Surgery/Specialties Editor's Note The Food and Drug Administration on August 5 categorized the recall of 6,912 units of Medtronic Cardiovascular Surgery’s EnVeo R loading system as Class I, the most serious. The loading system is used with the CoreValve Evolut R replacement heart valve. The recall was issued over concerns about…
Editor's Note The Food and Drug Administration on August 5 issued a Safety Communication on serious adverse events linked to left ventricular assist devices (LVADs). Two implantable LVADs are approved by the FDA (HeartMate II by Thoratec Corporation and HeartWare HVAD by HeartWare Inc), and serious events have been associated…
Editor's Note When surgeons listen to their preferred music, they’re more efficient at closing incisions, and their technique improves, this study finds. Researchers asked 15 plastic surgery residents at the University of Texas to perform layered closures on pigs’ feet. Half the resident worked in a silent OR and half…
Editor's Note A central issue discussed at the US House Committee on Ways and Means on July 28 was the Critical Access Hospital (CAH) Relief Act, HR 169, which is supported by the American College of Surgeons (ACS). Currently, for CAHs to receive Medicare Part A reimbursement, physicians must certify…
Editor's Note Patients exposed to radiation during cardiac computed tomographic angiography had evidence of deoxyribonucleic acid (DNA) damage that was associated with cell death, DNA damage in cells, and activation of genes involved in DNA repair, in this study. Most cells damaged by the CT scan were repaired, but a…
Editor's Note The AmericanCollege of Surgeons calls the usefulness of surgeon rating systems released last week by two public interest group websites questionable. The groups use differing methodologies (ie, years of Medicare data reviewed, procedures studied, and rating scales used) to determine their rankings, and a patient visiting both sites…
Editor's Note The use of hybrid coronary revascularization is safe and effective, with faster recovery and similar outcomes compared to conventional coronary artery bypass grafting, this study finds. The 30-day composite of mortality, myocardial infarction, or stroke was similar for both procedures, as was mortality during a 3-year follow-up period.…
Editor's Note In this study, patients having hip fracture surgery under regional anesthesia had significantly more complications than patients who received general anesthesia. Spinal anesthesia had the highest complication rate (19.6%), followed by general anesthesia (17.9%), and regional nerve blocks (12.6%). After combining regional nerve block and spinal anesthesia patients,…
Editor's Note Urological procedures performed in children at non-high volume hospitals were associated with a higher overall rate of National Surgical Quality Improvement Program (NSQIP) identified postoperative complications, compared with high volume hospitals (11.6% vs 9.3%), in this study. After adjusting for confounding factors, patients at non-high volume hospitals were…
Editor's Note Ulcerative colitis patients who have surgery to treat their disease live longer than those who are treated with medications, this study finds. Analyzing Medicare/Medicaid data on nearly 33,000 patients with ulcerative colitis, mortality rates were 34/1,000 person-years for colectomy and 54/1,000 person-years for medical therapy, thus showing that…
