Chirurgia generale 

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  • Surgical placement of mesh to repair pelvic organ prolapse poses risks

    The U.S. Food and Drug Administration issued an updated safety communication warning health care providers and patients that surgical placement of mesh through the vagina to repair pelvic organ prolapse may expose patients to greater risk than other surgical options.

    Food and Drug Administration (Chirurgia generale) - Lun, 18 Luglio 2011
    http://www.fda.gov

  • Surgery May Beat Antibiotics for Appendicitis

    Although some researchers believe antibiotics can often cure appendicitis, surgery remains the more effective treatment, French investigators suggest. Uncomplicated appendicitis may be treated with antibiotics alone, but complicated appendicitis, where the appendix is perforated, requires surgery, and it is difficult to discern between the two, the researchers say.

    Medline Plus (Chirurgia generale) - Mar, 10 Maggio 2011
    http://www.nlm.nih.gov/medlineplus

  • Surgical Prophylaxis

    Various strategies have been used to try limiting at the utmost post-operative infections (use of antibiotics before the intervention with different timings, keeping of normal body temperature, hair cutting and then shaving), but some problems still remain to be discussed, like the choice of the best skin antisepsis or the decision to sterilize the carriers of nasal Staphylococcus Aureus.

    MedNews (Chirurgia generale) - Mer, 17 Novembre 2010
    http://mn.medsurfnews.com/

  • Thrombotic Risk after Surgery

    Even if the thrombotic risk is certain for patients undergoing surgery, the extent of this risk and the causes are not at all clear, so some researchers at the English “National Health Service” have connected data on admissions and deaths in a hospital with the information taken from the Million Women Study. Women with multiple surgeries and with previous thromboembolic events have been excluded from the trial. Adjustments have been made according to BMI and use of hormone therapy.

    MedNews (Chirurgia generale) - Lun, 27 Settembre 2010
    http://mn.medsurfnews.com/

  • Dupuytren: Non-Surgical Treatment

    At present, the surgical approach is the only possible choice for Dupuytren’s disease, but FDA is evaluating the proposal of a therapy based on collagenase derived from Clostridium Histolyticum, injected in the local site. With a trial sponsored by pharmaceutical industry, 308 patients with Dupuytren’s disease have been randomized to receive a series of injections of collagenase or placebo.

    MedNews (Chirurgia generale) - Lun, 26 Aprile 2010
    http://mn.medsurfnews.com/

  • Non-physician surgeons save lives in low-income countries

    Every year, some 7.5 million mothers and new-borns die during pregnancy or childbirth, almost all of whom are in low and middle-income countries. One reason for this is the lack of trained medical staff, particularly doctors. A doctoral thesis from Karolinska Institutet now shows that a solution could be the training of nurses in caesarean sections and other life-saving surgery.

    Karolinska Institutet (Chirurgia generale) - Mer, 7 Aprile 2010
    http://ki.se/ki/jsp/polopoly.jsp?d=130&l=en

  • Adrenal and Pancreatic Presentation of Subdiaphragmatic Retroperitoneal Bronchogenic Cysts

    Bronchogenic cysts are aberrations of normal development throughout the embryonic foregut; abdominal or retroperitoneal presentations are rare. They will often present a diagnostic dilemma because their appearance can mimic other, more common diagnoses.

    Archives of Surgery (Chirurgia generale) - Mar, 16 Marzo 2010
    http://archsurg.ama-assn.org/

  • Health Care Reform and Comparative Effectiveness: Implications for Surgeons

    The current interest in comparative effectiveness research, highlighted by the US Congress 2009 American Recovery and Reinvestment Act and the broader national debate about health care reform in the United States, is a welcome development for those with a long-standing interest in research on the effectiveness of health care interventions.

    Archives of Surgery (Chirurgia generale) - Lun, 22 Febbraio 2010
    http://archsurg.ama-assn.org/

  • The UK Proposals for Revalidation of Physicians

    The editorial titled "For the Protection of the Public and the Good of the Specialty: Maintenance of Certification" (published in the February 2009 issue of the Archives of Surgery) has prompted us to offer the following article to inform the debate about how assessing surgical care and sorting out the variables to be included in maintenance of certification may develop worldwide. The proposals for revalidation of UK physicians involve the relicensing of all physicians and recertification of all specialists on the specialist register of the General Medical Council. The process will be on a 5-year cycle and is currently under development by the General Medical Council. The Royal Colleges have been charged with creating the standards for recertification, and the responsibility will fall on the Royal Colleges to support their fellows and members as the new regulation is introduced and as it develops. This article outlines developments so far, with particular reference to surgeons.

    Archives of Surgery (Chirurgia generale) - Lun, 1 Febbraio 2010
    http://archsurg.ama-assn.org/

  • Burned Out, Depressed Surgeons More Likely to Commit More Major Medical Errors

    Surgeons who are burned out or depressed are more likely to say they had recently committed a major error on the job, according to the largest study to date on physician burnout. The new findings suggest that the mental well-being of the surgeon is associated with a higher rate of self-reported medical errors, something that may undermine patient safety more than the fatigue that is often blamed for many of the medical mistakes.

    Johns Hopkins Hospital (Chirurgia generale) - Mar, 24 Novembre 2009
    http://www.hopkinshospital.org

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