Updates & Innovations - Summer 2014
LINX is the newest FDA-approved procedure for managing gastroesophageal reflux disease (GERD). The LINX System is a small, flexible band of magnets enclosed in titanium beads and implanted around the weak sphincter just above the stomach. The magnetic attraction between the beads helps keep the weak esophageal sphincter closed to prevent reflux from occurring. The minimally invasive procedure takes less than one hour.
Mechanical and chemical thrombolysis for acute iliofemoral deep vein thrombosis (DVT) is commonly used to treat acute proximal deep vein thrombosis, despite the relatively weak evidence for its utility. (Chest 2012;141(2 Suppl): e419S- e94S.) With the recognition that DVT is a serious complication of hospitalization, and the emphasis on mechanical and pharmacologic prophylaxis, great strides have been made to reduce the formation of DVT.
ST. JOHN PROVIDENCE CRITICAL LIMB CLINIC: Advanced technology for patients with blocked lower extremity vessels
The St. John Providence Critical Limb Clinic specializes in treating patients with critical limb ischemia using advanced technology to remove plaque and open arteries that were previously not accessible. Patients with poor circulation and non-healing wounds who are at risk for amputation have been able to retain their limbs.
St. John Hospital Nutrition Support Committee statistics show that more than 50 percent of patients admitted to St. John Hospital meet criteria for clinical malnutrition. This correlates with national statistics of 40 to 60 percent. The Clinical Nutrition Support Services (CNSS) Team is cognizant that up to 70 percent of hospitalized patients experience a decline in nutritional status while in the hospital.
Studies of minimally invasive colorectal surgeries demonstrate that patients experience shorter length of stay, quicker return to normal function, and faster return to work and activities than with open surgery. We also note reduced use of narcotic pain relief and faster return to normal bowel function.
Most pediatric concussions can be treated in a physician’s office. But in some cases, ongoing complications and patient management can be extensive and involve prolonged headaches, fatigue, memory lapses and sensitivity to light or noise. Children and teens miss school and struggle to learn and retain information. Teachers and administrators often do not understand the impairment or accommodations the student may require.
Since 2008, I have offered the DIEP (Deep Inferior Epigastric Perforator) Flap microsurgery technique for breast reconstruction to patients undergoing single or bilateral mastectomy. The technique requires removing only fat and skin from the abdomen, not muscle or fascia. The result is a natural-looking breast and an abdominoplasty.