Patients need less blood after surgery than is widely thought. A new study comparing two plans for giving blood transfusions following surgery showed no ill effects from postponing transfusion until patients develop signs of anemia or their hemoglobin concentration falls below 8 g/dL. Results of the National Heart and Lung and Blood Institute funded study are published in today's edition of the New England Journal of Medicine. NewYork-Presbyterian Hospital/Columbia University Medical Center is one of 47 centers participating in the FOCUS (Transfusion Trigger Trial for Functional Outcomes in Cardiovascular Patients Undergoing Surgical Hip Fracture Repair) study, led by Dr. Jeffrey Carson, Richard C. Reynolds Professor of Medicine at the UMDNJ Robert Wood Johnson Medical School in New Brunswick, NJ.
Among obese individuals, having bariatric surgery was associated with a reduced long-term incidence of cardiovascular deaths and events such as heart attack and stroke, according to a study in the January 4 issue of JAMA. Most epidemiological studies have shown that obesity is associated with increased cardiovascular events and death. "Weight loss might protect against cardiovascular events, but solid evidence is lacking, " according to background information in the article. Lars Sjostrom, M.D., Ph.D., of the University of Gothenburg, Sweden, and colleagues conducted a study to test the hypothesis that bariatric surgery is associated with a reduced incidence of cardiovascular events and examined the relationship between weight change and cardiovascular events. The study (Swedish Obese Subjects [SOS]) is an ongoing, nonrandomized, prospective, controlled study conducted at 25 public surgical departments and 480 primary health care centers in Sweden, and includes 2, 010 obese participants who underwent bariatric surgery and 2, 037 matched obese controls who received usual care.
The Porter Robotics Institute (PRI) now offers the latest in advanced surgical robotics available to patients with kidney tumors, allowing surgeons the ability to remove just a portion of the kidney. Porter Adventist Hospital is among a handful of centers in the country with advanced fluorescence imaging technology, called Firefly, and only the second in the region. St. Anthony Hospital in Lakewood also recently implemented the Firefly. "The Firefly addition, along with our second da Vinci Si surgical system, will allow our surgeons even greater precision and flexibility in treating their patients with kidney cancer, " said Dr. Mark Jones, medical director of the PRI and the most experienced robotic kidney surgeon in the Rocky Mountain region. "The rapid growth of our robotic surgery program has helped us to acquire the latest advances in robotics to better serve our patients.
Health authorities have discovered during a recent French governmental inspection of breast implants, which were manufactured by PIP and ROFIL Medro since 2001, that most implants are filled with industrial grade silicone instead of medical grade silicone. The industrial grade is not compliant to the same stringent quality requirements as medical grade silicone and seems to rupture five times more often than other implants, i.e. that they fail to comply with legal requirements or industry standards. Since April 2010, PIP breast implants have been prohibited in Europe after reports of over 1, 000 incidents of ruptured PIP implants due to the high risk of rupture and subsequent release and distribution of silicone gel. About 30, 000 women are estimated to have PIP implants. The International Society of Aesthetic Plastic Surgery (ISAPS) is a major supporter of the French recommendation that those who have breast implants should consult their doctor or hospital to determine if their implants were manufactured by the French company Poly Implant Prosthesis (PIP), or if they have M-Implants manufactured by ROFIL Medro in the Netherlands.
Venezuelan Health Minister, Eugenia Sader, has announced that the full costs of removing the Poly Implant ProthÃ¨ses (PIP) breast implants will be covered by the state. Ms. Sader emphasized that this offer stands for any woman who wishes to have them removed. French authorities have also offered to cover the full costs. The PIP breast implants have a higher risk of rupture, according to French health authorities. Sader added that women should not be overly concerned, and that her announcement does not in any way represent an emergency measure. She advises patients to see their doctors and have their implants checked. The Venezuelan Ministry of Health stressed that the state will cover just the cost of having them removed, and not replacing them with new ones. The Venezuelan Network of Scientific Societies (Red de Sociedades CientÃ ficas de Venezuela - RSCV) has endorsed the Ministry's recommendations and applauds their offer to cover all surgical and medical costs.