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News, opinions and meeting coverage in surgery.

Medtronic Sued by 1,000 Infuse Patients

Medtronic said about 1,000 people have sued the company over its bone morphogenetic protein-2 product, Infuse, and that many more lawsuits may be coming.

Which Bullets Are Safe in an MRI?

Don't go ballistic -- only steel bullets will cause problems in MRI, says a study of 39 kinds of the projectiles.

Diabetes: TAVI Trumps Heart Surgery

Patients with diabetes who had aortic stenosis fared better in terms of mortality and kidney function during the first year if they underwent transcatheter aortic valve implantation (TAVI) rather than surgery, a post-hoc analysis found.

Fast-Acting AMA Group Hopes to Fix SGR

NATIONAL HARBOR, Md. -- A large coalition of American Medical Association members met in seclusion Sunday morning here at the interim meeting of the House of Delegates and rapidly found consensus on a proposed resolution for the repeal of Medicare's sustainable growth rate (SGR) formula.

Will You Make More $$ if You Subspecialize?

Ivan Today looks at a study that looks at whether fellowships pay off.

Heart Surgery as Infant Hikes Risk for ADHD Later

Children who underwent surgery for congenital heart disease in the first year of life appeared to carry an increased risk of attention deficit hyperactivity disorder (ADHD) once they reached school age, researchers found.

N.H. Hospital May Have Exposed Patients to CJD

Health officials in New Hampshire said eight neurosurgery patients at one hospital in the state may have been unwittingly exposed to Creutzfeldt-Jakob disease (CJD).

Losing a Tattoo, Gaining a Tumor

An unintended consequence of laser tattoo removal in a 29-year-old man was a diagnosis of malignant melanoma, according to a German case report.

Wounds Heal Better When Debrided Often

Faster and more complete wound healing was achieved with more frequent debridement regardless of wound type, size, or duration, researchers found.

Shots Best Way to Give B12 After Bariatric Surgery

Vitamin B12 injections are the preferred treatment for patients who develop a deficiency following bariatric surgery, researchers found.

Zilver Stent Recalled, System May Break

Cook Medical's Zilver PTX drug-eluting stent for peripheral artery disease has been recalled because of a defect in its associated delivery system, the company and the FDA said.

On-Call Pay Varies Widely by Specialty

Surgeons commanded more than $1,000 a day for being on-call at the hospital, while primary care physicians reported compensation rates of around $150 a day, according to annually compiled data.

Full Thyroid Removal May be Best in Graves' Disease

Removing the whole thyroid lessens the chance of hyperthyroidism recurrence in Graves' disease compared with partial thyroidectomy, but it also leads to increased temporary hypoparathyroidism, researchers found.

Acute Pain Yields to Lower-Dose Diclofenac

FORT LAUDERDALE, Fla. - Lower-dose submicron particle diclofenac offered good pain control compared with placebo, researchers reported here.

Preop Ketamine May Lower Pain in Fibromyalgia

FORT LAUDERDALE, Fla. -- In fibromyalgia patients undergoing knee or hip replacement surgery, low-dose, intraoperative ketamine appeared to reduce the need for post-surgical opioid therapy, researchers said here.

FDA Warns About Codeine Following Tonsillectomy

Products that contain codeine should not be used for pain relief in children following tonsillectomy or adenoidectomy because of a possible risk of serious adverse events or death, the FDA said Wednesday.

Painful Speed Bumps? Could Be Appendicitis

Diagnostic uncertainty surrounding appendicitis could turn into a small bump in the road, according to a study showing a high correlation between appendicitis and pain on driving over speed bumps on the way to the hospital.

No Need for Skin Preps to Be Sterile, FDA Told

WASHINGTON -- Requiring that antiseptic skin preparation products be sterile is unnecessary and wouldn't lead to a dramatic drop in infections, speakers told the FDA Wednesday.

FDA to Look at Tainted Skin Preps

Antiseptic skin preparation products can be contaminated by microbes, a problem the FDA will address at an upcoming public hearing.

Recall: Device Sucks Life From Patient

A suction system for collecting surgical waste apparently killed one patient and seriously injured another, prompting its maker to recall it and several related devices, the FDA said.

Device May Cut Re-Excision Rate in Breast Cancer

SAN FRANCISCO -- Re-excision after breast-conserving surgery occurred 50% less often with intraoperative margin assessment by a device that distinguishes cancer cells from normal tissue, results of a randomized study showed.

Low Preop Sodium Raises Mortality Risk

Preoperative hyponatremia significantly increased the risk of 30-day postsurgical mortality, a risk that extended across all subgroups of surgical patients, investigators reported.

Gallbladder Polyp Size Can Guide Treatment

The follow-up strategy for patients with gallbladder polyps should be based on the size of the lesions, which can influence progression and malignancy potential, British researchers advised.

Jesse Jackson, Jr. Responding to Bipolar Therapy

After months of silence from his office about his absence from Congress, the Mayo Clinic has announced that Rep. Jesse Jackson, Jr., (D-Ill.) is being treated at the facility for bipolar disorder.

Doctors Say 45 Common Tests 'Overused'

Nine specialty groups have listed tests and treatments that are frequently overused, such as antibiotics for sinus attacks and CT scans for low back pain, in the first phase of a long-term project.

Extreme Obesity Adds More Risk in Hysterectomy

AUSTIN, Texas -- Increasingly severe obesity drives up complication rates after hysterectomy, and outcomes continually worsen with rising body mass index, according to results from a study reported here.

Feds Finalize Next Stage of 'Meaningful Use' Guidelines

LAS VEGAS -- Doctors now have an extra nine months to prove to the federal government that they've accomplished the early stages of "meaningful use" of health information technology, National Coordinator for Health IT Farzad Mostashari announced Thursday.

Follow the Money: Pain, Policy, and Profit

When the Federation of State Medical Boards decided it needed to put a model guideline for opioid use into a book, it reached out and touched the makers of opioid drugs to make it happen.

Gastric Ca Survival Rates Down, Chemo Use Up

SAN FRANCISCO -- A decline in survival rates in stage IV gastric cancer coincides with the increased use of chemotherapy rather than radiation and surgery, researchers found.

50-Year-Olds Get New Knees in Record Numbers

During the past three decades there has been a dramatic increase in knee replacement surgeries, particularly among individuals in their 50s, a Finnish study found.

India Emerges as Source for Execution Drugs

Unable to get Pentothal through regular channels, Nebraska prison officials turned to a broker in India so they could execute two convicted murderers.

Post-Ear Tube MRSA Infections Not Serious

Among children with ear infections following tympanostomy tube placement, infections associated with methicillin-resistant Staphylococcus aureus (MRSA) did not result in worse outcomes than those caused by other pathogens, a single-center study showed.

Go With the Flow When Treating LAD Stenosis

Medical treatment was as effective as surgery for patients with moderate to severe isolated stenosis in the proximal left anterior descending artery who had fractional flow reserve of 0.80 or greater, according to results from a single-center study.

Anemia Worsens Surgical Outcomes

Patients who are anemic before going into surgery are at greater risk of death and other complications, researchers found.

Colonoscopy Pioneer William Wolff Dead at 94

One of the pioneers of modern colonoscopy, William Wolff, MD, has died at the age of 94.

ASCO GU: Long Learning Curve for Robotic Prostate Removal

ORLANDO -- Three experienced surgeons needed more than 1,600 cases to achieve acceptable outcomes with robotic-assisted laparoscopic prostatectomy, data from a retrospective chart review showed.

Give Antibiotics Before C-Section, Group Urges

Women scheduled for cesarean section should be started on antibiotics an hour before delivery, according to new recommendations from the American College of Obstetricians and Gynecologists.

The Top 10 Medical Advances of the Decade

From genome to hormones, doctors pick the top medical advances of the decade.

Hospital Fined for Wrong-Site Surgery

Rhode Island Hospital, located in Providence, will pay $150,000 and install video cameras in all of its operating rooms after performing its fifth wrong-site surgery since 2007, according to the state's department of health.

HIV-Positive Surgeon Allowed Back into OR

TEL AVIV -- An HIV-infected cardiothoracic surgeon here has been cleared to resume operating without restrictions after a 10-year lookback investigation found no spread of the disease to patients, reported Israeli and CDC investigators.

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