Latest Updates

Chemotherapy for Gynecologic Malignancies

Lauren E Dockery, MD, MS, Laura L Holman, MD, MS
    • Targeted therapies such as antiangiogenesis agents improve outcomes in ovarian and metastatic cervical cancer. 
    • Poly(ADP)ribose polymerase (PARP) inhibitors improve outcomes as treatment and maintenance therapies in recurrent epithelial ovarian cancer. 
    • Intraperitoneal administration of chemotherapy can be considered for a select group of patients with ovarian cancer in the front-line setting. 

Surgical Management of the Breast

Anees B Chagpar, MD, MSc, MPH, MA, MBA
    • Diagnosis of breast cancer: from open biopsy of palpable lesions to minimally invasive image-guided core-needle biopsy
    • Extirpation of primary breast cancer: from mastectomy to breast conservation and oncoplastics
    • Lymph node evaluation: from axillary dissection to sentinel node biopsy
    • Integration with multidisciplinary management of breast cancer

Nondiabetic Endocrine Emergencies 2: ­Hypoparathyroidism, Hyperparathyroidism, Myxedema Coma, And Thyroid Storm

Jason J Lewis, MD, Richard E Wolfe, MD
    • Surgical management via parathyroidectomy is the only definitive therapy for hyperparathyroidism and more cost-effective than long-term observation or medical management.
    • Treatment with IV T4 is the mainstay therapy for myxedema coma, and addition of T3 may be beneficial.
    • Treatment of thyroid storm involves controlling hyperpyrexia. Ice packs, or cooling blankets, should be used with high fever. Aspirin and other NSAIDs should be avoided because they displace T4 from thyroid-binding globulin, resulting in increased free T4. Acetaminophen does not affect free thyroid hormone.

Conservative Management of Acute Kidney Injury

Rolando Claure-Del Granado, MD, FASN, Etienne Macedo, MD, PhD, Ravindra L. Mehta, MD, FASN
    • Approaches to breast augmentation in the male-to-female transgender patient require special attention outside of conventional breast augmentations.
    • Understanding the differences in the nipple-areola complex (NAC) between females and males when undertaking gender-confirming breast augmentations
    • Special consideration is needed for the clitoral and urethral anatomy in gender-confirming vaginoplasty.
    • Postoperative care and complications in gender-confirming vaginoplasty require close follow-up and consideration. 

Physical Medicine and Rehabilitation: Modalities and Exercise

Steven Calvino, MD, David Fealey, MD, Jacob LaSalle, MD
    • Kinesio taping in treatment of musculoskeletal injury
    • Cryotherapy and delayed-onset muscle soreness following rigorous exercise activities
    • Most recent recommendations from the American College of Sports Medicine for physical activity

Infrainguinal Arterial Procedures

Amy B. Reed, MD, FACS
    • varying imaging modalities for planning
    • variety of options for lower extremity bypass
    • incorporation of endovascular techniques with bypass

Infrainguinal Arterial Procedures

Amy B. Reed, MD, FACS
    • varying imaging modalities for planning
    • variety of options for lower extremity bypass
    • incorporation of endovascular techniques with bypass

Surgical Management of the Breast

Anees B Chagpar, MD, MSc, MPH, MA, MBA
    • Diagnosis of breast cancer: from open biopsy of palpable lesions to minimally invasive image-guided core-needle biopsy
    • Extirpation of primary breast cancer: from mastectomy to breast conservation and oncoplastics
    • Lymph node evaluation: from axillary dissection to sentinel node biopsy
    • Integration with multidisciplinary management of breast cancer
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