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Surgery General

Robotic Technology Enhances TKR

Oct 24, 2014

According to recent estimates, more than 4.7 million Americans are currently living with a prosthetic knee. The incidence of total knee replacement (TKR) increased by 120% from 2000 to 2009, but it ha...

Sentinel Lymph Node Biopsy in Early-Stage Breast Cancer

Oct 24, 2014

In 2005, the American Society of Clinical Oncology (ASCO) first published evidence-based clinical practice guidelines for using sentinel node biopsy (SNB) in patients with early-stage breast cancer. I...

Surrogate Decision Making for Older Hospitalized Adults

Oct 19, 2014

The aging population has led to a greater number of older adults being hospitalized with various conditions, but many of these individuals have impaired cognition. “These patients often face major d...

ACS 2014

Oct 16, 2014

New research is being presented at ACS 2014, the American College of Surgeons 2014 Annual Clinical Congress, from October 26 to 30 in San Francisco.   Meeting Highlights Assessing Onli...

Anesthesiology 2014: Comparing Anesthesia Types for Hip Fracture Surgery

Oct 14, 2014

The Particulars: Researchers have hypothesized that regional anesthesia may reduce the risk of postoperative mortality among patients undergoing a range of surgical procedures. However, findings of st...

Anesthesiology 2014: Comparing Anesthesia Types for Colectomy

Oct 14, 2014

The Particulars: Studies have shown that anesthesia type can play a role in perioperative outcomes for relatively minor surgeries like knee arthroplasty. However, little is known about these effects f...

Anesthesiology 2014: Declining Rates of Adverse Events During Anesthesia

Oct 14, 2014

The Particulars: Understanding factors associated with anesthetic complications and “near misses” may help prevent perioperative complications and improve patient safety. However, data are lacking...

Anesthesiology 2014: Anesthesiologist-Led Care for TKA Patients

Oct 14, 2014

The Particulars: The high perioperative and postoperative costs associated with total knee arthroplasty (TKA) along with increasing demand from the aging United States population is placing greater fi...

Anesthesiology 2014: Trends in Postoperative Pain Severity

Oct 14, 2014

The Particulars: Previous research found that postoperative pain management did not appear to improve from 1995 to 2002. Since that time, there has been greater attention on pain management in the hos...

Spine Surgery & Preoperative Psychological Assessments

Oct 13, 2014

The United States Preven-tive Services Task Force (USPSTF) recommends that pre-surgical psychological screening (PPS) be used in clinical practice to assure that a patient’s diagnosis is correct, to...

Anesthesia vs. Surgery: Can't We All Just Get Along?

Oct 13, 2014

A surgeon did an operation under local anesthesia with sedation in a very anxious, elderly patient. Everyone was aware of the patient's anxiety, and she was maintained on midazolam (Versed) by an anes...

A Conservative Approach to Lymph Node Removal

Oct 13, 2014

Until recently, guidelines recommended complete axillary node dissection in women with breast cancer for whom their sentinel node biopsy was positive. However, patients who undergo this procedure rout...

Ruptures and Redo’s

Oct 09, 2014

Today was hernia day in the office. That wasn’t the intent; it was just the way the referrals came in. Four out of five new patients this afternoon had either complex or recurrent hernias. I seem to...

A Novel Technique for Gall Bladder Removal?

Sep 29, 2014

The saying used to be, "You can get any paper published if you have enough stamps." Now with electronic submission, you don't even need the stamps. A retrospective study comparing single-incision l...

Anesthesiology 2014

Sep 26, 2014

New research is being presented at Anesthesiology 2014, the annual meeting of the American Society of Anesthesiologists, from October 11 to 15 in New Orleans.   Meeting Highlights Trends...

A Critical View of Low-Value Medical Care

Sep 25, 2014

Traditionally, the value of medical care has been determined by the effectiveness and safety of a given intervention, regardless of that intervention’s cost. The current goal is to provide the highe...

Guiding Follow-Up Care in Breast Cancer

Sep 22, 2014

In 2006, the American Society of Clinical Oncology (ASCO) issued practice guidelines on the follow-up and management of patients with breast cancer who have completed primary therapy with curative int...

Blood Transfusions & Infection Risk

Sep 19, 2014

Studies have shown that red blood cell (RBC) transfusions are commonly performed, with approximately 14 million units transfused in 2011 in the United States. RBC transfusions can modulate the immune ...

Medicine 2064

Sep 17, 2014

Medicine 2064 With Dr. Daniel Kraft Curing half of the world's known cancers, granting movement to the paralyzed, preventing Alzheimer's. Visionary medical expert Dr. Daniel Kraft believes all ...

TCT 2014: Comparing TAVR to Surgery in Intermediate-Risk Patients

Sep 16, 2014

The Particulars: Many studies have compared transcatheter aortic-valve replacement (TAVR) and surgical aortic valve replacement in high-risk patients. However, few studies have assessed how these valv...

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