Bariatric surgery is a procedure designed to help patients lose weight, but an unexpected side effect is that it can also help rid patients of diabetes. "Diabetic patients who undergo bariatric surgery are often cured of diabetes following the procedure, " said Christopher Still, D.O., director of the Geisinger Center for Nutrition and Weight Management. "This is an incredible development for patients, as diabetes is often a very challenging condition to manage." A 2004 study by the Journal of the American Medical Association (JAMA) reported that diabetes was completely resolved for over 76 percent of the 22, 000 surveyed patients, and 86 percent of patients saw improvement in their diabetes. In an Annals of Surgery study, 83 percent of diabetic patients were cured after undergoing gastric bypass surgery, the primary bariatric procedure used at Geisinger Medical Center. The procedure is most effective against type 2 diabetes. It hasn't proven to be a cure against type 1 diabetes, but it can improve a patient's condition, Dr.
Rhinoplasty, sometimes referred to as a "nose job, " can improve the shape, size and general appearance of the nose. However, imperfections following rhinoplasty are common, which is why some surgeons have turned to injectable fillers as a means of smoothing out irregularities and asymmetries that remain after initial rhinoplasty surgery. An article appearing in the November/December issue of Aesthetic Surgery Journal, a publication of the American Society for Aesthetic Plastic Surgery (ASAPS), discusses the potential benefits and risks of soft tissue fillers as an adjunct to surgical reshaping of the nose. According to ASAPS statistics, rhinoplasty is among the top five surgical cosmetic procedures, with 152, 434 procedures performed in 2008. With the growing availability, variety and popularity of filler materials, it stands to reason that the potential use of these products in conjunction with nose reshaping would be explored. "Injectable fillers allow surgeons to correct post-surgical imperfections without the expense, anesthetic risk, or recovery downtime involved with additional surgery, " says Steven Dayan, MD, one of the ASJ article's three authors and clinical assistant professor in the Department of Otolaryngology, University of Illinois Medical Center in Chicago.
News reports forecast that some provisions in the Senate health-overhaul legislation could create distractions for Democrats seeking to pass a bill by the year's end. "In a victory for people with cancer and other serious medical problems, the White House agreed Friday to help close a loophole in the Senate health care bill allowing annual dollar limits on their care..., " the Associated Press/San Francisco Chronicle reports. "Tucked in a clause of the Senate bill captioned 'No lifetime or annual limits' is a provision that would permit such caps." By stipulating that the limits must not be "unreasonable, " the legislation opens to the door for insurers to override the provision. As the bill is written, administration officials could set the bar for what constitutes a reasonable limit (Alonso-Zaldivar, 12/12). Another issue, The Baltimore Sun reports, is that "little-noticed fine print in the legislation includes delays on many benefits of health reform. And those extended timelines will likely come as news to many who need and are expecting aid now, according to some of those monitoring the rancorous and evolving process.
Cohera Medical Inc announced the treatment of the first patient in a study of its lead surgical adhesive product, TissuGlu® . Initiation of the study marks a major milestone in the company's progression of the lead product toward clinical practice. The clinical investigation is a prospective, open-label, randomized study to investigate the safety of TissuGlu and its effect on wound drainage and associated complications in abdominoplasty, or "tummy tuck, " surgeries. The study will compare standard wound closure techniques to standard wound closure techniques plus the application of TissuGlu in 40 patients at three sites near Bonn, Frankfurt and Freiburg, Germany. "We are delighted to have treated the first patient in the TissuGlu study, " said Klaus Walgenbach, M.D., Ph.D., of the Universitatsklinikum Bonn and the principal investigator for the study. "We were very pleased with the procedure and look forward to enrolling more patients." Currently, patients who undergo abdominoplasty require the insertion of drains to remove fluids that accumulate under the skin at the surgical site.
Wrinkles are creases, folds or ridges in the skin. Most commonly, wrinkles appear as we get older. However, they may develop after our skin has been immersed in water for a long time. The first wrinkles to appear on our face tend to occur as a result of facial expressions. Sun damage, smoking, dehydration, some medications, as well as a number of other factors may also cause wrinkles to develop. Wrinkles are an inevitable part of the natural aging process. As we become older our skin gets thinner, drier and less elastic. Our skin's ability to protect itself from damage is also reduced as we age. Eventually, wrinkles, creases and lines form on our skin. Apart from the factors mentioned above, a person's genetic makeup also influences how wrinkly we become, and when and where wrinkles start appearing. According to Medilexicon's medical dictionary : A wrinkle is "A furrow, fold, or crease in the skin, particularly of a type seen with increasing occurrence as a result of sun exposure or, in perioral skin, cigarette smoking;
FDA Study Reaffirms The Safety Of Lipstick; Agency Says Trace Lead Levels In Lipstick Not A Safety Concern
In an article published in the July/August edition of the peer-reviewed Journal of Cosmetic Science, U.S. Food and Drug Administration (FDA) scientists report that they have developed, validated and employed a highly sensitive and rigorous testing method to analyze the total lead content in a broad selection of lipsticks sold in the U.S. and found the lead levels present to be safe and well below limits recommended by international regulatory and public health authorities. The new FDA study of lead levels in lipstick was prompted by recurring and unfounded allegations that most recently surfaced in a report released in October 2007 by the Campaign for Safe Cosmetics (CSC), an advocacy group that alleged it found unsafe lead levels in a variety of lipsticks marketed in the U.S. However, all of the lead levels the group identified were well below all established regulatory standards. In response to the allegations, FDA scientists tested the lead content of the same selection of lipsticks evaluated by the CSC and found the lead levels present to be safe and lower than limits recommended by other public health authorities for lead in cosmetics, including the very conservative limit of 5 parts per million (ppm) set by California under Proposition 65, as well as the draft Canadian guidance of 10ppm.
Yale Surgeons Remove Gallbladder Vaginally; Doctors And Patients Available To Speak On Minimally-Invasive Surgical Trend
In the first surgery of its kind in Connecticut, and among the first in New England, surgeons at Yale School of Medicine and Yale-New Haven Hospital successfully removed the gallbladder of a 21-year-old woman through her vagina. This operation joins the first wave of transvaginal organ removals to be performed in the U.S. and around the world, forerunners in a small but steadily growing trend toward minimally-invasive, no-scar surgery. The Yale surgical team made two incisions: one in the top of the vagina, and a second very small one hidden in the woman's navel. The surgery took less than an hour-and-a-half and the patient went home three hours later. She was able to recover quickly, with little to no post-operative pain and no visible scars. Most important, she was able to return to full activities very quickly and had far less risk for a wound infection than might have resulted from traditional laparoscopic gallbladder removal, which requires four incisions through the abdominal muscles.
Officials with TransEnterix announce that surgeons from the United States and Paraguay have successfully performed first-in-man studies of its revolutionary single-incision, single-port, four-channel laparoscopic surgical platform called the SPIDER™ System. The SPIDER System - short for Single Port Instrument Delivery Extended Reach - allows surgeons to perform minimally invasive abdominal surgeries entirely through the umbilicus, leaving no visible scar. It's the first single-port system to offer surgeons true triangulation and other critical techniques common in multi-port laparoscopy. Fewer complications, faster full recovery, less post-surgical pain and an improved aesthetic result are potential benefits of single-port technology. Conventional laparoscopic surgery typically involves three to five incisions, which leave small scars in a patient's abdomen. Surgeons in the United States perform more than 2.5 million laparoscopic procedures each year. TransEnterix expects to market its platform early next year.
American Institute for Plastic Surgery, one of the leading plastic surgery centers in the metro-Dallas area, is using Artefill to help patients fight wrinkles for good. Artefill is the first and only FDA-approved microsphere-enhanced collagen filler for the correction of smile lines and is one of the cutting edge products co-founders Dr. Peter Raphael and Dr. Scott Harris have been using to treat patients who want a dermal filler that lasts more than a few months. Dr. Raphael commented, "As surgeons, we are drawn to products that offer long-term solutions and Artefill fills this need for our patients that want a lasting solution for wrinkle correction. We find Artefill offers enormous value as it lasts longer than any other filler on the market today." Artefill is a simple, in-office procedure that takes approximately fifteen minutes to complete. A patient is injected with the product similar to other dermal fillers with the key difference being its lasting effect. The unique microspheres in Artefill are not absorbed by the body and therefore provide the support the skin needs for long lasting natural feeling results.
When a terrorist bomb explodes, a tornado rips through a town, a hurricane devastates a region, or wildfires ravage homes and businesses, plastic surgeons are not typically atop the list of emergency responders. But they should be, UT Southwestern Medical Center plastic surgeons and disaster experts recommend in the September issue of Plastic and Reconstructive Surgery. Including plastic surgeons in disaster-relief efforts could improve long-term outcomes for victims of catastrophes, particularly in medical cases that might involve physical scarring and nerve damage, but which can be made worse by lack of quick attention. "Plastic surgeons are often being overlooked in disaster-planning efforts, particularly in developing medical-team responders, " said Dr. Rod Rohrich, chairman of plastic surgery at UT Southwestern and the study's senior author. "Plastic surgeons, particularly those based at academic medical centers and/or major trauma centers, are far more engaged in complex reconstruction procedures on a day-to-day basis than cosmetic surgeons.