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Surgery General

Trends in Preoperative Testing

Sep 08, 2015

Following the release of professional guidance from the American College of Cardiology, the American Heart Association, and the American Society of Anesthesiologists in 2002 on routine preoperative te...

Guidelines: Perioperative Care in Non-Cardiac Surgery

Sep 07, 2015

In 2014, the American College of Cardiology and American Heart Association (ACC/AHA) released an updated guideline on perioperative cardiovascular evaluation and management of patients undergoing non-...

Why Residents Leave Surgery Training

Sep 07, 2015

Over the past decade, surgery residency programs have adopted structural changes to improve attrition rates, such as work-hour restrictions. Despite these changes, resident attrition continues to be p...

Costs of Emergency Vs Elective Surgery

Sep 03, 2015

Study investigators estimate that even a modest reduction in the proportion of emergency procedures performed for three conditions could save nearly $1 billion over 10 years in the United States. Adju...

Comparing Appendiceal Abscess Approaches

Sep 03, 2015

Laparoscopic surgery appears to be safe and feasible as a first-line treatment for appendiceal abscesses when performed by experienced surgeons, according to a study. Readmission rates were 3% for pat...

Coaching Enhances Surgical Skills

Sep 03, 2015

Individualized comprehensive surgical coaching appears to enhance surgical training and result in superior skill acquisition when compared with conventional training, according to published research. ...

Predicting Postoperative Readmission

Sep 03, 2015

University of Wisconsin researchers suggest that bleeding disorders, long operative times, in-hospital complications, functional status, and the need for a higher level of care at discharge appear to ...

Comparing Hernia Repair Approaches

Sep 01, 2015

Among patients with a small umbilical or epigastric hernia, mesh repair appears to halve the long-term risk of recurrence when compared with sutured repair. Researchers found recurrence rates of 10% a...

Atrial Fibrillation: A Welcome Guideline Update

Aug 24, 2015

Studies have shown that the incidence and prevalence of atrial fibrillation (AF) increases as people age. Fortunately, awareness of AF and its associated risk of thromboembolism and stroke have increa...

Elective PCI: Examining How Information Is Presented

Aug 24, 2015

For patients with stable coronary disease, studies have shown that PCI does not reduce the risk for death or myocardial infarction (MI), even when it is added to optimal medical therapy (OMT). “Stud...

Dealing With the Aging Surgeon

Aug 24, 2015

According to published research and anecdotal evidence, the aging surgeon remains a problem throughout hospitals and medical centers across the United States. Some studies have shown that patient mort...

Transapical Vs Transfemoral TAVR

Aug 12, 2015

American researchers suggest that vasculopathic patients who undergo transapical transcatheter aortic valve replacement (TAVR) appear to be more likely to experience adverse events and longer recovery...

Patient Satisfaction & Surgical Quality

Aug 12, 2015

Study results indicate that patients with high satisfaction scores appear to experience significantly higher surgical quality when compared with those with low satisfaction scores. Patients with high ...

Bundled Approach Reduces SSIs

Aug 12, 2015

Among patients undergoing cardiac or orthopedic surgery, a bundled intervention consisting of Staphylococcus aureus screening, decolonization, and targeted prophylaxis appears to significantly decreas...

Comparing Appendicitis Approaches

Aug 12, 2015

Finnish research suggests that antibiotic treatment for patients with CT-proven, uncomplicated appendicitis does not appear to be inferior to appendectomy. Among patients who received antibiotic treat...

Effects of Laparoscopic Colectomy

Aug 12, 2015

Laparoscopic colectomy appears to significantly reduce short- and long-term healthcare utilization and costs, according to a study. At 90 days, open colectomy was associated with 1.26-fold higher cost...

Comparing Where TAVR is Performed

Aug 10, 2015

Transcatheter aortic-valve replacement (TAVR) procedures were initially developed to be a fully percutaneous alternative to open surgical replacement. As these procedures have been approved globally, ...

Examining the Use of Minimally Invasive Surgery

Aug 10, 2015

According to published research, surgical complications are a substantial burden in the United States, costing an estimated $25 billion annually and accounting for many readmissions. However, studies ...

Preoperative Frailty Screening & Palliative Care

Aug 10, 2015

Frail surgery patients are at greater risk of death and poor outcomes after their procedure than other patients. Recognition of frailty and its associated risks is important because it can inform shar...

Too Old to Operate?

Aug 05, 2015

He was 94 years old and was in my office because his gallstones were becoming a problem. They had been diagnosed 2 years earlier when he had an ultrasound for an unrelated problem. At that time they w...

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