Prescription size predicts persistent opioid use after cardiothoracic surgery

(HealthDay)—Prescription size is associated with increased new persistent opioid use among patients after cardiothoracic surgery, according to a study published online Aug. 22 in the Annals of Thoracic Surgery. Alexander A. Brescia, M.D., from the University of Michigan in Ann Arbor, and colleagues identified opioid-naive Medicare patients undergoing cardiothoracic surgery Continue Reading

Physical and mental exercise lower chances for developing delirium after surgery

After having surgery, many older adults develop delirium, the medical term for sudden and severe confusion. In fact, between 10 and 67 percent of older adults experience delirium after surgery for non-heart-related issues, while 5 to 61 percent experience delirium after orthopedic surgery (surgery dealing with the bones and muscles). Continue Reading

Coffee may speed up recovery of function after bowel surgery

(HealthDay)—The time to first postoperative bowel movement after elective laparoscopic colorectal resection is shorter in those drinking coffee versus noncaffeinated tea, according to a study published in the August issue of Diseases of the Colon & Rectum. Simone Hasler-Gehrer, M.D., of Kantonsspital Baden in Switzerland, and colleagues randomly assigned 115 Continue Reading

Unused pharmaceuticals common after cataract surgery

(HealthDay)—Unused pharmaceutical products during phacoemulsification result in relatively high financial and environmental costs, according to a study published online Aug. 1 in JAMA Ophthalmology. Jenna Tauber, M.D., from the New York University School of Medicine in New York City, and colleagues assessed the financial and environmental costs of unused pharmaceutical Continue Reading

Major surgery associated with small, long term decline in brain functioning

Major surgery is associated with a small long-term decline in cognitive functioning—equivalent, on average, to less than five months of natural brain ageing, finds a study in The BMJ today. But the odds of substantial cognitive decline also increase after surgery—approximately doubling—although the likelihood of this is much lower than Continue Reading

Surgery simulators are key to assessment of trainees

Machine learning-guided virtual reality simulators can help neurosurgeons develop the skills they need before they step in the operating room, according to a new study. Research from the Neurosurgical Simulation and Artificial Intelligence Learning Centre at The Neuro (Montreal Neurological Institute and Hospital) and McGill University shows that machine learning Continue Reading

Most deaths related to noncardiac surgery occur after surgery and after discharge from hospital

It’s not the operating room that is risky for patients undergoing noncardiac surgery; it’s the recovery period. According to a large international study, only 0.7% of deaths in these patients occurred in the operating room, whereas 29% of deaths occurred after discharge from hospital. The study, which included patients at Continue Reading

Bariatric surgery up in patients with end-stage kidney disease

(HealthDay)—For patients with end-stage kidney disease (ESKD), there has been an increase in bariatric surgery, with proportional use of laparoscopic sleeve gastrectomy increasing, according to a study published online July 25 in the Clinical Journal of the American Society of Nephrology. Kyle H. Sheetz, M.D., from the University of Michigan Continue Reading

Facial plastic surgery in men enhances perception of attractiveness, trustworthiness

Credit: George Hodan/public domain In the first of a kind study, plastic surgeons at Georgetown University Medical Center found that when a man chose to have a nip or a tuck on his face, it significantly increased perceptions of attractiveness, likeability, social skills, or trustworthiness. The study, published in JAMA Continue Reading

Study finds 1 in 7 lung surgery patients become dependent on opioids; those with invasive surgeries have double the risk

The use of opioids after surgery is intended to be a short-term treatment to relieve pain. However, a study presented to The Society of Thoracic Surgeons revealed that lung surgery patients become dependent on them even months after their surgery. Researchers of the study analyzed data of cancer patients from Continue Reading