Factor VII Curbs Bleeding in Non-Hemophiliac Trauma, Surgical Patients

Use of recombinant activated factor VII (rFVIIa) reduces the need for blood transfusion in patients without hemophilia and may also reduce mortality, according to pooled data from randomized placebo-controlled trials involving more than 3000 participants, Canadian researchers report.

Natural Orifice Translumenal Endoscopic Surgery May Allow Incisionless Operations

Natural orifice translumenal endoscopic surgery (NOTES) allows for appendectomy through the mouth as well as for other procedures through natural orifices without making abdominal incisions, although laparoscopic assistance is used as a precautionary measure. This advance in minimally invasive surgery was showcased last week at the Natural Orifice Surgery Consortium for Assessment and Research's (NOSCAR) […]

Adding PAND to Radical Gastrectomy Does Not Improve Survival in Gastric Cancer

Radical gastrectomy with extended (D2) removal of regional lymph nodes is the standard treatment for patients with potentially curable gastric cancer in Japan. However, adding para-aortic nodal dissection (PAND) to standard gastrectomy with D2 lymphadenectomy did not improve survival, report Japanese researchers in the July 31 issue of the New England Journal of Medicine.

Postoperative Complication Rate May Be Higher in Patients With Mental Illness

Patients with schizophrenia or depression may be more prone to postoperative complications than patients without mental illness, according to a review of the literature — such as it is. "The knowledge base on clinical outcomes of surgery for patients with comorbid serious mental illness is extremely small, although we know the mentally ill carry a […]