Latest Updates

The Immunocompromised Surgical Patient

    Studies have shown that among HIV-infected patients, involvement of infectious disease specialists reduces hospital costs and complications and results in better control of viral loads…. The current recommended treatment regimen for HIV-infected individuals includes a three-drug regimen of which two are nucleoside reverse transcriptase inhibitors and the other is either an integrase strand transfer inhibitor, a nonnucleoside reverse transcriptase inhibitor, or a boosted protease inhibitor…. Blood transfusion has been associated with immunosuppression (transfusion-related immunomodulation), with the potential to further depress an already compromised immune system in a transplant recipient and resulting in infection or cancer recurrence.

Upper Extremity Revascularization Procedures

    • Presentation and etiology of upper extremity limb ischemia
    • Detailed description of the treatment of chronic arm ischemia
    • Endovascular advances in the treatment of acute and chronic arm ischemia

Myxofibrosarcoma and Undifferentiated Pleomorphic Sarcoma

    • Myxofibrosarcoma has characteristic infiltrative borders that can be seen as T2 hyperintense “tails” on MRI and require a 2 cm clinical resection margin to minimize the incidence of positive margins.
    • The entity formerly known as malignant fibrous histiocytoma is now known as undifferentiated pleomorphic sarcoma and is considered a diagnosis of exclusion.
    • Improved knowledge of risk factors for local and distant recurrence helps guide the use of radiation therapy and chemotherapy, as well as follow-up strategies.

Tumor Immunology

    • Development of effective immunotherapies hinges on addressing the immunosuppressive tumor microenvironment to overcome immune tolerance.
    • Immunotherapies aimed at reengaging the antitumor immune response have yielded encouraging preclinical and clinical results.
    • Alternatively, neutralizing immunotherapies target inhibitory immune mechanisms within the cancer setting, resulting in impressive clinical responses.
    • Novel combinatorial immunotherapy approaches hold great promise for establishing durable clinical responses.

Disorders of Water Balance

    • Bone disease in hyponatremia
    • Therapeutic strategies to prevent overcorrection of hyponatremia
    • Therapeutic relowering of the serum sodium for inadvertent overcorrection of hyponatremia
    • Vasopressin antagonists in the treatment of hyponatremia

Surgical Management of Extremity and Truncal Sarcoma

    • Multimodality treatment including surgery, radiation, and chemotherapy results in improved local recurrence and survival outcomes.
    • Wide resection with 1 to 2 cm margin standard over amputation
    • Multidisciplinary planning necessary for complex resections and reconstruction

Brain Death and Resuscitation of the Organ Donor 

    • Checklist for brain death determination to minimize variability in the performance of brain death exam.
    • Details on ancillary testing for brain death determination.
    • Section on apnea testing while on ECMO.
    • Communication tools for physicians discussing brain death with families.
    • Practical tips on organ preservation for donation after brain death.

Plasmapheresis

    • Plasmapheresis techniques are reviewed, including centrifugation and membrane filtration methods.
    • Selective apheresis procedures are discussed.
    • Technical considerations are discussed for optimal plasmapheresis prescription.
    • The present review discusses renal conditions for which plasmapheresis may be attempted with recommendations based on evidence from the literature.
« Previous | Next »
Updates per yearSpecialty updatesNumber of sections