Home E-Weekly August 29, 2017

News & Notes

Published: August 28, 2017

  • Most hernia patients can manage without opioids Hernia patients who are encouraged to manage pain without opioids typically have the ability to do so, a study suggests. Among 186 patients who had elective inguinal repairs, 60% were able to forgo opioids completely, relying instead on acetaminophen or ibuprophen, and 86% used fewer than half of their prescribed 10 tablets of Vicodin. "Even though surgeons have been careful to limit the number of opioid tablets that we prescribe, we may still be prescribing more medication than is actually needed by our patients," says study senior author Peter Masiakos, MD, from Massachusetts General Hospital.
  • Concurrent surgeries safe Risk of adverse outcomes does not increase in overlapping surgeries managed by a single surgeon, according to a study based on 2014 to 2015 data gathered from the American College of Surgeons' National Surgical Quality Improvement Program. Plastic, ENT and spine procedures were most often scheduled concurrently, note the researchers, who say their findings do not eliminate the need to continually assess the regulation of concurrent procedures and disclosure of the practice to patients.
  • "AR" technology simplifies plastic and reconstructive surgery Augmented reality technology that projects computer-generated images onto a patient's actual anatomy may help surgeons better evaluate the body surface for plastic and reconstructive surgical applications, according to a new study. After developing their own "AR" technology, researchers used the system — including open-source software and commercially available smart glasses — to make easier comparisons between the surgical field and final intended outcome. In a case involving a patient with a complex facial fracture, for example, the simulated bone image may provide a valuable visual reference point for the surgeon while working toward the completed facial reconstruction.
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