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January 2016 Briefing - Surgery

Here are what the editors at HealthDay consider to be the most important developments in Surgery for January 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.

Demand for Medical Office Space High and Increasing

FRIDAY, Jan. 29, 2016 (HealthDay News) -- Demand for medical office space for ambulatory care is at a high point and looks likely to continue increasing, according to an article published in Forbes.

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Guidance Issued for Endoscopic Management of Foreign Bodies

FRIDAY, Jan. 29, 2016 (HealthDay News) -- Guidelines, published online Jan. 25 in the Journal of Digestive Diseases, have been developed for endoscopic management of foreign bodies in the upper gastrointestinal tract.

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AMA Highlights Top Four Issues to Promote in State Legislation

THURSDAY, Jan. 28, 2016 (HealthDay News) -- The top four issues that will be promoted in state legislation in 2016 were discussed at the 2016 American Medical Association (AMA) State Legislative Strategy Conference, according to a report published by the AMA.

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Evidence Lacking for Biological Mesh in Hernia Repair

THURSDAY, Jan. 28, 2016 (HealthDay News) -- A review of the literature on the use of biological mesh for abdominal hernia repair did not yield evidence of superior performance compared with lower-cost synthetic mesh, according to research published online Jan. 27 in JAMA Surgery.

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Minimally Invasive Surgery Safe for Pilonidal Sinus

THURSDAY, Jan. 28, 2016 (HealthDay News) -- Video-assisted ablation of pilonidal sinus (VAAPS) seems safe and efficacious, with higher patient satisfaction and less time off work compared with conventional surgery, according to a study published online Jan. 27 in JAMA Surgery.

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Clipping Nodes Improves Pathologic Evaluation

THURSDAY, Jan. 28, 2016 (HealthDay News) -- Clipping nodes with biopsy-confirmed metastatic disease improves pathologic evaluation among patients with breast cancer, according to a study published online Jan. 25 in the Journal of Clinical Oncology.

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Belatacept Regimen Ups Kidney Transplant Survival

WEDNESDAY, Jan. 27, 2016 (HealthDay News) -- For kidney transplant recipients, a belatacept regimen is associated with improved patient and graft survival compared with a cyclosporine regimen, according to a study published in the Jan. 28 issue of the New England Journal of Medicine.

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~1% of Physicians Account for One-Third of Malpractice Claims

WEDNESDAY, Jan. 27, 2016 (HealthDay News) -- A small number of physicians account for a considerable proportion of all paid malpractice claims, according to a study published in the Jan. 28 issue of the New England Journal of Medicine.

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Too Few Nurses Compliant With Standard Precautions

WEDNESDAY, Jan. 27, 2016 (HealthDay News) -- Fewer than 20 percent of nurses report compliance with all nine Standard Precautions (SP), although adherence is the most effective means of preventing bloodborne pathogen transmission, according to a study published in the Jan. 1 issue of the American Journal of Infection Control.

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Extended Elevated Recurrence Rates for ER-Positive Breast CA

WEDNESDAY, Jan. 27, 2016 (HealthDay News) -- Breast cancer patients with estrogen receptor (ER)-positive disease have elevated annualized hazards of recurrence during extended follow-up, according to a study published online Jan. 18 in the Journal of Clinical Oncology.

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Possibility for Health Care Legislation Changes in 2016

TUESDAY, Jan. 26, 2016 (HealthDay News) -- Given the current political climate and issues of bipartisan concern, 2016 could see certain changes to health care legislation, according to a report published in Medical Economics.

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Single-Stage Procedure Treats Cellulite, Lipodystrophy

TUESDAY, Jan. 26, 2016 (HealthDay News) -- A single-stage procedure can provide simultaneous treatment for cellulite and lipodystrophy, according to a clinical report published in the January issue of Lasers in Surgery and Medicine.

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Adjuvant Therapy Ups Survival in Small-Cell Lung Cancer

TUESDAY, Jan. 26, 2016 (HealthDay News) -- For patients with early-stage small-cell lung cancer (SCLC) undergoing resection, treatment with adjuvant chemotherapy or chemotherapy with cranial irradiation is associated with improved survival compared with surgery alone, according to a study published online Jan. 18 in the Journal of Clinical Oncology.

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Better Value Care at Hospitals With Best Nursing Environments

MONDAY, Jan. 25, 2016 (HealthDay News) -- Hospitals with better nursing environments provide better value care, according to a study published online Jan. 20 in JAMA Surgery.

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Glucose Levels Linked to Cardiac Surgery Outcomes

FRIDAY, Jan. 22, 2016 (HealthDay News) -- For patients undergoing cardiac surgery, hyperglycemia is associated with worse outcomes for patients without diabetes, but with better outcomes for patients with insulin-treated diabetes, according to a study published online Jan. 19 in Diabetes Care.

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About 2 Percent of Boys Have Undescended Testis

FRIDAY, Jan. 22, 2016 (HealthDay News) -- About 2 percent of boys are diagnosed with undescended testis (UDT), according to a study published online Jan. 22 in Pediatrics.

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Study Looks at Impact of FDA Safety Alert on Morcellation

FRIDAY, Jan. 22, 2016 (HealthDay News) -- The use of minimally invasive hysterectomy decreased and postoperative complications increased following the U.S. Food and Drug Administration safety communication discouraging use of laparoscopic power morcellation during hysterectomy or myomectomy for treatment of uterine fibroids, according to a study published in the January issue of the American Journal of Obstetrics & Gynecology.

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Rectal Cancer Surgery Best at 56 Days Post Chemo/Radiation

THURSDAY, Jan. 21, 2016 (HealthDay News) -- Researchers say they've pinpointed the best length of time to wait to perform surgery for rectal cancer after chemotherapy and radiation treatment have been completed. The findings were published online Jan. 20 in the Journal of the American College of Surgeons.

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Frailty Ups Mortality Risk After Surgery in Seniors

THURSDAY, Jan. 21, 2016 (HealthDay News) -- Physical frailty among older patients who have elective surgery is linked to a greater risk of death one year later, according to a study published online Jan. 20 in JAMA Surgery.

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Profound Hypothermia Best Avoided in Initial Reperfusion

THURSDAY, Jan. 21, 2016 (HealthDay News) -- For hearts donated after circulatory death (DCD), avoidance of profound hypothermia during initial reperfusion (IR) improves functional recovery, according to a study published online Jan. 18 in the American Journal of Transplantation.

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Cystectomy Plus Chemo Ups Survival in Bladder Cancer

THURSDAY, Jan. 21, 2016 (HealthDay News) -- For patients with locally advanced bladder cancer, cystectomy plus adjuvant chemotherapy is associated with improved survival versus cystectomy alone, according to a study published online Jan. 19 in the Journal of Clinical Oncology.

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Shorter Surgery, Lower Costs for One-Layer Vasovasostomy

WEDNESDAY, Jan. 20, 2016 (HealthDay News) -- For men undergoing bilateral vasovasostomy, a modified one-layer technique results in shorter operative times and lower costs compared with formal repair, according to research published in the February issue of The Journal of Urology.

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Fluorescence Visualization-Guided Sx Efficacious in Oral CA

WEDNESDAY, Jan. 20, 2016 (HealthDay News) -- For patients with oral cancer, fluorescence visualization (FV)-guided surgery is associated with a reduction in local recurrence, according to a study published online Jan. 14 in JAMA Otolaryngology-Head & Neck Surgery.

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Pre-Op Fasting Times Often Exceed Guidelines in Cirrhosis

WEDNESDAY, Jan. 20, 2016 (HealthDay News) -- For patients who have hepatic cirrhosis or have undergone liver transplantation, medically ordered pre-procedural fasting times frequently exceed existing guidelines, according to a study published online Jan. 13 in the Journal of Clinical Nursing.

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Physicians Choose Less Aggressive Care at End of Life

TUESDAY, Jan. 19, 2016 (HealthDay News) -- Physicians facing death are less likely to demand aggressive care, according to two research letters published in the Jan. 19 issue of the Journal of the American Medical Association, a theme issue on death, dying, and end of life.

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Greater Transparency Being Promoted in Research

MONDAY, Jan. 18, 2016 (HealthDay News) -- Greater transparency is being promoted in clinical research, according to a health policy brief published online Jan. 14 in Health Affairs.

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Design of Physician Satisfaction Surveys Affects Results

MONDAY, Jan. 18, 2016 (HealthDay News) -- Patient satisfaction scores are influenced by the design and implementation of patient surveys, according to an article published in the January-February issue of Family Practice Management.

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Compassion Fatigue May Be Underestimated by Trauma Teams

FRIDAY, Jan. 15, 2016 (HealthDay News) -- The challenges facing trauma care providers can put them at risk for compassion fatigue and burnout, according to a study published in the January/February issue of the Journal of Trauma Nursing.

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Prophylactic Antibiotic Choice Impacts Post-Hysterectomy SSI

FRIDAY, Jan. 15, 2016 (HealthDay News) -- For women undergoing hysterectomy, prophylactic antibiotic choice impacts the risk of surgical site infection rates, according to a study published in the February issue of Obstetrics & Gynecology.

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Mosquito Mesh an Option for Hernia Repair in Poor Countries

THURSDAY, Jan. 14, 2016 (HealthDay News) -- Groin hernia repair with mosquito netting may be a viable alternative in countries where commercial mesh is too expensive, according to research published in the Jan. 14 issue of the New England Journal of Medicine.

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Tissue May Beat Metal for AVR in Middle-Aged Patients

WEDNESDAY, Jan. 13, 2016 (HealthDay News) -- Middle-aged aortic valve replacement patients may have better outcomes if they receive bioprosthetic valves rather than mechanical, according to research published online Jan. 12 in the Annals of Thoracic Surgery.

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Mental Health Disorders Common Among Bariatric Sx Patients

TUESDAY, Jan. 12, 2016 (HealthDay News) -- Many patients having surgery for severe obesity also have mental health conditions, particularly depression and binge-eating disorder, according to research published in the Jan. 12 issue of the Journal of the American Medical Association.

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Statins May Aid CABG Recovery

TUESDAY, Jan. 12, 2016 (HealthDay News) -- Patients who take statins before and after coronary artery bypass grafting (CABG) have fewer complications and a reduced mortality risk during and soon after the operation, according to a new report published online Jan. 12 in the Annals of Thoracic Surgery.

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Hyperbaric Oxygen Therapy No Benefit for Diabetic Foot Ulcers

TUESDAY, Jan. 12, 2016 (HealthDay News) -- For patients with diabetes and chronic diabetic foot ulcers (DFUs), hyperbaric oxygen therapy (HBOT) does not reduce indications for amputation, according to a study published online Jan. 6 in Diabetes Care.

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Breast Implants Linked to Chronic Pulmonary Silicone Embolism

MONDAY, Jan. 11, 2016 (HealthDay News) -- Chronic pulmonary silicone embolism related to saline breast implants has been detailed in a letter to the editor published in the January issue of the Annals of the American Thoracic Society.

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PF4/Heparin Antibodies Predict Mortality in HIT

MONDAY, Jan. 11, 2016 (HealthDay News) -- Heparin-induced thrombocytopenia (HIT) is infrequent in patients undergoing cardiac surgery, but is associated with increased 30-day mortality, according to a study published in the Jan. 15 issue of The American Journal of Cardiology.

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FDA Approves Device for Diabetic Foot Ulcers

FRIDAY, Jan. 8, 2016 (HealthDay News) -- The Integra Omnigraft Dermal Regeneration Matrix has been approved by the U.S. Food and Drug Administration to treat diabetic foot ulcers.

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Increased Risk of Cancer Mortality for Organ Recipients

FRIDAY, Jan. 8, 2016 (HealthDay News) -- Cancer mortality rates are elevated for solid-organ transplant recipients (SOTRs), according to research published online Jan. 7 in JAMA Oncology.

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Injectable Agent Illuminates Cancer During Surgery

FRIDAY, Jan. 8, 2016 (HealthDay News) -- A new imaging technique that fluoresces cancer cells may eventually help surgeons locate and remove all of a cancerous tumor on the first attempt, according to a preliminary study published in the Jan. 6 issue of Science Translational Medicine.

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Female Urologists Less Compensated Than Males

FRIDAY, Jan. 8, 2016 (HealthDay News) -- After adjustment for multiple factors, female urologists are significantly less compensated than males, according to a study published in the February issue of The Journal of Urology.

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U.S. Cancer Mortality Rates Down 23 Percent Since 1991

THURSDAY, Jan. 7, 2016 (HealthDay News) -- Since peaking in 1991, cancer mortality rates in the United States have dropped by 23 percent, according to findings included in Cancer Statistics, 2016, the American Cancer Society's latest annual report on cancer incidence, mortality, and survival. The report was published online Jan. 7 in CA: A Cancer Journal for Clinicians.

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Candidacy Criteria Updated for Heart Transplantation

THURSDAY, Jan. 7, 2016 (HealthDay News) -- The 2006 listing criteria for heart transplantation have been updated and expanded. The new guideline was published online Jan. 7 in the Journal of Heart and Lung Transplantation.

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Discharge Before Noon Tied to Longer Length of Stay

THURSDAY, Jan. 7, 2016 (HealthDay News) -- Discharge before noon is associated with longer length of stay among adult medical and surgical patients, according to a study published online Dec. 30 in the Journal of Hospital Medicine.

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High Rate of Symptoms Reported Post Gastric Bypass Procedure

WEDNESDAY, Jan. 6, 2016 (HealthDay News) -- While most patients who undergo Roux-en-Y gastric bypass surgery say their well-being has improved, high rates of symptoms and hospitalization are also reported, according to a study published online Jan. 6 in JAMA Surgery.

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Many Patients Using E-Mail As First Method of Provider Contact

TUESDAY, Jan. 5, 2016 (HealthDay News) -- For patients with chronic conditions, the ability to communicate with their doctor via e-mail may help improve their health, according to a study published online Dec. 21 in the American Journal of Managed Care.

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FDA Tightens Rules for Using Mesh Implants in Prolapse Repair

TUESDAY, Jan. 5, 2016 (HealthDay News) -- The U.S. Food and Drug Administration has strengthened rules regarding the use of vaginal mesh implants to treat pelvic organ prolapse in women, according to a news release issued by the agency.

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Side-to-Side Isoperistaltic Strictureplasty Helpful in Crohn's

TUESDAY, Jan. 5, 2016 (HealthDay News) -- For patients with Crohn's disease (CD), side-to-side isoperistaltic strictureplasty (SSIS) is beneficial, with acceptable recurrence rates, according to a study published online Dec. 30 in JAMA Surgery.

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Powered Intracapsular Tonsillectomy Aids Pediatric OSA

MONDAY, Jan. 4, 2016 (HealthDay News) -- Powered intracapsular tonsillectomy and adenoidectomy (PITA) improves severe obstructive sleep apnea (OSA) in pediatric patients, according to a study published online Dec. 30 in JAMA Otolaryngology-Head and Neck Surgery.

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Modular Component Assembly Feasible for Ear Reconstruction

MONDAY, Jan. 4, 2016 (HealthDay News) -- One porcine rib can be used to create an aesthetic and durable framework for external ear repair using a modular component assembly (MCA) approach, according to a study published online Dec. 30 in JAMA Facial Plastic Surgery.

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