Articles tagged with Surgery
A systematic review of 35 studies involving 2,108 patients found that patients who underwent posterior spinal fusion with posterior column osteotomies had similar overall correction compared to those who underwent PSF without PCOs. PCOs may be useful in select patients with larger or stiffer curves.
A randomized clinical trial found that preoperative high-dose corticosteroids did not improve major postoperative outcomes in elective digestive cancer surgery. The study suggests that routine use of high-dose corticosteroids in this setting is not justified
Researchers discovered how anesthesia, surgery, and intensive care stress alter gene activity in the brain, leading to cognitive impairment and delirium. A new drug, vorinostat, reversed these changes, restoring memory formation and regulating the internal biological clock.
Researchers found that cold storage platelets (CSPs) can control active surgical bleeding as effectively as room temperature platelets (RTPs), with potential benefits including reduced wastage and increased platelet availability. CSPs may also enable platelet incorporation into inventory at locations with limited shelf life for RTPs.
A new robotic system demonstrates superior accuracy and geometric fidelity compared to traditional methods, preserving more surrounding bone and reducing unnecessary removal. The technology has potential to make tooth autotransplantation more predictable and less dependent on operator experience.
A clinical trial found that refrigerated platelets stored for up to 21 days are just as effective as room-temperature platelets in treating bleeding patients. This discovery could extend the lifespan of platelets by nearly 4-fold, reducing waste and improving access to lifesaving therapy.
A study published in JAMA Otolaryngology–Head & Neck Surgery found that preoperative chemo-immunotherapy was more effective than immunotherapy alone in reducing tumor size in patients with head and neck cancer. The study analyzed data from 86 adults with head and neck cancer treated between July 2024 and March 2026, and showed that pat...
A new study found that the majority of veterans with low-risk prostate cancer pursued active surveillance in 2024, up from 27% in 2005. The study followed over 73,000 veterans and showed similar survival outcomes for surveillance compared to treatment.
A comparative study examines autologous pericranium and G-Patch grafts in cranial duraplasty, finding fewer complications with natural grafts but no significant difference. The study highlights the need for larger multicenter studies to determine comparative effectiveness.
Surgical residents describe experiencing identity-related vigilance as a significant emotional and cognitive burden, contributing to fatigue and burnout. They identify opportunities on the programmatic level to mitigate negative consequences, highlighting the need for support.
A cohort study investigates the association between bariatric surgery and preoperative use of GLP-1 receptor agonists. The results show a significant positive correlation between preoperative GLP-1 RA use and weight loss outcomes after surgery.
Waiting times for cancer surgery have increased in the US, particularly at high-volume academic centers and among patients referred for definitive care. The study identifies factors that contribute to these delays, emphasizing the need for urgent system-level interventions to improve timely access to surgical care for cancer patients.
Patients with severe traumatic brain injury in resource-limited settings are at higher risk of mortality. The study highlights the need for improved acute and postdischarge care to reduce mortality rates.
A new international study defines clinical obesity as a significant predictor of increased disease burden, operative risk, and cardiovascular risk in patients undergoing metabolic bariatric surgery. The study found that the majority of patients met criteria for clinical obesity, while a minority had preclinical obesity.
A randomized controlled trial found that first metatarsophalangeal joint arthrodesis significantly improves walking-related pain in patients with painful hallux rigidus. The study suggests arthrodesis as a preferred treatment option for some patients, providing a greater reduction in walking-related pain and secondary outcomes.
A systematic review examined rare tumor bleeding after radiosurgery for vestibular schwannoma, identifying reported symptoms and risk factors. The study highlights the need for personalized follow-up and individualized management strategies to prevent complications.
A recent study found that bypass surgery was more cost-effective than endovascular procedures for treating chronic limb-threatening ischemia, although uncertainty remains. The findings highlight the need for further research to identify subgroups where each approach may be more cost-effective.
A cohort study of 2771 male children found no evidence that neonatal medical male circumcision is associated with an increased risk of autism spectrum disorder. The study also examined the effects of acetaminophen use during and after the procedure, but found it to be uncommon.
A CU Anschutz-led clinical trial found an automated oxygen delivery system helped hospitalized patients spend significantly more time in their target oxygen range compared to standard care. The system reduced exposure to both low and high oxygen levels, with no increase in serious adverse events.
A recent study found that both full and limited endoscopic sinus surgery significantly reduce symptoms in patients with chronic rhinosinusitis, improving quality of life. Full surgery showed better results in recovering sense of smell and reducing nasal polyp size.
Recent studies explore the impact of digital technologies on health outcomes, highlighting innovations in maternal care and wildfire preparedness. Digital tools are being used to improve access to healthcare, particularly in rural areas, and mitigate adverse effects of wildfires on air quality.
A study published in Communications Medicine found that early vitrectomy surgery can be more beneficial for patients' vision than the current antibiotic-first approach. After six months, patients who received this treatment showed a median improvement of 40 additional letters they could read compared to those receiving antibiotics.
Researchers have developed a way to quickly create customizable synthetic blood vessel grafts in just minutes using additive manufacturing. The new technique, called Focused Rotary Jet Spinning, allows for precise control over diameter and wall thickness, making it ideal for acute trauma situations and complex pediatric heart surgeries.
Researchers found that brain fluid circulation depends on blood flow in the venous sinuses, and impaired lymphatic vessels lead to accumulated fluids causing pressure buildup. The study opens new avenues for refining diagnosis and improving patient care for patients with IIH.
A new position statement calls for systematic bone health optimization before joint replacement and spinal fusion surgery. Key findings include the progressive mechanical failure of bone-implant constructs resulting from compromised bone quality, particularly due to osteoporosis.
A Chinese neurosurgical journal's study found that severe stenosis of major intracranial arteries increases the risk of cerebral infarction after revascularization surgery in moyamoya disease. Severe blockage was associated with postoperative infarctions, highlighting the importance of monitoring and mitigating this risk factor.
A new study from Pennington Biomedical Research Center in Louisiana demonstrates safe and effective bariatric surgery outcomes for young patients with severe obesity. The study found significant improvements in weight loss and obesity-related health conditions, highlighting the importance of multidisciplinary care models.
Amyloid clearance after amyloid-targeting therapy reduces downstream neuropathologic changes, particularly in gyral crests. Extensive amyloid clearance may be necessary for beneficial effects.
Researchers developed microparticles that infiltrate stubborn bacterial matrices and release tiny oxygen bubbles to clean surfaces and wounds efficiently. The particles were shown to effectively clean surgical instruments and infected wounds, accelerating healing and reducing inflammation.
Esprit's frameless mask-based system reduces patient discomfort and psychological stress through submillimeter accuracy and real-time motion management. The AI-powered Lightning treatment planning software streamlines workflow, reducing planning time by up to 80% and enhancing protection of critical normal structures.
A study published in The Journal of Pediatrics found that nearly half of infants with severe heart defects were born in hospitals without cardiac surgery. Transferring these babies to a cardiac surgical center sooner was associated with shorter hospital stays compared to those transferred later.
Researchers at UC San Diego successfully performed two surgeries using teleoperated humanoid robots, called Surgie, which have real potential for amplifying access to critical surgeries. The compact robots can be deployed in remote areas and are easier to use than specialized robotic systems.
The Robotic Surgery Center at KU Ansan Hospital has introduced the Da Vinci 5 robotic system, expanding its precision surgical capabilities. With its advanced features and ergonomic design, the system is expected to enhance patient safety and clinical outcomes.
A cohort study of opioid-naive patients found that most achieved pain resolution within 3 weeks, but some reported prolonged opioid use. Current guidelines may not serve all patients, emphasizing the need for tailored treatment approaches.
The hospital achieved a 13-fold improvement in surgical safety after implementing interventions based on high reliability principles. The implementation resulted in 585 days without a single serious safety event, according to the study published in Pediatrics.
A new national analysis found that opioid prescribing for children varies by procedure type and hospital, with nearly one-third of patients receiving opioids after surgery. The study highlights the importance of safe prescribing practices and may inform future efforts to standardize opioid prescribing in pediatric surgery.
A young woman's quality of life and ability to walk were restored after a specialized procedure at Semmelweis University. The laparoscopic removal of a rare, benign tumor of neurological origin in the lesser pelvis, known as a schwannoma, was performed using intraoperative electrophysiological monitoring.
A study at Baystate Medical Center identified factors such as emergency surgeries, chest and heart procedures, and taxing operations affecting surgeons' schedules. These insights aim to optimize surgical scheduling, reduce waste, and improve patient outcomes.
Semmelweis University's new Anatomy & Innovation Center for Education and Research has hosted two NATO battlefield surgery courses, providing realistic environments for learning and practicing new procedures. The center aims to improve patient safety and quality of care through advanced technologies and hands-on training.
A cohort study found that demographic, clinical, and healthcare factors influence the uptake of metabolic bariatric surgery among US adults with obesity. The study suggests improving access to this life-changing procedure through targeted policies and interventions could have a significant impact.
A new study from Ann & Robert H. Lurie Children's Hospital of Chicago found that metabolic and bariatric surgery for teens with severe obesity is a cost-effective option over 10 years. The procedure sends type 2 diabetes into remission, sparing patients years of medication and complications.
Researchers have made major steps toward solving the mystery of how brain aneurysms form by identifying key cell types and genetic pathways involved. The study's findings provide new insights into a clinical paradox: smaller aneurysms can still rupture, and offer opportunities for early intervention to prevent ruptures.
A landmark trial found that tranexamic acid reduces bleeding and blood transfusion without increasing clot risk. The study supports using the inexpensive drug in all major surgeries with high blood loss risk, potentially saving millions of red blood cells annually.
A new study by Pennington Biomedical and collaborators found that Americans with the highest levels of obesity are undergoing fewer surgical procedures overall. Despite the increasing prevalence of extreme obesity, these individuals appear to be receiving proportionally fewer surgical interventions each year. The research highlights gr...
Postoperative delirium is a strong predictor of long-term cognitive decline in older adults, according to a new study. Researchers found that delirium was associated with faster cognitive decline than mild cognitive impairment, and rehospitalizations did not explain the effect.
A new tool developed by Concordia researchers uses artificial intelligence to plan surgical schedules, reducing wait times and minimizing disruptions. The system can adapt to emergency surgeries while keeping non-emergency cases on schedule.
A recent study published in JAMA Surgery found that surgeons experiencing substantial social jet lag have a higher associated risk of major adverse events in their patients. Interventions promoting regular sleep timing and reducing circadian misalignment may help improve surgeon burnout and patient safety.
Spatial arthroscopy integrates surgical video feeds with advanced hardware and software systems, enabling a heads-up display that keeps surgeons focused on the field. This technology improves ergonomics and opens doors to future capabilities like voice commands and automated documentation.
The university's patented technology assists surgeons in detecting and visualizing significant arterial bleeding using augmented reality overlays, enabling precise control and quick action. This innovation aims to improve patient outcomes, save lives, and reduce hospital stays, infection rates, and treatment costs.
Analysis of medical records data found that GLP-1 receptor agonist drugs, used for diabetes and weight loss, are associated with a significantly lower risk of knee replacement surgery. The greatest effects were seen with sustained use and newer agents semaglutide and tirzepatide.
Weight loss after bariatric surgery is associated with better ability to cope with daily household tasks such as cleaning and grocery shopping. The study also found that maintaining weight loss for long periods results in improved functionality and independence. Patients who regained lost weight experienced poorer outcomes over time.
A national analysis found that robotic-assisted cholecystectomy remained linked to increased bile duct injury risks despite growing use. The study suggests small differences in overall complication rates between approaches.
The Mount Sinai Health System has opened the Carolyn Rowan Center for Women’s Health and Wellness, which brings together multidisciplinary clinical expertise, structured care pathways, and leading-edge research to deliver personalized, comprehensive care for women. The Center offers guided multi-visit experiences and coordinated care o...
Two studies suggest that weight loss after bariatric surgery reduces cancer risk in women, with insulin levels and genetic background playing key roles. Women carrying a specific FTO genetic variant showed significant breast cancer risk reduction.
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.
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.
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.
A new study published in the Chinese Neurosurgical Journal found that most basilar trunk artery aneurysms can be treated effectively using endovascular techniques, resulting in encouraging long-term recovery rates. However, larger aneurysms pose higher treatment risks and are associated with complications and poorer outcomes.
A study found that patients with missing case information in the SEER database have lower survival rates and are more likely to be from rural or socioeconomically disadvantaged backgrounds. The researchers suggest using multiple data sources to mitigate this issue.