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Uterine surgical technique is linked to abnormal growths and cancer spread
The New York Times
Concerns are increasing among doctors about the safety of a procedure performed on tens of thousands of women a year in the United States who undergo surgery to remove fibroid tumors from the uterus, or to remove the entire uterus. The procedure, morcellation, cuts tissue into pieces that can be pulled out through tiny incisions. The technique is part of minimally invasive surgery, which avoids big incisions, shortens recovery time and reduces the risks of blood loss, infection and other complications.
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Visual outcomes similar between faculty, resident surgeons after capsule rupture
Rates of posterior capsule rupture were lower when cataract surgery was performed by faculty surgeons than by residents, but final visual outcomes were similar among the two groups, according to a study. In a retrospective study of 887 capsule ruptures reported in 48,377 phacoemulsification cases over a 5-year period, researchers found rupture rates by faculty surgeons to be 1.4 percent and those of resident surgeons to be 3.4 percent; however, final visual outcomes were not statistically significantly different.
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New comprehensive textbook on tiny parathyroid glands for endocrine surgeons
How robots enable no-neck-scar thyroid surgery and advanced imaging helps surgeons track down often elusive, tiny parathyroid glands are timely topics for a new comprehensive textbook for endocrine surgeons. "There has been a lot published in the peer-reviewed literature in recent years but there's no comprehensive source for it, so we were pleased to bring together a number of thought leaders in these various cutting-edge topics to put it all together," said Dr. David Terris, Chairman of the Department of Otolaryngology-Head and Neck Surgery at the Medical College of Georgia at Georgia Regents University.
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New weight-loss surgery may not ease chronic heartburn
HealthDay News
Obese people who are considering weight-loss surgery should choose their procedure carefully if they hope to be free of chronic heartburn, a new study suggests. The study of nearly 39,000 patients found that while traditional gastric bypass procedures reduced heartburn and acid reflux symptoms in most sufferers, a newer procedure was largely unhelpful for those who already had gastroesophageal reflux disease, or GERD.

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Male plastic surgery procedures see a 106 percent increase since 1997
Digital Journal
In a recently released infographic Dr. Steinbrech of Men's Plastic Surgery Manhattan revealed that Male Plastic Surgery is as popular as ever today. Apart from the 106 percent increase in the last 2 decades, statistics have shown that more than 1,000,000 male individuals received cosmetic surgical procedures. Dr. Steinbrech, however, does not find the results so astonishing. "Men are doing it for job reasons, to look good, to become male models."

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Can big data and mobile make healthcare more effective?
Mobile and big data are good medicine for health care. Providers are leveraging big data to more effectively inform decisions while taking advantage of the immediacy and convenience that mobile device technology has to offer. For example, aetnahealth’s Epocrates Bugs + Drugs, which was downloaded 100,000 times in its first month of release, puts critical information about bacteria types and resistance patterns in communities throughout the United States into clinicians’ hands.

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Liposome-bupivacaine showing promise in postoperative pain management
By Dr. Afsaneh Motamed-Khorasani
Postoperative pain management is necessary to prevent mortality and to improve general body function after surgery. Opioids are commonly used to reduce postsurgical pain. However, they are associated with many side effects. The potential to be able to provide a long duration of analgesic effect with a single drug dose at the time of surgery is considered as important. In a recent study in the Journal of Pain Research, a formulation of bupivacaine and liposome was developed to be applied for a prolonged postsurgical pain relief, which was less toxic as compared to free bupivacaine.
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Rapid BRCA testing informs choice of mastectomy
Medscape (free subscription)
Italian researchers studied a rapid genetic counseling and testing intervention offered to women who had just been diagnosed with breast cancer and who were considered at risk of carrying BRCA1 or BRCA2 germline mutations. The investigators hypothesized that multidisciplinary approaches and rapid testing could influence the choice of primary surgery, and they explored the psychological repercussions of this approach.
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New method to restore skull after brain surgery appears to reduce complication rates
Bioscience Technology
Johns Hopkins surgeons report they have devised a better, safer method to replace bone removed from the skull after lifesaving brain surgery. The new technique, they say, appears to result in fewer complications than standard restoration, which has changed little since its development in the 1890s.
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Clinical trial shows 'stress shield' device reduces appearance of revised scars
Medical Xpress
A small clinical trial of a device invented by researchers at the School of Medicine has shown that it can help reduce the size of existing scars when used after scar-revision surgery. The same device was previously shown to minimize the development of scars after surgery, but this is the first time it has been tested as part of a procedure for reducing old scars.
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Innovative technique creates large skin flaps for full-face resurfacing
Medical Xpress
Patients with massive burns causing complete loss of the facial skin pose a difficult challenge for reconstructive surgeons. Now a group of surgeons in China have developed an innovative technique for creating a one-piece skin flap large enough to perform full-face resurfacing, reports The Journal of Craniofacial Surgery. Dr. QingFeng Li and colleagues of Shanghai Jiao Tong University School of Medicine describe their approach to creating "monoblock" flaps for use in extensive face skin resurfacing. In their successful experience with five severely disfigured patients, the full-face tissue flap "provides universally matched skin and near-normal facial contour."
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Missed last week's issue? See which articles your colleagues read most.

    Halted after deaths, kids' heart surgeries resuming (CNN)
Study reveals staggering costs of ventral hernia repair complication (General Surgery News)
1 in 8 surgeries 'research ready' (Health Service Journal)
First bionic eye surgeries happen in Michigan (WZZM-TV)
New microsurgery robot is five times as precise as a human hand (Medical Xpress)
Don't be left behind. Click here to see what else you missed.


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