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Study provides cancer risk estimates among women undergoing morcellation

STS NewsWatch - Tue, 07/22/2014 - 11:56am
An estimated 1 in 370 women who undergo electric power morcellation during a minimally invasive hysterectomy have uterine cancer, with the risk of cancer and endometrial hyperplasia markedly increasing with age, according to an analysis using an insurance database of more than 500 U.S. hospitals.

Weekend surgery poses greater risks for children than weekday surgeries

STS NewsWatch - Mon, 07/21/2014 - 2:28pm
Children receiving common urgent surgeries on the weekend face greater risks of death, blood transfusions, and surgical complications, according to a recent study.

Preadmission NSAID use found protective against trauma-induced coagulopathy

STS NewsWatch - Mon, 07/21/2014 - 12:56pm
The use of nonsteroidal anti-inflammatory drugs before hospital admission for severe blunt injury is associated with a reduced incidence of trauma-induced coagulopathy, results from a secondary analysis of a prospective cohort study demonstrated.

FDA panel recommends informed consent, labeling changes to address morcellator risk

STS NewsWatch - Thu, 07/17/2014 - 3:11pm
SILVER SPRING, MD. (FRONTLINE MEDICAL NEWS) – A requirement for informed consent outlining the risks of morcellation of unsuspected malignancies in women treated with laparoscopic power morcellators for presumably benign fibroids was among the recommendations made by a Food and Drug Administration advisory panel.

VIDEO: Consider cognitive function in elderly before surgery

STS NewsWatch - Wed, 07/16/2014 - 4:02pm
COPENHAGEN (FRONTLINE MEDICAL NEWS) – Almost half of patients with mild cognitive impairment progressed to dementia within 1 year of undergoing either arthroplasty or coronary angiography, according to a small Australian study.

Damage control resuscitation practices improving combat casualty outcomes

STS NewsWatch - Wed, 07/16/2014 - 3:00pm
Damage control resuscitation practices, adopted by the U.S. military in 2006, appear to have resulted in fewer deaths of salvageable patients in combat hospitals, according to results of a new study.

Survival benefit from contralateral prophylactic mastectomy small

STS NewsWatch - Wed, 07/16/2014 - 3:00pm
The absolute 20-year survival benefit from contralateral prophylactic mastectomy stands at less than 1%, regardless of age, estrogen receptor status, and cancer stage, a decision analysis demonstrated.

'Dramatic pace' seen in progress toward bionic pancreas

STS NewsWatch - Wed, 07/16/2014 - 8:59am
LAS VEGAS (FRONTLINE MEDICAL NEWS) – Advances in developing a so-called bionic pancreas that seamlessly and automatically mimics pancreatic endocrine function in patients with diabetes is far ahead of projections, according to Dr. Jay S. Skyler.

Hypoglycemia common after bariatric surgery

STS NewsWatch - Tue, 07/15/2014 - 1:33pm
SAN FRANCISCO (FRONTLINE MEDICAL NEWS) – Hypoglycemic episodes were common and largely unnoticed after bariatric surgery,

Transcatheter mitral valve replacement reboots

STS NewsWatch - Tue, 07/15/2014 - 12:54pm
PARIS (FRONTLINE MEDICAL NEWS) – Transcatheter mitral valve replacement finally took off this year, but it may keep a low profile short-term as investigators gain more clinical experience with transcatheter systems and slowly start to define the right types of patients for this procedure.

Bicuspid aortic valve repair keeps getting better

STS NewsWatch - Mon, 07/14/2014 - 4:46pm
NEW YORK (FRONTLINE MEDICAL NEWS) – Bicuspid aortic valve repair with reimplantation is feasible with very good midterm outcomes, and the results are getting better as techniques are refined, according to a study presented by Dr. Joseph E. Bavaria at a meeting sponsored by the American Association for Thoracic Surgery.

Specialists drive overtreatment of low-risk prostate cancer

STS NewsWatch - Mon, 07/14/2014 - 3:00pm
Low-risk prostate cancer in older men is still being overtreated, according to two separate studies that examined the issue from different perspectives, both of which were published online July 14 in JAMA Internal Medicine.

Hospital use of minimally invasive surgery shows disparity in surgical care nationwide

STS NewsWatch - Mon, 07/14/2014 - 1:03pm
The use of minimally invasive surgery for appendectomy, colectomy, hysterectomy, and lung lobectomy varies widely in the United States, even though the complication rates were lower from each procedure than with open surgery, results from a large retrospective study demonstrated.

ADSORB 1-year results show efficacy of endografting in type B aortic dissection

STS NewsWatch - Mon, 07/14/2014 - 12:50pm
NEW YORK (FRONTLINE MEDICAL NEWS) –A significantly higher percentage of patients achieved false lumen thrombosis in the best medical therapy plus stent group, compared with those who received only BMT, based on 1-year results of the ADSORB trial.

Stentless aortic bioprosthesis: Good 1-year outcomes, 'remarkable' functional improvement

STS NewsWatch - Mon, 07/14/2014 - 12:21pm
TORONTO (FRONTLINE MEDICAL NEWS) – In a multicenter European study, 30-day mortality and 1-year mortality after implantation of the stentless Freedom Solo aortic bioprosthetic valve were 1.4% and 4.4%, respectively. Patients in the study experienced “remarkable” functional status improvement at 1 year, reported principal investigator Dr. Markus Thalmann at the annual meeting of the American Association for Thoracic Surgery.

Long-actingopioid prescribing rate highest in Maine

STS NewsWatch - Fri, 07/11/2014 - 4:03pm
The prescribing rate for long-acting/extended-release opioid pain relievers in Maine, which is the highest in the country, is more than five times higher than that of Texas, which has the lowest rate, the Centers for Disease Control and Prevention reported.

VIDEO: 'Improve but do not abandon power morcellation'

STS NewsWatch - Fri, 07/11/2014 - 3:49pm
SILVER SPRING, MD. (FRONTLINE MEDICAL NEWS) – Without power morcellation, the number of hysterectomies performed using an open approach would dramatically increase – and the combined mortality from laparoscopic hysterectomy and potential dissemination of leiomyosarcoma would be less than that of open hysterectomy, according to testimony given July 11 at a Food and Drug Administration expert panel meeting.

VIDEO: Public testimony gets heated at FDA panel meeting on morcellation

STS NewsWatch - Fri, 07/11/2014 - 12:48pm
SILVER SPRING, MD. (FRONTLINE MEDICAL NEWS) – Power morcellation devices should be never used for gynecologic procedures, Dr. Hooman Noorchashm testified to a Food and Drug Administration expert panel on July ll.

VIDEO: Lasers The scar treatment tools you already have

STS NewsWatch - Fri, 07/11/2014 - 10:54am
DANA POINT, CALIF. – When you think of lasers, do you consider them as the standard of care for treatment of a range of scars, from dog bites to burns? If not, Dr. Jill Waibel, director of the Miami Dermatology and Laser Institute, thinks you should.
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