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Surgery - Patient Management News & Articles

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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Articles

Latest (2) Full Text Articles (42)
Ranked, sorted, and summarized by MDLinx editors from the latest literature
Topics:

21 Perioperative management of anticoagulation in elective surgery ANZ Journal of Surgery, May 8, 2013    Review Article

22 Optimizing ACS NSQIP Modeling for Evaluation of Surgical Quality and Risk: Patient Risk Adjustment, Procedure Mix Adjustment, Shrinkage Adjustment, and Surgical Focus Journal of the American College of Surgeons, May 8, 2013    Review Article

23 Usefulness of fibrin degradation products and d-dimer levels as biomarkers that reflect the severity of trauma The Journal of Trauma and Acute Care Surgery, May 6, 2013    Review Article

24 Management of cerebrospinal fluid leak during endoscopic pituitary surgery Auris Nasus Larynx, May 3, 2013    Clinical Article

25 A practical cost-effective management strategy for gallstone pancreatitis The American Journal of Surgery, May 2, 2013    Review Article

26 Algorithm for the management of large abdominal wall defects due to laparostomy wounds following intra-abdominal catastrophe European Journal of Plastic Surgery, May 2, 2013    Review Article

27 Delayed Management of Blunt Traumatic Aortic Injury: Open Surgical Versus Endovascular Repair Annals of Thoracic Surgery, May 2, 2013    Clinical Article

28 Reducing errors in emergency surgery ANZ Journal of Surgery, May 2, 2013    Review Article

29 Current medical and surgical management of Raynauds syndrome Journal of Vascular Surgery, May 2, 2013    Clinical Article

30 Development and Participant Assessment of a Practical Quality Improvement Educational Initiative for Surgical Residents Journal of the American College of Surgeons, May 2, 2013    Clinical Article

31 Anesthetic management of a pregnant woman undergoing laparoscopic surgery for pheochromocytoma -A case report- Full Text Korean Journal of Anesthesiology, May 1, 2013

32 Surgical safety checklists: a review ANZ Journal of Surgery, May 1, 2013    Review Article

33 Getting lost in translation? Workplace based assessments in surgical training The Surgeon, May 1, 2013    Review Article

34 Current medical management of stable coronary artery disease before and after elective percutaneous coronary intervention American Heart Journal, April 30, 2013    Clinical Article
Exclusive Author Commentary

35 Perioperative management of anticoagulation in elective surgery ANZ Journal of Surgery, April 30, 2013    Review Article

36 Management of rectal stenosis with endoscopic balloon dilatation Journal of Pediatric Surgery, April 29, 2013

37 Colorectal duplication with prostatorectal fistulae Journal of Pediatric Surgery, April 29, 2013

38 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

39 The surgical management of Rapunzel syndrome: a case series and literature review Journal of Pediatric Surgery, April 26, 2013    Review Article

40 Intrathecal Analgesia and Restrictive Perioperative Fluid Management within Enhanced Recovery Pathway: Hemodynamic Implications Journal of the American College of Surgeons, April 26, 2013    Clinical Article

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Clinical Pearls in Surgery

Highlights in Surgery

Epidural anesthesia reduces post-CABG pain

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.

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NT-proBNP predicts outcome following emergent surgery

As 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.

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Increased risk of skin cancer in RCC treated with multikinase inhibitors

As 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.

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Indexed Journals in Surgery: Surgery, Journal of the American College of Surgeons, Annals of Surgerymore

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