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Surgery - Pain 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 (32)
Ranked, sorted, and summarized by MDLinx editors from the latest literature
Topics:

381 Laparoscopic appendectomy is safe and efficacious for the elderly: an analysis using the National Surgical Quality Improvement Project database Surgical Endoscopy, March 2, 2011

382 Retrospective analysis of high-dose intrathecal morphine for analgesia after pelvic surgery Pain Research and Management, March 2, 2011

383 Laparoscopy-Assisted Single-Port Appendectomy in Children: Is the Postoperative Infectious Complication Rate Different Journal of Laparoendoscopic & Advanced Surgical Techniques, March 1, 2011

384 Comparison of Pediatric Laparoscopic Appendectomy Outcomes Between Teaching and Nonteaching Hospitals: A Multi-Institutional Study Journal of Laparoendoscopic & Advanced Surgical Techniques, March 1, 2011

385 Endoscopic thoracic sympathectomy for posttraumatic complex regional pain syndrome European Journal of Trauma and Emergency Surgery, February 28, 2011

386 A Prospective Analysis of Endoloops and Endostaples for Closing the Stump of the Appendix in Children Journal of Laparoendoscopic & Advanced Surgical Techniques, February 25, 2011

387 Efficacy of Thoracic Epidural Analgesia With or Without Intercostal Nerve Cryoanalgesia for Postthoracotomy Pain Annals of Thoracic Surgery, February 25, 2011

388 Changing Incidence of Acute Appendicitis and Nonspecific Abdominal Pain Between 1987 and 2007 in Finland World Journal of Surgery, February 24, 2011

389 Increased use of laparoscopy in acute right iliac fossa pain- is it good for patients Colorectal Disease, February 22, 2011

390 Comparison of peritonsillar levobupivacaine and bupivacaine infiltration for post-tonsillectomy pain relief in children: Placebo-controlled clinical study International Journal of Pediatric Otorhinolaryngology , February 21, 2011    Clinical Article

391 A positron emission tomography study of wind-up pain in chronic postherniotomy pain European Journal of Pain, February 17, 2011

392 Bupivacaine injection during midurethral sling and postoperative pain: a randomized controlled trial International Urogynecology Journal, February 17, 2011

393 Fluoroscopic Stellate Ganglion Block for Postmastectomy Pain: A Comparison of the Classic Anterior Approach and the Oblique Approach The Clinical Journal of Pain, February 15, 2011

394 Clinical, Ultrasonographic, and Pathologic Characteristics of Patients with Chronic Right-lower-quadrant Abdominal Pain that May Benefit from Appendectomy World Journal of Surgery, February 15, 2011

395 Creeping anaesthesia for nasal surgery—a relatively painless technique European Journal of Plastic Surgery, February 15, 2011

396 Small bowel obstruction caused by appendiceal tourniquet The American Journal of Surgery, February 8, 2011

397 Pulsed radiofrequency lesioning for treatment of chronic breast neuropathic pain after breast reduction -A case report Full Text Korean Journal of Anesthesiology, February 8, 2011

398 Surgical treatment of parapontine epidermoid cysts presenting with trigeminal neuralgia Journal of Clinical Neuroscience, February 8, 2011    Review Article

399 Upper- versus lower-limb aerobic exercise training on health-related quality of life in patients with symptomatic peripheral arterial disease Journal of Vascular Surgery, February 4, 2011

400 Does Intrathecal Morphine Sulfate Provide Preemptive Analgesia for Patients Undergoing Stapled Hemorrhoidopexy Pain Medicine, February 3, 2011

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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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