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| Updated Sep. 1, 2010 |
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| Select Patients Can Be Spared Axillary Dissection
Breast Cancer Study Shows No Recurrence Advantage Over Sentinel Node Dissection Sentinel lymph node dissection (SLND) alone provides “excellent” locoregional control in many women with node-positive cancers—with eight-year recurrence rates almost identical to women who underwent additional axillary dissection, according to researchers in a major randomized trial. IN THE NEWS |
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| Hernia Centers of Excellence?
With Payers Ever Watchful of Outcomes and Costs, Some Argue That Complex Hernias Go the Way of Bariatric Surgery Orlando, Fla.—When Michael Rosen, MD, advocates a national hernia centers of excellence program to his father, Arnold J. Rosen, MD, his father’s response is not unlike those echoed by general surgeons around the country: “This is bread-and-butter general surgery and there is no way you can tread on ventral hernias. For general surgery, that is all we have left.” IN THE NEWS |
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| Simple Device Tames Surgical Site Infections in Contaminated Wounds
Las Vegas—The risk for a surgical site infection developing in a contaminated wound can be dramatically reduced by a simple daily wound probe, a new s... IN THE NEWS |
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| Despite Supporting Data, Adoption of Lap Colectomy Drags
Minneapolis—Despite increases in the use of laparoscopic colectomy since publication of the COST (Clinical Outcomes of Surgical Therapy) trial in 2004... IN THE NEWS |
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| Surgeons Read Mammograms As Well as Radiologists?
Yes, Shows South African Study; Practice Unlikely To Change in U.S. Las Vegas—With training, surgeons are highly qualified to read screening mammograms just as effectively as radiologists, according to research presented at the 2010 annual meeting of the American Society of Breast Surgeons. IN THE NEWS |
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| Doctors Who Own Hospitals Fret Over Clause in Health Law
Critics Say Measure Will Prevent Facilities From Treating Medicare Patients Title VI, Section 6001 of the recently enacted health care reform law prohibits existing hospitals from expanding after March 23, 2010, bans new construction after the end of the year, restricts business investments and requires physicians to disclose ownership interests to their patients. Physicians who fail to comply face fines of up to $1 million. IN THE NEWS |
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| The Need for “Post-postgraduate” Education
Dr. Greene reports on the new iteration of the work-hour directives for residents in the United States and argues that every surgeon has a stake in educating the surgeons of tomorrow. EDITORIAL PAGE |
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| An Interview with Funda Meric-Bernstam, MD, 2010 program chair of the American Society of Breast Surgeons
GSN reporter, Monica Smith, sits down with Dr. Meric-Bernstram at the 2010 annual meeting of the American Society of Breast Surgeons in Las Vegas to discuss the highlights of this year's meeting and current issues in breast cancer surgery. OPINIONS & LETTERS |
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| The Surgeons' Lounge
This issue features guest expert Terry A. King MD, FACS, vascular and endovascular surgeon, Department of Vascular and General Surgery at Cleveland Clinic Florida in Weston. Dr. King discusses a patient with an enteric fistula due to surgical complications that requires prolonged total parenteral nutrition. THE SURGEONS LOUNGE |
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| Coding Changes for 2010: What Surgeons Should Know
Each year, changes in the Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-9) codes impact the way claims filed by physicians are reimbursed. This year is no different. CODE OF THE MONTH |
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| Single-Incision Surgery: The Future of Laparoscopy Today
More than 20 years ago, innovative surgeons shook up the operating room by performing major surgeries without major incisions. Not much has changed since laparoscopy entered the surgical arena with its smaller scars, faster recovery times, and less pain than traditional open surgery. However, pioneers always on the quest for improvement may have found it in laparoscopic surgery through a single incision. SPECIAL REPORTS |
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| Potential Clinical Benefits Of Less Foreign Materials In Hernia Repair
The ‘Less Is More’ Approach Prosthetic repair routinely is used for ventral and inguinal hernias, and is associated with positive outcomes, particularly when used in conjunction with a minimally invasive approach. Over time, technological advances in hernia repair techniques and materials have made possible new treatment options that leave less foreign material in the body after a hernia repair procedure and may improve shortand long-term clinical outcomes. SPECIAL REPORTS |
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| Fluid Responsiveness Monitoring In Surgical and Critically Ill Patients
Clinical Impact of Goal-Directed Therapy Volume expansion is recognized as critically important in optimizing patient status during surgery or in intensive care settings, and the ability to predict fluid responsiveness represents a major clinical challenge. Goal-directed perioperative fluid management using dynamic indicators of fluid responsiveness such as stroke volume has been shown to decrease postoperative morbidity and hospital stay. However, inappropriate volume expansion is associated with increased mortality, and the challenges of balancing fluid minimization with avoidance of fluid overload are formidable. There remains a clinical need for noninvasive functional hemodynamic monitoring that can predict fluid responsiveness across hospital settings. SPECIAL REPORTS |
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| Increased Visibility in Stapled Hemorrhoidopexy
Stapled hemorrhoidopexy arose as an alternative to conventional hemorrhoidectomy in the late 1990s. The procedure quickly showed itself to result in less postoperative pain and shorter recovery time compared with open hemorrhoidectomy. CLINICAL EXPERIENCE |
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| The Book Page - August 2010
BOOK PAGE |
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| The Genetics of Hereditary Colon and Rectal Cancer
Part 4: Familial Adenomatous Polyposis: One Gene, Many Manifestations In Part 4 of this series on Hereditary Colorectal Cancer, the authors examine how to diagnose and treat patients and family members affected by familial adenomatous polyposis. CLINICAL REVIEW |
1| IN THE NEWS | |
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Select Patients Can Be Spared Axillary Dissection... [8/2010] |
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Hernia Centers of Excellence?... [8/2010] |
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Simple Device Tames Surgical Site Infections in Co... [8/2010] |
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| THE SURGEONS LOUNGE | |
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The Surgeons' Lounge... [8/2010] |
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The Surgeons’ Lounge: July 2010... [7/2010] |
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The Surgeons’ Lounge: June 2010... [6/2010] |
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| OPINIONS & LETTERS | |
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An Interview with Funda Meric-Bernstam, MD, 2010 p... [8/2010] |
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Disparity in Access To Critical Care? No Surprise ... [7/2010] |
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A Final Opinion on “Speaking as One”... [7/2010] |
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