• The Right Choice? Mixed feelings about a recent informed consent court decision

    on March 30th, 2018
    On June 20, 2017, the Supreme Court of Pennsylvania ruled on a case that may have significant implications for surgical informed consent. Although the legal complexities of the case might be interesting to some, what got my attention was the question of whether a surgeon can delegate the informed co[...]
  • Transgender trauma patients: What surgeons need to know

    on March 27th, 2018
    FROM THE JOURNAL OF TRAUMA AND ACUTE CARE SURGERY The likelihood that a trauma or acute care surgeon will encounter or treat a transgender patient in an emergency setting is increasing every year. The number of patients who self-identify as transgender and who have undergone both medical and/or surg[...]
  • Sling revisions: pain as indication linked with SUI recurrence

    on March 27th, 2018
    REPORTING FROM SGS 2018 ORLANDO (FRONTLINE MEDICAL NEWS) – Pain as an indication for midurethral sling revision is associated with an elevated risk of postoperative stress urinary incontinence recurrence, according to a review of 129 cases. At a mean follow-up of 21 months, the overall rate of rec[...]
  • FDA updates breast implant–associated lymphoma cases, risk

    on March 22nd, 2018
    The Food and Drug Administration has received 414 reports of cases of breast implant–associated anaplastic large cell lymphoma (BIA-ALCL), including nine deaths. This figure includes all medical device reports received by the agency between 2011 and September 2017. The FDA recently provided an upd[...]
  • Study links RA flares after joint replacement to disease activity, not medications

    on March 22nd, 2018
    FROM JOURNAL OF RHEUMATOLOGY Patients with the most severe cases of rheumatoid arthritis are more likely to suffer flares after knee or hip replacement surgery, a new study finds, and it doesn’t seem to matter whether they stop taking biologics before their operation. “We found that the majority[...]
  • Trauma surgeon shares story of involuntary commitment, redemption

    on March 20th, 2018
    Over the last few years, I have spoken to many people about their experiences with involuntary psychiatric hospitalizations. While the stories I’ve heard are anecdotes, often from people who have reached out to me, and not randomized, controlled studies, I’ve taken the liberty of coming to a few[...]
  • Survey: Litigation fears drive response to FDA power morcellator warnings

    on March 20th, 2018
    REPORTING FROM SGS 2018 ORLANDO (FRONTLINE MEDICAL NEWS) – A 2014 Food and Drug Administration Safety Communication warning about the risk of disseminating occult cancerous tissue when using power morcellation led to a sharp decline in its use among physicians in a large health care system, a surv[...]
  • Bile spillage during lap cholecystectomy comes with a price

    on March 16th, 2018
    FROM THE JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS Bile spillage that happens during laparoscopic gallbladder removal is a known problem, but a large study has put some numbers to quantify the risks to patients. A research team at Massachusetts General Hospital, Boston, conducted a prospective stu[...]
  • Match Day 2018: Surgery increases positions and matches

    on March 15th, 2018
    Surgery helped to make the 2018 Main Residency Match the largest ever as the specialty offered and filled 3% more residency slots than it did in 2017, according to the National Resident Matching Program (NRMP). Surgery brought 1,319 PGY-1 positions to the Match Day table this year and filled 76.2% o[...]
  • Bariatric surgery may adversely affect newborns

    on March 15th, 2018
    FROM THE AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY Bariatric surgery can offer a variety of benefits to mothers and improve neonatal outcomes but also offers substantial risk, according to a systematic literature review. “Bariatric surgery, with patients matched for presurgery body mass inde[...]
  • Laparoscopic hysterectomy safest even for markedly enlarged uteri

    on March 15th, 2018
    REPORTING FROM SGS 2018 ORLANDO (FRONTLINE MEDICAL NEWS) – The complication rate is lower with laparoscopic hysterectomy than with abdominal or vaginal hysterectomy – even for uteri over 500 g, according to findings from a nationwide cohort of more than 27,000 women. After adjusting for numerous[...]
  • Easing into laparoscopic colectomy

    on March 14th, 2018
    REPORTING FROM MISS LAS VEGAS (FRONTLINE MEDICAL NEWS) – Minimally invasive techniques have clear benefits for colectomy, including reduced hospital length of stay, less pain, faster return to work, and reduced incidence of adhesive small bowel obstructions. But the methods are underutilized, in p[...]
  • IBD: When to operate and when to punt

    on March 9th, 2018
    EXPERT ANALYSIS FROM MISS LAS VEGAS (FRONTLINE MEDICAL NEWS) – Patients with inflammatory bowel disease who are in need of a surgical intervention can pose a special challenge to surgeons who encounter these patients only occasionally. The question of whether to perform surgery or refer a patient [...]
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