Here are what the editors at HealthDay consider to be the most important developments in Surgery for September 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.
History of Sexual Abuse Slows Response to Bariatric Surgery
FRIDAY, Sept. 28 (HealthDay News) -- Although studies suggest that individuals with a history of sexual abuse may experience less weight loss soon after bariatric surgery, most individuals still benefit from the surgical procedure, with increased weight loss seen over time, according to research published in the October issue of Obesity Reviews.
Risk of Post-Cesarean Infection Up for Overweight, Obese
WEDNESDAY, Sept. 26 (HealthDay News) -- About 10 percent of U.K. women who undergo cesarean section develop a surgical site infection, with the odds significantly increased for overweight or obese women, according to a study published in the October issue of BJOG: An International Journal of Obstetrics and Gynaecology.
Dexamethasone Doesn't Up Risk of Serious Post-Op Bleeding
TUESDAY, Sept. 25 (HealthDay News) -- Perioperative dexamethasone administration is not associated with more serious bleeding events in pediatric tonsillectomy patients, according to a study published in the Sept. 26 issue of the Journal of the American Medical Association.
Surveillance for Low-Risk Prostate Cancer Examined
MONDAY, Sept. 24 (HealthDay News) -- For men with low-risk prostate cancer, projections show that active surveillance may result in a modest decline in prostate cancer-specific survival, but allows men to remain treatment-free for several more years compared with immediate radical prostatectomy, according to a study published online Sept. 24 in Clinical Cancer Research.
Spinal Injury Incidence About 5 Percent in Iraq/Afghanistan
MONDAY, Sept. 24 (HealthDay News) -- The incidence of spinal trauma sustained by military personnel in Iraq and Afghanistan is about 5 percent, according to a study published in the Sept. 19 issue of The Journal of Bone & Joint Surgery.
IV Acetaminophen Eases Post-Spinal Op Pain for Children
FRIDAY, Sept. 21 (HealthDay News) -- Children and adolescents given intravenously (IV)-administered acetaminophen after major spine surgery have significantly less postoperative pain, compared with those given placebo, but administration of acetaminophen does not reduce the need for opioids, according to a study published in the Sept. 15 issue of Spine.
Safe for Intravenous Catheters to Be Replaced As Needed
FRIDAY, Sept. 21 (HealthDay News) -- Replacement of peripheral intravenous catheters as clinically indicated is as safe as routine replacement, according to a study published in the Sept. 22 issue of The Lancet, a theme issue on surgery.
Skin Cancer Incidence Up After Pancreas Transplantation
FRIDAY, Sept. 21 (HealthDay News) -- Nonmelanoma skin cancers (NMSCs) commonly occur after pancreas transplantation (PT), particularly in those who have a history of skin cancer, according to a study published in the October issue of the Journal of the American Academy of Dermatology.
Leaving Balloon in Is Safe in Urinary Sphincter Revision
FRIDAY, Sept. 21 (HealthDay News) -- Intentionally leaving the pressure-regulating balloon in place during a non-infected artificial urinary sphincter (AUS) revision procedure is safe and is not associated with infection or complications, according to research published online Sept. 13 in The Journal of Sexual Medicine.
Decrease Seen in Global Peri-Op, Anesthesia-Related Mortality
FRIDAY, Sept. 21 (HealthDay News) -- Over the last five decades, there has been a decrease in perioperative and anesthesia-related mortality, according to a study published in the Sept. 22 issue of The Lancet, a theme issue on surgery.
Early Risks, but Better Weight Control With Duodenal Switch
WEDNESDAY, Sept. 19 (HealthDay News) -- For obese patients undergoing bariatric surgery, biliopancreatic diversion/duodenal switch (DS) is less commonly used than gastric bypass (GB), but despite increased early risks, the procedure is associated with better weight and comorbidity control, according to research published online Sept. 17 in the Archives of Surgery.
Long-Term Benefits of Gastric Bypass Surgery Evaluated
TUESDAY, Sept. 18 (HealthDay News) -- Among obese patients, gastric bypass surgery correlates with higher rates of diabetes remission and lower risk of cardiovascular disease, has little effect on the severity of sleep apnea, and only reduces health care use after the sixth year post-surgery, according to three studies published in the Sept. 19 issue of the Journal of the American Medical Association, a theme issue on obesity.
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Lung Transplant for CF Less Likely for Medicaid Recipients
FRIDAY, Sept. 14 (HealthDay News) -- For adults with cystic fibrosis (CF), the likelihood of not being accepted for lung transplantation is higher for those with low socioeconomic status, as indicated by Medicaid status, according to a study published online Sept. 13 in the American Journal of Respiratory and Critical Care Medicine.
Radiography Unnecessary After Spinal Fusion Surgery
FRIDAY, Sept. 14 (HealthDay News) -- In patients who have undergone spinal fusion surgery with intraoperative fluoroscopic guidance and have no postoperative problems, postoperative radiographs do not provide additional clinical information and are not cost-effective, according to a study published in the July issue of The Spine Journal.
Higher Mortality Risk With Preoperative Hyponatremia
FRIDAY, Sept. 14 (HealthDay News) -- Patients with preoperative hyponatremia have a higher risk of 30-day mortality and morbidity, including coronary events, surgical site wound infections, and pneumonia, according to research published online Sept. 10 in the Archives of Internal Medicine.
Evidence Lacking for Weight Trends After Joint Arthroplasty
FRIDAY, Sept. 14 (HealthDay News) -- There is no conclusive evidence on whether patients undergoing total joint arthroplasty (TJA) lose or gain weight after surgery, according to a study published online Sept. 7 in Clinical Orthopaedics and Related Research.
Thermal Sensation Spared in Nerve-Sparing Prostatectomy
THURSDAY, Sept. 13 (HealthDay News) -- Penile thermal sensory thresholds increase after non-nerve-sparing radical prostatectomy (RP) but not after the nerve-sparing procedure, according to a study published in the September issue of The Journal of Sexual Medicine.
For Obese, Body Habitus, Not BMI Impacts Op Site Infection
WEDNESDAY, Sept. 12 (HealthDay News) -- For obese patients undergoing lumbar spine fusion surgery, the skin to lamina distance and the thickness of subcutaneous fat are significant risk factors for surgical site infection (SSI), according to a study published in the Sept. 1 issue of Spine.
SPECT/CT Associated With Improved Survival in Melanoma
TUESDAY, Sept. 11 (HealthDay News) -- For patients with clinically lymph node-negative melanoma, the use of single-photon emission computed tomography/computed tomography (SPECT/CT) to aid sentinel lymph node excision (SLNE) is associated with increased detection of metastatic involvement and improved disease-free survival, compared with standard SLNE, according to a study published in the Sept. 12 issue of the Journal of the American Medical Association.
Long-Term Survival High With Living Donor Liver Transplants
MONDAY, Sept. 10 (HealthDay News) -- Patients with acute liver failure (ALF) who receive a living donor liver transplantation (LDLT) in Japan have excellent short- and long-term survival rates, according to a study published in the September issue of Liver Transplantation.
New Classification of Fat Grafting Techniques Proposed
FRIDAY, Sept. 7 (HealthDay News) -- As the use of fat grafting in plastic surgery continues to evolve, a new way of classifying fat grafting techniques has been proposed that aims to match the technique to the specific clinical situation, according to research published in the September issue of Plastic and Reconstructive Surgery.
Imaging Device Quantifies Change in Port Wine Stains
FRIDAY, Sept. 7 (HealthDay News) -- A newly developed spatial frequency domain imaging (SFDI) device can be used to quantify biochemical compositional changes in port wine stain (PWS) lesions after laser therapy, according to a study published online Aug. 21 in Lasers in Surgery and Medicine.
Not All Docs/Nurses Want to Be Asked About Hand Hygiene
FRIDAY, Sept. 7 (HealthDay News) -- Although most health care workers (HCWs) appreciate the role of patients in preventing health care-associated infection, a considerable proportion are uncomfortable with patients asking about their hand hygiene, according to a letter published online Sept. 3 in the Archives of Internal Medicine.
Bolus Epidural Fentanyl Cuts Post-Spinal Decompression Pain
THURSDAY, Sept. 6 (HealthDay News) -- Intraoperative bolus epidural fentanyl is effective at alleviating early postoperative pain after lumbar canal decompression, according to a study published online Aug. 27 in The Spine Journal.
Prone-Position Breast Radiation Avoids Heart, Lung Exposure
THURSDAY, Sept. 6 (HealthDay News) -- For most women with breast cancer, prone positioning during computed tomography (CT) simulation scans correlates with a reduction in the amount of heart and lung irradiation, according to a research letter published in the Sept. 5 issue of the Journal of the American Medical Association.
Dynamic Diffuse Optical Tomography Can Diagnose PAD
THURSDAY, Sept. 6 (HealthDay News) -- Dynamic diffuse optical tomography (DDOT), a noninvasive, non-ionizing imaging modality, may be a useful new tool for diagnosing peripheral arterial disease (PAD), even in patients with diabetes, according to a study published in the Sept. 1 issue of Biomedical Optics Express.
Elderly Discharged Home Do Well After Heart Valve Surgery
TUESDAY, Sept. 4 (HealthDay News) -- People over the age of 80 generally do well after aortic or mitral valve replacement surgery, especially if they are discharged home, according to a study published in the September issue of The Annals of Thoracic Surgery.
In RA, Hand Surgery Improves Function, Appearance
MONDAY, Sept. 3 (HealthDay News) -- Treating rheumatoid arthritis (RA) patients with severe hand deformities with a silicone metacarpophalangeal joint arthroplasty (SMPA) procedure produces significant, long-term improvement in hand function and appearance, according to research published in the September issue of Arthritis Care & Research.
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