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Surgery
RECENT FEATURES

Refining Neurosurgery Practices

The American Association of Neurological Surgeons and the Congress of Neurological Surgeons recently joined the American Board of Internal Medicine’s Choosing Wisely campaign with their own list of five practices to avoid in neurosurgery. “The purpose,” says Daniel K. Resnick, MD, “is to alert patients and physicians to common practices that may not be necessary or efficacious.”

The Recommendations

1) Do not administer steroids after severe traumatic brain injuries.…

Assessing the Surgical Care of Breast Cancer

Use of bilateral mastectomy has increased significantly over the past decade despite not being associated with lower mortality when compared with other surgical options. Recent study findings may help inform decision making about surgical treatment for breast cancer.

New Options for Treating Opioid Addiction

The quest for improved outcomes in the treatment of opioid addiction is accelerating on several fronts. Buprenorphine is widely used for the treatment of opioid dependence. Studies have shown that it’s an effective means to reduce opioid cravings and help prevent withdrawal symptoms.…

OPINION ARTICLES

Refining Neurosurgery Practices

The American Association of Neurological Surgeons and the Congress of Neurological Surgeons recently joined the American Board of Internal Medicine’s Choosing Wisely campaign with their own list of five practices to avoid in neurosurgery. “The purpose,” says Daniel K. Resnick, MD, “is to alert patients and physicians to common practices that may not be necessary or efficacious.”

The Recommendations

1) Do not administer steroids after severe traumatic brain injuries.…

New Options for Treating Opioid Addiction

The quest for improved outcomes in the treatment of opioid addiction is accelerating on several fronts. Buprenorphine is widely used for the treatment of opioid dependence. Studies have shown that it’s an effective means to reduce opioid cravings and help prevent withdrawal symptoms.…

Enhancing Care With Robotic Prostatectomy

During the last decade, the number of robot-assisted prostatectomies performed in the United States has risen steadily throughout the country. Several factors have led to more complex patients being offered surgery for organ-confined prostate cancer, including refined surgical techniques, a better understanding of anatomy, and more experience.…

BLOG

Judgments

"Sometimes we have to accept that the risk of our actions will be high but that the patient has no other option. When the consequences of inaction are not acceptable, we (and our patients) must accept the risk and do our best."

Presiding Over The Death of a Child

I also know that what I just wrote is a rationalization of my own cowardice and inability to give comfort in the face of sudden loss.

I Am Not a Patient Advocate

"In the end, it’s not about the patient—it’s about the integrity of the work. The patient’s recovery is a happy side effect."

NEWS BRIEFS

Smart Knife Detects Cancer Cells During Tumor Surgery

An “intelligent knife” that can immediately determine whether tissue is healthy or cancerous was 100% accurate in the first study to test the device in the operating room.

Known as the iKnife, the innovative tool combines electrosurgery with rapid evaporative ionization mass spectrometry.…

Avoiding Readmission After CABG

Researchers from New York suggest that readmissions after CABG may be reduced through careful postoperative surveillance for risk factors and frequent causes of readmission. The study team found that cardiac and pulmonary complications, including pleural effusions, were frequent reasons for readmission.…

Surviving Surgery After Early Stage Breast Cancer

Among patients with early stage breast cancer, breast-conserving therapy with radiation appears to be associated with a better disease-specific survival (DSS) when compared with mastectomy. A large investigation revealed that DSS results were greater among women aged 50 and older with hormone receptor (HR)-positive disease than for younger women with HR-negative disease.…

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