Here are what the editors at HealthDay consider to be the most important developments in Surgery for August 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.
Colpocleisis Deemed Safe for Advanced Pelvic Organ Prolapse
FRIDAY, Aug. 31 (HealthDay News) -- Colpocleisis is a safe and effective treatment for advanced pelvic organ prolapse; however, urinary frequency and urgency often persist after the procedure, according to research published in the September issue of Urology.
National Test Identifies Barriers to Organ Donation
WEDNESDAY, Aug. 29 (HealthDay News) -- A national test of the Rapid Assessment of Hospital Procurement Barriers in Donation (RAPiD) has identified specific barriers to organ donation and patient referral, according to a study published online Aug. 17 in the American Journal of Transplantation.
Kyphoplasty Superior to Vertebroplasty for Vertebral Fx
MONDAY, Aug. 27 (HealthDay News) -- For people with osteoporotic vertebral compression fractures, kyphoplasty (KP) is superior to vertebroplasty (VP) for correcting kyphosis, restoring vertebral height, and preventing leakage of bone cement, according to research published in the August issue of the Journal of Spinal Disorders & Techniques.
Claustrophobia Linked to Depression With Back Pain
FRIDAY, Aug. 24 (HealthDay News) -- Claustrophobia is tied to higher rates of depression and psychological distress, but not disability, in back pain patients, according to a study published in the August issue of the Journal of Spinal Disorders & Techniques.
Stress Causes Lower INR in VTE Patients Not on Blood Thinners
FRIDAY, Aug. 24 (HealthDay News) -- The effect of psychological distress on clotting times and clotting factors varies in patients with venous thromboembolism (VTE) and depends on whether or not they are receiving oral anticoagulant (OAC) therapy, according to a Swiss study published in the August issue of the Journal of Thrombosis and Haemostasis.
Deep Brain Stimulation Could Treat Obesity
FRIDAY, Aug. 24 (HealthDay News) -- Deep brain stimulation that targets the reward centers of the brain rather than only feeding behaviors could be effective in treating obesity, according to a review published in the August issue of Neurosurgery.
Procedure Aids Severe, Rigid Scoliosis in Low-Weight Adults
FRIDAY, Aug. 24 (HealthDay News) -- For patients with severe and rigid scoliosis and low body weight, a two-stage vertebral column resection (VCR) procedure with posterior pedicle screw instrumentation can achieve good correction of scoliosis, according to a study published online Aug. 20 in The Spine Journal.
Mortality Rates Down for Adult Trauma Patients in Last Decade
THURSDAY, Aug. 23 (HealthDay News) -- The mortality rate for adult patients admitted to trauma centers in Pennsylvania has declined over the past decade, according to research published in the August issue of the Archives of Surgery.
Sequencing Identifies Spread of Deadly Bacterial Outbreak
THURSDAY, Aug. 23 (HealthDay News) -- A drug-resistant bacterial strain that caused a serious outbreak resulting in deaths has been traced back to the original patient, and transmission patterns have been identified based on sequencing the genomes of the bacterial isolates, according to research published in the Aug. 22 issue of Science Translational Medicine.
New Decision Aid for Treatment of Herniated Disc Beneficial
THURSDAY, Aug. 23 (HealthDay News) -- A new patient decision instrument meets the criteria of acceptability, reliability, and validity, and improves the quality of patient decision-making for treatment of a herniated disc, according to a study published in the Aug. 15 issue of Spine.
Pre-Op Eltrombopag Reduces Need for Platelet Transfusions
THURSDAY, Aug. 23 (HealthDay News) -- For patients with chronic liver disease who require an invasive procedure as part of their routine care, the oral thrombopoietin-receptor agonist eltrombopag reduces the need for platelet transfusions, but also results in an increased incidence of portal-vein thrombosis, according to a study published in the Aug. 23 issue of the New England Journal of Medicine.
Bariatric Surgery Cuts Incidence of Type 2 Diabetes in Obese
WEDNESDAY, Aug. 22 (HealthDay News) -- Bariatric surgery is very effective in reducing the long-term incidence of type 2 diabetes in obese individuals, according to a study published in the Aug. 23 issue of the New England Journal of Medicine.
Drug-Eluting Stents Lead to Fewer Adverse Cardiac Events
TUESDAY, Aug. 21 (HealthDay News) -- Among ST-segment elevation myocardial infarction (STEMI) patients, the use of biolimus-eluting stents with biodegradable polymer results in a lower rate of major adverse cardiac events, compared with patients with bare-metal stents, at one year following primary percutaneous coronary intervention (PCI), according to a study published in the Aug. 22/29 issue of the Journal of the American Medical Association.
Factors Tied to Photoprotection ID'd for Organ Recipients
TUESDAY, Aug. 21 (HealthDay News) -- For organ transplant recipients, patients factors, including sex and skin type, and receipt of advice from health care providers, are both associated with sun protective behaviors, according to a study published online Aug. 9 in the British Journal of Dermatology.
Increased Stroke Risk at 30-Days Post-CABG Versus PCI
MONDAY, Aug. 20 (HealthDay News) -- The risk of stroke at 30 days is significantly higher in patients who undergo coronary revascularization with coronary artery bypass graft (CABG) surgery compared to those who undergo percutaneous coronary intervention (PCI), according to research published in the Aug. 28 issue of the Journal of the American College of Cardiology.
2012 Indicators of Well-Being for Older Americans Issued
MONDAY, Aug. 20 (HealthDay News) -- The estimates of selected indicators for well-being for older Americans for 2012 have been released by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.
Good Transplant Outcomes in Hypertrophic Cardiomyopathy
FRIDAY, Aug. 17 (HealthDay News) -- Post-heart transplant survival does not differ significantly between patients with hypertrophic cardiomyopathy (HC) and those with other types of heart disease, according to a study published in the Aug. 15 issue of The American Journal of Cardiology.
Considerable Variation in Outcomes for Cleft Lip/Palate
FRIDAY, Aug. 17 (HealthDay News) -- There is considerable variation in the neuropsychological, behavioral, and academic outcomes of individuals with cleft lip and palate, as the outcomes are affected by developmental level, sex, and cleft type, according to a study published in the July issue of The Cleft Palate-Craniofacial Journal.
FDA: Codeine May Be Fatal in Subset of Children
WEDNESDAY, Aug. 15 (HealthDay News) -- Some children may be at risk for serious adverse events, including death, after taking codeine for relief of pain following tonsillectomy and/or adenoidectomy for obstructive sleep apnea, according to a safety communication issued Aug. 15 by the U.S. Food & Drug Administration.
Hospital Deaths From Head Trauma Higher on Weekends
WEDNESDAY, Aug. 15 (HealthDay News) -- Older adults admitted for substantial head trauma during a weekend have a significantly increased mortality risk compared to those admitted on a weekday, according to a study published online July 9 in the Journal of Surgical Research.
Kidney Donors, Recipients Have Little Difference in Income
TUESDAY, Aug. 14 (HealthDay News) -- The median income differences between living kidney donors and transplant recipients in the United States are negligible, according to a study published online Aug. 6 in the American Journal of Transplantation.
Pregnancy Ups Bleed Risk From Abnormal Brain Blood Vessels
TUESDAY, Aug. 14 (HealthDay News) -- Women with arteriovenous malformations (AVMs) in the brain have a significantly increased risk of rupture and bleeding during pregnancy, according to a study published in the August issue of Neurosurgery.
Poor Follow-Up of Hospital Tests Often Due to Late Orders
TUESDAY, Aug. 14 (HealthDay News) -- Poor follow-up of test results at or after discharge from the hospital is often due to tests requested on the day of discharge, according to a letter to the editor published online Aug. 13 in the Archives of Internal Medicine.
Risk of Residual Disease Up in Triple Negative Breast Cancer
FRIDAY, Aug. 10 (HealthDay News) -- Women with triple negative (TN) breast cancer have a significantly increased risk of residual carcinoma after lumpectomy, according to a study published in the Aug. 15 issue of Cancer.
No Increased Risk of Stroke After Spinal Fusion Surgery
THURSDAY, Aug. 9 (HealthDay News) -- In the three years following spinal fusion surgery, the incidence of stroke is similar to or insignificantly lower than that of controls, according to a study published in the June issue of The Spine Journal.
'Surgeon-Tailored' Mesh Repair Resolves Urinary Incontinence
THURSDAY, Aug. 9 (HealthDay News) -- "Surgeon-tailored" polypropylene mesh (STPM) repair using a transobturator midurethral sling procedure alone or in combination with pelvic organ prolapse repair is an effective treatment for stress urinary incontinence symptoms, although some concerns remain regarding mesh-related complications, according to a study published in the August issue of Urology.
After Bariatric Op, Controlled Diet Can Aid CaOx Supersaturation
THURSDAY, Aug. 9 (HealthDay News) -- After bariatric surgery, following a diet that is normal in calcium, low in oxalate, and moderate in protein, can improve urinary calcium oxalate (CaOx) supersaturation, but not urinary oxalate excretion, in patients with a history of kidney stones, according to a study published in the August issue of Urology.
Ventricular Assist Device Beneficial in Youth Heart Failure
WEDNESDAY, Aug. 8 (HealthDay News) -- For children with severe heart failure, use of a ventricular assist device as a bridge to heart transplantation is associated with improved survival compared with extracorporeal membrane oxygenation (ECMO), according to a study published in the Aug. 9 issue of the New England Journal of Medicine.
Nonoperative Approach Feasible in Advanced Colon Cancer
WEDNESDAY, Aug. 8 (HealthDay News) -- Treating patients with surgically unresectable metastatic colon cancer and an asymptomatic intact primary tumor with bevacizumab and infusional fluorouracil, leucovorin, and oxaliplatin (mFOLFOX6) chemotherapy is a viable and safe option, according to research published online Aug. 6 in the Journal of Clinical Oncology.
Bariatric Surgery Cuts MI Incidence in Obese With T2DM
WEDNESDAY, Aug. 8 (HealthDay News) -- For obese individuals with type 2 diabetes, bariatric surgery reduces the incidence of some cardiovascular events, specifically myocardial infarction, according to a study published online Aug. 1 in Diabetes Care.
Donor Obesity Ups Risk of Poor Pediatric Transplant Outcome
TUESDAY, Aug. 7 (HealthDay News) -- Severe obesity, but not overweight, in adult donors is a risk factor for graft loss and mortality in pediatric liver transplant recipients, according to a study published in the August issue of Liver Transplantation.
Diode Laser Efficient, Safe for Tonsillotomy in Children
MONDAY, Aug. 6 (HealthDay News) -- A fiber-guided 1,470 nm diode laser system is safe and effective for tonsillotomy in the treatment of obstructive tonsillar hypertrophy in children, according to a study published online July 26 in Lasers in Surgery and Medicine.
Unit-Based Safety Program Cuts Surgical Site Infections
MONDAY, Aug. 6 (HealthDay News) -- Implementation of a comprehensive unit-based safety program (CUSP) can reduce surgical site infections (SSI) rates in a colorectal surgery setting, according to a study published in the August issue of the Journal of the American College of Surgeons.
Clinicians Can Unintentionally Prompt Nocebo Effect
THURSDAY, Aug. 2 (HealthDay News) -- The nocebo effect, or induction of a symptom perceived as negative by sham treatment and/or the suggestion of negative expectation, may arise from suggestions by doctors and nurses, according to a study published in Deutsches Ärzteblatt International.
Manufacturer's Cleaning Ineffective for Suction Tips
WEDNESDAY, Aug. 1 (HealthDay News) -- Following the manufacturer's recommendations is inadequate for cleaning suction tips, with residual debris identified after cleaning, according to a study published in the August issue of the AORN Journal.
Endoscopic, Open Vein-Graft Harvesting Outcomes Similar
WEDNESDAY, Aug. 1 (HealthDay News) -- For patients undergoing coronary artery bypass graft (CABG) surgery, use of endoscopic vein-graft harvesting is associated with similar long-term outcomes, with no significant difference in mortality rates, when compared with open vein-graft harvesting, according to a study published in the Aug. 1 issue of the Journal of the American Medical Association.
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