For the very first time, a surgical technique used to treat vitiligo patients in Europe, Asia and the Middle East has been performed in the US and shown to be effective in treating the skin condition. Called melanocyte-keratinocyte transplantation (MKTP), the surgical technique involves harvesting healthy skin cells from a part of the body unaffected by vitiligo, a disease which causes white patchy skin discoloration. These healthy cells are then applied to an affected area and covered with a specially developed adhesive biologic dressing. Over time, researchers have found that in some patients the affected areas of skin began to regain their ability to produce skin pigment. The study was presented yesterday, March 9, at the 68th annual American Academy of Dermatology meeting in Miami. [via PhysOrg]
A study in this month’s Anesthesia & Analgesics journal suggests that phantom limb pain, pain often experienced by amputees that’s perceived to be in a missing limb, can be alleviated by mirror therapy. Researchers at the Naval Medical Center in San Diego say they were able to reduce phantom pain in some soldiers via this form of therapy in which patients sit with a mirror vertically between their legs and arms so that the limbs are reflected in it. The reflection in the mirror makes it appear like the injured arm or leg is healthy and normal. The theory behind phantom limb pain is that the pain pathways in the brain and spinal cord can recall the traumatic injury, thus the missing limb somehow continues to hurt, despite not being there anymore. In performing mirror therapy, the brain and spinal cord are visually tricked into believing that all of the person’s limbs are intact and without pain, thus reducing brain activity associated with pain and modulating the pain response experienced by the amputee. [via BusinessWeek]
If you’re considering Botox injections to diminish wrinkles or other cosmetic procedures, such as liposuction or face lifts, to turn back the hands of time, now would be a good time to do it if you don’t want to pay a 5% tax on these services. The $848 billion health care bill unveiled this past week by the Senate includes a 5% tax on aesthetic procedures and surgeries which is estimated to raise $5 billion over the next decade to fund the health care bill. Plastic surgeons are, not surprisingly, against such a tax due to its potential effect on income. On the other hand, proponents of the tax reason that some cosmetic procedures are luxury services and should be taxed as such. Approximately 12 million cosmetic procedures and surgeries (which are usually not covered by insurance) were performed last year, at a total cost of $10.3 billion, according to the American Society of Plastic Surgeons. [via Kaiser Health News]
The following were the most popular cosmetic procedures of 2008, and their costs:
The journal Cancer reports on a new study which shows that women previously treated for breast cancer have a higher risk of cancer recurrence if they have highly dense breasts. Women who were classified as having highly dense breasts had a 21% chance of cancer recurrence, compared to 5% among women with low-density breasts. Because of this the study authors suggest that women with highly dense breasts may benefit from additional therapies, such as radiation, after breast and lymph node surgery. [via Medical News Today]
Dr. Bahman Guyuron, Chair of Plastic Surgery at University Hospitals Case Medical Center and Case Western Reserve University School of Medicine noted a decade ago that many patients who underwent forehead rejuvenation saw a disappearance in migraine symptoms after surgery. It was this astute observation which gave him the idea to use surgery as a means to alleviate the pain of migraines. By detecting superficial trigger sites on the muscles of the head and then removing or diminishing their affects on nerves, Dr. Guyuron has shown strong evidence that surgical manipulation of one or more migraine trigger sites can successfully eliminate or reduce the frequency, duration, and/or intensity of migraine headaches with lasting results. [via Science Daily]
Stanford University researchers have found that regions with high concentrations of MRI machines also have increased rates of back surgery among patients who present with new back pain. Is there a problem with this? Well, perhaps, especially since we know that increased surgery rates doesn’t necessarily improve patient outcome. In fact, surgery has its risks and often times will not completely cure back pain. Between 2000 and 2005, the MRI availability in the U.S. more than tripled, from 7.6 to 26.6 machines per 1 million people. Each machine costs more than $2 million and one low-back scan costs $1,500. Increased rates of scans and surgeries increase the total health care dollars spent on treatment of back pain, one of the most common reasons for physician visits today. [via Medical News Today]
New research published in the obstetrics and gynecological journal BJOG shows that giving women sugarless chewing gum after cesarean section seemed to help them recover normal bowel function and shorten their time in the hospital. After abdominal surgeries intestinal function often become sluggish and may require a few days to return to normal. However, researchers say that chewing gum may help because the act of chewing sets off a nervous system response and release of digestive hormones which stimulate bowel activity. The cost and time savings should not be underestimated, especially in countries with limited health care resources. [via MSNBC]
A former employee at Northern Westchester Hospital in New York state was arrested earlier this month and accused of knowingly exposing numerous surgical patients to hepatitis C. Kristen Diane Parker was apparently injecting herself with painkillers meant for patients, then refilling the syringes with saline solution for subsequent use, even though she knew she was infected with hepatitis C. Hepatitis C is a blood-borne disease that can cause serious liver problems, including cirrhosis and liver cancer. Northern Westchester Hospital is notifying approximately 2,800 patients who had surgery there to come in for testing. The hospital has set up a patient help line at 914-666-1902 for more information. [via CBS news]
Johns Hopkins University transplant surgeons have successfully completed what is believed to be the world’s first kidney transplant involving a kidney that was removed from the donor through her vagina and then transplanted into her niece. Removing the kidney through the vagina avoided the need to make a 5 to 6 inch incision in the donor’s abdomen and, instead, left only three pea-size scars, one of which is hidden in the navel. More about minimally invasive surgery.
The Heart Hospital of Austin just became the first hospital in the world to use a new technique, approved by the FDA in August 2008, to successfully treat a patient with peripheral artery disease (PAD). Called Stereotaxis RF Power Assert Magnetic Guidewire, the technique employs the use of magnets for better control and improved accuracy in removing plaques from clogged vessels, in this case the patient had a 100% blockage in the main artery of one of his legs. Once the blockage is reached, the tip of the guidewire can burn a small passage through the blockage, allowing physicians to then use existing techniques to open up the blockage further. Peripheral artery disease affects 12 million Americans, and if left untreated, it can cause ulcerations and gangrene that significantly increase the risk of losing a limb.
Dr. Steven Chang, the author of DailyDose, is a staff physician with Kosmix RightHealth. Dr. Chang practices Family Medicine at the University of California Davis Medical Center, where his medical interests include both pediatric and geriatric care, public health, gay and lesbian health, and sleep medicine. Dr. Chang trained at the Stanford University affiliated O'Connor Hospital, and was a research fellow at the National Institute of Health. He holds an M.D. from McGill University and a BA in Public Health from Johns Hopkins University.
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Dr. Steven Chang, the author of DailyDose, is a staff physician with Kosmix RightHealth. Dr. Chang practices Family Medicine at the University of California Davis Medical Center, where his medical interests include both pediatric and geriatric care, public health, gay and lesbian health, and sleep medicine. Dr. Chang trained at the Stanford University affiliated O'Connor Hospital, and was a research fellow at the National Institute of Health. He holds an M.D. from McGill University and a BA in Public Health from Johns Hopkins University.