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May 2015 Briefing – Surgery

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Here are what the editors at HealthDay consider to be the most important developments in Surgery for May 2015. This roundup includes the latest...
Thousands of breast cancer patients in the United States might be spared a second surgery if more tissue was removed during initial breast-conserving

ASCO: Greater Breast Tissue Removal Reduces Further Surgery

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Removing extra tissue can halve the chances of requiring a second surgery in breast cancer
Not all melanoma patients need surgery to remove lymph nodes surrounding their tumor

ASCO: Lymph Node Sx Doesn’t Benefit All Melanoma Patients

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Second study supports new immunotherapy for enhanced survival in advanced melanoma
Smokers and patients exposed to secondhand smoke may require more anesthesia and opioids during surgery than nonsmokers

Smoke Exposure May Create Need for More Anesthesia

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Effect seems to extend to patients exposed to secondhand smoke, as well as smokers
An independent calculator that uses preoperative variables can accurately predict long-term survival in abdominal aortic aneurysm repair

Pre-Op Variable Calculator Accurately Predicts AAA Survival

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Survival similar for external calculator, Kaplan-Meier estimate after abdominal aortic aneurysm repair
Remote ischemic preconditioning can reduce the rate of acute kidney injury among high-risk patients undergoing cardiac surgery

Remote Ischemic Preconditioning Cuts Kidney Injury Risk

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Findings among patients at high risk of acute kidney injury, undergoing cardiac surgery
The rapidly rising number of bariatric surgeries in the United States may be leading to greater demand for cosmetic surgery

ASPS: Bariatric Surgeries Leading to Rise in Cosmetic Procedures

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Procedures associated with major weight loss increased the most in four years
Adolescent patients are more satisfied with surgery for lumbar disc herniation than younger or older adults

Teens More Satisfied Than Adults With Lumbar Disc Herniation Sx

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More adolescent patients experience significantly decreased leg and back pain
For women with abnormal uterine bleeding and hysteroscopically diagnosed endometrial polyps

Outpatient Uterine Polypectomy More Cost-Effective

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Slightly less effective than inpatient treatment, but outpatient treatment is less expensive
Roux-en-Y gastric bypass surgery attenuates markers of oxidative stress in subcutaneous adipose tissue

RYGB Cuts Markers of Oxidative Stress in Subcutaneous Tissue

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Fifty percent decrease in oxidative stress; no change in inflammatory markers in subcutaneous tissue