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More Women Needed, Says American Association of Neurological Surgeons Report

  • Written by Allison Gandey
  • Category: Adult Surgery
More than half of medical school students are women, and yet they account for only 10% of neurosurgical residents, a new report shows. That number drops to 6% when researchers factor in how many women go on to become practicing neurosurgeons.

Read more: More Women Needed, Says American Association of Neurological Surgeons Report

Statins Help With Obesity-Related Plaque Progression After Heart Surgery

  • Written by Ramaz Mitaishvili
  • Category: Adult Surgery
As body mass index (BMI) increases, the likelihood that atherosclerosis will progress after coronary artery bypass grafting (CABG) also rises, US researchers report. However, aggressive statin therapy may eliminate this association.

Read more: Statins Help With Obesity-Related Plaque Progression After Heart Surgery

Natural Orifice Translumenal Endoscopic Surgery May Allow Incisionless Operations

  • Written by Laurie Barclay, MD
  • Category: Adult Surgery
Natural orifice translumenal endoscopic surgery (NOTES) allows for appendectomy through the mouth as well as for other procedures through natural orifices without making abdominal incisions, although laparoscopic assistance is used as a precautionary measure. This advance in minimally invasive surgery was showcased last week at the Natural Orifice Surgery Consortium for Assessment and Research's (NOSCAR) 3rd International Conference on NOTES, held in San Francisco, California.

Increasing Global Surgery Volume Mandates Improved Safety, Availability

  • Written by Laurie Barclay, MD
  • Category: Adult Surgery
Surgery now occurs at a tremendous volume worldwide, resulting in a great need for public health efforts to improve the safety and availability of surgical services, according to the results of a study reported in The Lancet, published online June 25.

Read more: Increasing Global Surgery Volume Mandates Improved Safety, Availability

Cord Traction Best for Placenta Removal With C-Section

  • Written by Ramaz Mitaishvili
  • Category: Adult Surgery
As a method of placenta removal following cesarean delivery, cord traction is associated with fewer complications and a shorter hospital stay than is manual removal, according to a systematic review by Cochrane researchers.

Read more: Cord Traction Best for Placenta Removal With C-Section

Obese Patients With Knee Osteoarthritis Benefit From Knee Replacement Surgery

  • Written by Ramaz Mitaishvili
  • Category: Adult Surgery
After total knee arthroplasty (TKA) for osteoarthritis of the knee, obese patients fare nearly as well as their normal-weight peers, a British research team reports in the July 24 online issue of the Annals of the Rheumatic Diseases.

Read more: Obese Patients With Knee Osteoarthritis Benefit From Knee Replacement Surgery

Postoperative Complication Rate May Be Higher in Patients With Mental Illness

  • Written by Michelle Rizzo
  • Category: Adult Surgery
Patients with schizophrenia or depression may be more prone to postoperative complications than patients without mental illness, according to a review of the literature -- such as it is.

"The knowledge base on clinical outcomes of surgery for patients with comorbid serious mental illness is extremely small, although we know the mentally ill carry a heavy burden in terms of comorbid medical disease," Dr. Laurel A. Copeland told Reuters Health.

Read more: Postoperative Complication Rate May Be Higher in Patients With Mental Illness

Controversies of Total Mesorectal Excision for Rectal Cancer in Elderly Patients

  • Written by Riccardo Audisio; Filippo La Torre
  • Category: Adult Surgery

Controversies of Total Mesorectal Excision for Rectal Cancer in Elderly Patients: Commentary from F1000

Rutten HJ, den Dulk M, Lemmens VE, van de Velde CJ, Marijnen CA
Lancet Oncol 2008 May 9(5):494-501

Commentary from Faculty Member Riccardo Audisio
This paper highlights the absolute necessity of tailoring treatment options to elderly patients with cancer. Optimal management of young individuals should not necessarily be assumed to be appropriate for the elderly cohort. This article revisited the value of total mesorectal excision (TME) when dealing with elderly patients with rectal cancer. The benefits of using this technique in older patients were assessed by analysing 30-day and six-month mortality in 1508 patients. A statistically significant excess of these outcomes was documented for older patients when compared with different age groups. The authors argued that the benefit of TME might be overshadowed by the increased vulnerability and reduced tolerance in the older age group of patients. Alternative treatment options, which are briefly discussed in this article, should be pursued in these patients. Comprehensive assessment tools are now available and their routine use in clinical practice should be encouraged in order to discriminate between the fit elderly to receive aggressive management versus the frail patients to be offered a minimalist approach in order to limit morbidity.
 

Read more: Controversies of Total Mesorectal Excision for Rectal Cancer in Elderly Patients

Overall Outcomes Better With Laparoscopic Than Open Gastric Bypass

  • Written by Ramaz Mitaishvili
  • Category: Adult Surgery
Compared with open gastric bypass surgery, performing the procedure laparoscopically reduces postoperative complications as well as the need for reoperation and is associated with a shorter hospital stay, new research shows. Nevertheless, laparoscopic gastric bypass does incur higher total costs.

Read more: Overall Outcomes Better With Laparoscopic Than Open Gastric Bypass

Liver Cancer Surgery Benefits Patients With Multiple Tumors, Portal Hypertension

  • Written by Will Boggs, MD
  • Category: Adult Surgery
Hepatic resection of hepatocellular carcinoma (HCC) should not be contraindicated in patients with multiple tumors or portal hypertension (PHT), according to a report from Japan in the June issue of Gastroenterology.

Read more: Liver Cancer Surgery Benefits Patients With Multiple Tumors, Portal Hypertension

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