MDLinx Surgery is your ultimate resource for the latest General Surgery and subspecialty surgery news articles published in over 2,000 peer-reviewed medical journals and popular press. Our diligent team of medical editor’s rank sort and summarize Surgery news articles with topics ranging from: Cardiac Surgery, Critical Care, Vascular, Thoracic, Peds Surgery, Neurosurgery and much more. On this page you may also find bonus content that includes articles highlighted by our physician editor, D. Scott Cunningham, MD, PhD, that are “must-read “ as well as clinical pearls taken from our Smartest Doc quiz competition.
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221 Improving Perioperative Performance: The Use of Operations Management and the Electronic Health Record Journal of Pediatric Surgery, January 18, 2013 Clinical Article
222 Surgeons managing conflict in the operating room: defining the educational need and identifying effective behaviors The American Journal of Surgery, January 18, 2013 Clinical Guideline
223 TG13 management bundles for acute cholangitis and cholecystitis Journal of Hepato-Biliary-Pancreatic Sciences, January 17, 2013 Clinical Guideline
224 Surgical management of cystic lesions in the liver ANZ Journal of Surgery, January 17, 2013 Clinical Article
225 TG13: Updated Tokyo Guidelines for the management of acute cholangitis and cholecystitis Journal of Hepato-Biliary-Pancreatic Sciences, January 17, 2013 Clinical Guideline
226 Defining when to initiate massive transfusion: A validation study of individual massive transfusion triggers in PROMMTT patients The Journal of Trauma and Acute Care Surgery, January 17, 2013 Review Article
227 Preoperative pulmonary rehabilitation in patients with lung cancer and chronic obstructive pulmonary disease European Journal of Cardio-Thoracic Surgery, January 16, 2013 Clinical Article
228 Nonoperative Management of Appendiceal Phlegmon or Abscess with an Appendicolith in Children Journal of Gastrointestinal Surgery, January 15, 2013 Clinical Article
229 Fistula-in-ano: When to Cut, Tie, Plug, or Sew Journal of Gastrointestinal Surgery, January 15, 2013 Clinical Article
230 The Management of Chronic Venous Insufficiency With Ulceration: The Role of Minimally Invasive Perforator Interruption Annals of Vascular Surgery, January 15, 2013 Review Article
231 Changes in Hospital Utilization and Management of Hirschsprung Disease: Analysis Using the Kids' Inpatient Database Annals of Surgery, January 14, 2013 Clinical Article
232 Experience with a new negative pressure incision management system in prevention of groin wound infection in vascular surgery patients Journal of Vascular Surgery, January 14, 2013 Clinical Article
233 Management of localized gastric cancer Journal of Surgical Oncology, January 11, 2013 Review Article
234 Management of acute type B aortic dissection The Journal of Thoracic and Cardiovascular Surgery, January 11, 2013 Review Article Clinical Article
235 Topical application of a film-forming emulgel dressing that controls the release of stratifin and acetylsalicylic acid and improves/prevents hypertrophic scarring Wound Repair and Regeneration, January 11, 2013 Clinical Article
236 Variation of Blood Transfusion in Patients Undergoing Major Noncardiac Surgery Annals of Surgery, January 11, 2013 Clinical Article
237 Fluid Therapy in Acute Pancreatitis: Anybody's Guess Annals of Surgery, January 10, 2013 Clinical Article
238 Medical management of thoracic aortic aneurysm disease The Journal of Thoracic and Cardiovascular Surgery, January 10, 2013 Clinical Article
239 Remote-Controlled, Wireless Chest Drainage System: An Experimental Clinical Setting Annals of Thoracic Surgery, January 9, 2013 Clinical Article
240 Post-operative behavioural management in bariatric surgery: a systematic review and meta-analysis of randomized controlled trials Obesity Reviews, January 8, 2013 Evidence Based Medicine
As published in the Journal of Cardiac Surgery, thoracic epidural anesthesia (TEA) plus general anesthesia (GA) is superior to GA alone in managing post-operative CABG pain. Forty patients undergoing elective CABG were randomized to receive TEA (0.25% bipivacaine [10-20 mg/h]) intra-operatively and for 24 h post-operatively plus GA or GA alone. Post-operative pain at rest and with coughing was significantly less for up to 1 month post-operatively in the TEA + GA group compared to the GA alone group. Furthermore, analgesic use, mechanical ventilation time, ICU stay time, and hospital stay time were reduced in the TEA + GA group compared to the GA alone group.
Read the article summaryAs published in the British Journal of Anaesthesia, measurement of N-terminal pro B-type natruiretic peptide (NT-proBNP) pre- and post-operatively predicts outcome in patients > 50 years of age (n=297) undergoing emergent non-cardiac surgery. A pre-operative NT-proBNP > 725 pg/ml was associated with a 4.8-fold RR of non-fatal MI, acute heart failure, or death between surgery and the 3-year post-operative follow up. Similarly, a post-operative NT-proBNP > 1600 pg/ml was associated with a 4.0-fold RR of non-fatal MI, acute heart failure, or death between surgery and the 3-year post-operative follow up. A pre-operative NT-proBNP > 1740 pg/ml was associated with a 6.9 RR for major adverse cardiac events during the post-operative hospital stay.
Read the article summaryAs published in Dermatologic Surgery, RCC patients (n=69) treated with multikinase inhibitors are at increased risk for squamous cell carcinomas and basal cell carcinomas. After a median treatment of 13.5 months, 13.5% and 6.3% of patients treated with sorafenib and sunitinib developed skin cancer, respectively.
Read the article summary1 The impact of the Japanese clinical guidelines on the clinical management of patients with acute cholecystitis Journal of Hepato-Biliary-Pancreatic Sciences, April 17, 2013 Clinical Guideline
2 Intra-abdominal hypertension in the current era of modern trauma resuscitation ANZ Journal of Surgery, April 16, 2013 Review Article
3 Optimal Time Delay between Epinephrine Injection and Incision to Minimize Bleeding Plastic and Reconstructive Surgery, April 4, 2013
4 The Management of Postoperative Nausea and Vomiting: Current Thoughts and Protocols Aesthetic Plastic Surgery, April 5, 2013
5 Management of Skin Grafts Using Negative Pressure Therapy: The Effect of Varied Pressure on Skin Graft Incorporation Wounds, April 19, 2013
6 Regulated tailored suction vs regulated seal: a prospective randomized trial on air leak duration European Journal of Cardio-Thoracic Surgery, April 16, 2013
7 The Role of Surgery in the Management of Patients With Refractory Chronic Granulomatous Disease Colitis Diseases of the Colon and Rectum, April 26, 2013 Review Article
8 Laparoscopic excision of a choledochal cyst in 82 consecutive patients Surgical Endoscopy, April 24, 2013
9 The effectiveness and appropriate management of abdominal drains in patients undergoing elective liver resection: a retrospective analysis and prospective case series Surgery Today, April 1, 2013 Review Article
10 Timing of Surgical Antibiotic Prophylaxis and the Risk of Surgical Site Infection Antibiotic Prophylaxis Timing and SSI Risk JAMA Surgery, March 25, 2013 Review Article
11 A 10-Year Longitudinal Analysis of Surgical Management for Acute Ischemic Colitis Journal of Gastrointestinal Surgery, March 29, 2013 Review Article
12 Use of a Massive Transfusion Protocol in Nontrauma Patients: Activate Away Journal of the American College of Surgeons, April 9, 2013 Review Article
13 Pancreatic Surgery in the Very Old: Face to Face With a Challenge of the Near Future World Journal of Surgery, April 22, 2013 Review Article
14 Are Commercial Negative Pressure Systems Worth the Cost in Open Abdomen Management? Journal of the American College of Surgeons, March 1, 2013 Review Article
15 Pharmacotherapy Prevention and Management of Nutritional Deficiencies Post Roux-en-Y Gastric Bypass Obesity Surgery, April 15, 2013 Review Article
16 The clinical role of critical pathway implementation for pancreaticoduodenectomy in 179 patients Journal of Hepato-Biliary-Pancreatic Sciences, March 27, 2013
17 Management of rectal stenosis with endoscopic balloon dilatation Journal of Pediatric Surgery, April 29, 2013
18 Effect of Noise on Auditory Processing in the Operating Room Journal of the American College of Surgeons, March 26, 2013 Review Article
19 MRCP is Not a Cost-Effective Strategy in the Management of Silent Common Bile Duct Stones Journal of Gastrointestinal Surgery, April 23, 2013
20 Fifteen-year experience in managing obturator hernia: from open to laparoscopic approach Hernia, April 8, 2013 Review Article
Indexed Journals in Surgery: Surgery, Journal of the American College of Surgeons, Annals of Surgery more
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