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GeneralSurgery

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Modified Frailty Index Predicts Need for Critical Care After Head and Neck Cancer Surgery

The Modified Frailty Index (mFI) accurately predicts the need for postoperative critical care in patients undergoing major head and neck cancer operations, according to a new analysis.  
medscape.com
about 4 years ago
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Clean cut surgery

Infection of the surgical site, a major threat for all postoperative patients and a leading cause of hospital acquired infections, is a particular problem in low resource settings, where rates are double those reported in Europe and the United States.1 With no global approach to instilling best practice, it’s a problem that causes unnecessary morbidity and mortality and strains hospital systems and budgets.  
feeds.bmj.com
about 4 years ago
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Breast Reconstruction Complications and Cancer Recurrence

Commentary published in the British Journal of Surgery on a study about whether wound complications after breast reconstruction surgery affect rates of breast cancer recurrence.  
medscape.com
about 4 years ago
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Long-term QoL Following DIEP Flap Breast Reconstruction

How do patients fare after undergoing deep inferior epigastric perforator (DIEP) flap breast reconstruction? A new study looks at the quality of life impact more than five years after surgery.  
medscape.com
about 4 years ago
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Which Surgery Best for Muscle-Invasive Bladder Cancer?

The debate is perhaps less important than treating many more patients with curative intent than is currently done.  
medscape.com
about 4 years ago
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Nicotine has deleterious effects on wound healing through increased vasoconstriction

Regarding your article supporting the use of e-cigarettes,1 we wholeheartedly endorse any measure that reduces public health harm from smoking. The appropriateness of requiring patients to stop smoking before elective surgery has …  
feeds.bmj.com
about 4 years ago
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Shoulder Arthritis and Replacement

Although used less commonly than knee or hip replacement, shoulder replacement surgery removes diseased or damaged bone in the shoulder and replaces it with an artificial joint. If arthritis pain is unrelieved by other methods, you may need replacement surgery.  
youtube.com
about 4 years ago
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NHS 'Should Do More Weight Loss Ops'

According to experts writing in the BMJ, the NHS needs to provide more weight-loss operations to help tackle the obesity epidemic in the UK. They argue that less than 1% of those who would benefit from surgery will get treatment.  
medscape.com
over 4 years ago
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Symptom Duration Matters in Degenerative Cervical Myelopathy

Patients treated with decompressive surgery within 4 months of symptom presentation show improved outcomes for degenerative cervical myelopathy.  
medscape.com
over 4 years ago
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IPD Reoperation Rates Still Hamper Benefit in Spinal Stenosis

The latest randomized trial again shows similar outcomes to surgery with a percutaneous interspinous process device in patients with lumbar spinal stenosis, but with increased reintervention.  
medscape.com
over 4 years ago
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Crosslinking-Enhanced LASIK Does Not Add Benefit at 6 Months

The addition of corneal crosslinking, recently approved by the FDA, to LASIK surgery does not significantly preserve visual acuity, a prospective study shows.  
medscape.com
over 4 years ago
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Just 20% of Hysterectomies for Pelvic Pain Find Endometriosis

Those found to have endometriosis are twice as likely to undergo oophorectomy at the time of surgery.  
medscape.com
over 4 years ago
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Obstructive Sleep Apnea: Pre-op Screening and Post-op Care

Many patients with obstructive sleep apnea--both adult and pediatric--are undiagnosed before surgery, putting them at increased risk of complications. Should OSA screening be required before surgery?  
medscape.com
over 4 years ago
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Neoadjuvant Chemoradiotherapy and Surgery in Rectal Cancer

A longer waiting interval between the end of neoadjuvant chemoradiotherapy and surgery may increase the rate of pathological complete response in rectal cancer.  
medscape.com
over 4 years ago
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Care for Elderly After Major Surgery Takes Mental, Physical Preparation

After major abdominal surgery, elderly patients are often discharged to postacute care (PAC) facilities even when they are functionally independent and without postoperative complications.  
medscape.com
over 4 years ago
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No need to develop a special interest category for emergency general surgery

Register for a free trial to thebmj.com to receive unlimited access to all content on thebmj.com for 14 days. Sign up for a free trial  
feeds.bmj.com
over 4 years ago
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Five Minutes with … Atul Gawande

The professor of surgery at Harvard Medical School, founder of the Safe Surgery Checklist, and chair of the Lifebox Foundation, talks about the new programme aimed at cutting surgical site infections that currently cause complications in 30% of surgery in low income countries  
feeds.bmj.com
over 4 years ago
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Total Hip Replacement

When a hip joint is injured or has arthritis, it may need to be replaced. See what to expect before and after hip surgery.  
youtube.com
over 4 years ago
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Patient-reported Outcomes After Management of Diverticulitis

Do patients report improvement from their diverticulitis symptoms after surgery? This new study offers some results.  
medscape.com
over 4 years ago