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Physical examination is the best predictor of the need for abdominal surgery in children following motor vehicle collision - Drucker NA, McDuffie L, Groh E, Hackworth J, Bell TM, Markel TA.
BACKGROUND: Exploratory laparotomy in children after motor vehicle collision (MVC) is rare. In the absence of definitive hemorrhage or free abdominal air on radiographic imaging, predictors for operative exploration are conflicting. OBJECTIVE: The ... (Source: SafetyLit)
Source: SafetyLit - November 13, 2017 Category: International Medicine & Public Health Tags: Age: Infants and Children Source Type: news

New Study Shows Improved Peritoneal Mesothelioma Survival
Patients with malignant peritoneal mesothelioma who completed a novel, two-stage cytoreduction and intraperitoneal chemotherapy regimen had a median overall survival of 6.65 years. Almost 30 percent of those patients had a survival estimate of more than 10 years after the second stage of treatment, according to a study published recently in the Annals of Surgical Oncology. The study involved 113 patients from New York-Presbyterian Hospital/Columbia University Medical Center. Researchers demonstrated the therapeutic advances concerning this once unbeatable cancer. While progress has been slow in improving current pleural me...
Source: Asbestos and Mesothelioma News - October 31, 2017 Category: Environmental Health Authors: Walter Pacheco Tags: Columbia University Medical Center Dr. Michael Kluger Dr. Paul Sugarbaker HIPEC for peritoneal mesothelioma New York-Presbyterian Hospital peritoneal mesothelioma treatment Source Type: news

FDA Grants De Novo Clearance for Z-Medica ’s QuikClot Control+ Only Non-Absorbable Hemostatic Dressing for Severe Bleeding in Internal Organ Space
Wallingford, Conn. - Z-Medica, LLC, a leading developer and marketer of hemostatic devices, announces that QuikClot Control+ has been cleared for use by the US Food and Drug Administration (FDA) under the de novo classification process and is designated as a Class II medical device. QuikClot Control+ is the first and only non-absorbable hemostatic dressing cleared for internal organ space use in severely bleeding patients. QuikClot Control+ is indicated for temporary control of internal organ space bleeding for patients displaying class III or class IV bleeding. It may also be used for control of severely bleeding wound...
Source: JEMS Patient Care - July 13, 2017 Category: Emergency Medicine Authors: Dave Schemelia Tags: Patient Care Industry News Source Type: news

FDA Grants De Novo Clearance for Z-Medica ’s QuikClot Control+ Only Non-Absorbable Hemostatic Dressing for Severe Bleeding in Internal Organ Space
Wallingford, Conn. - Z-Medica, LLC, a leading developer and marketer of hemostatic devices, announces that QuikClot Control+ has been cleared for use by the US Food and Drug Administration (FDA) under the de novo classification process and is designated as a Class II medical device. QuikClot Control+ is the first and only non-absorbable hemostatic dressing cleared for internal organ space use in severely bleeding patients. QuikClot Control+ is indicated for temporary control of internal organ space bleeding for patients displaying class III or class IV bleeding. It may also be used for control of severely bleeding wound...
Source: JEMS: Journal of Emergency Medical Services News - July 13, 2017 Category: Emergency Medicine Authors: Dave Schemelia Tags: Patient Care Industry News Source Type: news

Z-Medica wins FDA de novo nod for QuickClot Control+
Hemostatic device developer Z-Medica said today it won FDA de novo clearance for its QuickClot Control+, now indicated for temporary control of internal organ space bleeding for patients displaying Class III or Class IV bleeding. The Wallingford, Conn.-based company touted its QuickClot Control+ as the 1st and only non-absorbable hemostatic dressing with clearance for internal organ space in severely bleeding patients, and added that it may also be used for control of severely bleeding wounds including surgical wounds and traumatic injuries. “This clearance marks another major milestone in the growth of our comp...
Source: Mass Device - July 12, 2017 Category: Medical Devices Authors: Fink Densford Tags: Blood Management Food & Drug Administration (FDA) Regulatory/Compliance Z-Medica Source Type: news

Onlay Mesh May Help Prevent Incisional Hernia After Midline Laparotomy Onlay Mesh May Help Prevent Incisional Hernia After Midline Laparotomy
Onlay mesh reinforcement significantly reduced the incidence of incisional hernia compared with sublay mesh or primary suture in high-risk patients undergoing midline laparotomy, researchers say.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - June 30, 2017 Category: Consumer Health News Tags: Medscape Today News Source Type: news

Self-inflicted abdominal stab wounds have a higher rate of non-therapeutic laparotomy/laparoscopy and a lower risk of injury - Bugaev N, McKay K, Breeze JL, Arabian SS, Rabinovici R.
BACKGROUND: The profile and management of self-inflicted abdominal stab wounds (SI-ASW) patients is still obscure. METHODS: The National Trauma Data Bank (2012) was queried for adults with abdominal stab wounds (n  = 9544). Patients with SI-ASW (n... (Source: SafetyLit)
Source: SafetyLit - June 28, 2017 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Smith & Nephew touts lowered infection rate in Pico wound therapy trial
This study underscores the importance of PICO single use NPWT in treating patients who have undergone a laparotomy. As surgeons, we are always looking for effective and cost efficient ways to treat patients, and this study demonstrates that PICO single use NPWT can significantly reduce both the incidence of surgical site infection and the length of stay, resulting in a potential reduction in healthcare costs,” Colin Peirce of Limerick, Ireland’s University Hospital said in a prepared statement. “This study is the latest addition of research that reinforces the importance of PICO Single Use NPWT and the si...
Source: Mass Device - May 16, 2017 Category: Medical Devices Authors: Fink Densford Tags: Blog Smith & Nephew Source Type: news

More Patient Education Needed for Gynecologic Robotic Surgery
Women undergoing robotic surgery procedures for gynecologic cancers and nonmalignant conditions report more patient education needs than those undergoing traditional laparotomy. (Source: CancerNetwork)
Source: CancerNetwork - May 8, 2017 Category: Cancer & Oncology Authors: Bryant Furlow Tags: News Oncology Nursing Gynecologic Cancers Conferences/ONS 2017 Source Type: news

Survival Similar With Debulking by Laparotomy, Laparoscopy
Similar three - year survival rates for women with epithelial ovarian cancer undergoing debulking (Source: The Doctors Lounge - Oncology)
Source: The Doctors Lounge - Oncology - April 10, 2017 Category: Cancer & Oncology Tags: Gynecology, Oncology, Surgery, Journal, Source Type: news

Contemporary damage control surgery outcomes: 80 patients with severe abdominal injuries in the right upper quadrant analyzed - Hommes M, Chowdhury S, Visconti D, Navsaria PH, Krige JE, Cadosch D, Nicol AJ.
BACKGROUND: Damage control laparotomy (DCL) is a well-established surgical strategy in the management of the severely injured abdominal trauma patients. The selection of patients by intra-abdominal organs involvement for DCL remains controversial. The aim ... (Source: SafetyLit)
Source: SafetyLit - March 3, 2017 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

The hidden story of innovation: Charity Hospital, Angola Prison, and the challenging of surgical dogma - Greiffenstein P, Hastings PR.
The late 1960s was a period of significant upheaval of social, cultural, and scientific norms. The generally accepted notion of mandatory laparotomy for all penetrating abdominal injuries was among those norms being called into question across the country ... (Source: SafetyLit)
Source: SafetyLit - February 27, 2017 Category: Global & Universal Tags: Commentary Source Type: news

Olympus wins FDA nod & launches new power morcellator with tissue capture
Olympus (TYO:7733) said today it won FDA 510(k) clearance for its next-gen laparoscopic PK morcellator with tissue containment designed as a laparoscopic surgery option to avoid open hysterectomy and myomectomy for uterine fibroid removal The company’s newly launched morcellator includes the company’s PneumoLiner contained tissue extraction system. “Contained tissue extraction is continually evolving. As surgeons, it is our duty to evaluate potential solutions to the surgical challenges we face in clinical practice. We are pleased that Olympus has taken the initiative to develop a unique and well tes...
Source: Mass Device - November 16, 2016 Category: Medical Equipment Authors: Fink Densford Tags: 510(k) Business/Financial News Food & Drug Administration (FDA) Regulatory/Compliance Women's Health Olympus Source Type: news

Mortality in trauma patients with active arterial bleeding managed by embolization or surgical packing: an observational cohort study of 66 patients - Froberg L, Helgstrand F, Clausen C, Steinmetz J, Eckardt H.
OBJECTIVE: Exsanguination due to coagulopathy and vascular injury is a common cause of death among trauma patients. Arterial injury can be treated either by angiography and embolization or by explorative laparotomy and surgical packing. The purpose of this... (Source: SafetyLit)
Source: SafetyLit - September 2, 2016 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Sexual and physical abuse and gynecologic disorders - Schliep KC, Mumford SL, Johnstone EB, Peterson CM, Sharp HT, Stanford JB, Chen Z, Backonja U, Wallace ME, Louis GMB.
STUDY QUESTION Is sexual and/or physical abuse history associated with incident endometriosis diagnosis or other gynecologic disorders among premenopausal women undergoing diagnostic and/or therapeutic laparoscopy or laparotomy regardless of clinical indic... (Source: SafetyLit)
Source: SafetyLit - August 14, 2016 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Diagnostic accuracy of laparoscopy following computed tomography (CT) scanning for assessing the resectability with curative intent in pancreatic and periampullary cancer
This Review concludes that diagnostic laparoscopy may decrease the rate of unnecessary laparotomy in people with pancreatic and periampullary cancer found to have resectable disease on CT scan. On average, using diagnostic laparoscopy with biopsy and histopathological confirmation of suspicious lesions prior to laparotomy would avoid 21 unnecessary laparotomies in 100 people in whom resection of cancer with curative intent is planned. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 27, 2016 Category: Consumer Health News Source Type: news

Mayo Clinic PathWays: What's the Diagnosis?
This week, Drs. Xiaotun Zhang and Debra A. Bell discuss the case of a woman presenting with lower abdominal pain. An emergent exploratory laparotomy revealed a ruptured left ovarian mass. After reviewing the immunohistochemical stains, ovarian large cell neuroendocrine carcinoma was diagnosed. View the case and make your diagnosis. Learn more about Mayo Clinic PathWays. (Source: News from Mayo Clinic)
Source: News from Mayo Clinic - July 26, 2016 Category: Databases & Libraries Source Type: news

Bellwether Surgical Procedures Indicate Access to Surgical Care in GhanaBellwether Surgical Procedures Indicate Access to Surgical Care in Ghana
Data on three common surgical procedures -- open fracture repair, emergency laparotomy, and cesarean sections -- provide an estimate of overall availability of essential surgical care in Ghana, according to a new report. Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - July 1, 2016 Category: Consumer Health News Tags: General Surgery News Source Type: news

Emergency Laparotomy Risk Assessment ToolsEmergency Laparotomy Risk Assessment Tools
Which is the most practical and reliable risk assessment tool for patients undergoing emergency laparotomy? British Journal of Anaesthesia (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - January 11, 2016 Category: Intensive Care Tags: Anesthesiology Journal Article Source Type: news

MassDevice.com +3 | The top 3 medtech stories for December 15, 2015
Say hello to MassDevice +3, a bite-sized view of the top three medtech stories of the day. This feature of MassDevice.com’s coverage highlights our 3 biggest and most influential stories from the day’s news to make sure you’re up to date on the headlines that continue to shape the medical device industry.   3. Study: Boston Scientific’s Watchman cheaper than drugs in reducing afib stroke risk A study comparing the stroke risk for atrial fibrillation patients treated with Boston Scientific‘s Watchman device with the anticoagulant drug warfarin and non-warfarin oral anticoagulants found Wa...
Source: Mass Device - December 15, 2015 Category: Medical Equipment Authors: MassDevice Tags: News Well Plus 3 Source Type: news

Jury adds $70m in damages to $9.8m Ethicon stapler loss
A California state jury added $70 million in damages to the $9.8 million it awarded the plaintiff last week in a product liability lawsuit over  Johnson & Johnson (NYSE:JNJ) subsidiary Ethicon‘s PPH 03 hemorrhoid stapler, the plaintiff’s attorney’s said. Plaintiff Florence Kuhlmann alleged that during hemorrhoidoplexy surgery in January 2012, the defective stapler misfired, sealing her anal canal and leading to 21 days of emergency hospitalization, infection and abdominal surgeries including a full laparotomy and colostomy, according to Alexander Law Group, her counsel in the ...
Source: Mass Device - December 15, 2015 Category: Medical Equipment Authors: Brad Perriello Tags: Legal News Product Liability Ethicon Inc. Johnson & Johnson Source Type: news

J&J’s Ethicon loses $9.8m stapler suit
Johnson & Johnson (NYSE:JNJ) subsidiary Ethicon lost a $9.8 million suit over injuries caused to a patient by a defective Ethicon PPH 03 hemorrhoid stapler. The case was decided in the Alameda County Superior Court, according to the plaintiff’s counsel, the Alexander Law Group, LLP. The plaintiff alleged that during surgery in January 2012, the defective staple misfired, sealing the patient’s anal canal shut and leading to 21 days of emergency hospitalization, massive infection and resulting abdominal surgeries including a full laparotomy and colostomy. “This is a victory for all those who have been h...
Source: Mass Device - December 11, 2015 Category: Medical Equipment Authors: Fink Densford Tags: Legal News Business/Financial News Ethicon Endo-Surgery Johnson & Johnson Source Type: news

Perioperative evaluation of patient outcomes after severe acid corrosive injury - Wu MH, Wu HY.
We reviewed 64 patients with perforation or full-thickness injury of the alimentary tract after acid ingestion. Based on our classification of laparotomy findings, there were class I (n = 15); class II (n = 13); class III (n = 16); and class IV (n = 20). S... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - November 28, 2015 Category: Global & Universal Tags: Burns, Electricity, Explosions, Fire, Scalds Source Type: news

Foreign bodies in the abdomen: self-harm and personality disorders - Dunphy L, Syed F, Raja M.
A 52-year-old woman presented to the accident and emergency department 5 h after deliberately stabbing herself with two pens through her midline laparotomy scar. Her medical history included an emotionally unstable (borderline) personality disorder and s... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - October 21, 2015 Category: Global & Universal Tags: Suicide and Self-Harm Source Type: news

The dermoid cyst alien inside me!! – Jo’s story
The post The dermoid cyst alien inside me!! – Jo’s story appeared first on Hysterectomy Association. After being diagnosed with endometriosis in my mid 30’s I went on Ovranette which seemed to help, but when I reached 50 oh my…. I had to come off it due to age and boy did everything come back with a vengeance. After several months of heavy flooding and indescribable pain I got referred to gynae. After several scans told small dermoid cyst, no other issues but would need to come out, was told it would be several months wait, but after bloods were tested I was called in to be told I had 50/50 chance ...
Source: The Hysterectomy Association - September 9, 2015 Category: OBGYN Authors: Linda Parkinson-Hardman Tags: Your Stories dermoid cyst endometriosis Source Type: news

Ovarian Remnant Syndrome – Sue’s story
The post Ovarian Remnant Syndrome – Sue’s story appeared first on Hysterectomy Association. After suffering with endometriosis I decided at the age of 35 that I wanted a hysterectomy (despite having no children). Since the age of 13 I had suffered with severe period pain. When I was 26 I saw a gynaecologist (Mr W), who decided to do a D&C, this did not help with the pain so Mr W then did a laparoscopy. I was diagnosed with extensive endometriosis. I then began a course of Zoladex injections. At the end of the course I had another laparoscopy and the endometriosis was no more. Was I cured? NO! Three months l...
Source: The Hysterectomy Association - August 9, 2015 Category: OBGYN Authors: Linda Parkinson-Hardman Tags: Your Stories endometriosis ovarian remnant syndrome Source Type: news

Planning with a cardboard hospital
by Emily Williams It’s 1 a.m. on a Wednesday. A two-year-old boy involved in a rollover automobile accident is brought into the emergency department at Boston Children’s Hospital. A scan shows fluid in his abdomen. He is becoming progressively unstable, his blood pressure plummeting despite blood transfusions. A decision is made to bring him to the operating room (OR), where a surgical team performs an exploratory laparotomy for a liver laceration and massive bleeding. This is a test. It is one of the many tests of Boston Children’s Simulator Program (SIMPeds). On July 13, 14 and 15, the entire seve...
Source: Mass Device - August 4, 2015 Category: Medical Equipment Authors: MassDevice Tags: Blog Vector Blog Source Type: news

Hysterectomy to treat depression – Deborah’s story
The post Hysterectomy to treat depression – Deborah’s story appeared first on Hysterectomy Association. I have had problems with my periods all my life. My first period lasted 10 days, and I soon got into the routine of 2 weeks of bleeding, and 2 weeks of crying. My Mother took me to the Doctor, and I was on the pill at the age of 14. This helped a lot, but I still had painful and heavy periods, but at least they only lasted 5 days, and the PMT wasn’t as bad. Came off the pill at 19 due to DVT scares, and carried on suffering. Doctors didn’t believe I had heavy periods as I was never anaemic. The fi...
Source: The Hysterectomy Association - May 11, 2015 Category: OBGYN Authors: Linda Tags: Your Stories depression fibroids Source Type: news

Weighing Cost and Mortality Risk for Necrotizing EnterocolitisWeighing Cost and Mortality Risk for Necrotizing Enterocolitis
Of three surgical approaches for managing necrotizing enterocolitis in infants, peritoneal drainage followed by laparotomy had relatively low mortality risk, but the highest price tag. Medscape Medical News (Source: Medscape Infectious Diseases Headlines)
Source: Medscape Infectious Diseases Headlines - April 13, 2015 Category: Infectious Diseases Tags: Pediatrics News Source Type: news

Make the Diagnosis: Abdominal pain, racing heart
(MedPage Today) -- Case Study: A patient presents to the emergency department with severe abdominal pain, tachycardia, and an elevated serum lactate level. At laparotomy, a segment of ischemic bowel is discovered and resected. Which underlying condition is a significant predisposing factor? (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - April 8, 2015 Category: Cardiology Source Type: news

Surgeons Got Rhythm, and Sometimes (Heart) Beat
(MedPage Today) -- A little song, a little dance, a little laparotomy: music to operate by. (Source: MedPage Today Surgery)
Source: MedPage Today Surgery - December 27, 2014 Category: Surgery Source Type: news

Using laparoscopy for ventriculoperitoneal shunt placement
Researchers conducted a prospective randomized controlled clinical trial to compare a laparoscopic procedure with a mini-laparotomy for insertion of a peritoneal catheter during ventriculoperitoneal shunt surgery. The deciding factor was the rate of shunt malfunction. Although overall shunt failure rates did not differ substantially between patients in the two surgery groups, the authors identified a significant reduction in the rate of distal shunt failure in patients in whom laparoscopy was used. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - December 23, 2014 Category: Science Source Type: news

Using laparoscopy for ventriculoperitoneal shunt placement
(Journal of Neurosurgery Publishing Group) Researchers conducted a prospective randomized controlled clinical trial to compare a laparoscopic procedure with a mini-laparotomy for insertion of a peritoneal catheter during ventriculoperitoneal shunt surgery. The deciding factor was the rate of shunt malfunction. Although overall shunt failure rates did not differ substantially between patients in the two surgery groups, the authors identified a significant reduction in the rate of distal shunt failure in patients in whom laparoscopy was used. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - December 23, 2014 Category: Global & Universal Source Type: news

Abdominal injury patterns in patients with seatbelt signs requiring laparotomy - Biswas S, Adileh M, Almogy G, Bala M.
AIMS: We analyzed our series of patients with seatbelt signs (bruising) that underwent laparotomy in order to correlate injury pattern with clinical course and outcome. MATERIALS AND METHODS: Retrospective analysis of patients with seatbelt signs p... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - November 22, 2014 Category: Global & Universal Tags: Engineering, Physics, Structural Soundness and Failure Source Type: news

Care Bundle Reduced Mortality After Emergency LaparotomyCare Bundle Reduced Mortality After Emergency Laparotomy
Mortality fell by more than a third after implementation of the quality improvement bundle. Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 17, 2014 Category: Consumer Health News Tags: General Surgery News Source Type: news

Nontherapeutic laparotomy in American combat casualties: A 10-year review - Mitchell TA, Hutchison T, Becker TE, Aden JK, Blackbourne L, White CE.
BACKGROUND: The civilian literature has expanded the indications for selective nonoperative management (SNOM) for abdominal trauma to minimize morbidity from nontherapeutic laparotomies (NTLs); however, this treatment modality remains controversial and rar... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - September 6, 2014 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Concomitant hollow viscus injuries in patients with blunt hepatic and splenic injuries: An analysis of a National Trauma Registry database - Swaid F, Peleg K, Alfici R, Matter I, Olsha O, Ashkenazi I, Givon A, Kessel B.
INTRODUCTION: Non-operative management has become the standard approach for treating stable patients sustaining blunt hepatic or splenic injuries in the absence of other indications for laparotomy. The liberal use of computed tomography (CT) has reduced th... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - March 28, 2014 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Seppuku: A modern approach to an ancient injury - Richardson AJ, Tevlin R, Larkin JO, Beddy D.
A 67 year-old man with paraplegia and depression presented with self-inflicted evisceration and small bowel injury. Damage control surgery was undertaken at emergency laparotomy with definitive anastomosis performed at second-look laparotomy following 24 h... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - November 19, 2013 Category: Global & Universal Tags: Suicide and Self-Harm Source Type: news

Surgical Necrotizing Enterocolitis: A Primer for the Neonatologist
The objective of this review is to provide the neonatologist with an overview of options available for the surgical management of this complex and potentially devastating disease. When evaluating patients with NEC, surgical intervention is reserved for those patients with pneumoperitoneum, confirmed stool or pus in the peritoneal cavity, or worsening clinical status. Options range from peritoneal drain placement to laparotomy with enterostomy creation, anastomoses, or temporizing measures with planned second-look operations. The choice of operation has not been shown to have a significant effect on any clinically important...
Source: NeoReviews recent issues - August 1, 2013 Category: Pediatrics Authors: Raval, M. V., Lawrence Moss, R. Tags: Articles Source Type: news

CT Scans May Not Be Necessary for Abdominal Stab WoundsCT Scans May Not Be Necessary for Abdominal Stab Wounds
Physical examinations may trump CT scans when it comes to determining which patients need laparotomy for abdominal stab wounds, a new study suggests. Reuters Health Information (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - July 9, 2013 Category: Consumer Health News Tags: General Surgery News Source Type: news

Failed Primary Abdominal Closure in the Trauma PatientFailed Primary Abdominal Closure in the Trauma Patient
Failed abdominal closure results in increased patient morbidity and complications. Are there specific risk factors which might help predict failed closure after damage-control laparotomy? Southern Medical Journal (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - June 6, 2013 Category: Consumer Health News Tags: General Surgery Journal Article Source Type: news