Surgery

  • New data signal paradigm shift in FMD and arterial disease

    on January 13th, 2017
    AT THE NORTHWESTERN VASCULAR SYMPOSIUM CHICAGO (FRONTLINE MEDICAL NEWS) – New data have shown that fibromuscular dysplasia is associated with high rates of dissection and/or aneurysm, and emerging recommendations call for routine imaging early on in the diagnosis of FMD to monitor for these vascul[...]
  • LAA closure during cardiac surgery cuts late mortality

    on January 12th, 2017
    AT THE AHA SCIENTIFIC SESSIONS NEW ORLEANS (FRONTLINE MEDICAL NEWS) – Surgical left atrial appendage closure at the time of open heart surgery in patients with atrial fibrillation doesn’t decrease patients’ early or late risk of stroke, but it does substantially reduce their risk of late morta[...]
  • Older adults can sustain asymptomatic cervical fractures

    on January 11th, 2017
    HOLLYWOOD, FLA. (FRONTLINE MEDICAL NEWS) – Silent cervical fractures may be common among older trauma patients, a retrospective study has determined. The 4-year review found that 21% of older patients with a confirmed C-spine fracture reported no pain on history or physical exam, and that 76% of t[...]
  • High-intensity statins cut amputations and mortality in PAD

    on January 10th, 2017
    AT THE AHA SCIENTIFIC SESSIONS NEW ORLEANS (FRONTLINE MEDICAL NEWS) – High-intensity statin therapy in patients with peripheral artery disease was associated with significant reductions in amputations as well as mortality during up to 5 years of follow-up in the first large study to examine the re[...]
  • Longer follow-up needed to track mesh explantation trends

    on January 9th, 2017
    FROM THE JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS Explantation of mesh used in ventral hernia repair occurs in approximately 1 of every 1,000 surgeries, but it’s a “hidden” morbidity because it almost always happens well after the 30- to 90-day window in which postoperative complications ar[...]
  • Lightweight mesh linked to longer LOS, worse QOL

    on January 9th, 2017
    FROM THE AMERICAN JOURNAL OF SURGERY Compared with midweight mesh, lightweight mesh was associated with more surgical site infection and longer hospital stay following open ventral hernia repair, according to a report published in the American Journal of Surgery. In addition, lightweight mesh was as[...]
  • Mesh fixation method had no impact on chronic postop pain in TAPP

    on January 6th, 2017
    FROM ACS CLINICAL CONGRESS WASHINGTON (FRONTLINE MEDICAL NEWS) – Mesh fixation technique is not a factor in persistent pain after transabdominal preperitoneal (TAPP) groin hernia surgery, a study showed. “Persistent pain is a well-known phenomenon after groin hernia surgery,” said Jakob Burcha[...]
  • In NSCLC, delayed chemo yields survival benefit comparable to early chemo

    on January 6th, 2017
    FROM JAMA ONCOLOGY Patients with non–small-cell lung cancer (NSCLC) for whom adjuvant chemotherapy must be delayed for as long as 18 weeks have mortality outcomes that are no worse than those of patients who start chemotherapy soon after surgery, and those who undergo delayed chemotherapy have a s[...]
  • How to reduce readmissions after vascular procedures

    on January 5th, 2017
    AT THE NORTHWESTERN VASCULAR SYMPOSIUM CHICAGO (FRONTLINE MEDICAL NEWS) – As Medicare ratchets up penalties for readmissions and hospitals scrutinize procedures such as carotid interventions and lower extremity bypass that have traditionally high readmission rates, a four-phase model that assesses[...]
  • Point/Counterpoint: Is limb salvage always best in diabetes?

    on January 3rd, 2017
    Salvage limbs at all costs Aggressive limb salvage in people with diabetes leads to an overall reduction in cost not only economically, but also from the patient’s perspective. The vast majority of diabetic patients with critical ischemia are actually good candidates for limb salvage. Tragically, [...]
  • Malpractice issues tied to bariatric surgery explored

    on December 29th, 2016
    AT OBESITY WEEK 2016 NEW ORLEANS (FRONTLINE MEDICAL NEWS) – The first-ever analysis of medical malpractice closed claims involving bariatric surgeons spotlights key opportunities for improvement for the surgical specialty, Eric J. DeMaria, MD, declared at Obesity Week 2016. Four of the nation’s [...]
  • Confirmation CT prevents unnecessary pulmonary nodule bronchoscopy

    on December 22nd, 2016
    FROM ANNALS OF The AMERICAN THORACIC SOCIETY It’s probably a good idea to do a repeat CT the morning of a scheduled bronchoscopy to make sure the pulmonary nodule is still there, according to investigators from Johns Hopkins University, Baltimore. From Jan. 2015 to June 2016, 116 patients there we[...]
  • ‘Negative’ appendectomy = longer LOS, higher morbidity

    on December 22nd, 2016
    FROM THE AMERICAN JOURNAL OF SURGERY Among adults, “negative” appendectomy, or appendectomy in which the surgeon discovers there is no appendicitis, is associated with a prolonged hospital stay, greater morbidity, and higher costs than is curative nonperforated appendectomy, according to a repor[...]
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