist in the use of larynx preservation for locally advanced laryngeal cancer, most notably among black patients, according to research published in the July issue of the Archives of Otolaryngology -- Head & Neck Surgery.

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Bariatric Surgery Does Not Reduce Health Care Expenses

WEDNESDAY, July 18 (HealthDay News) -- In a group of older men with substantial disease burden, bariatric surgery is not associated with reduced health care expenditures within three years of surgery, according to research published in the July issue of the Archives of Surgery.

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Smoking Ups Recurrent Viral Hepatitis Post-Liver Transplant

WEDNESDAY, July 18 (HealthDay News) -- For liver transplant recipients, smoking correlates with an increased risk of recurrent viral hepatitis, according to a study published in the July issue of Liver Transplantation.

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Social Network Analysis IDs Informal Physician Networks

TUESDAY, July 17 (HealthDay News) -- Informal networks among physicians who share patients demonstrate substantial geographic variability, while within networks, physician and patient characteristics are similar, according to a study published in the July 18 issue of the Journal of the American Medical Association.

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Induction Chemo Beneficial in Locally Advanced Pancreatic CA

TUESDAY, July 17 (HealthDay News) -- For most patients with locally advanced pancreatic carcinoma (LAPC), induction with a combination of gemcitabine and oxaliplatin (GEMOX) followed by chemoradiotherapy (CRT) is feasible, resulting in clinical benefit, a chance of resectability, and improved survival, according to a study published online July 6 in Cancer.

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Claims Data Reveals Patients at Post-Op Infection Risk

FRIDAY, July 13 (HealthDay News) -- Claims data can be used to accurately identify rates and risk factors for surgical site infection (SSI) following spinal surgery, according to a study published in the July 1 issue of Spine.

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One in Five Women Has Re-Op After Breast Cancer Surgery

FRIDAY, July 13 (HealthDay News) -- Twenty percent of women who undergo breast conserving surgery in England undergo reoperation, which is significantly more likely for women with carcinoma in situ versus isolated invasive disease, according to a study published July 12 in BMJ.

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Study Supports Chemo After Periampullary Cancer Surgery

TUESDAY, July 10 (HealthDay News) -- After adjusting for prognostic variables, patients who receive adjuvant chemotherapy following resection of periampullary adenocarcinomas have improved survival compared with those who receive only observation, according to a study published in the July 11 issue of the Journal of the American Medical Association.

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Acadesine Doesn't Improve Outcomes After CABG

TUESDAY, July 10 (HealthDay News) -- Administration of acadesine before, during, and immediately after coronary artery bypass graft (CABG) surgery to regulate adenosine does not reduce the composite measure of all-cause mortality, nonfatal stroke, or the need for mechanical support for severe left ventricular dysfunction (SLVD), according to a study published in the July 11 issue of the Journal of the American Medical Association.

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Lateral Transpsoas Approach Difficult in Lumbarized Sacra

TUESDAY, July 10 (HealthDay News) -- In patients with lumbarized sacra, a lateral transpsoas surgical approach to the L5-6 disc space can be managed with appropriate preoperative planning, including axial magnetic resonance imaging (MRI) and advanced neuromonitoring, according to a study published in the July issue of the Journal of Spinal Disorders & Techniques.

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GI Cancer Resection OK With Mild Cirrhotic Liver Dysfunction

TUESDAY, July 10 (HealthDay News) -- For patients with cirrhosis, resection of gastrointestinal (GI) malignancies correlates with poor early postoperative outcomes, with severity of liver disease being the primary determinant of postoperative mortality, according to a study published in the July issue of Cancer.

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Test Approved to Help Manage CMV in Transplant Patients

THURSDAY, July 5 (HealthDay News) -- The first DNA test to help doctors gauge the progress of antiviral treatment in solid organ transplant patients with cytomegalovirus (CMV) has been approved by the U.S. Food and Drug Administration.

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Infection Rates Unaffected by Time to Debridement of Open Fx

TUESDAY, July 3 (HealthDay News) -- There is no association between infection rates and time to operative debridement of open fractures, according to research published in the June 20 issue of The Journal of Bone & Joint Surgery.

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Ovarian Grafts Restore Endocrine Function Long Term

TUESDAY, July 3 (HealthDay News) -- For female cancer survivors, heterotopic transplantation of cryobanked human ovarian tissue results in restoration of endocrine function within a few months that can last for as long as seven years, according to a study published in the June issue of the Journal of Assisted Reproduction and Genetics.

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Factors ID'd for Outcome of Percutaneous Nephrolithotomy

TUESDAY, July 3 (HealthDay News) -- Single-tract percutaneous nephrolithotomy (sPCNL) is effective for clearing renal stones, with stone size, location, and prior shockwave lithotripsy (SWL) identified as independent predictors of stone clearance, according to a study published in the July issue of Urology.

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Post-Cardiac Op Risk Not Up for Jehovah's Witness Patients

MONDAY, July 2 (HealthDay News) -- For Jehovah's Witness patients (Witnesses) who undergo cardiac surgery, morbidity and long-term mortality are similar or superior to that of patients who receive transfusions, according to a study published online July 2 in the Archives of Internal Medicine.

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Direct Primary Closure Feasible for Lower Lip Reconstruction

MONDAY, July 2 (HealthDay News) -- Direct primary closure without undermining is a reliable method of reconstructing vermilionectomy defects of the lower lip, according to research published online June 18 in the British Journal of Dermatology.

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