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General Surgery

News, opinions and meeting coverage in surgery.

Less Invasive Surgery Wins in Esophageal Cancer

Large reduction in major complications at 1 month out

Which Bariatric Surgery Needs Most Revisions Over the Decades?

Long-term analysis compared banding, vertical banded gastroplasty, and gastric bypass

A Walker, Olive Oil, and a Hematoma: General Surgery News Report

Also, managing expectations in patients who don't want reconstruction post-mastectomy

Patients Say Quality of Life Suffered With Mastectomy for Early Breast Cancer

Breast-conservation options were associated with better sexual, psychosocial outcomes

SABCS: Axillary RT as Good as Surgery in Breast Cancer

Radiation non-inferior to surgery after positive sentinel node

Low-Dose Tamoxifen Feasible Option in Breast Cancer

Women appear to prevent recurrence in early stage cancers with 5 mg dosing

Xeloda Disappoints in Early Triple-Negative Breast Cancer

No improvement after standard chemo, though subset may derive some benefit

T-DM1: A New Adjuvant Standard in High-Risk HER2+ Breast Ca?

Substantial improvements in survival outcomes in KATHERINE trial

Rethink Due for Stopping Transgender Hormone Tx Before Surgery?

Review found little evidence linking hormones to surgical complications

Younger High-Risk Women Benefit From Mammography

Yields in 30-39 age group at high risk comparable to 40-49 group with average risk

No Benefit From Preventive Antibiotics in Nose Jobs

Meta-analysis: infection rates the same whether prophylaxis given or not

Bad Docs Give Up Licenses, But Not Medical Practice

More than 250 surrender licenses in one state, but still practice in another

LMWH Prevails for VTE Prevention in Guideline

ASH unveils first six chapters of comprehensive recommendations

Implants May Still Hinder FFDM with Tomosynthesis

Presence of breast implants tied to decreased recall rates and cancer detection rates

No Surgery May Be Feasible in Gleason 9-10 Prostate Ca

Study finds similar outcomes with two multimodal approaches

Omega-3 and Vitamin D; Vein Grafts and CABG: It's PodMed Double T!

This week's topics include benefits of CABG, vein harvesting, new exercise guidelines, and omega-3 and vitamin D supplementation

Metabolic Surgery Prevails for Mortality, CV-Risk Reduction in T2D

Macrovascular complications, CV mortality reduced more with surgery than medical therapy alone

Race, Clinical Factors Predict Weight Gain After Roux-en-Y

African Americans, nonusers of pharmacotherapy more likely to experience regain

Bariatric Surgery Outcomes Vary According to Obesity Subtype

Researchers identified four separate classes of obesity

AASLD Poster Roundup: Gender, Insurance, Weight and Waitlists

Selections from poster sessions at the annual Liver Meeting

Pouch Creation a Winner After Total Gastrectomy

Meta-analysis reports better long-term functional outcomes, no greater perioperative morbidity

Nerve Plane Block May Improve Mastectomy Pain

Also: obese children and post-surgery pain; patient-controlled epidurals after C-section

Two-Week Opioid Script Is Plenty for 90% of Nasal Surgery Patients

One fourth of patients required no opioid medication at all

Surveillance Appears Reasonable for Small pNETs

All patients with tumors

Sandeep Jauhar's Real-Life Tales From, and of, the Heart

Exploring the organ's intertwined metaphorical and biological aspects

Surgery Improves Survival for most pNETs

Mortality odds 70%-80% lower for all but stage I disease

TCT: TAVR's Prosthesis-Patient Mismatch Problem Gets Airing

It's not just a surgical issue, according to TVT Registry data

Patients With Obesity Prefer 'People-First' Language

Survey reports wordage could improve self-worth, likelihood of losing weight

Robots and Surgery; Alcohol and Death: It's PodMed Double T!

This week's topics include Parkinson's disease and metabolic syndrome, lorcaserin and heart problems, the global burden of alcohol related disease, and robotic surgery costs.

ESC: Rivaroxaban Doesn't Prevent VTE after Acute Illness

Efficacy shown in prior trial is lost, but safety gained in this setting

Cath Lab Recap: Intracardiac Echo; Safe Late Lumen Loss Limit

Interventional cardiology news to note

TAVR Growing Even in Younger Age Groups

National trends seen across ages through 2015 likely have continued

How Bad Are Sleep Problems for Hospital Patients?

Pretty bad, say Dutch researchers, but fixable with "simple changes" in nightly routines

Proteinuria Flags Risk for Post-Op Kidney Injury

Even trace levels of urinary protein tied to elevated rate of acute renal impairment

Bariatric Patients May Need Microbiome Boost

Microbial richness remains diminished even 5 years after gastric bypass, banding

Flap vs Implant for Breast Reconstruction: How to Choose

Experts say decision should be personalized

Post-Op VTE Risk Up After Intra-Op Blood Transfusion

Deep vein thrombosis, pulmonary embolism more common within 30 days

Prostate Surgery and Outright Lies

What happened to one patient with low-grade cancer pressured into the OR

Less Morbidity, Lower Costs Tied to MIS in Cervical Cancer

But minimally invasive surgery also linked to decreased survival

Pre-Surgical CRT May Boost Survival in Pancreatic Ca

Further data needed to clarify best approach and who would benefit most

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