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What a Pain: Thoracic Outlet Syndrome Often Needs Surgery to Fix

Shoulder and arm pain come with the territory for some athletes and certain occupations like hair stylists, mechanics, even office workers. However, experts at The Ohio State University Wexner Medical Center say the pain and tingling could stem from a more serious condition called thoracic outlet syndrome (TOS).

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Physician Anesthesiologists, Veterans and VA Anesthesia Chiefs Oppose VA Policy Replacing Physicians with Nurses for Anesthesia Care in Surgery

The American Society of Anesthesiologists (ASA) urges Americans to protect our nation’s Veterans by opposing a U.S. Department of Veterans Affairs (VA) proposed policy that removes physician anesthesiologists from surgery and replaces them with nurses, lowering the standard of care and jeopardizing Veterans’ lives.

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Chemo, Radiation, Surgery Combo Boosts Survival for Pancreatic Cancer Patients with Veins Involved

In roughly one-third of pancreatic cancer patients, tumors have grown around the pancreas to encompass critical blood vessels. Conventional wisdom has long held that surgery to remove the tumors is rarely an option, and life expectancies are usually measured in months.

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Research Project for Damage Control Laparotomies Goes to the Community for Consultation

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Researchers at The University of Texas Health Science Center at Houston (UTHealth) plan to launch a clinical study looking at complication rates in patients who have experienced severe trauma to the abdominal area and require immediate surgery to diagnose and treat the injuries at Memorial Hermann-Texas Medical Center.

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FAU Receives Initial Accreditation for General Surgery, Emergency Medicine Residency Programs

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FAU’s Charles E. Schmidt College of Medicine has received initial accreditation from the national Accreditation Council for Graduate Medical Education for University-sponsored residency programs in general surgery and emergency medicine, in collaboration with its member teaching hospitals in the FAU College of Medicine Graduate Medical Education Consortium.

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In Obese Prostate Cancer Patients, Robotic Surgery Reduces Risk of Blood Loss and Prolonged Hospital Stays

In obese prostate cancer patients, robotic-assisted surgery to remove the prostate reduces the risk of blood loss and prolonged hospital stays, a Loyola Medicine study has found.

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To Operate or Not to Operate: A Serious Question with No Clear Answers

UCLA research finds wide variances in surgeons’ decision to operate or recommend an alternative treatment option, suggesting that it depends as much on how surgeons perceive the world as it does on the patient’s diagnosis.

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Arthroscopic Hip Surgery on the Rise, but Study Shows It May Not Be the Best Choice for Patients with Arthritis

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The use of arthroscopic hip surgery for pain relief has increased dramatically in the past decade. A study looking at patient data bases in Florida and California finds it may not be the best option, especially if a patient has arthritis or is over 60. Many needed a hip replacement within two years.

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Investigational Therapy May Treat Life-Threatening GI Leaks Without Surgery

Researchers repurposing E-Vac procedure to treat issues in the gastrointestinal tract.

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Throwing Fastballs May Be Linked to Tommy John Surgery in MLB Pitchers

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Contrary to conventional wisdom, Major League Baseball pitchers who throw a high percentage of fastballs may be at increased risk for Tommy John surgery, according to research at Henry Ford Hospital in Detroit. Researchers suggest that throwing fastballs nearly half of the time puts pitchers at risk of injury to their elbow. MLB pitchers who have undergone Tommy John surgery threw on average 7 percent more fastballs than pitchers who had no surgery.

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First Clinical Use of Bioabsorbable Vascular Grafts in Children Shows Promise

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Bioabsorbable heart valves or blood vessels are designed to harness the body’s innate healing process, enabling the natural restoration of complex body parts as the synthetic graft is absorbed. At the 96th AATS Annual Meeting, surgeons from the Bakoulev Center for Cardiovascular Surgery, Moscow report the results of implantation of bioabsorbable vascular grafts placed into five children born with serious cardiovascular anomalies. According to the investigators, this is the first-ever clinical trial of a bioabsorbable cardiovascular device.

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ColumbiaDoctors & Medscape Partner to Deliver Clinical Answers & Expertise

ColumbiaDoctors and Medscape, the leading source of medical news and information for physicians, today announced a partnership that gives physicians using Medscape Consult™ access to the expertise of ColumbiaDoctors, Columbia University Medical Center’s faculty practice.

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Critical Shortage of Cardiothoracic Surgeons Anticipated by 2035

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Looking ahead to 2035, a growing disparity is projected between the number of cardiothoracic surgeons needed and the number available. In a presentation at the 96th AATS Annual Meeting, researchers cite such trends as fewer trainees in surgery residency programs, more exam failures, and fewer American Board of Thoracic Surgery certifications at a time when an aging population will require more cardiothoracic surgical services. They estimate that cardiothoracic surgeons would have to increase their caseload by 121% to meet demand, something that is not feasible.

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Surgery Surprise: Rural Hospitals May Be Safer and Less Expensive for Common Operations

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They may be small. They may be in rural towns. They may only have a couple of surgeons. But for common operations, critical access hospitals may be safer and less expensive than their larger cousins, a new study finds.

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VA Hospitals Favor Mitral Valve Repair vs. Replacement

Little is known about mitral valve (MV) surgical outcomes within the largest US federal health system – the Veterans Administration (VA) Health System. At the 96th AATS Annual Meeting, data presented from 40 VA cardiac surgery centers reveal that although MV repair rates increased from 48% in 2001 to 63% in 2013, a wide variability exists in repair rates among medical centers. This is especially important because MV repair mortality rates were significantly lower in patients with primary degenerative disease.

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More Than 10 Risk Factors Identified in Readmission of Pediatric Neurosurgery Patients

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Big data provides insight into patient readmission after pediatric neurosurgery.

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Top Stories 5-17-2016

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External Stenting Can Relieve Chronic Airway Obstruction in Children

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A team of surgeons in Japan has developed a technique to relieve airway obstruction in children. The technique, known as external stenting (ES), expands and stabilizes the airway by suspending its wall to a rigid prosthesis placed around the bronchus or trachea. ES avoids the problem of granulation formation resulting from endolumenal corrective approaches, such as endoscopic stent placement. In a presentation at the 96th AATS Annual Meeting, the researchers describe the ES technique in detail as well as report on indications, complications, and long-term outcomes.

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Risk Factors for Unplanned Hospital Readmission Following Pediatric Neurosurgery

Researchers have determined specific risk factors associated with hospital readmission following pediatric neurosurgery. Some are related to the specific surgical procedure performed (for example, cerebral spinal fluid [CSF] shunt placement or CSF shunt revision), others to postoperative complications (such as surgical site infection), and still others to patient demographics (Native American race).

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Minimally Invasive Tendon Repair Technique Supports Knee Movement Sooner after Surgery

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Quadriceps tendon ruptures are disabling knee injuries that typically occur in adults ages 40 and older. Obesity, illness or traumatic injuries can cause these types of injuries. Most tendon ruptures require surgery, and the current gold-standard technique for repairing these ruptures is transosseous (literally, through-the-bone) tunnel repair, a lengthy, technically demanding procedure. In a new study, University of Missouri researchers have found that suture anchors, a less-invasive repair technique, responded better to strength-testing after the surgery, supporting more movement in the knee earlier in the recovery process.