Surgery/Specialties

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FDA: Serious adverse events associated with LVADs

Editor's Note The Food and Drug Administration on August 5 issued a Safety Communication on serious adverse events linked to left ventricular assist devices (LVADs). Two implantable LVADs are approved by the FDA (HeartMate II by Thoratec Corporation and HeartWare HVAD by HeartWare Inc), and serious events have been associated…

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By: OR Manager
August 6, 2015
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Effect of music on OR performance

Editor's Note When surgeons listen to their preferred music, they’re more efficient at closing incisions, and their technique improves, this study finds. Researchers asked 15 plastic surgery residents at the University of Texas to perform layered closures on pigs’ feet. Half the resident worked in a silent OR and half…

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By: OR Manager
August 5, 2015
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ACS Advocating for Critical Access Hospital Relief Act

Editor's Note A central issue discussed at the US House Committee on Ways and Means on July 28 was the Critical Access Hospital (CAH) Relief Act, HR 169, which is supported by the American College of Surgeons (ACS). Currently, for CAHs to receive Medicare Part A reimbursement, physicians must certify…

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By: OR Manager
July 31, 2015
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FDA approves nonsurgical balloon device for bariatric patients

Editor's Note The Food and Drug Administration on July 28 approved a new balloon device to treat obesity without the need for a surgical procedure. The ReShape Integrated Dual Balloon System (ReShape Medical Inc, San Clemente, California) is inserted into the stomach endoscopically and then filled with saline. Patients are…

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By: OR Manager
July 29, 2015
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Study: Cardiac CT angiography damages DNA

Editor's Note Patients exposed to radiation during cardiac computed tomographic angiography had evidence of deoxyribonucleic acid (DNA) damage that was associated with cell death, DNA damage in cells, and activation of genes involved in DNA repair, in this study. Most cells damaged by the CT scan were repaired, but a…

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By: OR Manager
July 24, 2015
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ACS comments on surgeon rating websites

Editor's Note The AmericanCollege of Surgeons calls the usefulness of surgeon rating systems released last week by two public interest group websites questionable. The groups use differing methodologies (ie, years of Medicare data reviewed, procedures studied, and rating scales used) to determine their rankings, and a patient visiting both sites…

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By: OR Manager
July 23, 2015
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Spine device market to reach $6.4B by 2024

Editor's Note A report by Q2 Metrics predicts the US market for spinal implants will reach $6.4 billion by 2024, up from $5 billion this year. The largest product segments include posterior thoracolumbar pedicle screw fixation and traditional anterior cervical plating. There is also strong momentum in hospital and physician…

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By: OR Manager
July 22, 2015
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Effectiveness of hybrid coronary revascularization vs CABG

Editor's Note The use of hybrid coronary revascularization is safe and effective, with faster recovery and similar outcomes compared to conventional coronary artery bypass grafting, this study finds. The 30-day composite of mortality, myocardial infarction, or stroke was similar for both procedures, as was mortality during a 3-year follow-up period.…

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By: OR Manager
July 21, 2015
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Complications higher with regional anesthesia for hip fractures

Editor's Note In this study, patients having hip fracture surgery under regional anesthesia had significantly more complications than patients who received general anesthesia. Spinal anesthesia had the highest complication rate (19.6%), followed by general anesthesia (17.9%), and regional nerve blocks (12.6%). After combining regional nerve block and spinal anesthesia patients,…

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By: OR Manager
July 20, 2015
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Hospital volume linked to postop complications in pediatric urology

Editor's Note Urological procedures performed in children at non-high volume hospitals were associated with a higher overall rate of National Surgical Quality Improvement Program (NSQIP) identified postoperative complications, compared with high volume hospitals (11.6% vs 9.3%), in this study. After adjusting for confounding factors, patients at non-high volume hospitals were…

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By: OR Manager
July 17, 2015
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