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GeneralSurgery

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Does Strabismus Surgery Improve Quality and Mood, and What Factors Influence This?: Abstract and Introduction

Abstract and Introduction: Strabismus surgery leads to significant improvements in quality of life up to 6 months postoperatively for most, but not all, patients; risk factors can help predict outcomes.  
medscape.org
over 4 years ago
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ULTRASOUND – FASTING FOR SURGERY

We’ve held on to our strict fasting regimes for decades. Gastric ultrasound is here to help us individualise our fasting rules a bit more. Gastric ultrasound has lots of uses, and lately it’s become fashionable to use it for evaluating surgical patients immediately pre-op to see if they’re fasted.  
scancrit.com
over 4 years ago
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Osteoporosis in Cervical Spine Surgery

Osteoporosis may contribute to a greater likelihood of postoperative complications and a longer hospital stay following cervical spine procedures.  
medscape.com
over 4 years ago
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Patients With Mental Illness Fare Worse After Hip Surgery

People with psychiatric illnesses are more likely to have complications after hip replacement surgery, according to a recent analysis.  
medscape.com
over 4 years ago
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Metastectomies: Local Approaches to Breast Cancer Metastases

In expert panel reported on the increasing the use of radiation therapy and surgery to control low-volume metastatic disease in patients with breast cancer, as part of the 2016 EBCC in Amsterdam.  
medscape.com
over 4 years ago
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Total hip arthroplasty after hip fracture

Outcomes for patients with osteoporotic hip fracture are poor and have been for decades.1 Patients are still left with persistently high rates of morbidity, mortality, decline in function, and loss of independence.2 3 Attempts to improve outcomes have led to evolving approaches to treatment. In older adults, internal fixation for displaced intracapsular hip fractures has largely been supplanted by hemiarthroplasty (or “partial” hip replacement), which is associated with lower rates of revision surgery and better overall outcomes.4 More recently, in this population there has been a push to increase the use of total hip arthroplasty (THA)—an intervention used more commonly for arthritis of the hip—because of the potential for a better return to functional mobility and, therefore, independence.5  
feeds.bmj.com
over 4 years ago
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Total hip arthroplasty after hip fracture

Outcomes for patients with osteoporotic hip fracture are poor and have been for decades.1 Patients are still left with persistently high rates of morbidity, mortality, decline in function, and loss of independence.2 3 Attempts to improve outcomes have led to evolving approaches to treatment. In older adults, internal fixation for displaced intracapsular hip fractures has largely been supplanted by hemiarthroplasty (or “partial” hip replacement), which is associated with lower rates of revision surgery and better overall outcomes.4 More recently, in this population there has been a push to increase the use of total hip arthroplasty (THA)—an intervention used more commonly for arthritis of the hip—because of the potential for a better return to functional mobility and, therefore, independence.5  
feeds.bmj.com
over 4 years ago
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A Brief Summary of Inhalational Anaesthetics

If you’ve ever needed a tooth out, or had surgery of any kind, chances are you’ll have experienced use of an inhalational anaesthetic. All of the compounds shown above can induce general anaesthesia, and a range have been utilised since the initial discovery of nitrous oxide in the mid-1800s. Often, intravenous drugs will be used for induction of anaesthesia, but inhalational agents may then be used to maintain this – this graphic looks at how the drugs in use for this purpose have varied over the years.  
compoundchem.com
over 4 years ago
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Smokers and overweight patients are denied surgery, royal college finds

Over a third of clinical commissioning groups (CCGs) in England are restricting access to routine surgery such as hip and knee replacements until patients stop smoking or lose weight, a report by the Royal College of Surgeons has found.  
feeds.bmj.com
over 4 years ago
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ACOG Releases Statement on Breast, Genital Surgery in Teens

Patient education on the wide variability of normal development is the best first step, according to the American College of Obstetricians and Gynecologists.  
medscape.com
over 4 years ago
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Diabetes team finalists

The scale of the twin epidemics of obesity and type 2 diabetes is daunting. “Back in 2012 there was a tendency to see it as hopeless,” says David Unwin, senior partner at the Norwood Surgery in Southport. “I think we were a little demoralised. We were particularly concerned about younger patients, who we felt were at the greatest risk of the long term effects of diabetes. So we trialled the idea of a more collaborative approach, identifying patients’ personal health goals and linking them with a low carbohydrate diet.”  
feeds.bmj.com
over 4 years ago
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Diabetes team finalists

The scale of the twin epidemics of obesity and type 2 diabetes is daunting. “Back in 2012 there was a tendency to see it as hopeless,” says David Unwin, senior partner at the Norwood Surgery in Southport. “I think we were a little demoralised. We were particularly concerned about younger patients, who we felt were at the greatest risk of the long term effects of diabetes. So we trialled the idea of a more collaborative approach, identifying patients’ personal health goals and linking them with a low carbohydrate diet.”  
feeds.bmj.com
over 4 years ago
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Office-Based Cataract Surgery Safe and Effective

In-office cataract surgery provided patient outcomes comparable to hospital-based procedures while minimizing direct medical costs, a large, population-based study has found.  
medscape.com
over 4 years ago
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Obese patients denied surgery in a third of areas in England - BBC News

Surgeons say they are worried overweight patients and smokers in England and Wales are having surgery delayed or denied to save money.  
bbc.co.uk
over 4 years ago
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Simple Score Predicts Bariatric-Surgery-Related Diabetes Cure

"The DiaRem score is an algorithm based only on age, medication use, and HbA1c level that can predict the likelihood that a patient with type 2 diabetes will be cured by surgery," researchers report.  
medscape.com
over 4 years ago
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Structured Exercise Improves Mobility After Hip Fracture

A new study assesses the impact of a postoperative structured exercise program on mobility after hip fracture surgery.  
medscape.com
over 4 years ago
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Delay in Radiation Increases Ipsilateral Breast Cancer Risk

Women eligible for adjuvant radiation therapy increase their risk for ipsilateral breast cancer if they delay getting radiation therapy 8 weeks beyond surgery.  
medscape.com
over 4 years ago
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Smoking Impacts Morbidity Risk After Lumbar Spine Surgery

The deleterious health effects of smoking are well proven, but could it also negatively impact outcomes after lumbar spine procedures?  
medscape.com
over 4 years ago
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Uneven Use of Antibiotic Prophylaxis in Pediatric Surgery

Antibiotic prophylaxis rates varied greatly among pediatric hospitals; it was both over- and underused.  
medscape.com
over 4 years ago
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Surgery Directors Like Flexible Schedules for Trainees

Doctors who oversee training programs for young surgeons are strongly in favor of flexible work hours for these trainees, a study found.  
medscape.com
over 4 years ago