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
Steroid Use in Bodybuilding Grows Male Breasts
Gynecomastia-the growth of breast tissue in men-can be an embarrassment for adolescents, but for professional bodybuilders it can be a career-ender. Two plastic surgeons said steroid use is to blame and surgery-not liposuction-is the best treatment.
Potential Discovery of Pancreatic Cancerous Cell Mechanisms
January 28th 2015Researchers at Huntsman Cancer Institute (HCI) at the University of Utah recently discovered the mechanism potentially triggering pancreatic cancer from the defects resulting from extrusion, the process through which cells are squeezed out of overcrowded tissue to die.
Critical Illness and Renal Clearance: Why So Fast?
January 27th 2015Renal clearance can be significantly elevated in the critically ill. Treating these patients with renally cleared drugs can present a problem. Drugs-whisked through the body with greater than expected efficiency, a process called augmented renal clearance (ARC)-reach only suboptimal levels and, consequently, patients experience no improvement or actual clinical decline. ARC is often associated with elevated urinary creatinine clearance.
Rogue Breast Cancer: The Triple Negative Dilemma
January 27th 2015In March 2014, the Society of Surgical Oncology Susan G. Komen for the Cure Symposium focused on the literature on the epidemiology, molecular pathology, and therapy considerations of triple-negative breast cancer. The Annals of Surgical Oncology has published a summary of this work ahead of print.
The hospital shooting death of Boston cardiac surgeon Michael Davidson, MD, 44, has shocked the cardiology world-far beyond his colleagues at Brigham and Women's Hospital where he was director of endovascular cardiac surgery. On a remembrance page and in formal statements, tributes are pouring in. Davidson, a respected innovator in heart valve replacement, died late Jan. 20, hours after he was shot by the son of a former patient who then turned his gun on himself.He leaves his wife Teri Davidson, who is 7 months pregnant, and 3 children ages 2 to 9.
NOTES & SILS in Colorectal Surgery: On the Horizon
January 21st 2015Laparoscopic colorectal surgery (LCS) using multiple ports has become commonplace in colorectal surgery, offering a safe alternative to open surgery with similar surgical results. In other types of surgery, single-incision laparoscopic surgery (SILS) and natural orifice transluminal endoscopic surgery (NOTES) are growing in popularity.
Research Offers New Insight into Hirschsprung's Disease
Researchers discovered defects in the Sox10 protein, a factor regulating gene expression, which evidently plays a role in developing post-operative gastrointestinal (GI) function in patients afflicted with Hirschsprung's disease.
Changes in Recommendations for Surgeries of the Colon and Rectum
January 12th 2015Surgical management of colon and rectum diseases changes quite quickly. Noting that many changes have been suggested in just the last year, 2 surgeons from the Mayo Clinic in Rochester, Minnesota, assembled a review of the most significant. This paper appears in the January 2015 issue of Current Opinions in Gastroenterology.
Care Fragmentation: Affecting the Elderly Disproportionately
January 12th 2015Fragmentation -- a lack of care continuity when disparate healthcare professionals provide care without integrated access to clinical information -- is a public health focus. It's a concern for surgeons when patients undergo complex procedures that require lengthy periods of recovery. Fragmentation is especially troubling when patients are elderly.
Expert Witnesses: Are the Guidelines Acceptable?
January 12th 2015Surgeons from several leading medical schools in the United States gathered expert witness guidelines among major surgical societies for review. They looked for gaps in the standards to stimulate discussion about areas for improvement. Their review provides an educational look at the surgeon's role in the judicial system.
Hysterectomy's Environmental Footprint
January 2nd 2015Many health care organizations have started to lessen their environmental impact slowly by tackling small problems and making manageable changes. A multidisciplinary team of researchers from across the US carved out one surgical procedure to determine environmental impact. Their assessment of abdominal, vaginal, laparoscopic, and robotic hysterectomy appears ahead of print in the journal Environmental Science and Technology.
Tracheotomy: When the Patient Sues
January 2nd 2015In many medical fields, malpractice has driven changes in the way physicians practice medicine. In the surgical field, tracheotomies are often crucial, but are associated with a high risk of morbidity and mortality. A quick look at the results when one enters "tracheotomy" and "lawsuit" into any search engine shows that patients, dissatisfied with myriad aspects of breathing through a tube, often sue after this procedure.
New Injection Could Offer Improved Pain Relief for Knee Replacement Patients
For patients diagnosed with knee osteoarthritis the pain associated not only with the condition but also the potential knee replacement surgery can be excruciating. A recent study looked at ways to minimize the pain after the operation to get people back on their feet as quickly as possible.
Swallowing After Intubation: Food, Position and Therapy
December 23rd 2014Postextubation dysphagia is a common but often unrecognized problem in critically ill patients who've been intubated for 2 days or more. Its causes include mechanical abrasion, cognitive disturbances, and the residual effects of narcotics and anxiolytic medications.
Carotid Revascularization: Threshold, Timing, and Best Technical Approach
December 19th 2014Atherosclerotic internal carotid artery disease is a major contributor to ischemic stroke. Surgeons use a combination of carotid artery and brain imaging to determine if patients have symptomatic carotid stenosis. However, there remains widespread disagreement on the threshold, timing, and best technical approach to carotid revascularization in symptomatic patients.
Wheelchair Users: Rotator Cuff Repair
December 19th 2014Slightly more than 6.8 million community-dwelling Americans use assistive devices (eg, canes, walkers, crutches) to help them with mobility and, of these, 1.7 million people use wheelchairs or scooter riders. These Americans at risk for unique musculoskeletal problems, especially rotator cuff injuries.
Changing Clinical Notes Through Electronic Health Records
As electronic health records become more or less mandatory, the question moves from how widely they are adopted by practices across the country to whether the new versions are more effective than the old pen-and-paper way of doing business.
How Should I Evaluate This Patient's Injured Ankle?
December 8th 2014A 28 year-old commercial realtor comes to your office on Monday morning after spraining his right ankle in a basketball game with friends the preceding Saturday afternoon. He has a swollen right ankle with tenderness inferior and anterior to the lateral malleolus. He is limping but able to apply weight to the injured extremity.