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Tag: Surgery: Misc.

Delaying cholecystectomy for acute cholecystitis for more than 72 hours after admission is associated with an increased length of stay and increased rates of complications and readmission

ACS: Outcomes Worse With Delay in Performing Cholecystectomy

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Poorer outcomes seen if surgery delayed for more than 72 hours after admission for acute cholecystitis
General surgery residents

ACS: General Surgery Residents Often Experience Mistreatment

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Women have higher rates of mistreatment measures; mistreatment linked to burnout, suicidal thoughts
For each month of delay between diagnosis and surgery for ductal carcinoma in situ

Delay of Surgery for DCIS Ups Risk for Invasive Breast Cancer

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Each month delay increases risk for invasive cancer by 1 percent
One in five patients received opioid prescriptions for management of pain following cardiac implantable electronic device procedures

One in Five Receive Opioid Rx After Cardiac Implant Procedure

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80 percent had never taken opioids before, but nearly one in 10 sought a refill
Prophylactic use of melatonin does not prevent delirium after major cardiac surgery

Prophylactic Melatonin Does Not Cut Delirium After Major Cardiac Surgery

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Findings based on results of randomized trial of patients undergoing major cardiac surgery
One-third of children undergoing tonsillectomies can do so without using opioids to manage pain

ASA: Opioid-Free Pediatric Tonsillectomy Feasible

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Majority of children opioid-free intraoperatively do not need opioids postoperatively
Colorectal surgery patients treated as part of an enhanced recovery after surgery (ERAS) program have less pain and use nearly half as many opioids as pre-ERAS patients

ASA: Enhanced Recovery Program Cuts Opioid Use After Colorectal Surgery

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Findings show colorectal surgical patients can better manage pain with fewer opioids
Patients with infective endocarditis and substance use disorder have a more than twofold risk for dying following valve surgery compared with patients without substance use disorder

Substance Use Disorder Ups Risk for Death After IE Valve Surgery

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Midterm postoperative period (six months to five years) a particularly vulnerable period
Opioids are commonly not needed but are overprescribed at discharge among women who undergo cesarean deliveries (CDs)

ASA: Unnecessary Opioids Often Prescribed After C-Section

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Change in computerized order sets reduces use of oxycodone to treat pain after cesarean delivery
Resident race

Trainee Demographics Tied to Passage of U.S. Surgical Boards

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White and single residents more likely to pass the American Board of Surgery examinations