Surgery/Specialties

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March 2025
Home Surgery/Specialties

FDA Safety Alert on Absorb GT1 Bioresorbable Vascular Scaffold

Editor's Note The Food and Drug Administration (FDA) on March 18 issued a Safety Alert for Abbott Vascular’s (Santa Clara, California) Absorb GT1 Bioresorbable Vascular Scaffold (BVS). The alert was issued to inform healthcare providers of an increased rate of major adverse cardiac events in patients receiving the BVS, when…

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By: Judy Mathias
March 20, 2017
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Safety of home discharge after total joint surgery

Editor's Note Patients who live alone can recover effectively and safely at home after total hip arthroplasty (THA) and total knee arthroplasty (TKA), finds this study presented March 14 at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons in San Diego. Of 638 patients analyzed (364 THA,…

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By: Judy Mathias
March 17, 2017
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Adding new business to the ASC, one procedure at a time—Part 3

Total joint procedures are gradually moving to ambulatory surgery centers (ASCs) as technology, medical expertise, and cost pressures combine to make the ASC an increasingly attractive alternative to an acute care hospital. The key to success for these and other complex procedures, experts say, is a combination of careful planning,…

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By: Paula DeJohn
March 16, 2017
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Impact of bariatric surgery before joint replacement

Editor's Note Bariatric surgery performed before hip or knee replacement can reduce in-hospital and 90-day postoperative complications, finds this study presented March 14 at the American Academy of Orthopedic Surgeons annual meeting in San Diego. Compared with morbidly obese patients who did not have bariatric surgery before joint replacement, those…

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By: Judy Mathias
March 15, 2017
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Study: Preop epidural injections increase SSI risk after spinal fusion

Editor's Note Lumbar spinal fusion performed within 3 months after lumbar epidural steroid injections was associated with a statistically significant increase in postoperative infections in this study. The association was not found when surgery was performed more than 3 months after steroid injections. Of 88,540 patients analyzed, infection rates were:…

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By: Judy Mathias
March 14, 2017
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Effect of home-based vs inpatient rehab on mobility after total knee

Editor's Note The use of inpatient rehabilitation compared with a monitored home-based program did not improve mobility at 26 weeks after total knee surgery, this study finds. In the study, 81 patients received 10 days of hospital inpatient rehabilitation followed by an 8-week home-based program, and 87 patients received only…

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By: Judy Mathias
March 14, 2017
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FDA issues alert on use of angioplasty devices in TVAM

Editor's Note The Food and Drug Administration (FDA) on March 8 issued a Safety Alert about the use of balloon angioplasty devices to perform an experimental procedure, called transvascular autonomic modulation (TVAM). TVAM consists of threading a catheter into a patient’s venous system, such as the jugular vein, where a…

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By: Judy Mathias
March 10, 2017
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Incidence, predictors of in-hospital postop opioid overdose

Editor's Note Opioid overdose is a rare but potentially lethal complication after elective inpatient surgical procedures, and the incidence is increasing, this study finds. Of 11,317,958 patients analyzed, 9,458 (0.1%) had a postoperative opioid overdose, and the frequency doubled during the study period (2001 to 2011) from 0.6 to 1.1…

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By: Judy Mathias
March 8, 2017
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New tool predicts outcomes in elderly traumatic brain injury patients

Editor's Note Researchers at Wake Forest University, Winston-Salem, North Carolina, have developed a tool that helps predict the possibility of survival and independence at discharge for elderly patients with traumatic brain injury. The tool, which accounts for variables such as age, gender, and severity of brain injury, was evaluated in…

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By: Judy Mathias
March 6, 2017
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Robotic vs conventional laparoscopic cholecystectomy

Editor's Note Robotic cholecystectomy was associated with greater operative times but with similar safety and outcomes as conventional laparoscopic cholecystectomy, in this study. The analysis included 13 studies involving 1,589 cholecystectomy patients (921 laparoscopic, 668 robotic). Operative time for the robot-assisted procedure was 128.0 minutes vs 115.3 minutes for laparoscopic.…

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By: Judy Mathias
March 3, 2017
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