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Tag: Surgery: Misc.

In more than half of patients

Over Half of Hip Replacements Expected to Last 25 Years

Second review shows 82.3 and 69.8 percent 25-year survival for total, unicondylar knee replacement
The American Academy of Orthopaedic Surgeons hip preservation surgery appropriateness classification system is driven almost entirely by age and radiographic hip osteoarthritis evaluation

Hip Preservation Appropriateness Guidelines May Be Limited

Patient age, radiographic OA severity dominate prediction of hip preservation sx appropriateness
Although more women have hip fracture surgery

Women Less Likely to Get Periop Care Before Hip Fracture Surgery

Women also less likely to receive anesthesia consultation, more likely to have timely surgery
Older patients with severe frailty undergoing transcatheter aortic valve replacement and surgical aortic valve replacement frequently experience subsequent functional decline or lack of improvement

Functional Decline Seen for Many Frail Patients After TAVR, SAVR

Older patients with severe frailty often have decline or lack of improvement after the procedures
For adults with atraumatic shoulder pain for more than three months diagnosed as subacromial pain syndrome

Shoulder Decompression Surgery Not Recommended

No important improvement seen in pain, function, quality of life versus placebo surgery, other options
Implementation of a novel enhanced recovery after surgery protocol can reduce patients' postoperative opioid requirements after elective spinal or peripheral nerve surgery

ERAS Protocol Can Cut Opioid Use After Spine Surgery

Decline seen in postoperative opioid requirements after elective spinal, peripheral nerve surgery
Recommendations have been updated for tonsillectomy in children; the revised clinical practice guideline was published as a supplement to the February issue of Otolaryngology-Head and Neck Surgery.

Recommendations Updated for Tonsillectomy in Children

Strong recommendations presented against administering perioperative antibiotics, codeine after tonsillectomy
For older adults undergoing surgery

EEG-Guided Anesthesia Does Not Cut Postop Delirium in Seniors

Significantly less median cumulative time found with EEG suppression in EEG-guided group vs. usual care
Autologous breast reconstruction after failed implant-based reconstruction seems safe and is associated with improved patient outcomes

Outcomes Good for Autologous Reconstruction After Implant Fail

Autologous breast reconstruction associated with improved patient satisfaction, quality of life
A bill that would place more restrictions on children's genitalia surgery in California raises serious concerns among doctors in the state. Under the bill

California Bill Would Tighten Controls on Children’s Genitalia Surgery

Doctors who violate the proposed law could be disciplined by the state's medical board