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Tag: Surgery: Misc.

Patients can achieve better outcomes by choosing a hospital and a surgeon with adequate

Many Hospitals Lack Sufficient Surgery Volumes

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Leapfrog report says lack of hospital, surgeon volume poses safety risk to patients
For patients with critical limb ischemia

First Surgery for Ischemic Leg Ulcer May Affect Amputation Risk

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But mortality did not differ for initial treatment with open surgical bypass or endovascular intervention
Three complications account for almost 45 percent of deaths occurring after noncardiac surgery

Half of Deaths After Noncardiac Surgery Due to 3 Complications

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Major bleeding, myocardial injury after noncardiac surgery, sepsis account for 44.9 percent of deaths
Functional results may be the same for operative and nonoperative treatment of displaced two-part proximal humerus fractures in patients over 60 years of age

Sling, PT May Be OK for Two-Part Proximal Humerus Fractures

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Findings in older adults counter current preference for surgical treatment of this type of fracture
For patients undergoing total thyroidectomy

Thyroidectomy Complication Rate Down When Surgeon Volume Up

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Statistically significant decreases in complication rates, but absolute decreases were low
In the context of cardiac surgery

No Indication of ‘July Effect’ in Context of Cardiac Surgery

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No variation in in-hospital mortality by procedure month, academic year quartile for cardiac procedures
Sodium-glucose cotransporter-2 inhibitor-associated diabetic ketoacidosis may occur after surgery even in patients with normal or near-normal blood glucose levels

Periop Diabetic Ketoacidosis Seen in Patients on SGLT2 Inhibitors

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Testing for acid load needed in patients with diabetes taking sodium-glucose cotransporter-2 inhibitors
With cesarean deliveries

Tissue Adhesive, Sterile Strips Similar After Cesarean Section

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No difference seen between groups in risk for wound complications after closure of Pfannenstiel incision
For women with recurrent stress urinary incontinence

Reoperation Rate Down With Retropubic Sling for Incontinence

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Cumulative incidence of reoperation significantly lower versus transobturator sling
Exposure to a surgical procedure requiring anesthesia does not seem to increase the risk for postoperative multiple sclerosis relapse

MS Relapse Risk Not Increased in Postoperative Period

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Odds of postoperative versus preoperative relapse were not increased in unadjusted, adjusted analyses