Autogenous palmaris longus tendon grafting is effective for repairing ruptured extensor tendons in the wrist in patients with rheumatoid arthritis (RA), according to a report in the April 24th Journal of Orthopaedic Surgery and Research.
Angiographic embolization for gastroduodenal hemorrhage can be achieved technically in most patients, but in-hospital rebleeding occurs in almost half of cases, researchers report in the May issue of the Archives of Surgery.
A hemoglobin-based oxygen carrier (HBOC-201, Biopure Corporation) appears to be a safe substitute for blood transfusion, according to results of a multinational, phase III clinical trial among patients undergoing elective orthopedic surgery. However, the blood substitute may not be appropriate for high-risk patients and patients over the age of 80, the findings suggest.
Annual FIT Testing Detects Colorectal Cancer Two Years Earlier Than Colonoscopy Alone, Study of High-Risk Population Finds SAN DIEGO, May 20 /PRNewswire-FirstCall/ -- An interim analysis of a study presented today at the 39th Annual Digestive Disease Week (DDW) Conference found that, among patients at increased risk for colorectal cancer who completed an annual fecal immunochemical (FIT) test, detection of cancerous lesions occurred an average of 26.5 months earlier than would have occurred during the three- or five-year study-required colonoscopy. Detection of precancerous lesions in this group occurred 18.4 months earlier.
Abstract Ischemic preconditioning (IP) uses transient ischemia to render tissues tolerant to subsequent, prolonged ischemia. This study sought to evaluate factors that contributed to the development of cerebral ischemia during PercuSurge balloon (Medtronic, Santa Rosa, CA) occlusion in patients undergoing carotid angioplasty and stenting (CAS). The PercuSurge occlusion balloon was used in 43 of 165 patients treated with CAS for high-grade stenosis; 20% were symptomatic. Symptoms of cerebral hypoperfusion during temporary occlusion of the internal carotid artery occurred in 10 of 43 patients and included dysarthria, agitation, decreased level of consciousness, and focal hemispheric deficit. The development of neurologic symptoms after initial PercuSurge balloon inflation and occluded internal carotid artery flow was associated with a decrease in the mean Glasgow Coma Scale (GCS) from 15 to 10 (range 9–14); the GCS returned to normal after occlusion balloon deflation. The mean time to spontaneous recovery of full neurologic function was 8 minutes (range 4–15 minutes). The mean subsequent procedure duration was 11.9 minutes (range 6–21 minutes). No recurrence of neurologic symptoms occurred when the occlusion balloon was reinflated. All 10 patients underwent successful CAS without occlusion, dissection, cerebrovascular accident, or death. Ischemic preconditioning can be used to enable CAS with embolic protection in patients who cannot tolerate initial interruption of antegrade cerebral perfusion by PercuSurge occlusion.
Bowel tumor resection before chemotherapy leads to better survival than first-line chemotherapy in patients with unresectable colorectal hepatic metastases, according to a report in the April issue of the Archives of Surgery.
Fate of the non-operated, non-toxic goitre in a defined population
Winbladh A, Järhult J Br J Surg. 2008;95:338-343
Summary Does every patient with a benign goiter need surgery? To answer this question, the study authors reviewed data on 261 patients (median age, 56 years) who, at the time of clinical examination or after fine-needle aspiration (233 patients), did not wish or appear to need surgery. During a median follow-up period of 130 months, 36% of these patients had an additional surgical evaluation. Of the original group, 57 underwent surgery; 5 patients were diagnosed with thyroid cancer; and 13 developed thyrotoxicosis.
Surgeons are known for the knots they tie. For Ramona Bates, that is doubly true: Not only is she a plastic surgeon, but she also has a passion for quilting. Lately she's been sharing her personal and professional interests at her Web site, Suture for a Living. I had the chance to correspond with Dr. Bates about the common threads between her work and hobbies.