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February 2016 Briefing - Surgery

Here are what the editors at HealthDay consider to be the most important developments in Surgery for February 2016. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

FDA Adds Boxed Warning Requirement to Essure Device

MONDAY, Feb. 29, 2016 (HealthDay News) -- A new boxed warning is needed on the Essure implantable birth control device, the U.S. Food and Drug Administration said in a guidance released Monday. The FDA also said Essure maker Bayer needs to conduct a study to assess the "risks of the device in a real-world environment."

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ASPS: Gluteal Augmentation Rising in Popularity in U.S.

MONDAY, Feb. 29, 2016 (HealthDay News) -- Gluteal augmentation is now the fastest-growing type of plastic surgery in the United States, according to the latest data from the American Society of Plastic Surgeons (ASPS).

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Risk Higher in Younger Children for Tonsillectomy Complications

MONDAY, Feb. 29, 2016 (HealthDay News) -- Although many pediatric patients undergo tonsillectomy and adenoidectomy (T&A) in ambulatory settings, an inpatient setting may be safer for younger children who are at higher risk of complications, according to research published in online Feb. 25 in JAMA Otolaryngology-Head & Neck Surgery.

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Occult Uterine Sarcomas in One in 1,124 Hysterectomies

MONDAY, Feb. 29, 2016 (HealthDay News) -- Among patients undergoing surgery for benign gynecologic indications, the rate of occult uterine sarcoma is one in 1,124, according to a study published in the March issue of Obstetrics & Gynecology.

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First U.S. Uterus Transplant Performed at Cleveland Clinic

FRIDAY, Feb. 26, 2016 (HealthDay News) -- Cleveland Clinic surgeons this week performed the nation's first uterus transplant. The transplanted uterus came from a deceased donor, and the 26-year-old recipient was in stable condition following the nine-hour procedure, her doctors said Thursday.

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Drinking Coffee May Slow Progression of Liver Disease

THURSDAY, Feb. 25, 2016 (HealthDay News) -- Regular coffee consumption seems to delay disease progression in alcoholic liver disease (ALD) and primary sclerosing cholangitis (PSC) patients with end-stage liver disease (ESLD) and increase long-term survival following liver transplantation, according to a study published online Feb. 15 in the Journal of Gastroenterology and Hepatology.

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Suggestions for Optimizing Practice Feedback Effectiveness

THURSDAY, Feb. 25, 2016 (HealthDay News) -- In an article published online Feb. 23 in the Annals of Internal Medicine, 15 suggestions are presented to optimize the effectiveness of practice feedback.

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Thirty-Six Percent Increase in Mastectomies From 2005 to 2013

THURSDAY, Feb. 25, 2016 (HealthDay News) -- From 2005 to 2013 there was a 36 percent increase in the overall rate of mastectomies, according to a report published by the Agency for Healthcare Research and Quality (AHRQ).

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No Benefit From Aspirin Prior to Coronary Artery Surgery

WEDNESDAY, Feb. 24, 2016 (HealthDay News) -- Preoperative aspirin does not lower risk of death or thrombotic complications among patients undergoing coronary artery surgery, according to research published in the Feb. 25 issue of the New England Journal of Medicine.

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Women Have Lower Mortality Than Men at One Year After TAVR

WEDNESDAY, Feb. 24, 2016 (HealthDay News) -- For patients undergoing transcatheter aortic valve replacement (TAVR), women have lower mortality than men at one year, according to a study published online Feb. 23 in the Annals of Internal Medicine.

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Lower 25-OH D Tied to Adverse Pathology in Full Prostatectomy

WEDNESDAY, Feb. 24, 2016 (HealthDay News) -- For men with localized prostate cancer undergoing radical prostatectomy, serum 25-hydroxyvitamin D (25-OH D) insufficiency/deficiency is associated with increased odds of adverse pathology, according to a study published online Feb. 22 in the Journal of Clinical Oncology.

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Bariatric Surgery Tied to Drop in Heart Failure Exacerbations

TUESDAY, Feb. 23, 2016 (HealthDay News) -- Bariatric surgery to promote substantial weight loss is linked to reduced rates of emergency department visits and hospitalizations for heart failure exacerbations among obese patients with the condition, according to research published in the March 1 issue of the Journal of the American College of Cardiology.

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American Pain Society Releases Guideline on Postoperative Pain

TUESDAY, Feb. 23, 2016 (HealthDay News) -- The American Pain Society has issued recommendations on the management of postoperative pain. The clinical practice guideline was published in the February issue of the Journal of Pain.

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Intralesional Cryosurgery Feasible for BCC in Elderly

TUESDAY, Feb. 23, 2016 (HealthDay News) -- Intralesional cryosurgery is feasible for treating basal cell carcinoma (BCC) of the lower extremities in elderly patients, according to a study published in the March issue of the International Journal of Dermatology.

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Only Half of Kidney Stone Patients Compliant With Tx

FRIDAY, Feb. 19, 2016 (HealthDay News) -- Just over half of kidney stone patients are adherent to preventive pharmacological therapy, and adherent patients have lower levels of health care utilization, according to a study published in the March issue of The Journal of Urology.

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Endoscopic Management Viable for Sinonasal Schwannomas

FRIDAY, Feb. 19, 2016 (HealthDay News) -- Endoscopic management is feasible for sinonasal schwannomas, according to research published online Feb. 15 in Head & Neck.

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Geriatric Events in Cancer Surgery Common in Elderly

THURSDAY, Feb. 18, 2016 (HealthDay News) -- Geriatric events are common among elderly patients who undergo major surgery for cancer, according to research published online Feb. 16 in the Journal of Clinical Oncology.

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Breast CA Surgery Reoperation Rates Vary by Surgeon

THURSDAY, Feb. 18, 2016 (HealthDay News) -- The 90-day rate of reoperation following breast conservation surgery (BCS) for early-stage breast cancer has decreased overall and varies widely by surgeon, according to research published online Feb. 17 in JAMA Surgery.

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Many Med Schools Appear Unwelcoming Regarding Disability

WEDNESDAY, Feb. 17, 2016 (HealthDay News) -- Most medical schools need to post, update, or clarify technical standards (TSs), required under the Americans with Disabilities Act (ADA), that detail what a school will do to accommodate a student with a disability, according to a study published online Jan. 19 in Academic Medicine.

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Psoriasis Does Not Worsen Total Hip Arthroplasty Outcomes

WEDNESDAY, Feb. 17, 2016 (HealthDay News) -- For patients undergoing total hip arthroplasty (THA), neither psoriatic arthritis (PsA) nor cutaneous psoriasis (PsC) are risk factors for poor outcomes, according to a study published in the February issue of Arthritis & Rheumatology.

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Continuous Oral Contraceptives Better After Endometriosis Sx

TUESDAY, Feb. 16, 2016 (HealthDay News) -- For patients after surgery for endometriosis, a continuous oral contraceptive schedule seems better than a cyclic schedule, according to a review published in the February issue of the American Journal of Obstetrics & Gynecology.

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Renal Mass Biopsy Accurate for Small Renal Masses

TUESDAY, Feb. 16, 2016 (HealthDay News) -- Renal mass biopsy is accurate for small renal masses (4 cm or less), according to a study published in the March issue of The Journal of Urology.

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Good Long-Term Outcomes for Fetal Myelomeningocele Surgery

MONDAY, Feb. 15, 2016 (HealthDay News) -- Fetal myelomeningocele (fMMC) surgery is associated with improved long-term functional outcomes, according to a study published in the February issue of the American Journal of Obstetrics & Gynecology.

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Risk of Reoperation Up With Perianal Lesions in Crohn's

MONDAY, Feb. 15, 2016 (HealthDay News) -- For patients with Crohn's disease, the risk of reoperation is increased for those with perianal lesions, according to a study published online Feb. 5 in the Journal of Gastroenterology and Hepatology.

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Robotic Sx Feasible for Inferior Vena Cava Tumor Thrombectomy

FRIDAY, Feb. 12, 2016 (HealthDay News) -- For patients with inferior vena cava tumor thrombus, robotic nephrectomy is feasible and seems safe, according to research published online in The Journal of Urology.

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Lean Six Sigma Practices Speed Medical Report Dispatches

FRIDAY, Feb. 12, 2016 (HealthDay News) -- Lean Six Sigma practices can improve the dispatch time of medical reports sent from a hospital to a primary care provider, according to research published online Feb. 8 in the Journal of Evaluation in Clinical Practice.

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Few Want to Receive Skin Cancer Biopsy Results Face-to-Face

FRIDAY, Feb. 12, 2016 (HealthDay News) -- For patients with suspected malignant melanoma or squamous cell carcinoma, most patients are happy to receive biopsy results by letter or telephone, according to a research letter published online Feb. 8 in the British Journal of Dermatology.

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Same-Day Discharge OK for Minimally Invasive Myomectomy

FRIDAY, Feb. 12, 2016 (HealthDay News) -- Discharging patients on the same day following a minimally invasive myomectomy appears to be a safe option, according to research published in the March issue of Obstetrics & Gynecology.

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CDC: Number of Uninsured Persons in U.S. Down Since 2013

FRIDAY, Feb. 12, 2016 (HealthDay News) -- The percentage of uninsured persons is decreasing in the United States, according to a report published by the National Center for Health Statistics (NCHS).

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Active Asthma Ups Risk of Abdominal Aortic Aneurysm

THURSDAY, Feb. 11, 2016 (HealthDay News) -- Asthma is associated with increased risk of abdominal aortic aneurysm (AAA) and rupture, according to research published online Feb. 11 in Arteriosclerosis, Thrombosis, and Vascular Biology.

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Physicians Concerned By Increasing Cost of Generics

THURSDAY, Feb. 11, 2016 (HealthDay News) -- Pennsylvania physicians have called for state- and national-level medical associations to take an active role in addressing the issue of increasing generic drug prices, according to an article published by the Pennsylvania Medical Society.

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Early Surgery Common for Uncomplicated Diverticulitis

THURSDAY, Feb. 11, 2016 (HealthDay News) -- Elective colon resection is often performed after fewer than three previous episodes of uncomplicated diverticulitis, according to research published online Feb. 10 in JAMA Surgery.

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Gastric Bypass Tied to Reduced Mortality for Obese >35 Years

WEDNESDAY, Feb. 10, 2016 (HealthDay News) -- Gastric bypass surgery is associated with improved long-term survival for patients at all ages above 35 years, according to a study published online Feb. 10 in JAMA Surgery.

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Review: Risks and Benefits for Transvaginal Mesh

WEDNESDAY, Feb. 10, 2016 (HealthDay News) -- For women with vaginal prolapse, mesh repair is associated with mixed outcomes, according to a review published online Feb. 9 in The Cochrane Library.

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Fat Repositioning in Lower Blepharoplasty Effective

WEDNESDAY, Feb. 10, 2016 (HealthDay News) -- The fat repositioning technique in lower blepharoplasty improves pseudofat herniation and adds volume to the lower periorbital and cheek areas, according to research published online Feb. 4 in JAMA Facial Plastic Surgery.

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Partial Meniscectomy No Use for Meniscal Tear

TUESDAY, Feb. 9, 2016 (HealthDay News) -- For adults with a degenerative medial meniscus tear, arthroscopic partial meniscectomy (APM) has no additional benefit over sham surgery for relief of knee catching or occasional locking, according to a study published online Feb. 9 in the Annals of Internal Medicine.

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AMA Highlights Issues Relating to Medical Liability Reform

MONDAY, Feb. 8, 2016 (HealthDay News) -- Medical liability reforms are likely to be advanced and challenged in 2016, according to a report published by the American Medical Association (AMA).

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Thyroid Cancer Risk Up Following Breast Cancer and Vice Versa

MONDAY, Feb. 8, 2016 (HealthDay News) -- The likelihood of developing breast or thyroid cancer as a secondary malignancy is increased following diagnosis of the other cancer, according to a review published in the February issue of Cancer Epidemiology, Biomarkers & Prevention.

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Doctors Offer Suggestions for Electronic Health Records

FRIDAY, Feb. 5, 2016 (HealthDay News) -- Physicians recently met in Seattle to discuss the difficulties and benefits associated with electronic health records (EHRs) in a third town hall meeting on the subject, according to a report published by the American Medical Association.

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Guided Meditation, Music Cuts Anxiety During Breast Biopsy

FRIDAY, Feb. 5, 2016 (HealthDay News) -- Listening to guided meditation or music significantly lowers patient anxiety and fatigue during imaging-guided breast biopsy, according to a study published online Feb. 4 in the Journal of the American College of Radiology.

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Vagal Nerve Stimulation Can Lead to Cardiac Complications

FRIDAY, Feb. 5, 2016 (HealthDay News) -- Stimulation of the vagus nerve as part of intraoperative neuromonitoring (IONM) during thyroid surgery can result in severe cardiac complications, according to a case report published online Feb. 1 in Head & Neck.

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Endoscopic Sleeve Gastroscopy Feasible in Obesity

THURSDAY, Feb. 4, 2016 (HealthDay News) -- For selected patients with obesity, minimally invasive endoscopic sleeve gastroplasty (ESG) delays gastric emptying, induces early satiation, and reduces body weight, according to a study published online in Clinical Gastroenterology and Hepatology.

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Patient-Centered System Recommended for Medical Billing

THURSDAY, Feb. 4, 2016 (HealthDay News) -- Simplification, consolidation, and real time point-of-care information could address the inefficiencies in the medical billing system, according to an Ideas and Opinions piece published online Feb. 2 in the Annals of Internal Medicine.

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Video Games Offer Educational Methods for Med Students

THURSDAY, Feb. 4, 2016 (HealthDay News) -- Video games can play a role in medical education, offering new methods for teaching medical students, according to a report published by the American Medical Association (AMA).

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Surgical Safety Checklist Linked to Drop in 90-Day Mortality

WEDNESDAY, Feb. 3, 2016 (HealthDay News) -- Implementation of a surgical safety checklist (SSC) correlated with a reduction in 90-day, but not 30-day, mortality among patients undergoing surgery, according to a study published online Feb. 3 in JAMA Surgery.

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Lipofilling of Breast Doesn't Up Breast Cancer Recurrence

WEDNESDAY, Feb. 3, 2016 (HealthDay News) -- Lipofilling seems safe for breast reconstruction after mastectomy for breast cancer, according to a study published in the February issue of Plastic and Reconstructive Surgery.

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QOL, Other Outcomes Up With Laparoscopic Sx in Diverticulitis

WEDNESDAY, Feb. 3, 2016 (HealthDay News) -- For patients with uncomplicated diverticulitis, quality of life (QOL) and other patient-reported outcomes (PROs) are improved following laparoscopic surgery versus conservative treatment, according to a review published in the February issue of Clinical Gastroenterology and Hepatology.

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Tips Presented for Encouraging Treatment Adherence

TUESDAY, Feb. 2, 2016 (HealthDay News) -- Tips for increasing patient adherence to treatment plans include patient engagement and addressing barriers to adherence, according to an article published in Medical Economics.

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Minimally Invasive Hysterectomy Beneficial in Uterine Cancer

TUESDAY, Feb. 2, 2016 (HealthDay News) -- For women with uterine cancer, use of minimally invasive hysterectomy is associated with a favorable morbidity profile and good long-term survival, according to a study published online Feb. 1 in the Journal of Clinical Oncology.

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Patients and Families Highlight Value of Nurse Practitioners

MONDAY, Feb. 1, 2016 (HealthDay News) -- Patients and their families believe that teams in acute and primary care are more effective when they include nurse practitioners, according to research published online Jan. 27 in the Journal of Clinical Nursing.

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Many Physicians Show Tendency to Undertreat With Statins

MONDAY, Feb. 1, 2016 (HealthDay News) -- Some clinical departments tend to undertreat when prescribing statins, according to a study published in the February issue of the Journal of Clinical Pharmacy and Therapeutics.

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