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Tag: Surgery: Misc.

Five risk factors are independently associated with surgical site infection among geriatric patients undergoing elective orthopedic surgery

Risk Factors ID’d for Site Infection After Orthopedic Surgery in Seniors

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Diabetes, morbid obesity, smoking, longer surgery, low albumin level up risk for surgical site infection
The use of robotically assisted surgical devices for breast removal and other cancer-related surgeries is not approved by the U.S. Food and Drug Administration because there is no proof of its safety or effectiveness in such cases

Robotically Assisted Devices Not Approved for Cancer Surgery

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FDA aware that surgeons have been using the devices for uses not granted marketing authorization
From 2013 to 2017

Rate of Opioid Rx Stable After Pediatric Outpatient Surgery

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However, maximum available take-home dose steadily declined from 2013 to 2017
Overlapping surgery is not associated with differences in in-hospital mortality or complication rates but is linked to increased surgery length

Overlapping Surgery Appears Safe for Common Procedures

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No significant difference seen in in-hospital mortality, complication rates, but surgery length increased
Phone visits can safely substitute for a standard

Preoperative Phone Visits for Cataract Patients Safe, Efficient

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No unplanned admissions associated with phone visits, which take less time than in-person visits
In as-treated analyses

Operative Treatment Seems Most Effective for Adult Lumbar Scoliosis

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Nonoperative tx advised if patient satisfied with spine-related health; surgery may improve outcomes
The lifetime risk for revision surgery after elective shoulder replacement surgery varies from 2.7 to 23.6 percent

Risk for Revision Surgery After Shoulder Replacement Varies

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Risk 2.7 percent in women aged 85 years and older, 23.6 percent in men aged 55 to 59 years
In more than half of patients

Over Half of Hip Replacements Expected to Last 25 Years

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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

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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

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Women also less likely to receive anesthesia consultation, more likely to have timely surgery