Articles tagged with Surgery
A nationwide implementation of a uniform multimodal prehabilitation program significantly reduced complication rates and length of hospital stay among patients undergoing colorectal cancer surgery. This study highlights the benefits of standardized preoperative care in improving patient outcomes.
A study found nearly 10% of surgeons left clinical practice in 8 years, with mid-career surgeons and certain specialties most likely to depart. Researchers identified specific areas where policy changes and support are needed to retain these high-risk surgeons.
Patients treated at NAPRC-accredited hospitals were less likely to have cancer cells remaining after surgery, associated with lower recurrence rates. These hospitals also delivered more comprehensive presurgical testing and improved surgical outcomes.
The Alliance A082402 study evaluates the effectiveness of involved-station I²-PORT in reducing NSCLC recurrence without long-term side effects. Participants will undergo randomized treatment with or without targeted radiation therapy after surgery.
Photoacoustic imaging uses lasers to reveal hidden blood vessels and nerve bundles, guiding surgeons for fewer complications. The technique enables real-time augmented reality video feeds during laparoscopic surgeries.
Researchers develop tailored revascularization approach for moyamoya disease, improving circulation while minimizing complications. The technique, called STAPC, uses vessel diameter, blood-flow dynamics, and recipient brain arteries to guide surgical decisions.
Experts warn that AI-enhanced surgical robotics could enable true personalized surgery and enhance surgical team performance. However, regulatory reforms are needed to address risks from adaptive systems and ensure patient benefits.
The ERASur clinical trial is investigating whether total ablative therapy can improve overall survival in patients with newly diagnosed, limited metastatic colorectal cancer. The study has reached one-third patient accrual milestone, signaling strong momentum.
A new study from the University of Surrey found that surgeons from underrepresented groups are more likely to leave training and less likely to be promoted in environments dominated by White men. The study suggests that formal rules and systems are not enough to overcome informal networks and cultural factors that perpetuate inequality.
Research finds association between high air pollution and increased risk of post-surgical complications, including sepsis, pneumonia, and surgical wound infection. Higher levels of PM2.5 air pollution above EPA daily limits increase risk by 8%.
A new study found that patients who take more than 1,000 steps per day after surgery have a 18% lower odds of complications, 16% lower odds of readmission, and 6% shorter hospital stays. This suggests that step count is not just a marker of wellness but a key component of recovery.
The ASPIRE trial aims to enroll 1,200 participants with advanced prostate cancer and assess the impact of chemotherapy on overall survival and disease progression. Genetic profiling is included to identify patients who benefit most from intensified treatment.
A pioneering study by the University of Eastern Finland confirms that total hip arthroplasty leads to better outcomes than conservative treatment for patients with moderate-to-severe hip osteoarthritis. The surgery significantly improved pain, functional capacity, and quality of life compared to conservative treatment alone.
A single-center study demonstrates uterus transplant feasibility in multidisciplinary centers, supporting its use for women with absolute uterine factor infertility. Ongoing reporting and data sharing will refine risk estimates and optimize patient counseling.
Hypervision Surgical, a King's College London spinout, has raised £17m in Series A funding to progress its UK-certified and FDA-cleared HYPERSNAP system. The technology combines advanced spectral sensing with cloud-enabled AI analytics to provide real-time insights into tissue physiology during surgery.
A review of 23 randomized controlled trials found that both exercise-based and nutrition-based prehabilitation programs can improve recovery after surgery. Exercise-based programs were most often used in orthopedic cases, while nutrition-based programs were primarily used in gastrointestinal and cardiac surgeries.
Researchers found that women with prediabetes had persistent changes in gene expression in fat tissue after bariatric surgery, leading to impaired lipid metabolism and greater weight regain. Despite clinical improvement, these molecular alterations may reduce the ability of adipose tissue to adapt after weight loss.
A new treatment using low-dose nivolumab injections into precancerous oral lesions significantly reduced lesion size and risk of cancer progression. The study showed a 60% average reduction in lesion size and complete pathologic response in six patients, with no dose-limiting side effects.
The Alliance for Clinical Trials in Oncology has several active trials specifically designed to help people with head and neck cancers. Trials include testing high-dose prophylactic gabapentin to prevent opioid use during treatment, as well as immunotherapy with nivolumab and cabozantinib for mucosal melanoma and nasopharyngeal carcino...
A study by the Alliance Foundation Trials shows that combining immunotherapy and chemotherapy before surgery can help more patients with locally advanced non-small cell lung cancer undergo complete cancer resection, improving their long-term health. The treatment also led to high rates of lymph node clearance and successful surgical re...
A video game developed to improve trauma triage decision making in emergency doctors has shown promising results. The game reduced under-triage rates for older patients by 49% compared to those who did not play the game, suggesting improved diagnostic abilities and adherence to guidelines.
A new study led by Dartmouth Cancer Center identifies key barriers to timely head and neck cancer treatment in rural areas, including transportation and caregiver challenges. The research highlights the importance of dedicated staff, strong community ties, and peer support in navigating the complexity of cancer care.
A new clinical trial at the University of Cincinnati is testing a peptide solution to treat prosthetic joint infections after total knee replacement. The trial aims to reduce the need for repeat surgeries and expand the treatment window beyond two weeks.
A new analysis from UC San Francisco argues that diagnostics are being overlooked, slowing progress against major diseases despite advances in targeted therapies. The study suggests that nearly half of the world's population lacks adequate access to diagnostics due to inadequate investment and insurance reimbursement.
The Adams Valve Institute aims to expand the treatment of valvular heart disease, focusing on complex surgeries and underserved populations. The Institute will promote innovation in advanced imaging, reconstructive surgical techniques, and breakthrough research.
East Campus Medical Center has doubled its average daily census since 2024, with over 4,000 patients transferring to the hospital from other UC San Diego Health locations. The hospital now offers expanded services in cardiology, gastroenterology, and more, with a focus on continuity and relationship-based medicine.
A team of researchers at North Carolina State University has created an injectable microgel called B-knob triggered microgels (BK-TriGs) that can help reduce bleeding in infants during surgery. The microgel works by mimicking the mechanical properties of natural platelets, which helps to create fibrin networks and stanch bleeding.
Postoperative rebleeding is a critical complication of minimally invasive surgery for intracerebral hemorrhage, significantly reducing survival rates and functional recovery levels. The review outlines standardized definitions, dual pathogenic mechanisms, risk profiling, and stratified prevention strategies to address this challenge.
A minimally invasive procedure to insert a new valve showed lower one-year event rates for death or disabling stroke compared to traditional repeat mitral valve replacement surgery. The study found that transcatheter mitral valve-in-valve (mVIV) reduced in-hospital deaths, acute kidney injury, and life-threatening bleeding complications.
A minimally invasive procedure using a clip to repair the valve significantly reduced heart failure hospitalizations by 40% in patients with severe tricuspid regurgitation. The study, presented at the American College of Cardiology's Annual Scientific Session, showed improved long-term outcomes without crossover between treatment groups.
The PRO-TAVI study found that older, high-risk patients can safely defer percutaneous coronary intervention (PCI) until after transcatheter aortic valve replacement (TAVR), with comparable outcomes between the two groups. Omitting PCI before TAVR did not increase the risk of death, heart attack, stroke, or moderate to severe bleeding.
The Emboliner device performed comparably to the Sentinel device in protecting against stroke and death in patients undergoing TAVR. The study found that both devices captured similar amounts of debris particles, with the Emboliner capturing three times as many larger particles.
Researchers have reported early, reassuring results from the LORD trial on active surveillance for low-risk DCIS. The study found that patients with active surveillance did not experience worse early outcomes compared to those who underwent immediate surgery, and that many chose active surveillance over surgery.
A large randomized trial shows that continuous wearable monitoring reduces time with dangerously low oxygen levels after surgery, leading to improved composite outcomes and safety. The study found a 30-minute reduction in hypoxemia and a significant risk reduction for desaturation events.
A study found that tumor DNA in patients' blood can predict whether breast cancer will return, especially after neoadjuvant treatment. Patients with detectable DNA at the end of treatment were 3.5 times more likely to relapse during follow-up.
A pilot study found that axillary radiotherapy may be as effective as surgery in killing cancer cells while reducing the risk of painful swelling. The trial compared radiotherapy to axillary lymph node dissection and found similar cancer outcomes, but lower rates of lymphoedema after radiotherapy.
The number of US surgeons sponsored for H-1B visas increased to over 650 in FY2024, with a disproportionate representation in rural and impoverished counties. This trend highlights the need for increased diversity and inclusion in the surgical workforce.
The review emphasizes surgical excision as the cornerstone of curative treatment, with recommended margins depending on tumor risk stratification. Reconstruction should be individualized according to defect size, anatomic subunit involvement, and patient factors.
A large randomized trial shows measurable improvements in postoperative patients who received continuous wearable monitoring, reducing time with dangerously low oxygen levels and composite outcomes. The study found a statistically significant 14% risk reduction for dangerous desaturation events and overall safety improvement.
Scientists are developing new surgical stitches that can release anti-inflammatory medications directly into wounds, reducing inflammation and limiting scarring. This innovation has the potential to improve healing rates and success for anastomosis procedures, such as breast reconstruction surgery.
A new study shows that polyurethane-coated breast implants are associated with lower rates of capsular contracture and the need for corrective surgery after radiotherapy. Women who received these implants had a significantly lower risk of developing scarring and needing further surgery compared to those who received standard implants.
A digital visualization and decision support tool has been proven to reduce the risk of anastomotic leaks in bowel surgery by 40%. The study analyzed nine randomized controlled trials involving 4754 patients, providing clear evidence for its benefits.
A new study published in the JAMA Network found that older adults take more than 6 months to recover from surgery, with nearly 20% still experiencing impairments in activities of daily living. The study highlights the need for better post-operative planning and guidance to support the recovery process.
A new clinical trial will investigate whether adding the oral medication vorasidenib to standard chemotherapy improves progression-free survival for people with newly-diagnosed, grade 3 IDH-mutant astrocytoma. The study aims to recruit 400 individuals with this type of brain cancer and evaluate the safety and side-effect profile of the...
A Chinese study reports a 100% technical and clinical success rate for robot-assisted brain angiography, with median procedure times 11 minutes shorter than manual angiography. No added radiation or complications were observed, showcasing the feasibility and safety of the YDHB-NS01 system
A mixed-methods cohort study found daily living impairment is linked to slower recovery in older adults post-surgery. Targeted interventions, such as preoperative education and caregiver support, can optimize recovery experiences for both patients and caregivers.
The NRG-LU005 trial found that immunotherapy atezolizumab did not improve survival for patients with limited-stage small cell lung cancer when added to chemoradiation. Twice-daily radiation therapy, however, was associated with improved survival in this population.