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

1 Presentation and management of splenic injury after colonoscopy: A systematic review Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, April 17, 2014    Evidence Based Medicine    Review Article

2 Early mobilization after free-flap transfer to the lower extremities: Preferential use of flow-through anastomosis Full Text Plastic and Reconstructive Surgery - Global Open, April 17, 2014    Clinical Article

3 Effects of weekend admission on the outcomes and management of ruptured aortic aneurysms Journal of Vascular Surgery, April 16, 2014    Clinical Article

4 Management of vascular malformations Full Text Plastic and Reconstructive Surgery - Global Open, April 16, 2014    Clinical Article

5 Combined aluminum potassium sulfate and tannic acid sclerosing therapy and anal encirclement using an elastic artificial ligament for rectal prolapse Diseases of the Colon and Rectum, April 15, 2014    Review Article

6 Management of thoracic esophageal perforation World Journal of Surgery, April 15, 2014    Clinical Article

7 The physiological effects of hyperosmolar resuscitation: 5% vs. 3% hypertonic saline The American Journal of Surgery, April 15, 2014    Review Article

8 Endovascular abdominal aortic aneurysm repair in patients with ventricular assist devices Annals of Vascular Surgery, April 14, 2014    Clinical Article

9 The impact of general surgeon supply on the risk of appendiceal rupture in North Carolina Annals of Surgery, April 11, 2014    Clinical Article

10 Management of anastomotic leakage in a nationwide cohort of colonic cancer patients Journal of the American College of Surgeons, April 10, 2014    Clinical Article

11 Colloid with high fresh frozen plasma/red blood cell resuscitation does not reduce postoperative fluid needs The Journal of Trauma and Acute Care Surgery, April 9, 2014    Clinical Article

12 Preoperative patient optimization using extracorporeal life support improves outcomes of INTERMACS Level I patients receiving a permanent ventricular assist device European Journal of Cardio-Thoracic Surgery, April 9, 2014    Review Article

13 Measuring surgical quality: Comparison of postoperative adverse events with the American College of Surgeons NSQIP and the thoracic morbidity and mortality classification system Journal of the American College of Surgeons, April 7, 2014    Review Article

14 Empowering the surgical patient: A randomized, prospective analysis of an innovative strategy for improving patient compliance to the preadmission showering protocol Journal of the American College of Surgeons, April 7, 2014    Clinical Article

15 Perioperative changes in trunk musculature and postoperative outcomes Journal of Surgical Research, April 7, 2014    Clinical Article

16 Assessment of the occurrence of nausea and vomiting among patients following the surgery Surgical and Vascular Nursing , April 4, 2014    Clinical Article

17 Mortality and management of surgical necrotizing enterocolitis in very low birth weight neonates: a prospective cohort study Journal of the American College of Surgeons, April 3, 2014    Clinical Article

18 Management of acute limb ischemia in the pediatric population Journal of Vascular Surgery, April 3, 2014    Review Article

19 The science of medical decision making: Neurosurgery, errors, and personal cognitive strategies for improving quality of care World Neurosurgery, April 2, 2014    Review Article

20 Reoperative surgery: a critical risk factor for complications inadequately captured by operative reporting and coding of lysis of adhesions Journal of the American College of Surgeons, April 1, 2014    Review 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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Most Popular Surgery Articles

Last month's top read Top Articles of 2013

1 Adaptive ageing surgeons ANZ Journal of Surgery, March 3, 2014    Review Article

2 Dysmotility by mechanical bowel preparation using polyethylene glycol Journal of Surgical Research, March 28, 2014

3 Printed quit-pack sent to surgical patients at time of waiting list placement improved perioperative quitting ANZ Journal of Surgery, March 5, 2014

4 Outpatient management of biliary colic: A prospective observational study of prescribing habits and analgesia effectiveness International Journal of Surgery, March 14, 2014

5 Does intravenous fish oil benefit patients post-surgery? A meta-analysis of randomised controlled trials Clinical Nutrition, March 12, 2014

6 Randomized clinical trial comparing reduced-volume oral picosulfate and a prepackaged low-residue diet with 4-liter PEG solution for bowel preparation Diseases of the Colon and Rectum, March 17, 2014

7 Early oral feeding vs. traditional feeding in patients undergoing elective open bowel surgery--A randomized controlled trial Journal of Gastrointestinal Surgery, March 20, 2014

8 Palliative surgery for malignant bowel obstruction from carcinomatosis a systematic review JAMA Surgery, February 3, 2014    Evidence Based Medicine    Review Article

9 Management of colonic injuries in the setting of damage-control laparotomy: One shot to get it right The Journal of Trauma and Acute Care Surgery, March 11, 2014    Review Article

10 Gastroparesis: what is the current state-of-the-art for evaluation and medical management? what are the results? Journal of Gastrointestinal Surgery, August 28, 2013    Review Article

11 Management of anastomotic leakage in a nationwide cohort of colonic cancer patients Journal of the American College of Surgeons, February 25, 2014

12 Management of electrical and chemical burns in children Journal of Surgical Research, March 18, 2014    Review Article

13 Unique patterns and proper management of post-gastrectomy bleeding in patients with gastric cancer Surgery, February 12, 2014

14 What should the (abdominal) surgeon know about ORL/ENT aspects in general (abdominal) surgery Zentralblatt für Chirurgie - Zeitschrift für Allgemeine, Viszeral-, Thorax- und Gefäßchirurgie, February 20, 2014

15 Seroma and quilting suture at the donor site of the TRAM flap in breast reconstruction: A prospective randomized double-blind clinical trial Annals of Plastic Surgery, March 27, 2014

16 Approaches to assessing the benefits and harms of medical devices for application in surgery Langenbeck's Archives of Surgery, February 27, 2014

17 Prospective trial of angiography and embolization of all grade III-V blunt splenic injuries: Nonoperative management success rate is significantly improved Journal of the American College of Surgeons, February 11, 2014

18 Atypia of undetermined significance in thyroid fine-needle aspiration cytology: Prediction of malignancy by US and comparison of methods for further management Annals of Surgical Oncology, March 10, 2014    Review Article

19 Laparoscopic versus open surgical management of small bowel obstruction: An analysis of short-term outcomes Surgical Endoscopy, March 24, 2014

20 Delirium prevention program in the surgical ICU improved the outcomes of older adults Journal of Surgical Research, March 14, 2014

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

Other Topics in Surgery

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