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Surgery General

Daytime Procedures Following Night Shift Work

Sep 21, 2015

Adverse outcomes of elective daytime surgery appear to be similar, regardless of whether or not surgeons have provided medical services after midnight. The compilation of death, readmission, or compli...

The Vicious Cycle of Ventral Hernia Repair

Sep 21, 2015

Study results suggest that patients with multiple previous hernia repairs appear to be more likely that those with no previous repairs to undergo subsequent reoperations. These patients also tend to h...

Comparing Revascularization Methods

Sep 21, 2015

Hybrid coronary revascularization (HCR)—which combines minimally invasive left internal mammary artery to left anterior descending bypass with PCI of non-left anterior descending vessels—appears t...

Preventing Postoperative Pneumonia

Sep 21, 2015

Pneumonia is a common nosocomial infection that accounts for approximately 2.7% to 3.4% of complications among surgical patients. Nosocomial pneumonia has been linked to high morbidity, mortality, and...

Unprofessional Medical Staff Behavior

Sep 21, 2015

In 2009, the Joint Commission Leadership Standard issued a mandate stating that leaders need to create and maintain a culture of safety and quality throughout hospitals. In 2013, this mandate was upda...

Surgery: Things Left Behind

Sep 18, 2015

I got the call from the radiologist at midday, just as I was about to start my third case in the OR. He called my cellphone directly, unusual for a routine study. “I just looked at Mr. K’s abdo...

Bariatric Surgery & Urinary Incontinence

Sep 09, 2015

American investigators suggest that bariatric surgery appears to substantially reduce urinary incontinence over 3 years among severely obese patients. Weight loss was independently related to urinary ...

Lymph Node Removal & Survival After Gastrectomy

Sep 09, 2015

Study results suggest that the number of lymph nodes removed during gastrectomy for adenocarcinoma appears to have prognostic implications for long-term survival. Among patients with stage IA to IIA d...

Night Shift Work Affects Surgeon’s Biological Rhythm

Sep 09, 2015

Dutch research indicates that working night shifts appears to affect surgeon’s circadian rhythm. Significant differences were observed between the day prior to working the night shift and the day of...

Trends in Preoperative Testing

Sep 08, 2015

Following the release of professional guidance from the American College of Cardiology, the American Heart Association, and the American Society of Anesthesiologists in 2002 on routine preoperative te...

Guidelines: Perioperative Care in Non-Cardiac Surgery

Sep 07, 2015

In 2014, the American College of Cardiology and American Heart Association (ACC/AHA) released an updated guideline on perioperative cardiovascular evaluation and management of patients undergoing non-...

Why Residents Leave Surgery Training

Sep 07, 2015

Over the past decade, surgery residency programs have adopted structural changes to improve attrition rates, such as work-hour restrictions. Despite these changes, resident attrition continues to be p...

Costs of Emergency Vs Elective Surgery

Sep 03, 2015

Study investigators estimate that even a modest reduction in the proportion of emergency procedures performed for three conditions could save nearly $1 billion over 10 years in the United States. Adju...

Comparing Appendiceal Abscess Approaches

Sep 03, 2015

Laparoscopic surgery appears to be safe and feasible as a first-line treatment for appendiceal abscesses when performed by experienced surgeons, according to a study. Readmission rates were 3% for pat...

Coaching Enhances Surgical Skills

Sep 03, 2015

Individualized comprehensive surgical coaching appears to enhance surgical training and result in superior skill acquisition when compared with conventional training, according to published research. ...

Predicting Postoperative Readmission

Sep 03, 2015

University of Wisconsin researchers suggest that bleeding disorders, long operative times, in-hospital complications, functional status, and the need for a higher level of care at discharge appear to ...

Comparing Hernia Repair Approaches

Sep 01, 2015

Among patients with a small umbilical or epigastric hernia, mesh repair appears to halve the long-term risk of recurrence when compared with sutured repair. Researchers found recurrence rates of 10% a...

Atrial Fibrillation: A Welcome Guideline Update

Aug 24, 2015

Studies have shown that the incidence and prevalence of atrial fibrillation (AF) increases as people age. Fortunately, awareness of AF and its associated risk of thromboembolism and stroke have increa...

Elective PCI: Examining How Information Is Presented

Aug 24, 2015

For patients with stable coronary disease, studies have shown that PCI does not reduce the risk for death or myocardial infarction (MI), even when it is added to optimal medical therapy (OMT). “Stud...

Dealing With the Aging Surgeon

Aug 24, 2015

According to published research and anecdotal evidence, the aging surgeon remains a problem throughout hospitals and medical centers across the United States. Some studies have shown that patient mort...

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