Here are what the editors at HealthDay consider to be the most important developments in Surgery for October 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.
Scoliosis Surgery Improves Adolescents' Quality of Life
WEDNESDAY, Oct. 31 (HealthDay News) -- Surgical treatment of adolescent idiopathic scoliosis (AIS) significantly improves quality of life (QOL), according to research published online Oct. 22 in the Journal of Spinal Disorders & Techniques.
Fascia Lata Can Substitute for Nasal Lining in Reconstruction
WEDNESDAY, Oct. 31 (HealthDay News) -- Fascia lata, which is a thin, pliable, and vascularized tissue, can be effectively used as a substitute for nasal lining in complex total and subtotal nasal reconstruction procedures, according to a case series published online Oct. 29 in the Archives of Facial Plastic Surgery.
U.S. Medicare Spending on Elderly Has Outpaced Canada's
TUESDAY, Oct. 30 (HealthDay News) -- U.S. Medicare spending on the elderly has grown nearly three times faster than its Canadian counterpart, according to a study published online Oct. 29 in the Archives of Internal Medicine.
Fertility-Sparing Tx Feasible in Early Endometrial Cancer
TUESDAY, Oct. 30 (HealthDay News) -- For women with early-stage endometrial cancer (EC) and atypical complex hyperplasia (ACH), fertility-sparing treatment seems feasible, according to research published in the October issue of the American Journal of Obstetrics & Gynecology.
Evidence-Based Practices to Prevent Peri-Op VTE Identified
TUESDAY, Oct. 30 (HealthDay News) -- Evidence-based practices to improve the consistency of venous thromboembolism (VTE) prophylaxis in the perioperative period have been identified, according to research published online in the November issue of the AORN Journal.
Customized Disc Implant End Plates Up Load Distribution
TUESDAY, Oct. 30 (HealthDay News) -- Customizing the end plate geometry of intervertebral disc implants correlates with improved load distribution and stiffness, according to a study published online Oct. 29 in The Spine Journal.
Spine Society Assesses Adoption of Conflicts of Interest Policies
MONDAY, Oct. 29 (HealthDay News) -- The North American Spine Society (NASS) has adopted strict divestment and disclosure policies with no detrimental effects, according to research published online Oct. 22 in The Spine Journal.
Compensation Influences Lumbar Spinal Fusion Outcomes
FRIDAY, Oct. 26 (HealthDay News) -- The type of compensation status (workers' compensation versus disability compensation) influences patient outcomes following lumbar spinal fusion, according to a study published online Oct. 17 in Spine.
Surgery Center Influences Outcomes in Spinal Surgery
THURSDAY, Oct. 25 (HealthDay News) -- Choice of surgery center affects patient outcomes following surgery for lumbar stenosis and degenerative spondylolisthesis, according to research published online Oct. 17 in Spine.
Outpatient Urological Services Costs Up When Done in a Hospital
THURSDAY, Oct. 25 (HealthDay News) -- Outpatient urological procedures are performed at lower cost in ambulatory surgery centers and physician offices compared to hospitals, according to a study published online Oct. 24 in The Journal of Urology.
Decrease in CRC Resections Tied to Medicare-Covered Screening
WEDNESDAY, Oct. 24 (HealthDay News) -- The rates of resection for distal and proximal colorectal cancer (CRC) decreased from 1993 to 2009, with rates of proximal resection decreasing significantly from 2002, after implementation of Medicare payment for screening colonoscopy, according to a study published in the November issue of Gastroenterology.
Genuine Very Large Effects in Trials Rare in Medicine
TUESDAY, Oct. 23 (HealthDay News) -- Large treatment effects are most likely to be found in small studies, with the effect diminishing with additional trials, according to research published in the Oct. 24 issue of the Journal of the American Medical Association.
Extradural Motor Cortex Stimulation Safe in Parkinson's
TUESDAY, Oct. 23 (HealthDay News) -- Extradural motor cortex stimulation seems safe and moderately improves symptoms in Parkinson's patients one year after implantation, according to a study published in the October issue of Neurosurgery.
Effects of Bariatric Surgery on Heart Function, Structure ID'd
MONDAY, Oct. 22 (HealthDay News) -- Bariatric surgery is associated with improvement or resolution of preexisting hypertension, hyperlipidemia, and diabetes in a majority of participants, as well as with improvements in left ventricular hypertrophy and diastolic function, according to research published online Oct. 17 in Heart.
Prognostic Factors Identified for Intramedullary Tibial Nailing
FRIDAY, Oct. 19 (HealthDay News) -- Fracture and surgical factors have been identified for the prediction of adverse outcomes after intramedullary nailing of tibial shaft fractures, according to a study published in the Oct. 3 issue of The Journal of Bone & Joint Surgery.
Procedure Can Treat Stiff-Knee Gait in Spastic Cerebral Palsy
FRIDAY, Oct. 19 (HealthDay News) -- For individuals with spastic diplegic cerebral palsy and stiff-knee gait with decreased peak knee flexion in the swing phase, distal rectus femoris transfer (DRFT) produces significant and lasting improvements in peak knee flexion, according to research published in the Oct. 3 issue of The Journal of Bone & Joint Surgery.
Intracranial Tumors Can Be Resected Safely in Elderly
FRIDAY, Oct. 19 (HealthDay News) -- Elderly patients do not have poorer short-term outcomes after surgical resection of primary or metastatic intracranial tumors, after accounting for other risk factors, according to research published online Oct. 12 in Cancer.
Report Describes Current State of Interventional Cardiology
FRIDAY, Oct. 19 (HealthDay News) -- An analysis of cardiac catheterization laboratories in the United States, providing a current snapshot of patient characteristics and presentation as well as current practice, has been published online Oct. 17 in the Journal of the American College of Cardiology.
Return to Work Difficult for Doctors on Sick Leave
THURSDAY, Oct. 18 (HealthDay News) -- Returning to work after a prolonged sick leave for physical or mental health problems, or drug or alcohol problems, is difficult for doctors, who describe self-stigmatization and fear a negative response on their return to work, according to a study published online Oct. 15 in BMJ Open.
Post-Bleed Hydrocephalus Risk Up in Low-Income Preemies
THURSDAY, Oct. 18 (HealthDay News) -- Preterm neonates born to low-income parents have a disproportionately high risk of developing posthemorrhagic hydrocephalus (PHH) that requires multiple surgeries and extensive follow-up, according to research published online Sept. 28 in Pediatric Neurosurgery.
Surgery Linked to Cardiac Death in Cancer Patients
WEDNESDAY, Oct. 17 (HealthDay News) -- Cancer patients who undergo surgery are more than twice as likely to die from a cardiovascular cause within a month of surgery, according to a research letter published in the Oct. 18 issue of the New England Journal of Medicine.
Landmarks ID'd to Orient Humerus in Elbow Arthroplasty
WEDNESDAY, Oct. 17 (HealthDay News) -- The posterior humeral cortical line (PCL) is better than the transepicondylar axis (TEA) as a reference point and reproducible landmark for orienting the humerus during elbow arthroplasty, but both measures are error prone due to normal variation in rotational orientation, according to a study published in the Oct. 3 issue of The Journal of Bone & Joint Surgery.
Neuromuscular Blocking Agents Up Post-Op Complications
WEDNESDAY, Oct. 17 (HealthDay News) -- Use of intermediate-acting non-depolarizing neuromuscular blocking agents during general anesthesia is associated with an increase in the risk of postoperative respiratory complications, according to a study published online Oct. 16 in BMJ.
Increased Substance Use Seen After Weight Loss Surgery
TUESDAY, Oct. 16 (HealthDay News) -- Patients who undergo weight loss surgery may have an increased risk for substance use after surgery, according to a study published online Oct. 15 in the Archives of Surgery.
Coffee Speeds Time to First Bowel Action Post Colectomy
MONDAY, Oct. 15 (HealthDay News) -- Following colectomy, coffee consumption is safe and correlates with a shorter time to first bowel movement, according to a study published in the November issue of the British Journal of Surgery.
Cell Saver Not Cost-Effective in Single-Level Lumbar Surgery
MONDAY, Oct. 15 (HealthDay News) -- Use of intraoperative blood salvage (cell saver) is not cost-effective for adult patients undergoing single-level posterior lumbar decompression and fusion (PLDF) surgery, according to research published online Oct. 5 in Spine.
Drug Class Linked to Worse Outcomes After Transplant
FRIDAY, Oct. 12 (HealthDay News) -- Kidney transplant patients who receive mammalian target of rapamycin (mTOR) inhibitors after transplant have a greater probability of death or transplant failure than patients receiving calcineurin inhibitors, according to a study published online Oct. 1 in the American Journal of Transplantation.
Portable Device Feasible for Donor Lung Preservation
WEDNESDAY, Oct. 10 (HealthDay News) -- Donor lungs can be safely preserved and successfully transplanted with the Organ Care System (OCS) Lung device, according to a pilot study published online Oct. 10 in The Lancet.
Study Supports Costoplasty for Rib Hump Deformity Correction
WEDNESDAY, Oct. 10 (HealthDay News) -- In the treatment of adolescent idiopathic scoliosis, the addition of costoplasty to pedicle screws and vertebral derotation may significantly improve correction of the rib hump deformity compared with pedicle screws and vertebral derotation alone, according to research published online Sept. 28 in the Journal of Spinal Disorders & Techniques.
Polymer-on-Metal Tops Metal-on-Polymer in Disc Arthroplasty
TUESDAY, Oct. 9 (HealthDay News) -- Friction, flexion, and range-of-motion are significantly improved using a polymer socket and metal ball compared with the traditional total disc arthroplasty (TDA) performed with a metal socket and polymer ball, according to a study published in the Oct. 1 issue of Spine.
Prompt Kyphoplasty Not Crucial for Osteoporotic Vertebral Fx
MONDAY, Oct. 8 (HealthDay News) -- For patients with osteoporotic vertebral compression fractures (OVCFs), kyphoplasty can be successfully performed following failure of a three-week trial with conventional treatment, with both treatments resulting in similar outcomes at one year, according to a study published online Oct. 1 in The Spine Journal.
Pre-Op Factors Predict Post-Gastric Op Glycemic Response
MONDAY, Oct. 8 (HealthDay News) -- The glycemic response to gastric bypass surgery can be predicted in Chinese patients with type 2 diabetes by three preoperative factors, according to a study published online Oct. 1 in Diabetes Care.
Dysphagia Not Tied to Post-Anterior Cervical Op Swelling
FRIDAY, Oct. 5 (HealthDay News) -- Although significant soft-tissue swelling can occur after anterior cervical discectomy and fusion (ACDF) procedures, the width of the prevertebral soft-tissue swelling on radiographic analysis does not correlate with the severity of postoperative dysphagia, according to research published in the August issue of The Spine Journal.
Variety of Techniques Effective for Treating Spinal Synovial Cysts
THURSDAY, Oct. 4 (HealthDay News) -- For patients with spinal synovial cysts, the majority who undergo surgery have excellent or good outcomes, according to a study published online Sept. 6 in the Journal of Spinal Disorders & Techniques.
Risk Factors for Tracheostomy in Spinal Cord Injury Identified
THURSDAY, Oct. 4 (HealthDay News) -- Patient age, severe neurological impairment, and forced vital capacity (FVC) are useful for predicting the need for tracheostomy in the management of patients with cervical spinal cord injury (CSCI) in the acute care setting, according to research published online Sept. 19 in Spine.
Limiting the Problem of Missing Data Urged for Clinical Trials
WEDNESDAY, Oct. 3 (HealthDay News) -- Missing data compromise inferences from clinical trials, and due to the problematic nature of compensation with analysis methods, the importance of avoiding missing data in clinical trials is paramount, according to a special report published in the Oct. 4 issue of the New England Journal of Medicine.
Lasting Efficacy for Minimally-Invasive Spinal Fusion
WEDNESDAY, Oct. 3 (HealthDay News) -- For patients undergoing spinal fusion by minimally-invasive lateral lumbar interbody fusion (LLIF), the procedure is safe and effective based on a follow-up of at least two years, according to research published online Sept. 6 in the Journal of Spinal Disorders & Techniques.
ProDisc-C Device Doesn't Change Facet Joint Pressures
WEDNESDAY, Oct. 3 (HealthDay News) -- Local facet joint contact pressures are not significantly altered during sagittal bending after the implantation of a ProDisc-C device at the C5 to C6 level in cadaveric human cervical spines, according to a study published online Sept. 12 in The Spine Journal.
Severe Anemia Linked to Poorer Heart Surgery Outcomes
WEDNESDAY, Oct. 3 (HealthDay News) -- Adults undergoing cardiac surgery who have moderate-to-severe preoperative anemia have significantly increased morbidity and mortality compared with non-severely anemic patients, according to research published in the October issue of the Annals of Thoracic Surgery.
Mortality Up With 80 Percent Oxygen in Abdominal Surgery
TUESDAY, Oct. 2 (HealthDay News) -- For patients undergoing abdominal surgery, use of 80 percent oxygen in the perioperative period is associated with an increased risk of long-term mortality, which is statistically significant for cancer patients but not for non-cancer patients, according to a study published in the October issue of Anesthesia & Analgesia.
Observation Units Could Save $3.1 Billion Nationally Per Year
TUESDAY, Oct. 2 (HealthDay News) -- The addition of observation units to U.S. hospitals which do not currently have them in place could save $3.1 billion nationally per year in health care costs, according to a study published online Sept. 26 in Health Affairs.
Hip Resurfacing Shows Higher Failure Rate Than Replacement
TUESDAY, Oct. 2 (HealthDay News) -- Hip resurfacing has an "unacceptably high" failure rate, particularly in women, according to a study published online Oct. 2 in The Lancet.
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