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Delays in Surgery Increase Risk For Infectious Complications
ISSUE: JULY, 2010 Researchers have shown that with each day that patients wait in the hospital secondary to a delay in their elective surgery, they experience a significant increase in risk for infectious complications.
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Data Confirm Effect Of Insurance on Surgical Outcomes
Medicaid Patients Fare Worst; Causes for Inequities and What To Do Remain Unclear
ISSUE: JULY, 2010 A new study leaves no doubt that patients’ insurance status is inextricably linked to in-hospital mortality and complications after major surgery.
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Unmasking Ventral Hernias In Bariatric Surgery Patients
For Small to Medium Hernias, Surgeons Should ‘Do Something,’ Even If It Is Only Temporary, Experts Say
ISSUE: JULY, 2010 Because of the body habitus of bariatric patients, it is not uncommon to uncover a ventral hernia interoperatively during laparoscopic bariatric surgery. This problem, experts say, is one that is loaded with potential problems—clinical problems for the patient as well as medicolegal problems for the surgeon. Yet despite this, a standard of care in this situation has defied consensus.
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Gaps Seen in Critical Care for Patients Without Insurance
Study Sees Worse Outcomes Across Many Measures for the Uninsured
ISSUE: JULY, 2010 Seriously ill patients who arrive at the hospital without health insurance are significantly less likely to receive critical care services, and may suffer worse outcomes as a result, a new meta-analysis has found.
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New Guidelines for C. difficile Attempt To Clarify Surgeon’s Role
Experts Urge Colectomy For Most Serious Cases
ISSUE: JULY, 2010 A panel of experts representing several medical specialties has issued new guidelines for diagnosing, managing and treating Clostridium difficile infection (CDI) in adults.
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Vancomycin Resolves C. difficile Colitis
ISSUE: JULY, 2010 Surgeons from a New York hospital have reported that intracolonic vancomycin may decrease the need for surgery and improve outcomes in patients with fulminant Clostridium difficile colitis.
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Sleeve Gastrectomy Patients Lose More Than 50% of Excess Weight
But Large European Study Also Yields 5% Leak Rate
ISSUE: JULY, 2010 Results of a large multicenter European study have shown that patients undergoing sleeve gastrectomy procedures lose more than half of their excess weight; however, the series also included a relatively high leak rate, some U.S. experts said.
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Synthetic Mesh Prevents Up to 70% of Parastomal Hernias
Trial Halted for Ethical Reasons; Mesh Effective Even in Contaminated Fields
ISSUE: JULY, 2010 With results that some surgeons are calling “exceptional,” a Swedish group has shown that nearly 70% of parastomal hernias can be prevented over the long term by using synthetic mesh as a prophylactic measure during the placement of stomas.
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