Research on surgical treatment and outcomes. Covers fat-disorder surgery, survival after hip fracture, prostate-cancer care, and bariatric surgery.
Studies comparing robotic and conventional joint replacement surgeries found no differences in implant survival, revision risk, or surgical complications. However, robotic surgery was associated with a lower risk of hip revisions. Further research is needed to compare patient functional outcomes and evaluate the technology's effectiven...
Two major studies found that robotic-assisted hip and knee replacement does not reduce the overall early risk of repeat surgery compared to conventional surgery. Despite improved implant positioning, robotic surgery did not translate into better outcomes for patients.
A new study found that while nutritional screening and dietitian involvement have increased, early oral feeding remains low, and total parenteral nutrition use is still high in China. This suggests that continued education and guideline promotion are needed to improve patient outcomes.
A new study in the Journal of the American College of Surgeons reveals that 15 million Americans live in a county with no general surgeon, with 951 counties having no surgeon in any of 12 surgical specialties. The study provides an interactive data visualization tool for patients, clinicians, and policymakers to access county-level data.
Underweight patients face a significantly higher risk of death after emergency general surgery, with a 92% increased odds compared to normal-weight patients. Those who are both underweight and frail have the worst clinical outcomes, including longer hospital stays and higher readmission rates.
The US will face a shortage of nearly 28,000 surgeons by 2038, with the greatest shortfalls in vascular surgery, ophthalmology, thoracic surgery, and plastic surgery. Rural areas are projected to have even worse gaps in the workforce, leading to longer waits for procedures and increased travel distances for medical care.
Death rates from treatable emergency surgeries, such as appendicitis and hernias, rose 50% between 1999 and 2020 in the US, with rural communities experiencing a significantly higher increase. The study found that these conditions are rarely fatal when treated promptly, but more working-age adults are dying from them than in the past.
E-scooter trauma admissions increased 92% from 2021 to 2023, with young riders sustaining more severe injuries. Helmet use was documented in only 12% of cases, and nearly two-thirds of injured riders under 16 sustained major injuries. Researchers call for increased caution and awareness among e-scooter riders, particularly children.
A national study of 20,000 men with prostate cancer found that surgery led to higher rates of urinary incontinence and erectile dysfunction, while radiation was associated with urinary complications and higher all-cause mortality. Researchers emphasized that both treatments have long-term consequences and that risks and benefits should...
The institution has appointed three leaders in sports medicine to head key orthopedic centers, including the Center for Patellofemoral Disorders, Knee Preservation Center, and Hip Preservation and Hip Arthroscopy Center. Dr. Sabrina Strickland, Dr. Andreas Gomoll, and Dr. F. Winston Gwathmey will bring exceptional expertise in treating...
A new global study found that delays in accessing surgical assessment for suspected appendicitis are associated with a significantly higher risk of life-threatening complications, including perforation. The study, led by University of Birmingham researchers, analysed data from over 45,000 patients across 112 countries, revealing major ...
Defering bilateral salpingo-oophorectomy beyond age 50 increases risk of ovarian cancer in BRCA carriers. The residual risk of ovarian cancer for older women in good health is considered high enough to warrant preventive surgery.
A team of researchers has developed nanoparticles that can activate nerve cells in degenerated retinas, potentially leading to a new type of retinal prosthesis. The nanoparticles, made from graphitic carbon nitride, trigger electrical and chemical processes that activate nerve cells and prompt signals towards the brain.
A systematic appraisal of current nutrition guidelines found that there is a significant gap in nutrition guidance for critically ill patients recovering from major surgery. Researchers recommend tailoring nutrition care to each patient's condition and stage of recovery to support healing and improve outcomes.
Researchers developed xvr, a patient-specific AI technique that accurately matches X-rays with 3D medical scans, improving surgical navigation and safety. This innovation enables faster and more precise minimally invasive surgeries, particularly in fields like orthopedics and neurosurgery.
Patients taking GLP-1 RAs under general anesthesia have an 11 times higher risk of stomach regurgitation, with a rate of 1 in 71, compared to 1 in 802 for those not taking the medications. The study found that 2.9% of patients received GLP-1 RAs before surgery, with 40% obtaining their prescriptions through online pharmacies.
A new study by Michigan Medicine found that heart surgery infection rates vary significantly across U.S. hospitals, with some experiencing nearly double the risk of others. By reducing infections, hospitals could prevent 2,600 infections and reduce Medicare spending by $441 million annually.
The American College of Cardiology, Society of Thoracic Surgeons, and Society for Cardiovascular Angiography & Interventions released a joint statement on TAVR national coverage determination. The statement aims to preserve the quality framework that contributed to TAVR's success, emphasizing the importance of collaborations, registrie...
The LIPLEG study found that liposuction is significantly superior to conservative therapy in terms of key treatment outcomes, with 68.3% of patients experiencing clinically relevant pain reduction. The procedure also led to a marked improvement in quality of life, with patients reporting a reduction in pain and an increase in mobility.
A Linköping University study of 58,000 people found that level of education is the strongest socio-economic factor linked to survival rates after acute hip surgery. Higher education was associated with lower mortality rates, while lower education was linked to higher mortality rates.
Prostate cancer affects 1 in 8 men, with 60% diagnosed in men 65 and older. Clinical trials like Alliance's help improve early detection and treatment, reducing mortality rates by half since 1993. These trials also explore new treatments and survivorship strategies.
A study of 1.26 million bariatric surgery patients found 5.3% had extreme obesity, defined as a BMI of 60 kg/m² or higher. Despite a higher burden of health conditions, surgical risk remained relatively low, with complications occurring in 2.57% of cases.
Researchers at the University of Pennsylvania School of Medicine have developed a novel scaffold system that recreates the natural transition from tendon to cartilage-like tissue to bone, promoting more organized formations of tendons, cartilage-like tissue, and bone at the repair site. This innovation aims to improve the quality and d...
UCSF scientists have invented a way to treat cancer with teacher cells and tumor pieces, combining immune cells grown in the lab with patient tumor samples. The method uses dendritic cells to train T cells to recognize and destroy cancer cells, offering a promising approach to immunotherapy.
Robotic gastrectomy reduces complications, blood loss, and hospital stay compared to laparoscopic surgery for gastric cancer patients, with benefits seen in both distal and total gastrectomy procedures. Longer procedures may be offset by improved visualization and enhanced dexterity.
The RACER-Knee trial found that robotic-assisted knee replacement surgery resulted in similar patient outcomes as traditional surgery, including recovery, mobility, and pain levels. Despite increased precision, the technology did not translate to improved patient outcomes within the first year after surgery.
The study aimed to determine the proportion of eligible patients consenting to either thyroid lobectomy or total thyroidectomy. It found that 93.5% of patients who would consent to randomization completed the assigned surgery. The results provide valuable insights for targeting enrollment in future multicenter trials.
Mount Sinai will deliver healthcare services to elite tennis players, focusing on promoting health and wellness, preventing injuries, and meeting community needs. The partnership highlights the importance of access to specialized medical services for athletes competing at the highest level.
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
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 clinical trial found that giving intravenous iron to patients with anaemia before heart surgery reduces the need for red blood transfusion and results in an extra day at home in the first 90 days after surgery. This treatment also saves approximately 44 units of blood products for every 100 patients treated.
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.
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.
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 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.
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.
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.
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.
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.
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 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 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 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 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.
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.
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.
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.
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.
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.