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Recent News and Articles on the Keywords: surgery + patients + develop  Related to the article below (Last Update: 8/5/2008)

The Revision Decision; Unrealistic Expectations of Cosmetic ...
MarketWatch -
CHICAGO, Aug 05, 2008 /PRNewswire-USNewswire via COMTEX/ -- The American Academy of Cosmetic Surgery urges patients to follow certain precautions to avoid ...
For the men who develop prostate cancer, early testing can improve ...
Orlando Sentinel, FL -
A growing number of patients are turning to a relatively new technique: robotic-assisted surgery. During the surgery, the primary surgeon operates tiny ...
Surgery was his best option Orlando Sentinel
all 2 news articles »
Surgical side effects cut with robotics
CNN -
Shah said Pouncey's experience is more the norm than the exception, but points out not everyone qualifies for robotic surgery. Patients with excess ...
Obese people 'should not be denied knee replacement'
Telegraph.co.uk, United Kingdom -
However, in recent years surgeons have turned away some patients because of their weight. Researchers looked at more than 325 patients after surgery to ...
National Quality Forum Endorses National Consensus Standards ...
MarketWatch - 55 minutes ago
This includes perioperative temperature management for surgery patients and post-operative urinary catheter removal. There was a significant effort to ...
National Quality Forum Endorses National Consensus Standards ... Biloxi Sun Herald
all 5 news articles »
To heal the wounded
International Herald Tribune, France -
Also, initial surgery even on a severely wounded patient may be brief ? just enough to control hemorrhaging and prevent contamination by a torn bowel. ...
What the Senate candidates are saying on military issues Boston Globe
all 15 news articles »
Bedside Manner, Board Certification Matter: Survey Reveals Top ...
FOXBusiness -
"These survey findings confirm that patients are demanding that their doctors treat them not just with medicines and procedures, but with empathy and ...
Virtua Cardiologists Respond to Commentary on Angioplasty
MarketWatch -
Today, many procedures are safely and routinely performed in ambulatory surgery centers. Twenty years ago, elective angioplasty was only performed at ...
Artes Medical Initiates Market Launch and Commercial Sale of ...
MarketWatch -
Elevess delivers immediate treatment results that are comparable to other fillers, while the anesthetic provides patients with an easier, more comfortable ...ARTE
Bluegrass Bariatric Surgical Associates Performs New Incisionless ...
MarketWatch -
"Gastric bypass patients work very hard to manage their weight and adjust their lifestyle after surgery," Dr. Weiss said. "Sometimes, through no fault of ...
Candidates for gastric banding are very carefully selected, one ... Irish Times
Learn The Facts About Gastric Bypass, Lap Band And Realize Band ... WebWire (press release)
Close Up TV News recognizes the Advanced Lap-Band Surgery Center ... TransWorldNews (press release)
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Source: Google News

… complex class II expression in monocytes and T cells of patients developing infection after surgery -
CH Wakefield, PD Carey, S Foulds, JR Monson, PJ … - Br J Surg, 1993 - ncbi.nlm.nih.gov
... 2001 Nov;88(11):1545. Changes in major histocompatibility complex class II expression
in monocytes and T cells of patients developing infection after surgery. ...

… Clinical Trial of Continuous Aspiration of Subglottic Secretions in Cardiac Surgery Patients* -
MH Kollef, NJ Skubas, TM Sundt - Chest, 1999 - Am Coll Chest Phys
... The main effect of CASS in our study was to delay the onset of VAP among
cardiac surgery patients developing this complication. ...

Procedure for Developing a Quality-of-Life Measure for Epilepsy Surgery Patients -
BG Vickrey - Epilepsia, 1993 - Blackwell Synergy
... A HRQOL measure for epilepsy surgery patients has been developed and evaluated.
The procedure, which could also be used to develop HRQOL measures for other ...

Identification of patients at greatest risk for developing major complications at cardiac surgery.
KE Hammermeister, C Burchfiel, R Johnson, FL … - Circulation, 1990 - ncbi.nlm.nih.gov
... Identification of patients at greatest risk for developing major complications at
cardiac surgery. Hammermeister KE, Burchfiel C, Johnson R, Grover FL. ...

… of Diabetes and Glucose Control With Surgical-Site Infections Among Cardiothoracic Surgery Patients -
R Latham, AD Lancaster, JF Covington, JS Pirolo, … - Infection Control and Hospital Epidemiology, 2001 - UChicago Press
... this group after having cardiothoracic surgery has not ... These patients then were followed
prospectively and those ... undiagnosed diabetes in the develop- ment of ...

Predictors of Atrial Fibrillation After Coronary Artery Surgery Current Trends and Impact on … -
SF Aranki, DP Shaw, DH Adams, RJ Rizzo, GS Couper, … - Circulation, 1996 - Am Heart Assoc
... than the reported incidence of AF after major noncardiac surgery regardless of ...
mechanisms that predispose a large proportion of CABG patients to develop AF. ...

Reducing the risk of major elective surgery: randomised controlled trial of preoperative … -
J Wilson, I Woods, J Fawcett, R Whall, W Dibb, C … - BMJ: British Medical Journal, 1999 - pubmedcentral.nih.gov
... surgical procedures in general surgery, vascular surgery, and urology. Patients
were identified as being at high risk of developing perioperative complications ...

… postoperative atrial fibrillation in coronary artery bypass surgery patients: a randomized, double- … -
JA Gomes, J Ip, F Santoni-Rugiu, D Mehta, A Ergin, … - Journal of the American College of Cardiology, 1999 - Am Coll Cardio Found
... instituted via epicardial temporary wires left in at the time of surgery. ... of the
P wave (15) have suggested that patients who develop postoperative AF may ...

… Interval Dynamics Before Atrial Fibrillation in Patients After Coronary Artery Bypass Graft Surgery -
CW Hogue, PP Domitrovich, PK Stein, GD Despotis, L … - Circulation, 1998 - Am Heart Assoc
... in 18 sex- and age-matched postoperative control subjects who did not develop AF.
Patients had left ventricular ejection fractions >45% before surgery and were ...

… Culture on Multiple Outcomes of Care for Coronary Artery Bypass Graft Surgery Patients. -
SM Shortell, RH Jones, AW Rademaker, RR Gillies, … - Medical Care, 2000 - lww-medicalcare.com
... be sicker and were more likely to have undergone surgery on an ... the baseline clinical
characteristics of the 3,045 study patients used to develop a model ...

Source: Google Scholar

40% of Weight-Loss Surgery Patients Develop Complications

A growing number of people opt for surgery as a way to lose weight, but four in 10 develop complications within six months after surgery, according to a new U.S. government report.

However, one expert says that the report is based on old data and in fact, the procedure has become safer and less invasive, with only a fraction of the complications the report authors found.

In the report, published in the August issue of Medical Care, the authors looked at 2,522 insurance claims for bariatric surgery -- the general term for surgery to combat obesity -- done in 2001 and 2002.

"We found that the complication rate in the hospital was 22 percent, but it went up to 40 percent over the next six months," said lead author William Encinosa, a senior economist at the Agency for Healthcare Research and Quality, which sponsored the study.

The most common complications were dumping syndrome, which includes vomiting, reflux and diarrhea; complications resulting from the surgical joining of the intestine and stomach, such as leaks or strictures; abdominal hernias; infections and pneumonia, the researchers found.

"These additional medical utilizations are expensive," Encinosa said. Costs averaged $36,542 for obesity surgery patients who had complications in the six months after surgery, compared with an average of $25,337 for patients without complications.

Moreover, medical care costs for patients who were readmitted to the hospital because of a complication averaged $65,031, compared with $27,125 for those who didn't have to be rehospitalized.

"Insurance companies could save a lot of money if they could reduce these complications," Encinosa said. Encinosa said he didn't know how insurers could reduce costs, but he did say that as doctors develop more experience with the procedure, the rate of complications decreases.

Encinosa noted that even with a high complication rate, the surgery is cost-effective because losing weight reduces the risk of expensive diseases such as diabetes and high blood pressure. "The long-run cost benefits outweigh these complications," he said.

However, one expert said that the data used in the report is old and doesn't reflect the current procedure and its complications.

"This study was done over five years ago," said Dr. Philip R. Schauer, president of the American Society for Bariatric Surgery and director of the Bariatric and Metabolic Institute at the Cleveland Clinic Foundation. "Lots of hospitals and surgeons had just begun getting into bariatric surgery at that time, and there were no standards, so one can expect a significant complication rate," he added.

Schauer said that the American Society for Bariatric Surgery and other groups have established standards to qualify hospitals and doctors in preforming the procedure. "Complications are decreasing as there are more generalized standards across the country," he added.

When you look at the complications, many are minor ones, Schauer said. "For example, 19.5 percent of the complications were dumping, vomiting and diarrhea," he said. "These are common after weight loss surgery, self-limited and innocuous, and, in most, cases don't require medical treatment. That's nearly half of the complications." h

Schauer noted that in 2001 the most common operation was open bariatric surgery that necessitated making a large incision. A lot of the other complications are the result of this type of an open abdominal incision, including leaks or strictures, abdominal hernias and wound infection, he said.

Today, he said, most surgery is a minimally invasive laparoscopic procedure. "More than 60 percent of these operations are done laparoscopically," he said. "Within two to three years, it will be more like 90 or 95 percent."

Light Drinking Cuts Risk for Death, Heart Attack

Another study adds to the growing evidence that a drink each day helps lower heart risks and extend life span.

Moreover, the effect appears to be due to something other than alcohol's anti-inflammatory effects, the Florida researchers found. Prior studies have found that light to moderate drinking reduces blood levels of inflammatory markers such as C-reactive protein and interleukin-6.

"Light to moderate alcohol intake is associated with lower risk of cardiovascular disease in older subjects," concluded lead author Dr. Cinzia Maraldi, of the Institute on Aging at the University of Florida, Gainesville.

As reported in the July 24 issue of the Archives of Internal Medicine, Maraldi's team collected data on nearly 2,500 adults without heart disease, aged 70 to 79. Half of this group never drank or only drank occasionally. During an average 5.6 years of follow-up, 397 of the participants died, and 383 suffered some kind of cardiac event, the researchers reported.

The researchers found that those who drank lightly to moderately -- one to seven drinks per week -- had a 27.4 percent lower risk of death and close to a 29 percent lower risk for cardiac events, compared with the never or occasional drinkers.That difference held even after the researchers controlled for blood markers of inflammation. "The anti-inflammatory effect doesn't seem to explain these benefits," Maraldi said.

But the researchers stressed that the benefit was only seen in light-to-moderate drinkers. Heavy drinkers were actually more likely to die or experience a dangerous cardiac event than teetotalers or occasional drinkers, they noted.

Maraldi believes more research is needed into just how light drinking eases heart risk. Alcohol may act on specific cells or molecules to reduce the risk of cardiovascular disease, or it may interact with genetic factors, the researchers speculated.

One expert thinks that the protective effect of alcohol may be a combination of factors including anti-inflammatory and vasodilatory (artery-opening) effects."I don't think they have proven that it is not an anti-inflammatory effect, that's pretty hard to know," said Dr. Marc Siegel, an associate professor of medicine at New York University School of Medicine.

Siegel thinks that whether alcohol is protective or not, it does have toxic effects on the body.

"There is less cardiac death at low-to-moderate drinking, and there is more longevity," Siegel said. "The problem with alcohol is, it's toxic to the stomach, it's toxic to the liver, and it's toxic to the brain. I am cautious about recommending alcohol, because of its toxic effects," he said.

"If we didn't have alcohol in the world, our health would be better, not worse," Siegel said. "Overall, alcohol is very bad for us."

 
 
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