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FDA approves opioid tablet designed to deter abuse if crushed

STS NewsWatch - Mon, 07/28/2014 - 4:30pm
The Food and Drug Administration on July 24 approved an opioid tablet formulated to deter abuse if crushed, the agency announced.

Enteral contrast did not add diagnostic benefit in suspected appendicitis

STS NewsWatch - Mon, 07/28/2014 - 3:42pm
Enteral contrast did not augment the accuracy of computed tomography in appendectomy patients, compared with intravenous contrast CT alone, according to a large multihospital

Laparoscopy found effective alternative to open IBD surgery

STS NewsWatch - Mon, 07/28/2014 - 3:36pm
In an urban colorectal surgery department, a near-doubling in the proportion of surgical procedures performed laparoscopically accompanied significant declines in both severe postoperative morbidity and conversions to laparotomy, in a 14-year, single-hospital study reported in Annals of Surgery.

Bariatric surgery results may include improved sexual function for female patients

STS NewsWatch - Fri, 07/25/2014 - 3:09pm
WASHINGTON (FRONTLINE MEDICAL NEWS) – Obese women experienced significant improvements in sexual function over 6-24 months after bariatric surgery in a multistudy review, indicating that this outcome should be listed among the possible benefits of surgery in this patient population, Dr. Kalaivani Ramalingam said at a joint annual meeting of the American Urogynecologic Society.

Prevention program led to steep drop in postop pneumonia cases

STS NewsWatch - Wed, 07/23/2014 - 3:00pm
A quality improvement program cut postoperative pneumonia rates by 43.6%, investigators reported July 23 in JAMA Surgery.

ERAS program for colorectal surgery cut length of stay, costs in community setting

STS NewsWatch - Wed, 07/23/2014 - 3:00pm
A hospital’s program to enhance recovery after colorectal surgery cut length of stay by 3 days and saved up to $4,800 per patient without increasing postoperative morbidity or 30-day readmission rates, investigators reported online July 23 in JAMA Surgery.

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.
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