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Breasts can be conserved even in patients with many breast tumors

Time : 29th of March 2023 11:08:24 AM Oncology,General Surgery

Patients with multiple tumors in a breast could avoid mastectomy, given those tumors could be removed, leaving enough breast tissue, as per a study on over 200 women. Such patients can instead undergo a lumpectomy, which is a breast-conserving surgery, and whole-breast radiation therapy later. These findings could empower patients with a choice to conserve their breasts.
  Mayo Clinic

An endoscopic obesity treatment linked to botulism

Time : 27th of March 2023 12:43:17 PM Physician/Medicine,General Surgery,Gastroenterology

WHO was recently notified about five cases of iatrogenic botulism in people who underwent bariatric treatments with botulinum toxin type A injection endoscopically in Turkey. These cases were mild to moderate, with one patient admitted to the ICU. So far, no deaths have been reported. WHO is collaborating with European CDC to investigate these cases and share information.
  World Health Organization

Cold snare polypectomy is more beneficial in delaying bleeding

Time : 24th of February 2023 02:24:22 PM General Surgery,Gastroenterology

Compared to hot snare polypectomy, cold snare polypectomy was associated with a lower risk of mild and severe delayed post-polypectomy bleeding events, as per a study. Patients who underwent cold snare polypectomy also had shorter polypectomy time and fewer emergency department visits. These findings could help guide managing small colorectal polyps.
  Health Day

Can you cut back on sodium bicarbonate pills in kidney transplant recipients?

Time : 17th of February 2023 11:09:30 AM Nephrology,General Surgery

Sodium bicarbonate used to correct metabolic acidosis and prevent declining graft function in kidney transplant recipients was found not to affect the decline in eGFR, a surrogate marker for graft function, as per a study. The findings suggest sodium bicarbonate should not be advised to preserve eGFR in transplant recipients with kidney disease and metabolic acidosis.
  Twitter @TheLancet

Bariatric surgeries could raise the risk of death by suicide

Time : 8th of February 2023 09:44:18 AM Psychiatry & Mental Health,Physician/Medicine,Nutrition & Fitness,General Surgery,Gastroenterology

A study compared more than 20,000 people who underwent bariatric surgeries and did not get surgeries and found that several weight loss surgeries were linked to lower all-cause mortality in both men and women for decades. However, the rates of death by suicide were remarkably higher in people who underwent surgery than in people in the non-surgical group.
  Twitter @ObesitySeen

Cutting down on anesthetics can help reduce climate changes

Time : 3rd of February 2023 01:11:41 PM Physician/Medicine,General Surgery,Anesthesia

An expert anesthesiologist recommended doctors lower their use of anesthetic gases to fight climate change. He added that no matter how tiny the positive effect of reducing anesthetic gas use, it would add up to the efforts to mitigate global warming. Small changes in such daily practices without affecting patients' comfort could account for 0.1% reduction in carbon emissions.
  New York Post

Appendectomy may raise the risk of colorectal cancer

Time : 24th of January 2023 11:27:52 AM Physician/Medicine,Oncology,General Surgery,Gastroenterology

A Chinese study revealed that appendectomy could impact the homeostasis in the gut microbiome in patients, thereby increasing their risk of developing colorectal cancer. Shotgun metagenomic sequencing on faecal samples of patients who underwent appendectomy showed the enrichment of 7 colorectal cancer-promoting bacterial species and the depletion of 5 commensal species.
  Twitter @MicrobesInfect

New guidelines for managing perioperative pain in cannabis users

Time : 10th of January 2023 10:15:27 AM Physician/Medicine,General Surgery,Anesthesia

The ASRA strongly recommends universal screening for cannabinoids for all patients before surgery, postponing surgery for patients with altered mental status due to cannabis intoxication, counselling heavy and frequent cannabis users about the adverse effects of cannabis on postoperative pain management, and educating pregnant women about the dangers of maternal cannabis use.
  American Society of Regional Anesthesia and Pain Medicine

Why are some surgeons prescribing opioids to patients' partners?

Time : 5th of January 2023 01:18:40 PM Physician/Medicine,Pharma News,General Surgery

To avoid the hurdles for acquiring opioids and safety rules for filling opioid prescriptions by the patients themselves, some surgeons are prescribing painkillers to spouses. The rates of opioid prescriptions to spouses increased by 6 times on the days of surgery. The reports did not find any increase in adverse effects in the patients whose spouses got these prescriptions.
  Harvard Medical School

Prolonged cold ischemia should not be a reason to reject kidney donation

Time : 21st of December 2022 01:15:43 PM Nephrology,General Surgery

A retrospective analysis of deceased donor kidney transplantations revealed that primary nonfunction and delayed graft function increased with cold ischemia time. But it had a lower influence than the kidney donor profile index. Data from UNOS suggest that 8.7% of kidneys were discarded to prolonged cold ischemia time, which could have helped people on the waiting list.