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Can a person live without the pancreas?
A 58-year-old man with severe abdominal pain underwent surgery to remove the pancreas and spleen after diagnosis of intraductal papillary mucinous neoplasm or pancreatic cancer in 2016. He received chemotherapy for nine months to get rid of residual cancer. Although the patient is diabetic now, he is living a new life and coping by taking insulin and other pills to compensate.
Using excess oxygen during surgery could cause organ injury
Supplemental oxygen given to patients under general anesthesia during surgeries when given excess at 75th centile can increase the risk of acute kidney injury by 26%, lung injury by 14%, and myocardial injury compared to 25th centile excess oxygen, according to a study. Excess oxygen also increased the risk of stroke by 9% and 30-day mortality by 6%.
A review weighs the risks and benefits of pancreas transplantation for diabetes
Pancreas transplantation can benefit patients with type 1 diabetes in managing their insulin and blood glucose levels. But, patients should take immunosuppressants with side effects for a lifetime to avoid graft rejection. Moreover, the median graft survival time is only about 8 years. But, a combined kidney/pancreas transplant may benefit diabetics with kidney disease.
Study finds two ways to reduce surgical site infections
Changing the surgical instruments and gloves of the entire scrub team before closing the surgical wound in the abdomen could reduce the rate of surgical site infections. The study findings implicate that these simple interventions could prevent one in eight surgical site infections, thereby reducing the burden of postoperative infections or complications.
A surgical dressing that turns blue when it needs a change
DrySee Dressing is a novel product with a liquid indicator that turns blue on the edges in the presence of moisture. The central pad also turns blue when saturated with fluid suggesting the healthcare provider or patient to change the dressing. The majority of volunteers in a study favoured DSD over a comparator dressing. Also, DSD did not cause infectious complications.
Women responding to chemotherapy could skip breast cancer surgery
Women with early-stage breast cancer who respond exceptionally to chemotherapy and have lower chances of cancer recurrence might not require additional surgery, as per a study. These findings add to the evidence that newer chemotherapy drugs can eliminate cancer in some women. The promising results from the phase 2 study warrant studies in a broader patient population.
Hearts from COVID-19-positive donors are safe for transplantation
A short-term analysis of 84 donor hearts from COVID-19-positive individuals revealed that these hearts had similar rates of in-hospital death, death at 30 days after transplantation, and complications like graft failure and lung complications compared to normal donor hearts. But, the organ rejection rate was 2.4% with the COVID-19-positive donor hearts than with normal hearts.
Transoral thyroidectomy through endoscopy is safer than open surgery
Transoral endoscopic thyroidectomy via vestibular approach was linked to better cosmetic satisfaction and quality of life than open thyroidectomy in people with papillary thyroid cancer, as per a study. However, it was also associated with longer operative times, drainage times, and higher WBC counts. No differences were observed in other surgical outcomes.
Patients' belief in antibiotics could lead to fewer appendectomies
Researchers conducted an analysis to know how patients' beliefs about antibiotic treatment success could affect outcomes. Patients who believed antibiotics could successfully treat their appendicitis had lower chances of appendectomy than those who were unsure. Patients with intermediate beliefs had lower chances of persistent symptoms than those who were unsure.
New guidelines on managing thyroid cancer in children
The guidelines suggest that a kid with proven or suspected cancer should be referred to a multidisciplinary team and undergo an extensive pre-operative assessment. Total thyroidectomy is advised, and a lymph node dissection should be reserved only for advanced cases. Children should get surgeries from surgeons with experience and expertise in managing this condition.