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Surgery General

Transapical Vs Transfemoral TAVR

Aug 12, 2015

American researchers suggest that vasculopathic patients who undergo transapical transcatheter aortic valve replacement (TAVR) appear to be more likely to experience adverse events and longer recovery...

Patient Satisfaction & Surgical Quality

Aug 12, 2015

Study results indicate that patients with high satisfaction scores appear to experience significantly higher surgical quality when compared with those with low satisfaction scores. Patients with high ...

Bundled Approach Reduces SSIs

Aug 12, 2015

Among patients undergoing cardiac or orthopedic surgery, a bundled intervention consisting of Staphylococcus aureus screening, decolonization, and targeted prophylaxis appears to significantly decreas...

Comparing Appendicitis Approaches

Aug 12, 2015

Finnish research suggests that antibiotic treatment for patients with CT-proven, uncomplicated appendicitis does not appear to be inferior to appendectomy. Among patients who received antibiotic treat...

Effects of Laparoscopic Colectomy

Aug 12, 2015

Laparoscopic colectomy appears to significantly reduce short- and long-term healthcare utilization and costs, according to a study. At 90 days, open colectomy was associated with 1.26-fold higher cost...

Comparing Where TAVR is Performed

Aug 10, 2015

Transcatheter aortic-valve replacement (TAVR) procedures were initially developed to be a fully percutaneous alternative to open surgical replacement. As these procedures have been approved globally, ...

Examining the Use of Minimally Invasive Surgery

Aug 10, 2015

According to published research, surgical complications are a substantial burden in the United States, costing an estimated $25 billion annually and accounting for many readmissions. However, studies ...

Preoperative Frailty Screening & Palliative Care

Aug 10, 2015

Frail surgery patients are at greater risk of death and poor outcomes after their procedure than other patients. Recognition of frailty and its associated risks is important because it can inform shar...

Too Old to Operate?

Aug 05, 2015

He was 94 years old and was in my office because his gallstones were becoming a problem. They had been diagnosed 2 years earlier when he had an ultrasound for an unrelated problem. At that time they w...

After Poor Outcomes, Neurosurgeon Arrested for Assault

Aug 03, 2015

It's time to catch up with America's most notorious neurosurgeon, Dr. Christopher Duntsch. Two years ago, I blogged about his misadventures in spine surgery, originally detailed in an article in the T...

Patient Factors in Bariatric Surgery

Aug 01, 2015

Gastric bypass surgery and laparoscopic adjustable gastric banding are two commonly performed bariatric procedures in the United States, but each has different profiles for risk and effectiveness. Few...

Assessing Laparoscopic Repair of PEH

Jul 27, 2015

Laparoscopic repair of paraesophageal hernia (PEH) using a biological mesh appears to result in excellent long-term quality of life (QOL), according to Johns Hopkins researchers. Overall QOL scores im...

Defining Rx Opioid Overdose Risk

Jul 27, 2015

Patients who use multiple pharmacies concurrently and have overlapping opioid prescriptions appear to be at greater risk for opioid overdoses than others, according to a study. Patients who used four ...

An Approach to Cutting SSI Rates

Jul 27, 2015

Preoperative MRSA decontamination with chlorhexidine washcloths as well as oral rinse and intranasal povidone-iodine appears to significantly decrease surgical site infection (SSI) rates among patient...

Charge Awareness & Pediatric Appendectomy

Jul 27, 2015

Consumers can typically compare prices before making purchases for most industries in the United States, but the same is not necessarily true in healthcare, a sector of the economy that accounts for m...

Surgical Resection & NSCLC

Jul 27, 2015

Among highly selected patients with stage IIIB non-small cell lung cancer (NSCLC), surgical resection appears to improve overall survival when used as a part of multimodality therapy. NSCLC patients w...

Predicting Discharge to Post-Acute Care

Jul 27, 2015

A study has found that conducting individualized risk assessments of discharge to post-acute care can be predicted with excellent accuracy among surgical patients. Significant predictors of discharge ...

It Ain’t What You Don’t Know...

Jul 24, 2015

A while back, I was on call on a Saturday night when we got a notification of an incoming trauma, an intoxicated 40-year-old man who had fallen off a barstool and had a scalp laceration. He had a brie...

Reducing Imaging Use in Pediatric Appendicitis

Jul 13, 2015

Use of ultrasound as the first imaging modality to diagnose pediatric appendicitis appears to have increased between 2008 and 2013, according to a study. The authors suggest that educational campaigns...

Reducing Pediatric Radiation Exposure

Jul 13, 2015

Using decision support systems in pediatric patients appears to help physicians select imaging modalities that lower radiation exposure and align with current guidelines, according to recent research....

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