Create Account | Sign In: Author or Forum

 
 
News  |  Journals  |  Conferences  |  Blogs  |  Articles  |  Forums  |  Twitter    
 

 Headlines:

 

Category: Surgery | Monthly Briefing

Back to Journal Articles

August 2009 Briefing - Surgery

Last Updated: September 01, 2009.

 

Share |

Comments: (0)

Tell-a-Friend

 

  Related
 

Here are what the editors at HealthDay consider to be the most important developments in Surgery for August 2009. 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.

Markers Can Predict More Aggressive Pancreatic Tumors

MONDAY, Aug. 31 (HealthDay News) -- Blood flow is impaired and metabolism is enhanced in pancreatic tumors, and a high ratio of metabolism to blood flow predicts poor survival, according to a study published online Aug. 25 in Clinical Cancer Research.

Abstract
Full Text (subscription or payment may be required)

Skeletons Shed Light on Cervical Arthrosis Prevalence

MONDAY, Aug. 31 (HealthDay News) -- Cervical facet arthrosis appears more common with age and it may more often affect upper cervical levels, according to research on human skeletons published in the September issue of The Spine Journal.

Abstract
Full Text (subscription or payment may be required)

Restenosis More Common After Angioplasty Than Surgery

MONDAY, Aug. 31 (HealthDay News) -- Although patients treated for carotid artery stenosis with endovascular treatment are significantly more likely to have restenosis than those treated with carotid endarterectomy, stroke risk for both groups is low, according to two papers from the Carotid And Vertebral Artery Transluminal Angioplasty Study published online Aug. 29 in The Lancet.

Abstract - Ederle
Full Text (subscription or payment may be required)
Abstract - Bonati
Full Text (subscription or payment may be required)
Reflection & Reaction (subscription or payment may be required)

Quality of Care Unchanged Under New Payment System

FRIDAY, Aug. 28 (HealthDay News) -- The implementation of a fixed-price, payment-by-results system for hospitals in the United Kingdom, beginning in 2002, has reduced the length of hospital stays and increased day case (outpatient) admissions, but has had no measurable effect on quality of care, according to a study published Aug. 27 in BMJ.

Abstract
Full Text
Editorial (subscription or payment may be required)

Obesity's Effect on Anterior Spine Surgery Examined

THURSDAY, Aug. 27 (HealthDay News) -- Obese patients undergoing anterior lumbar surgery may have similar complications and time to ambulation as non-obese patients, according to research published in the September issue of The Spine Journal.

Abstract
Full Text (subscription or payment may be required)

Parameters for Pedicle Screw Insertion Measured

THURSDAY, Aug. 27 (HealthDay News) -- In patients undergoing preoperative thin-cut imaging for cervical pedicle screw insertion, linear and angular parameters show a fair amount of variability, according to a study in the September issue of The Spine Journal.

Abstract
Full Text (subscription or payment may be required)

Stent-Assisted Embolization Feasible for Aneurysms

THURSDAY, Aug. 27 (HealthDay News) -- In patients with acutely ruptured wide-necked intracranial aneurysms that are otherwise difficult to treat, stent-assisted coil embolization may be an effective strategy, according to a study published online Aug. 25 in Radiology.

Abstract
Full Text (subscription or payment may be required)

Magnetic Resonance Imagining Can Monitor Carotid Narrowing

WEDNESDAY, Aug. 26 (HealthDay News) -- High-spatial-resolution, 1.5-T magnetic resonance imaging of the carotid artery can monitor plaque build-up in atherosclerotic disease, a progression slowed by statin therapy, according to a study in the September issue of Radiology.

Abstract
Full Text (subscription or payment may be required)

Gene Variant Can Dampen Effect of Antiplatelet Therapy

TUESDAY, Aug. 25 (HealthDay News) -- Clopidogrel's effectiveness in antiplatelet therapy for patients with acute coronary syndromes or those who have had percutaneous coronary intervention (PCI) can be dampened for those who have the CYP2C19*2 gene variant, according to a study in the Aug. 26 issue of the Journal of the American Medical Association.

Abstract
Full Text (subscription or payment may be required)

Department Issues New HIPAA Notification Regulations

TUESDAY, Aug. 25 (HealthDay News) -- The U.S. Department of Health and Human Services issued new regulations on Aug. 19 requiring entities covered by the Health Insurance Portability and Accountability Act (HIPAA) to notify individuals after their health information has been breached.

More Information

Ultrasonography Helps Predict Metastases Post Breast Cancer

TUESDAY, Aug. 25 (HealthDay News) -- Ultrasonography of the lymph nodes can detect disease recurrence and help predict the development of distant metastases in women who have had surgery for breast cancer, according to a study in the September issue of Radiology.

Abstract
Full Text (subscription or payment may be required)

Panel Relaxes Restrictions on Liquids During Labor

MONDAY, Aug. 24 (HealthDay News) -- Women in normal labor can safely drink modest amounts of clear liquids, and those undergoing cesarean delivery can do so for up to two hours before they are given anesthesia, according to a new opinion released by the American College of Obstetricians and Gynecologists' Committee on Obstetric Practice and published in the September issue of Obstetrics & Gynecology.

Full Text (subscription or payment may be required)

Spinal Fusion Rate Low in End-Stage Renal Disease Patients

MONDAY, Aug. 24 (HealthDay News) -- Patients with spinal diseases and end-stage renal disease who are using dialysis may have acceptable outcomes following spinal surgery, but mortality and complication rates appear to be relatively high and fusion rates appear to be low, according to research published in the Aug. 15 issue of Spine.

Abstract
Full Text (subscription or payment may be required)

Postoperative Radiation May Be Beneficial in Vulvar Cancer

MONDAY, Aug. 24 (HealthDay News) -- In patients with groin node-positive vulvar cancer who have undergone radical vulvectomy and inguinal lymphadenectomy, postoperative radiation is associated with a significantly lower rate of cancer-related death than postoperative pelvic node resection, according to a study in the September issue of Obstetrics & Gynecology.

Abstract
Full Text (subscription or payment may be required)

Spinal Stenosis Surgery Can Improve Bone Metabolism

MONDAY, Aug. 24 (HealthDay News) -- Elderly patients with lumbar spinal stenosis have improvements in bone metabolism after decompression surgery, regardless of whether they receive bisphosphonates, according to a study in the Aug. 15 issue of Spine.

Abstract
Full Text (subscription or payment may be required)

Post-Treatment Pain Linked to Head, Neck Cancer Outcomes

FRIDAY, Aug. 21 (HealthDay News) -- Besides negatively affecting a patient's quality-of-life, the level of pain following treatment for head and neck cancer is associated with five-year survival and cancer recurrence, according to a study in the August issue of the Archives of Otolaryngology -- Head & Neck Surgery.

Abstract
Full Text (subscription or payment may be required)

Pediatric Kidney Donor Age No Barrier to Success Rate

FRIDAY, Aug. 21 (HealthDay News) -- Kidney transplant patients have similar outcomes whether the donor is above or below the age of 5 years, according to a study published online Aug. 20 in the Clinical Journal of the American Society of Nephrology.

Abstract
Full Text (subscription or payment may be required)

New Cement Shows Promise for Use in Vertebroplasty

FRIDAY, Aug. 21 (HealthDay News) -- A new bone substitute material may offer advantages when used in vertebroplasty compared to polymethylmethacrylate (PMMA), according to research from an animal study published in the Aug. 15 issue of Spine.

Abstract
Full Text (subscription or payment may be required)

Health Care Financing Model Rewards Efficient Care

FRIDAY, Aug. 21 (HealthDay News) -- A health care financing model that includes incentives for reducing potentially avoidable costs can act as a bridge between the current fragmented system and one based on high-value care, according to an article published online Aug. 19 in the New England Journal of Medicine.

Abstract
Full Text

Adjuvant Chemotherapy Little Help for Urothelial Cancer

FRIDAY, Aug. 21 (HealthDay News) -- Patients treated surgically for upper tract urothelial carcinoma are not usually offered adjuvant chemotherapy, and for those who are, the treatment does not seem to have much impact on the odds of survival, according to a study published in the September issue of the Journal of Urology.

Abstract
Full Text

Metabolites Offer Prognostic Tool in Spinal Cord Injury

THURSDAY, Aug. 20 (HealthDay News) -- The concentration of nitric oxide metabolites in the cerebrospinal fluid (CSF [NOx]) of people with spinal cord injury correlates to the severity of their injury and is a predictor of neurologic recovery, according to a study reported in the Aug. 15 issue of Spine.

Abstract
Full Text (subscription or payment may be required)

Healing Impaired in Leaking Blebs After Glaucoma Surgery

THURSDAY, Aug. 20 (HealthDay News) -- After filtration surgery for glaucoma, mitomycin C-treated filtering blebs with persistent leaks often display aberrant wound healing, according to a study in the August issue of the Archives of Ophthalmology.

Abstract
Full Text (subscription or payment may be required)

Drug-Eluting Stents Fare Well Versus Bare-Metal Stents

THURSDAY, Aug. 20 (HealthDay News) -- Implantation of a drug-eluting stent following percutaneous coronary intervention for unprotected left main coronary artery disease (ULMCA) decreases the risk of cardiovascular events and stroke compared to a bare-metal stent, according to a study published online Aug. 19 in the Journal of the American College of Cardiology.

Abstract
Full Text
Editorial

Trauma Program Improvement Negates Surgeon Inexperience

WEDNESDAY, Aug. 19 (HealthDay News) -- In an organized trauma program with senior surgical mentoring, mortality is no different for patients treated by novice surgeons than for those treated by an experienced trauma director, according to a study published in the August issue of the Archives of Surgery.

Abstract
Full Text (subscription or payment may be required)

Personality Type Linked to Increased Mortality

WEDNESDAY, Aug. 19 (HealthDay News) -- In patients with peripheral arterial disease, Type D personality -- which is characterized by negative emotions and inhibited self-expression during social interactions -- is an independent predictor of all-cause mortality, according to a pilot study published in the August issue of the Archives of Surgery.

Abstract
Full Text (subscription or payment may be required)

Poor Guideline Adherence Found for Mitral Regurgitation

TUESDAY, Aug. 18 (HealthDay News) -- Only about half of patients with mitral regurgitation (MR) undergo surgery as recommended by accepted guidelines, even though about three-quarters of unoperated patients have at least one indication for surgery, according to a study in the Aug. 25 issue of the Journal of the American College of Cardiology.

Abstract
Full Text (subscription or payment may be required)

Knee Graft Can Be Effective in Surgery to Relieve Neck Pain

TUESDAY, Aug. 18 (HealthDay News) -- The fusion rate of anterior cervical diskectomy and fusion with allograft patella to relieve cervical radiculopathy and myelopathy is 86 percent, similar to other allografts, according to a study in the August issue of the Journal of Spinal Disorders & Techniques.

Abstract
Full Text (subscription or payment may be required)

Exercise May Help Pain and Function After Lumbar Surgery

MONDAY, Aug. 17 (HealthDay News) -- Exercise-based rehabilitation commenced four to six weeks after lumbar disc surgery seems to improve pain and functioning in the short term, but the evidence is not strong, according to an updated Cochrane Review in the August 1 Spine.

Abstract
Full Text (subscription or payment may be required)

Spinal Surgery Infection Risk Subject to Many Factors

MONDAY, Aug. 17 (HealthDay News) -- A patient's risk of postoperative wound infection after undergoing spinal surgery can be increased by many factors, including other medical conditions, duration of surgery and red blood cell count, according to a study in the August 1 issue of Spine.

Abstract
Full Text (subscription or payment may be required)

Difference Between Near Miss, Wrong-Site Surgery Studied

MONDAY, Aug. 17 (HealthDay News) -- There are important differences between errors that are caught as near misses and those that progress to wrong-site surgery, and health care professionals can follow simple steps to reduce or eliminate wrong-site surgery, according to a study in the August issue of the AORN Journal.

Abstract
Full Text (subscription or payment may be required)

Alarm Symptoms Often Do Not Result in Timely Diagnosis

FRIDAY, Aug. 14 (HealthDay News) -- Many patients who present with certain alarm symptoms, including hematuria and rectal bleeding, do not receive a diagnosis in a reasonable amount of time, according to a study published online Aug. 13 in BMJ.

Abstract
Full Text

Procedure Offers Alternative to Warfarin for Stroke Risk

FRIDAY, Aug. 14 (HealthDay News) -- Atrial fibrillation patients at risk of stroke may benefit from percutaneous closure of the left atrial appendage (LAA) as an alternative to long-term warfarin therapy, according to a study in the Aug. 15 issue of The Lancet.

Abstract
Full Text (subscription or payment may be required)

Ambulance Arrivals More Common Among Homeless

FRIDAY, Aug. 14 (HealthDay News) -- Despite similar triage urgency and admission rates, homeless people who arrive at emergency departments are more likely than non-homeless people to be uninsured and arrive by ambulance, according to a study in the August issue of the Journal of Health Care for the Poor and Underserved.

Abstract
Full Text (subscription or payment may be required)

Noninvasive Ventilation Can Be Effective After Extubation

THURSDAY, Aug. 13 (HealthDay News) -- Patients with chronic respiratory disorders and hypercapnia who are given early noninvasive ventilation after extubation have a lower risk of respiratory failure and death than those given normal oxygen therapy, according to a study published online Aug. 13 in The Lancet.

Abstract
Full Text (subscription or payment may be required)
Comment (subscription or payment may be required)

Discharge Summaries Often Lack Pending Test Results

THURSDAY, Aug. 13 (HealthDay News) -- Hospital discharge summaries often do not contain information on pending test results or provider follow-up information, which can lead to medical errors, according to a study in the September issue of the Journal of General Internal Medicine.

Abstract
Full Text (subscription or payment may be required)

FDA Aims to Ease Access to Investigational Drugs

WEDNESDAY, Aug. 12 (HealthDay News) -- The U.S. Food and Drug Administration (FDA) has published two new rules to help seriously ill patients gain access to investigational drugs and biologics, according to an Aug. 12 release issued by the agency.

More Information
Access to Investigational Drugs

Incontinence Treatment Trends Changed in the 1990s

TUESDAY, Aug. 11 (HealthDay News) -- Trends in the surgical management of stress urinary incontinence among women in the United States changed rapidly from 1992 to 2001, according to a study in the August issue of Urology.

Abstract
Full Text (subscription or payment may be required)

Tool Can Significantly Reduce Pediatric Prescription Errors

TUESDAY, Aug. 11 (HealthDay News) -- In pediatric intensive care units, computerized physician order entry and a clinical decision support system that limits doses by weight may significantly reduce rates of medical prescription errors and potential adverse drug events, according to a study published online Aug. 10 in Pediatrics.

Abstract
Full Text (subscription or payment may be required)

Imaging Framework Allows Virtual Planning of Surgery

TUESDAY, Aug. 11 (HealthDay News) -- A noninvasive image-based surgical framework allows surgeons to perform virtual surgeries and test various scenarios where postoperative hemodynamics are particularly important, such as Fontan failure, according to a study in the August issue of the Journal of the American College of Cardiology: Cardiovascular Imaging.

Abstract
Full Text (subscription or payment may be required)

Vascular Surgery Studies Under-Represent Some Groups

MONDAY, Aug. 10 (HealthDay News) -- In vascular surgery randomized controlled trials, women and minorities are under-reported and under-represented, especially in small, privately funded, and single-center trials, according to a study in the August issue of the Journal of Vascular Surgery.

Abstract
Full Text (subscription or payment may be required)

Best Treatment for Lower Extremity Sarcoma Unknown

MONDAY, Aug. 10 (HealthDay News) -- Despite a lower prevalence of amputations, limb salvage surgery may not offer a more effective outcome for health-related quality of life (HRQoL) for younger individuals with bone and soft tissue sarcomas of the leg, according to a review published online Aug. 10 in Cancer.

Abstract
Full Text (subscription or payment may be required)

Fertility Preservation a Viable Option for Women With Cancer

MONDAY, Aug. 10 (HealthDay News) -- In younger women with stage IA and IC epithelial ovarian cancer, ovarian-conserving and uterine-conserving surgery may be a safe and feasible strategy, according to a study published online Aug. 10 in Cancer.

Abstract
Full Text (subscription or payment may be required)

Propranolol Shows Rapid Effect on Infantile Hemangiomas

MONDAY, Aug. 10 (HealthDay News) -- Propranolol, a β-adrenergic receptor blocker, appears to have a rapid effect in treating complicated infantile hemangiomas, according to research published online Aug. 10 in Pediatrics.

Abstract
Full Text (subscription or payment may be required)

Cause of Cognitive Decline After Heart Bypass Examined

MONDAY, Aug. 10 (HealthDay News) -- Use of a pump during coronary artery bypass surgery does not appear to be responsible for long-term loss of cognitive function and memory in patients with coronary artery disease; it instead may be due to the disease itself, according to a study in the August issue of the Annals of Thoracic Surgery.

Abstract
Full Text
Editorial (subscription or payment may be required)

HHS Releases Reports on Health Insurance Reform

FRIDAY, Aug. 7 (HealthDay News) -- The U.S. Department of Health and Human Services (HHS) has released a series of state-by-state reports that outline its conclusions on the effects health insurance reform would have on health care for Americans, according to an Aug. 7 release issued by the agency.

More Information

Many at High Risk of Breast Cancer Choose Surgery

FRIDAY, Aug. 7 (HealthDay News) -- Many women at high risk for breast or ovarian cancer opt to surgically remove these organs to decrease their risk, although this is dependent on age, time and risk, according to a study in the August Cancer Epidemiology, Biomarkers & Prevention.

Abstract
Full Text (subscription or payment may be required)

Anterior Cervical Operations May Lead to Headache Relief

FRIDAY, Aug. 7 (HealthDay News) -- Most patients who undergo an anterior cervical operation for cervical radiculopathy or myelopathy can expect to achieve significant long-term headache relief, according to a study in the Aug. 1 issue of the Journal of Bone & Joint Surgery.

Abstract
Full Text (subscription or payment may be required)

3D Prostate Mapping Biopsy Shows Staging Accuracy

THURSDAY, Aug. 6 (HealthDay News) -- Three-dimensional prostate mapping biopsy (3D-PMB) may provide better accuracy in staging prostate cancer, which could have a major effect on patients' outcomes, according to research published online Aug. 3 in the Journal of Clinical Oncology.

Abstract
Full Text (subscription or payment may be required)

Statins Given Day Before Stenting May Improve Results

THURSDAY, Aug. 6 (HealthDay News) -- A single high dose of a statin given a day before stenting is effective in reducing the risk of a heart attack, according to a study published online Aug. 5 in the Journal of the American College of Cardiology.

Abstract
Full Text (subscription or payment may be required)

Bevacizumab Benefits Seen in Forms of Macular Edema

THURSDAY, Aug. 6 (HealthDay News) -- Intravitreal injections of bevacizumab may be useful in treating diffuse diabetic macular edema and refractory cystoid macular edema, according to the results of two studies in the August Ophthalmology.

Abstract - Study 1
Full Text - Study 1 (subscription or payment may be required)
Abstract - Study 2
Full Text - Study 2 (subscription or payment may be required)

Cataract Surgery Associated With Diabetic Eye Problem

THURSDAY, Aug. 6 (HealthDay News) -- Phacoemulsification surgery for cataracts in patients with diabetes is associated with higher rates of new or progressing diabetic retinopathy in the following year, according to research published in the August issue of Ophthalmology.

Abstract
Full Text (subscription or payment may be required)

Orthopedic Trials Faulted for Complication Reporting

THURSDAY, Aug. 6 (HealthDay News) -- Orthopedic clinical trials show a lack of consistency in complication reporting, suggesting the need to develop a standardized protocol for complication assessment and reporting, according to a study published in the Aug. 1 issue of the Journal of Bone & Joint Surgery.

Abstract
Full Text (subscription or payment may be required)

Extremes of Weight Linked to Death After Liver Transplant

THURSDAY, Aug. 6 (HealthDay News) -- Underweight and extremely obese liver transplant patients are at higher risk of death than patients with less extreme weights, according to a study in the August issue of Liver Transplantation.

Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Combo Regimen Effective Against Surgical Site Infection

THURSDAY, Aug. 6 (HealthDay News) -- The combined use of systemic and locally injected antibiotics may provide optimal protection against surgical site infections, according to an animal study published in the Aug. 1 issue of the Journal of Bone & Joint Surgery.

Abstract
Full Text (subscription or payment may be required)

Efficacy of Vertebroplasty for Osteoporotic Fractures Tested

WEDNESDAY, Aug. 5 (HealthDay News) -- In patients with painful, osteoporotic vertebral compression fractures, vertebroplasty appears to be no more beneficial than placebo, according to two studies published in the Aug. 6 issue of the New England Journal of Medicine.

Abstract - Kallmes
Full Text (subscription or payment may be required)
Abstract - Buchbinder
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Apixaban, Enoxaparin Show Similar Efficacy in Trial

WEDNESDAY, Aug. 5 (HealthDay News) -- Apixaban, an inhibitor of factor Xa, was not shown to be non-inferior to enoxaparin for efficacy of thromboprophylaxis following knee replacement, according to research published in the Aug. 6 issue of the New England Journal of Medicine.

Abstract
Full Text (subscription or payment may be required)

Follow-Up Tests Often Not Done in Testicular Cancer

WEDNESDAY, Aug. 5 (HealthDay News) -- Although many men with early stage testicular cancer are managed by surveillance, many do not receive the recommended follow-up testing, according to a study published online Aug. 3 in the Journal of Clinical Oncology.

Abstract
Full Text (subscription or payment may be required)

Copyright © 2009 ScoutNews, LLC. All rights reserved.


Previous: August 2009 Briefing - Rheumatology Next: August 2009 Briefing - Urology

Reader comments on this article are listed below. Review our comments policy.


Submit your opinion:

Name:

Email:

Location:

URL:

Remember my personal information

Notify me of follow-up comments?

advertisement.gif (61x7 -- 0 bytes)
 

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

 
     

 advertisement.gif (61x7 -- 0 bytes)

 

 

Useful Sites
MediLexicon
  Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us
Copyright © 2001-2014
Doctors Lounge.
All rights reserved.

Medical Reference:
Diseases | Symptoms
Drugs | Labs | Procedures
Software | Tutorials

Advertising
Links | Humor
Forum Archive
CME | Conferences

Privacy Statement
Terms & Conditions
Editorial Board
About us | Email

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.