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Surgery General

Varied Use of Drug-Eluting Stents: Examining the Effect

Feb 12, 2013

Research has shown that drug-eluting stents (DES) effectively help reduce restenosis, with a 50% to 70% relative risk reduction in target vessel revascularization (TVR) rates. “Drug-eluting stents h...

ISC 2013: Minimally Invasive Surgery for Hemorrhagic Stroke

Feb 08, 2013

The Particulars: Currently, there is no specific, evidence-based targeted treatment that has been recommended by professional societies for intracerebral hemorrhagic stroke. There is also no long-term...

Anesthesia Training: Private Vs Academic Settings

Feb 06, 2013

Private practice anesthesiology training appears to be preferred over academic rotations by emergency medicine residents, according to a University of Utah analysis. For those trained in private pract...

Comparing Treatments in Vertebral Fractures

Feb 04, 2013

Percutaneous therapy for treating patients with bony malignancy and vertebral fractures appears to significantly reduce costs and lengths of stay when compared with surgery. A retrospective review dem...

A Look at Partial Nephrectomy in Medicare Patients

Feb 04, 2013

Researchers at Fox Chase Cancer Center have found that partial nephrectomy appears to have a statistically significant survival benefit when compared with radical nephrectomy for patients older than 6...

Surgical-Site Antisepsis in Cesarean Deliveries

Jan 31, 2013

Rates of surgical site infection (SSI) appear to be similar between cesarean deliveries using chlorhexidine-alcohol and those using povidone-iodine. A retrospective cohort review found that the durati...

STS 2013: CABG Bests PCI in Long-Term Outcomes

Jan 29, 2013

The Particulars: Optimal treatment approaches vary in the treatment of stable, multivessel coronary artery disease. Evolving technology, variable study designs, and differing interpretations of result...

STS 2013: Lung Transplants From Heavy Smokers

Jan 29, 2013

The Particulars: The general consensus among experts is that lung transplantation using donor organs from those who smoked heavily may worsen prognosis. However, a shortage of donors has sparked effor...

STS 2013: Suction or Waterseal Drainage After Lung Resection?

Jan 29, 2013

Purpose: Pleural suction is used after lung resection in order to promote lung expansion and minimize air leak duration. Published randomized trials failed to prove this advantage but they are limited...

STS 2013: Tri-Modality Therapy for Superior Sulcus NSCLC

Jan 28, 2013

Purpose: Trimodality therapy incorporating preoperative chemotherapy (cisplatin-etoposide, CisP/Etop), radiation, and surgery is generally considered the standard of care for Superior Sulcus (SS) canc...

STS 2013: Vein Graft External Support System for CABG

Jan 28, 2013

Purpose: Vein graft failure has been attributed to increased pressure in the venous conduit. Previous animal studies have demonstrated that external support for these grafts have resulted in a reducti...

STS 2013: Postop AF Rates With CorMatrix ECM for Pericardial Closure

Jan 28, 2013

Purpose: Atrial fibrillation (AF) is the most common postoperative complication following coronary artery bypass graft (CABG). Since postoperative hemodynamics involve constriction of pericardium, we ...

STS 2013: No-touch Saphenous Vein for CABG

Jan 28, 2013

Purpose: Injury incurred during saphenous vein harvesting results in poor graft patency and impairs the results of coronary artery bypass grafting surgery. A novel harvest method, the No-touch techniq...

STS 2013: Home Discharge with a Total Artificial Heart

Jan 28, 2013

Purpose: The pneumatic pulsatile Total Artificial Heart (TAH) has emerged as an effective, life-saving means of bridging-to-transplantation (BTT) patients at imminent risk of death from biventricular ...

STS 2013: AVR Via Right Mini-Thoracotomy

Jan 28, 2013

Purpose: The adoption of Minimally Invasive Aortic Valve Replacement (MIAVR) through a right mini-thoracotomy is still limited by the small operating field, the longer cardiopulmonary bypass time comp...

STS 2013: Warfarin in High-Risk Pregnancy with MHVP

Jan 28, 2013

Purpose: Low-dose warfarin throughout pregnancy (≤5 mg/day) was suggested to be safe in patients with mechanical heart valve prosthesis (MHVP). Being only shown in selected small low-risk groups, we...

STS 2013: The Engager Multicenter European Pivotal Trial

Jan 28, 2013

Purpose: Optimal TAVI results require accurate valve positioning, possibly including anatomically correct orientation and secure fixation within the aortic annulus, thereby potentially decreasing para...

STS 2013: The Combined UK Cardiac Surgical and TAVI Registries

Jan 28, 2013

An Analysis of Activity, Trends, and Outcomes in 36,026 Patients Who Underwent Aortic Valve Intervention in the 5 Years from 2006–2010 Purpose: The interventional management of aortic valve disea...

Examining Chronic Opioid Use in TKA

Jan 27, 2013

Consensus statements on the management of knee osteoarthritis have not thoroughly addressed the use of opioid medications in patients undergoing total knee arthroplasty (TKA). In order to reduce posto...

Remediation & Attrition in General Surgery Residents

Jan 27, 2013

The Accreditation Council for Graduate Medical Education (ACGME) unveiled a new model to measure resident performance in 1999 that endorsed six general competencies. These include patient care, medica...

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