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Editorial (Dr SS Agarwal, Dr K K Aggarwal)
24th April 2016
ACS updates guidelines regarding overlapping surgeries​   
The American College of Surgeons (ACS) has updated its guidelines with regard to the practice of one surgeon performing in two surgeries scheduled at the same time as part of a document ‘Statements on Principles’, revised by ACS April 12.
  • ACS advises against concurrent or simultaneous surgeries and defines them as those in which "the critical or key components of the procedures for which the primary attending surgeon is responsible are occurring all or in part at the same time."
  • A primary attending surgeon's involvement in concurrent or simultaneous surgeries on two different patients in two different rooms is not appropriate.  But overlapping surgeries are different, and may be appropriate. For instance, if key or critical elements of the first operation are finished, freeing up the primary attending to start an operation in another room while others finish the first operation.
  • As part of the preoperative discussion, patients should be informed of the different types of qualified medical providers that will participate in their surgery (assistant attending surgeon, fellows, resident and interns, physician assistants, nurse practitioners, etc.) and their respective role explained. If an urgent or emergent situation arises that require the surgeon to leave the operating room unexpectedly, the patient should be subsequently informed.
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Lybrate Updates
A 23-year-old female from Faridabad asked:

I have piles from last year and I have taken medicine from different hospitals but no change, what is the cause of this disease and how it can be cured?

Dr. Lalit Kumar Tripathy, General Physician, replied:
Hemorrhoid (piles) occurs when veins of rectum and anus are inflamed because of raised intra abdominal pressure due to more 

Lybrate Online Tip​
e-Consultations are the reality
Primary care providers' use of e-consultations for specialist referrals not only cut the waiting time compared with traditional referrals but also safely reduced the overall need for in-person specialist visits, according to a recent study published in the March/April 2016 issue of the Annals of Family Medicine.
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All you need to know about Asperger Syndrome

New Delhi, April 23, 2016: Asperger syndrome (AS) is an autism spectrum disorder characterized by significant impairments in social interaction, social communication, and restricted patterns of interest in the presence of intact language. The condition has genetic roots. The incidence of the disease has been found to be on a rise globally making awareness generation crucial. Disease estimates across countries range from 1 in every 250 children to 1 in every 10,000. It is four times more likely to occur in males than in females and usually is first diagnosed in children between ages 2 and 6, when communicative and language skills are emerging and settling.
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Digital IMA
The Indian Medical Association (IMA) presents a series of weekly webcasts for the benefit of the Indian medical profession, engaging you with the latest in advocacy efforts for doctors, through an interactive exclusive digital webcast partnership with eMediNexus.
Webcast Date: 28th April 2016