The HCPLive surgery page is a resource for medical news and expert insights on invasive medicine. This page features expert-led coverage, articles, videos and research on the therapies and development of treatments for surgery, and more.
November 17th 2024
An IV infusion of exenatide during cardiac surgeries involving bypass did not significantly benefit mortality or organ injury compared with placebo.
September 27th 2024
Reformulated OxyContin Associated with Reduction in Abuse, Addiction, and Opioid Poisoning
March 23rd 2015The number of abuse, addiction, and opioid poisoning diagnoses has decreased since the introduction of reformulated OxyContin, according to a study presented at the American Academy of Pain Medicine's 31st Annual Meeting.
Public Reporting of PCI and its Affect on Patient Care Part 2
The reporting of PCI results is not a common practice for many reasons, and while some states require it of their doctors, there could be both medical and political barriers standing in the way of it becoming a nationwide program.
Public Reporting of PCI and its Affect on Patient Care
With New York and Massachusetts leading the way laws requiring public reporting of PCI results were recently expanded to Washington State as well. A recent study looked at the risks and benefits of other states starting similar programs.
Ablation with Valve Repair Has Advantages
About two-thirds of surgeons performing mitral valve surgery on patients with atrial fibrillation (AF) do ablation procedures at the same time. There are no official guidelines on when to do both. Trying to provide more information to guide such decisions, a US-Canada team randomized a group of these patients to either valve repair alone, or valve repair with ablation. The dual approach seems better.
Radial Artery Approach Safer than Femoral
Interventional cardiologists would do better to access heart arteries through a patient's arm than groin, a Dutch study found. Though the radial approach is technically more difficult, it is safer with a lower risk of severe bleeding.
Preoperative Physical Therapy in the Elective Cardiac Surgery Patient: Good Move
March 17th 2015Most surgeons refer patients for postoperative physical rehabilitation, but there is little evidence supporting the decision by some to start physical therapy before surgery. An article in the February 2015 issue of Physical Therapy looked at employing physical therapy earlier to prevent complications.
Moving Medicine Onto a Digital Platform
Patient care continues to make dramatic changes including the way information is shared not only between doctors and patients, but also other doctors treating the same people. Technology making that happen continues to evolve as well.
Atrial Fibrillation: Ablation Beats Drug
In patients with heart failure and atrial fibrillation, those who had catheter ablation had better results than those who took the anti-arrhythmic medication amiodarone, reported researchers at Albert Einstein College of Medicine in New York City.
Benefits Seen for Brain Shield Used with TAVR
The TriGuard filter, an investigational device designed to protect the brain from hazardous debris released during transcatheter aortic valve replacement (TAVR) and other procedures was found to improve in-hospital safety outcomes and cognitive scores at discharge.
Self-expanding TAVR Preferred Over Surgery
Self-expanding transcatheter aortic valve replacement (TAVR) in high-risk aortic stenosis patients produces a more consistent survival rate compared with standard surgery, according to 2-year data presented at the American College of Cardiology meeting in San Diego, CA.
Diverticulosis and Diverticulitis: When is Surgery Prudent?
March 11th 2015Americans' low-fiber diets that tend to be rich in red meats put them at risk for diverticulosis, and by age 60, roughly half of Americans have or have had diverticulosis. It's not clear how many patients with diverticulosis go on to develop diverticulitis, but once diverticulitis develops, 10-25% of patients need surgery, often urgently.
Surgical Centers Are Quickly Becoming the Hot New Travel Destination
March 11th 2015An article in Newsweek highlights a growing trend: travelling to a foreign country to undergo major surgery. Americans are flocking to countries such as Costa Rica, Mexico, India, Thailand, and Mexico, as well as European destinations such as Germany, for affordable surgical procedures.
Better Tools for Predicting Post-Surgery Risk of Atrial Fibrillation
A simple CHADS2 score, along with records about ongoing use of certain medications, may help physicians predict the risk that individual patients will develop atrial fibrillation after thoracic or vascular surgery.
Comparing Bone Loss and Weight Loss Associated with Gastric Bypass and Gastric Banding Surgeries
March 8th 2015Researchers report that weight loss and increases in bone turnover were greater after one year among patients who underwent Roux-en-Y gastric bypass compared to patients who had laparoscopic adjustable gastric banding procedures.
Screening and Surveillance for Barrett's Esophagus: The Controversy Continues
Although the prevalence of Barrett's esophagus is considered moderate, the condition is the only established precursor of esophageal adenocarcinoma, and thus it has become the focus of programs of endoscopic screening and surveillance.
Conditional Disease-free Survival after GIST Resection Improves Over Time
A recent JAMA Surgery study by Danielle A. Bischof, MD, of Johns Hopkins University and her American and Canadian colleagues was the first to estimate conditional disease-free survival (CDFS) for primary gastrointestinal stromal tumors (GISTs) following complete surgical resection.
Bariatric Surgery Reduces Diabetes-Associated Vascular Disease in Obese Patients
March 6th 2015Bariatric surgery has been shown to reduce the long-term risk of diabetes-associated vascular disease in obese patients. According to study results presented at ENDO 2015, bariatric surgery reduced the risk of developing macrovascular events by 20% and reduced the risk of microvascular events by 50%.