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Surgery

News, opinions and meeting coverage in surgery.

How Bad Are Sleep Problems for Hospital Patients?

Pretty bad, say Dutch researchers, but fixable with "simple changes" in nightly routines

Shorter Wait Times May Favor HCV-Infected Kidney Transplants

Long-term dialysis while waiting for uninfected kidney a larger risk

Multi-Flap Head and Neck Surgery: It's Complicated

Need for individualized assessment, discussion emphasized by meta-analysis

Proteinuria Flags Risk for Post-Op Kidney Injury

Even trace levels of urinary protein tied to elevated rate of acute renal impairment

MD<40: Finding Your Joy Spot

Sometimes, just one thing makes it all worthwhile

Bariatric Patients May Need Microbiome Boost

Microbial richness remains diminished even 5 years after gastric bypass, banding

Flap vs Implant for Breast Reconstruction: How to Choose

Experts say decision should be personalized

Rapid Genetic Test May Prevent Abx-Linked Hearing Loss in Babies

For newborns with sepsis,identifies those at risk from aminoglycosides

Post-Op VTE Risk Up After Intra-Op Blood Transfusion

Deep vein thrombosis, pulmonary embolism more common within 30 days

Prostate Surgery and Outright Lies

What happened to one patient with low-grade cancer pressured into the OR

Less Morbidity, Lower Costs Tied to MIS in Cervical Cancer

But minimally invasive surgery also linked to decreased survival

Pre-Surgical CRT May Boost Survival in Pancreatic Ca

Further data needed to clarify best approach and who would benefit most

Many with Metastatic Kidney Cancer Can Skip Surgery

Overall survival with single-agent sunitinib better than with resection

Keytruda Alone Bests Chemo in Advanced NSCLC

Monotherapy boosts survival in patients with low PD-L1, no EGFR or ALK alterations

Racial Gaps Persist in ALD Patients Eligible for Transplant

Disparities found regarding liver transplant, mortality

Women Get Less Aggressive Tx for Head and Neck Ca

Registry data find that women are less likely to receive chemotherapy or radiation than men

Pilot Study Hints at IABP Benefit for Some STEMI Patients

Trend toward better prognosis in those with persistent post-PCI ischemia

Make the Diagnosis: At Least this Groom Doesn鈥檛 have Cold Feet

Just a few days after returning from his honeymoon at a Brazilian beach resort, a 29-year-old man went to his primary care doctor complaining of extremely pruritic toes and feet. After he started scratching, he noticed some small black dots, umbilicated papules, and crusts on the soles and at the tip of his toes under the nail. He had been finding it uncomfortable to walk since the last day of the trip. Can you diagnose the patient?

Better Specificity with Next-Gen Thyroid Gene Sequence Test

Afirma GSC seems to send fewer patients for surgical intervention

Thyroid Nodule Location Predictive of Malignancy

Nodules in the upper pole more likely to be cancerous

Multiple Lawsuits, Multiple Deaths, $900k from Medicare

'More than 15, less than 30' malpractice suits, he said

Low PTH-Calcium Ups Risk for Long-Term Parathyroid Problems

Levels help guide patient management after thyroidectomy

In Lupus, Time on Dialysis Matters

Survival in lupus nephritis worsens after 24 months of dialysis

Bundle Payments By Condition, Not Procedure

Experts call for 'upstream' payment model that treats the whole patient

Intravesical Gemcitabine Reduces Bladder Ca Recurrence

Could be more feasible than mitomycin C

RA Patients Pose Perioperative Challenges

Expert discusses risk evaluation, stopping antirheumatic drugs

'Time Is Muscle' When Reversing Facial Paralysis

Surgical technique uses thigh muscle to restore movement

Nerve-Sparing Prostatectomy Doesn't Help Everyone

Benefits limited mainly to men with strong sexual function before surgery

Hepatitis C Treatments Reduce Transplants

Therapies also appear to reduce liver-related mortality

Laparoscopy OK for Penetrating Injuries

Fewer than 20% needed laparotomy for abdominal wound repair

NKF SCM18 Roundup: Refused Donor Kidneys, Medication Mgmt, and More

Other noteworthy research presented at NKF meeting

Europe Gets Updated HCV Tx Guidelines

EASL panel touts 'ease of use' of direct-acting antivirals

Adjuvant Anti-PD-1 Scores Again in Melanoma

Recurrence risk falls by more than 40% with pembrolizumab

TAP Block Cuts Post-Op Opioid Need in Bariatric Surgery

Less rescue medication needed and shorter length of stay with local anesthesia technique

Mumps and Boosters; Ecigs and Quitting: It's PodMed Double T!

This week's topics include sinusitis treatment, low back pain management, waning mumps immunity, and e-cigarettes and quitting attempts

Unexpected Outcome in Hysterectomy Study

More cancer recurrences, worse survival with minimally invasive surgery

Women Do Well Without Opioids after Gyn Surgery

An 89% drop in opioid use with restrictive prescribing protocol

Seven Surgeries, Two Deaths... and Still Practicing

License surrendered in Wisconsin, doc pops up in N.Y.

NCCN: Don't Let HIV Status Dictate Cancer Treatment

New guidelines focus on most common cancers in HIV-infected patients

Bariatric Surgery Alters Gene Expression

Inflammatory, metabolic pathways overexpressed as 'hungry intestine' remodels gut

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