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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.
To request a free hard copy of this Special Report article, please email your full name, mailing address, and institution to generalsurgerynews@mcmahonmed.com
AUGUST, 2010 |
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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.
To request a free hard copy of this Special Report article, please email your full name, mailing address, and institution to generalsurgerynews@mcmahonmed.com
AUGUST, 2010 |
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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.
To request a free hard copy of this Special Report article, please email your full name, mailing address, and institution to generalsurgerynews@mcmahonmed.com
AUGUST, 2010 |
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The Benefits of Omega-3 Fatty Acid-Coated Mesh in Ventral Hernia Repair
Innovation in the design of mesh devices
continues to drive an important and ongoing
evolution in ventral hernia repair. Although
these devices were developed to circumvent
the tension created when fascia is sutured
across the defect, a series of incremental
improvements in materials, coatings, and fixations
are improving durability and reducing
potential complications.
To request a free hard copy of this Special Report article, please email your full name, mailing address, and institution to generalsurgerynews@mcmahonmed.com
JUNE, 2010 |
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The Effective Use of the ENSEAL® System in Colorectal Surgery
More than 600,000 colorectal surgeries
are performed each year in the United States.
Although traditional open surgery remains the
most common surgical approach for people
undergoing surgical intervention for colorectal
disease, the use of laparoscopic-assisted procedures
has increased tremendously since its
first clinical use was described in 1991.
To request a free hard copy of this Special Report article, please email your full name, mailing address, and institution to generalsurgerynews@mcmahonmed.com
FEBRUARY, 2010 |
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Economic Impact of Bovine Thrombin-Associated Immune-Mediated Coagulopathy In the Postoperative Patient
Coagulopathy may result in hemorrhagic disorders, thrombotic disorders, or abnormal laboratory coagulation parameters. Coagulopathy in the postoperative surgical patient may be associated with multiple underlying causes, such as anticoagulant and/or antiplatelet medications, various factor deficiencies, disseminated intravascular coagulation, and liver disease. Less commonly, immune-mediated coagulopathy (IMC) may result from the development of cross-reacting antibodies to naturally occurring coagulation factors following patient exposure to nonhuman therapeutic proteins.
To request a free hard copy of this Special Report article, please email your full name, mailing address, and institution to generalsurgerynews@mcmahonmed.com
AUGUST, 2009 |
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A New Look at DepoDur For the Management Of Postoperative Pain
DepoDur (EKR Therapeutics), a single-injection, extended release (ER) formulation of epidural morphine, is designed to provide up to 48 hours of pain relief for surgical inpatients. The purpose of this educational monograph is to bring together pertinent findings from the pivotal trials and, more importantly, the accrued clinical experience with DepoDur in real-world practice since its 2004 FDA approval. Pending label changes, including the administration of an analgesic dose of bupivacaine at least 30 minutes prior to DepoDur, also offer the opportunity to consider standard of care with DepoDur in the landscape of postoperative pain management.
JUNE, 2009 |
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Advancing the Future of Minimally Invasive Surgery
Advances in minimally invasive surgery
in the past 20 years—and particularly in the
past five—have been nothing short of astonishing.
Surgery once meant large, painful
incisions requiring substantial recovery
time, monitoring, and scarring. But as laparoscopy
and endoscopy have evolved
both philosophically and technologically,
the possibility for a wide variety of surgeries
to be performed in a way that leaves no visible
scarring looms large on the horizon.
JANUARY, 2009 |
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The Science of Ultrasonic Energy-Based Dissection
Surgery is essentially based on 3 fundamental
principles: cutting tissue, controlling
bleeding, and suturing. The former has
changed little since the dawn of the profession,
with today’s scalpels and shears
being refinements of early stone and metal
instruments.
SEPTEMBER, 2008 |
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Dispelling Myths About Biologic Grafts
Hernia repairs buttressed by mesh are
considered by most surgeons to be preferable
to repairs made by suture alone, particularly
in terms of preventing recurrences.
The perfect mesh, however, has proved elusive.
MAY, 2008 |
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The Use of High-Definition Video Technology in the Surgical Setting
In 1995, a group of German researchers
reviewed the results of 54 invasive endoscopic
procedures performed with imaging systems
using “improved resolution” technology
and predicted that high-definition (HD) technology
“may well become an essential part”
of the surgeon’s armamentarium. The authors
noted that “both endoscopically inexperienced
and experienced surgeons [could]
benefit from the use of a[n imaging] system
with improved resolution.”
FEBRUARY, 2008 |
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Minimally Invasive Colorectal Surgery: Short-term Comparison With Open Surgery
A report published in the February issue of the Journal of the American College of Surgeons confirms that the laparoscopic procedure offers short-term benefits over the open approach, including fewer wound complications, faster recovery times, shorter hospital stays, and reduced use of analgesics and blood transfusions.
MAY, 2007 |
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