• Pregnancy boosts risk of ventral hernia recurrence

    on May 22nd, 2017
    FROM THE AMERICAN JOURNAL OF SURGERY Pregnancy is associated with a significant increase in the risk of ventral hernia recurrence after repair, according to a population-based cohort study published online in the American Journal of Surgery. Analysis of registry data from 3,578 Danish women of repro[...]
  • Forgo axillary dissection for single suspicious node on ultrasound

    on May 22nd, 2017
    AT ASBS 2017 LAS VEGAS (FRONTLINE MEDICAL NEWS) – About half of breast cancer patients without palpable lymphadenopathy but with preoperative ultrasound-guided, biopsy-proven axillary lymph node metastases have N1 disease, according to a review of 129 women. Among the 30 women with a primary tumor[...]
  • Intraoperative radiation looks good for DCIS

    on May 22nd, 2017
    At ASBS 2017 LAS VEGAS (FRONTLINE MEDICAL NEWS) – Intraoperative radiation therapy (IORT) is effective in patients with ductal carcinoma in situ (DCIS), and bilateral digital mammography and breast MRI effectively predicted which patients would be most suited for the procedure, according to a nonr[...]
  • Positive node risk defined for elderly breast cancer patients

    on May 22nd, 2017
    AT ASBS 2017 LAS VEGAS (FRONTLINE MEDICAL NEWS) – In women aged 70 years or older with hormone receptor–positive invasive breast cancer, their tumor size, grade, and histology – but not human epidermal growth factor receptor–2 status – predicted nodal positivity, according to a retrospecti[...]
  • Research gaps identified for palliative surgical care

    on May 19th, 2017
    FROM ANNALS OF SURGERY Palliative care is a well-established specialty of medicine with several decades of research to guide its implementation in a variety of contexts. Palliative care for surgical patients, however, remains understudied, according to a work group convened by the National Institute[...]
  • Omitting ALND in some breast cancer patients may be the right choice

    on May 19th, 2017
    AT THE ANNUAL ASA MEETING PHILADELPHIA (FRONTLINE MEDICAL NEWS) – The safety of sentinel lymph node biopsy (SLNB) alone without axillary lymph node dissection (ALND) had been established for patients with cT1-2N0 cancer with one or two positive sentinel lymph nodes who undergo breast conservation [...]
  • New device that treats esophageal atresia in infants has been authorized

    on May 18th, 2017
    The FDA has authorized a medical device to treat infants up to age 1 year for esophageal atresia, called the Flourish Pediatric Esophageal Atresia Anastomosis. The device uses magnets attached to two catheters to pull the upper and lower esophagus together, closing the gap for several days until a c[...]
  • Consider invasive mediastinal staging in higher risk NSCLC patients, despite guidelines

    on May 15th, 2017
    FROM THE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY Endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) appears to be cost effective for use in non–small cell lung cancer (NSCLC) staging if the prevalence of mediastinal lymph node metastasis (MLNM) is greater than or equal to[...]
  • Roux-en-Y bests sleeve gastrectomy for weight loss

    on May 9th, 2017
    AT ENDO 2017 ORLANDO (FRONTLINE MEDICAL NEWS) – Roux-en-Y gastric bypass resulted in greater weight loss than sleeve gastrectomy in a study that followed more than 700 patients, an effect that was sustained over time. However, surgical complications were more common than with sleeve gastrectomy, a[...]
  • Think twice before recommending partial meniscectomy

    on May 9th, 2017
    AT OARSI 2017 LAS VEGAS (FRONTLINE MEDICAL NEWS) – Patients with knee osteoarthritis (OA) and a meniscal tear who underwent arthroscopic partial meniscectomy (APM) subsequently experienced accelerated structural progression of their OA, compared with those randomized to physical therapy alone in t[...]
  • Nomogram may direct diabetes patients to best operation

    on May 9th, 2017
    AT THE ASA ANNUAL MEETING PHILADELPHIA (FRONTLINE MEDICAL NEWS) – A nomogram that assigns a disease severity score to individuals with type 2 diabetes may provide a tool that helps surgeons, endocrinologists, and primary care physicians determine which weight-loss surgical procedure would be most [...]
  • Big data study looks at safety of concurrent surgical procedures

    on May 8th, 2017
    AT THE ASA ANNUAL MEETING PHILADELPHIA (FRONTLINE MEDICAL NEWS) – Overlapping and concurrent surgical procedures operations are not uncommon, but data on their safety and quality are scarce. An analysis of the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) d[...]
  • Choice of lap vs. open SBO surgery still hinges on patient selection

    on May 7th, 2017
    AT THE ASA ANNUAL MEETING PHILADELPHIA (FRONTLINE MEDICAL NEWS) – In surgery for small-bowel obstruction, laparoscopy is more likely to result in bowel injury than is open surgery but with ultimately better outcomes overall. This means that surgeons should proceed with “considerable caution” w[...]
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