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Surgery
RECENT FEATURES

Standards for Child Surgical Care

Studies indicate that newborns and children who undergo surgery in environments with pediatric expert resources have better outcomes, fewer complications, and shorter hospital stays when compared with those cared for at non-specialized centers. “Millions of children undergo surgery in the United States each year, but some of these patients receive surgical care in environments that are not matched to their needs,” says Keith T.…

The Impact of Obesity on Total Knee Arthroplasty

New data show that severely obese patients who undergo total knee arthroplasty appear to have longer hospital stays and higher costs than non-obese patients. This observed effect appears to be independent of obesity-related comorbid conditions and complications.

Pediatric GERD Procedures

Clinicians often have difficulty diagnosing GERD and discriminating it from physiologic regurgitation, especially in the pediatric population. “Childhood GERD is diagnosed commonly by clinical evaluation and often without the use of objective measures,” explains Cabrini LaRiviere, MD, MPH. A GERD diagnosis may remain, especially in young infants, until symptoms wane as part of the natural history of regurgitation or until an objective test disproves the presence of the disease.…

OPINION ARTICLES

Standards for Child Surgical Care

Studies indicate that newborns and children who undergo surgery in environments with pediatric expert resources have better outcomes, fewer complications, and shorter hospital stays when compared with those cared for at non-specialized centers. “Millions of children undergo surgery in the United States each year, but some of these patients receive surgical care in environments that are not matched to their needs,” says Keith T.…

Pediatric GERD Procedures

Clinicians often have difficulty diagnosing GERD and discriminating it from physiologic regurgitation, especially in the pediatric population. “Childhood GERD is diagnosed commonly by clinical evaluation and often without the use of objective measures,” explains Cabrini LaRiviere, MD, MPH. A GERD diagnosis may remain, especially in young infants, until symptoms wane as part of the natural history of regurgitation or until an objective test disproves the presence of the disease.…

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.…

BLOG

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."

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."

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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