Surgery/Specialties

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February 2018
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Study: No advantages to robotic-assisted nephrectomy

Editor's Note Robotic-assisted nephrectomy is more expensive and takes longer than conventional laparoscopic nephrectomy and confers no additional benefits, this study finds. The proportion of robotic-assisted nephrectomies increased from 1.5% in 2003 to 27% in 2015. Of 23,753 patients analyzed, no significant differences were found in major postoperative complications between…

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By: Judy Mathias
October 31, 2017
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FDA: Increased rate of major adverse events with Absorb GT1 Bioresorbable Vascular Scaffold

Editor's Note The Food and Drug Administration (FDA) on October 31 issued a Safety Alert saying that interim study results continue to show an increased rate of major adverse cardiac events and Bioresorbable Vascular Scaffold (BVS) thrombosis in patients receiving the Absorb GT1 BVS by Abbott Vascular (Abbott Park, Illinois),…

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By: Judy Mathias
October 31, 2017
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Belly fat predicts adverse outcomes after emergency surgery

Editor's Note A patient’s waist measurement can predict the risk of complications and death after emergency general surgery, finds this study presented October 26 at the American College of Surgeons Clinical Congress 2017 in San Diego. Included in the study were 608 emergency general surgery patients who had preoperative CT…

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By: Judy Mathias
October 30, 2017
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RTI Surgical announces 3D-printed cervical interbody device

Editor's Note RTI Surgical (Alachua, Florida) on October 25 launched its Fortilink-C interbody fusion system with Tetrafuse 3D technology, the October 26 Becker’s Spine Review reports. Tetrafuse 3D technology combines titanium, allograft bone, and PEEK all in one device. The 3D-printed, polymer-based, cervical interbody device incorporates micro, macro, and nano-rough…

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By: Judy Mathias
October 30, 2017
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Total joint patients using fewer opioids to manage postop pain

Editor's Note Opioid use in total hip and knee patients decreased by one-third between 2006 and 2014, which reflects success in the use of a multimodal approach (ie, opioids plus additional pain management methods, such as peripheral nerve blocks and acetaminophen) to pain management, finds this study presented October 21…

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By: Judy Mathias
October 27, 2017
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Nonoperative treatment of appendicitis linked to higher death rate

Editor's Note Twice as many patients with appendicitis are being treated without surgery compared to 20 years ago; however, nonoperative management is associated with a higher death rate, finds this study presented October 26 at the American College of Surgeons Clinical Congress 2017 in San Diego. A total of  477,680…

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By: Judy Mathias
October 27, 2017
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Study: Cloth skull caps more effective than bouffant disposable caps in preventing airborne contamination

Editor's Note Surgeon’s cloth skull caps that expose small amounts of the ears and hair are not inferior to bouffant disposable hats that cover those features, finds this study presented October 25 at the American College of Surgeons Clinical Congress 2017 in San Diego and published online October 26 in…

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By: Judy Mathias
October 26, 2017
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Most hip fractures occur in warm months, indoors

Editor's Note Most elderly hip fractures occur during warm months, and a greater number happen indoors rather than out, finds this study presented October 23 at the Anesthesiology 2017 annual meeting in Boston. In this analysis of 544 hip fracture patients treated at The Hospital of Central Connecticut from 2013…

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By: Judy Mathias
October 25, 2017
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Bariatric surgery patients at risk for new prolonged opioid use

Editor's Note Bariatric surgery patients have a much higher rate of newly persistent postoperative opioid use than general surgery patients, finds this study presented October 23 at the American College of Surgeons 2017 Clinical Congress in San Diego. Of 14,063 bariatric surgery patients in the Michigan Bariatric Surgery Collaborative who…

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By: Judy Mathias
October 24, 2017
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Preop antibiotics significantly lower SSI risk in left colorectal surgery

Editor's Note Adding oral antibiotics to mechanical bowel preparation for left colorectal cancer surgery significantly lowered the rate of surgical site infections (SSIs), but the effect was marginal in right-colon resections, this study finds. For 89 patients having left colorectal resections, the rate of SSIs was 27% with mechanical bowel…

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By: Judy Mathias
October 23, 2017
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