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Surgery
RECENT FEATURES

Surrogate Decision Making for Older Hospitalized Adults

Surrogate decision makers often face a broad range of decisions. Hospitals should take into account the large role of surrogates and make efforts to support them in healthcare decision making.

Spine Surgery & Preoperative Psychological Assessments

Few spine surgeons appear to follow guideline recommendations for routine psychological screenings of patients before major back surgery. Efforts are needed to better recognize and appreciate how psychological factors and mental health can impact the success of these procedures.

A Conservative Approach to Lymph Node Removal

Until recently, guidelines recommended complete axillary node dissection in women with breast cancer for whom their sentinel node biopsy was positive. However, patients who undergo this procedure routinely experience complications. The introduction of sentinel lymph node biopsy in the 1990s included the benefit of avoiding complete axillary node dissection if two or three sentinel nodes tested negative for cancer, thus reducing morbidity.…

OPINION ARTICLES

A Conservative Approach to Lymph Node Removal

Until recently, guidelines recommended complete axillary node dissection in women with breast cancer for whom their sentinel node biopsy was positive. However, patients who undergo this procedure routinely experience complications. The introduction of sentinel lymph node biopsy in the 1990s included the benefit of avoiding complete axillary node dissection if two or three sentinel nodes tested negative for cancer, thus reducing morbidity.…

Sexual Function in Women After Bariatric Surgery

Published reports have consistently shown that obesity impairs quality of life (QOL) and can contribute to depression as well as body image dissatisfaction. “Weight loss typically improves most aspects of QOL, but one aspect that is often overlooked in clinical research is sexual health,” says David B.…

Diagnosing & Staging Esophageal Cancer

The overall 5-year survival rates for esophageal cancer are less than 15%. Although esophagectomy has been the traditional gold standard for early stage disease, optimal treatment for localized disease has generated debate in light of the overall poor survival rate. In 2013, the Society of Thoracic Surgeons (STS) published a set of clinical practice guidelines for the diagnosis and treatment of localized esophageal cancer in Annals of Thoracic Surgery.…

BLOG

Anesthesia vs. Surgery: Can’t We All Just Get Along?

"Anesthesia is one of the few specialties that you must consult and work with but have no control over who is assigned to your cases. "

Ruptures and Redo’s

"The proposed guidelines may work in a big academic center or a multispecialty practice where the surgeon is salaried and has an assured referral base. For the solo private practitioner, turning away otherwise reasonable risk patients on the basis of weight alone is a nonstarter."

A Novel Technique for Gall Bladder Removal?

"No disadvantage" is another way of saying, "No advantage."

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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