Entries in surgery (83)


When Dogs Attack Kids, Eyes Are Often the Target, Researcher Says

Photo Courtesy - Getty Images(CHICAGO) -- At the American Academy of Opthamology's annual meeting in Chicago, which concluded Tuesday, a researcher claimed that when children suffer injury from dog bites, eyes are most often the target leading to complicated treatment and multiple surgeries, reports MedPage Today.

Dr. Henry Chen of the University of Colorado in Denver said that "half of kids treated for eye injuries associated with dog attacks required surgery, and 18 percent of these surgical patients had to return for additional procedures."

After studying the records of 537 pediatric patients treated for facial dog bites at The Children's Hospital in Denver from 2003 to 2008, Chen and his colleagues reported that eyelids were damaged in all the children with eye injuries, but that children rarely suffered corneal damage or fracture in the bones around the eye, according to MedPage.

Chen also noted that mixed breeds were the most common attackers, followed by Labrador Retrievers, German Shepherds and Rottweilers.

According to the analysis of the same group of patient records, the mean age of children with eye injuries was 3.9, which proved to be significantly younger than attack patients without eye injury.

Dr. Chen lastly emphasized the importance of early attention given to these types of injuries to "allow for definitive treatment the first time around without a need for later revision."

"If there's any concern about lacerations around the eye, it would be prudent to call an ophthalmology consultation to evaluate and make sure there aren't [any] other associated injuries," Chen said.

´╗┐Copyright 2010 ABC News Radio


Surgical Errors Continue Despite New Safety Guidelines

Photo Courtesy - Getty Images(DENVER) -- While tougher surgery guidelines have been put into place at hospitals nationwide, a new study from the Denver Health Medical Center found that wrong-site and wrong-patient surgeries continue to happen.

Denver researchers analyzed 27,370 physician-reported adverse events from the Colorado Physician Insurance Company's database.  Between January 2002 and June 2008, the study found that Colorado doctors operated on the wrong body part 107 times and performed surgery on the wrong person 25 different times.

Twenty percent of the wrong-patient procedures and 38 percent of wrong-site surgeries caused significant harm to patients.  One patient died after the doctor operated on the wrong body part.  And the number of occurrences went up from 2002 to 2007.

"I was shocked when I saw the numbers," said Dr. Philip Stahel, lead author of the study and director of Orthopedic Surgery at the Denver Health Medical Center.  "I'm not sure if the number of mistakes went up or the reporting of the mistakes went up. Increased vigilance could meet increased reporting."

In 2004 the Joint Commission, a health care advocacy organization, created the Universal Protocol, a global checklist with safety guidelines including a sign-in, recognition of the surgery site, and a time-out to be done before, during and after an operation.  The procedures have proven to lower surgical mistakes significantly and save money.´╗┐

Copyright 2010 ABC News Radio


Could LASIK Lead to 'Permanent Vision Problems'?

A former Food and Drug Administration official who helped get the vision correction surgery LASIK approved in the 1990s, but later spoke out against the procedure, is taking his concerns directly to the FDA. Morris Waxler, who is now an independent regulatory consultant, filed a citizens petition Wednesday urging the agency to take steps to stop what he calls "the epidemic of permanent vision problems" caused by LASIK. In the petition, Waxler included data he said is evidence that "LASIK causes persistent vision problems with an overall success rate of less than 50 percent." Waxler said his change of heart came after he retired from the FDA in 2000 and started getting complaints from people who suffered serious side effects from the procedure. Some doctors, however, say while they agree with the estimate that thousands of people have had problems after LASIK surgery, they stress that the vast majority of people are happy after the procedure. "Ninety-nine percent of people who have had LASIK have excellent results," said Dr. Robert Cykiert, clinical associate professor of ophthalmology at NYU Langone Medical Center.

Copyright 2010 ABC News Radio. Image Courtesy: Getty Images.

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