Articles Tagged With: surgery
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Surgical Risk of Mitral Valve Repair, Updated
A contemporary update of the Society of Thoracic Surgeons risk calculator for operative mortality and morbidity in nonemergent primary mitral valve repair for regurgitation shows an operative mortality rate of 1.2%, with a conversion to replacement of 6%, in more than 53,000 patients.
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A Simple Intervention to Reduce Surgical Site Infections?
This multicenter, cluster randomized trial in Benin, Ghana, India, Mexico, Nigeria, Rwanda, and South Africa evaluated the effect of changing sterile gloves and instruments at the time of abdominal wound closure on surgical site infection (SSI) rates among adults and children undergoing both elective and emergent surgery. The SSI rate in the intervention group among 5,789 patients was 16% compared to 18.9% in the control group of 6,768 patients (adjusted risk ratio, 0.87; 95% confidence interval, 0.79-0.95).
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Labiaplasty in the United States
In this descriptive study, the rates of labiaplasty from 2016-2019 in the United States ranged from 3,046 to 4,315 per year and were highest among women aged 18 to 35 years.
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Hospital Uses Case Management to Shorten LOS for Urologic Oncology Surgery Patients
A timely hospital discharge is particularly challenging for urologic oncology patients after surgery. But the results of a new study show including case management-style coordinated care with an advanced practice provider can dramatically shorten length of stay.
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Ethical Considerations for Trauma-Informed Care
Use the tenets of trauma-informed care by realizing the widespread effects of trauma; recognizing signs and symptoms; responding by including knowledge about trauma in policies, procedures, and practices; and avoiding retraumatization.
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Machine Learning Models Predict Recurrence, Complications Associated with Hernia Repair
Tool could prevent readmissions and repeat procedures while saving millions of dollars.
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Informed Consent Considerations if Surgeon Delegates Portion of Operation
Surgeons should be clear there will be other providers in the OR, and that some elements of the operation — not the critical portion the attending has to manage, but other elements — can be delegated to a qualified member of the surgical team. However, the primary attending surgeon’s personal responsibility for the safety and the welfare of the patient cannot be delegated.
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Thrombolysis vs. Surgery for Thrombosed Mechanical Prosthetic Valves
A study of patients with obstructive prosthetic valve thrombosis that deployed low-dose, slow infusion thrombolysis or surgery using shared decision-making, showed thrombolysis was highly effective and resulted in fewer major complications than surgery.
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Comparison of Treatments Highlights Poor Outcomes for TAVR Patients with Infective Endocarditis
In this analysis of a large registry of transcatheter aortic valve replacement patients with confirmed endocarditis, most were treated with antibiotics without surgery. In-hospital and one-year mortality rates were high and were not much better in patients who underwent surgery.
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Informed Consent Challenges with High-Risk Surgery
There appears to be room for improvement when it comes to surgeons talking with patients about shared decision-making and providing specifics about quality of life after procedures.