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September 2018 Briefing – Surgery

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Here are what the editors at HealthDay consider to be the most important developments in Surgery for September 2018. This roundup includes the latest...
Laparoscopic antireflux surgery is safe and well-tolerated in patients with idiopathic pulmonary fibrosis and abnormal acid gastroesophageal reflux

Anti-Reflux Surgery Promising in Idiopathic Pulmonary Fibrosis

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In phase 2 study, surgery for abnormal acid GER in IPF patients was safe, well-tolerated
The risk of recurrence after incident venous thromboembolism is high

Risk of Venous Thromboembolism Recurrence High

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At 6 months, rates for provoked, unprovoked, cancer-related VTE are 6.8, 6.92, 9.06 per 100 person-years
From 2016 to 2017

More Non-Elderly Americans Uninsured in 2017 Versus 2016

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More than 700,000 Americans uninsured in 2017 versus 2016, despite broad economic improvement
Curtains surrounding patient beds become progressively contaminated with bacteria

Hospital Privacy Curtains Become Increasingly Contaminated

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Ten to 14 days after being hung, curtains show increased MRSA positivity
For obese women

No Benefit to Negative Pressure Wound Therapy After C-Section

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Compared with standard dressings, no reduction in superficial surgical site infections in obese women
Use of mesh is not independently associated with an increase in the rate of complications of pelvic organ prolapse repair

Surgical Mesh Itself Not Tied to Increased Complications

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Increased facility use of mesh augmentation impacts risk of repeat prolapse repair surgery
More than half of physicians experience burnout

Physicians Often Don’t Address Their Burnout

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Same traits that help doctors excel at their jobs make them more likely to experience burnout
Medical practices can take steps to avoid problems related to use of social media by staff members

Practices Should Set Rules for Staff Social Media Use

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Staff social media accounts should be strictly personal, with no info about patients or employees
Roughly 2 percent of pediatric patients on maintenance dialysis recover within two years after dialysis initiation

Kidney Function Recovery Seen in Some Children on Dialysis

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Recovery less likely in children with congenital anomalies