Articles tagged with Surgery
Researchers found that removing ovaries during a benign hysterectomy increases the risk of hospitalization for cardiovascular disease in premenopausal women, but not necessarily for cancer. The study supports current recommendations to conserve ovaries in premenopausal patients at low risk for ovarian cancer.
Dr. Erik K. Paulson, MD, chair of Duke University's radiology department, has been elected as the 123rd President of ARRS for a one-year term starting April 2023. He succeeds Gary J. Whitman, who served from 2022 to 2023.
The study found that 68% of carbon contributions come from single-use items, with production and waste disposal contributing significantly. Reusable alternatives for products like gowns, drapes, and instrument table drapes can reduce carbon footprint by one third.
A novel treatment approach called balloon pulmonary angioplasty has been shown to be effective in treating chronic blood clots in lung arteries. The procedure improves exercise capacity and quality of life, with some patients able to stop medications altogether. Refinements in technique have improved the procedure's safety and efficacy.
A randomized clinical trial found that using smartphone apps for home monitoring after oncologic surgery leads to improved quality of recovery and equal patient satisfaction. The study compared this approach with conventional in-person follow-up, revealing no significant differences in these outcomes.
Hokkaido University researchers evaluate a material used to build model arteries, finding it suitable for medical education and surgical practice. The study also highlights the potential for improved assessment of 3D printing technology in creating highly accurate models of individual patient's artery structure.
Medical University of South Carolina researchers streamlined kidney transplant evaluations to increase access for African Americans. They used telehealth and partnerships with local providers to help patients complete the evaluation process, resulting in higher numbers of African Americans beginning and completing the evaluation.
A study of over 43,000 adults found that parathyroidectomy has no estimated effect on long-term kidney function in older adults. However, early treatment may preserve kidney function in patients younger than 60 years old.
A new study from Mass General Brigham researchers found that early menopause may be a risk factor for Alzheimer's disease dementia. However, women who received hormone therapy around the time of menopause onset did not experience an increased risk of dementia. The study suggests that timing is crucial when it comes to hormone therapy, ...
Researchers found that preserving the meniscus with sutures is more effective in protecting cartilage from future damage in younger patients. Meniscectomies, which remove more than half of the meniscus, were more likely to progress cartilage degeneration.
Scientists developed an injectable biomaterial with improved adhesion, stretchability, and toughness, making it ideal for surgical wound sealing. The material showed superior adhesive strength, stability, and biocompatibility in physiological conditions.
The funding will support preclinical research using genetically modified pigs, aiming to improve compatibility and reduce immune rejection in xenotransplantation. The goal is to enable human clinical trials and address the organ shortage crisis.
A recent study of 29,000 patients found no association between recent COVID-19 infection and increased risk of adverse postoperative outcomes. The study suggests that the timing of COVID-19 infection within 60 days of surgery has no significant impact on surgical outcomes.
A large observational study found that most patients do not medically benefit from consultation with a medical specialist before their surgery. The study of 359,618 patients in Ontario suggested that preoperative medical consultations were an independent risk factor for death 30 days after surgery.
Researchers developed a hybrid micro-robot that can navigate in physiological environments and capture targeted damaged cells. The micro-robot uses electric and magnetic mechanisms to identify and transport single cells for further study.
A statewide effort in Michigan resulted in a 56% reduction in opioid prescriptions after six common operations and a 26% drop in persistent opioid use. The achievement surpassed national trends, driven by voluntary prescribing guidelines and surgical team involvement.
A new survey found that nearly a third of Americans worry more about obesity due to COVID-19, with 28 million people considering weight loss methods. The survey also showed that nearly 90% with obesity have tried to lose weight at some point in their lives, but many underestimate the effectiveness of treatments like weight-loss surgery.
Women surgeons remain underrepresented among NIH-funded surgeon-scientists over a 25-year period, despite early career success in receiving funding. This disparity underscores the necessity of targeted support to create a more diverse surgical research workforce.
Developing postoperative delirium is associated with a 40% faster rate of cognitive decline compared to those who do not develop delirium. The study, which followed 560 older adults for up to six years, found that delirium influences every time point and is linked to sharper drops in cognition and faster declines over time.
A new study found that California's Insurance Gender Nondiscrimination Act led to a significant increase in gender-affirming surgery utilization. The data suggests that similar policies could inform state legislative efforts to protect transgender and gender-diverse patients' health coverage.
A new technique involving a small flap in the peritoneum can reduce postoperative complications in prostate cancer surgery by allowing lymphatic fluid to escape and be absorbed. The study found that this technique significantly reduced the incidence of lymphocele, a common complication where lymphatic fluid collects in the pelvis.
The ProtecT trial found that active monitoring of prostate cancer has the same high survival rates after 15 years as radiotherapy or surgery. Men on active monitoring were more likely to see their cancer progress, but this didn't reduce their likelihood of survival.
A UK study reviewing over 90,000 vasectomies found that chronic scrotal pain occurs in just 0.2% of patients, while post-operative infection rates are around 1.6%. The study updates outdated figures and aims to encourage more men to undergo the procedure.
A recent study found that spinal manipulation is a gentle therapy used to treat low back pain in patients after previous lumbar spine surgery. The study, published in Chiropractic & Manual Therapies, compiled data from over 100 patients and reported most cases were done using a potentially gentler method.
Studies found an association between living close to higher-quality food stores and better weight loss outcomes after bariatric surgery. Living near low-diversity stores was linked to less sustained weight loss, while moderate- or high-diversity stores had no effect.
The study analyzed data from 151 hospitals that participated in an ISCR protocol for colorectal surgery to determine if they improved or worsened in complying with ERP process measures over an 18-month period. Key findings suggest a significant opportunity to improve compliance and patient outcomes, but inadequate resources and limited...
A new study by Weill Cornell Medicine found that the FDA's mandate to limit opioid-acetaminophen combinations resulted in significant reductions in liver injuries. The mandate, implemented in 2014, limited the dosage of acetaminophen in these drugs, leading to a decline in hospitalizations and acute liver failure cases.
A new algorithm predicts female patients are at higher risk for kidney damage after aneurysm repair, with those having reduced glomerular filtration rate facing a 4.7 times increased risk. The algorithm could help identify patients at risk and optimize them before surgery.
A new review found that spinal cord stimulation is no better than a placebo for treating low back pain, with probably little to no benefit for people with the condition. The review also highlighted gaps in clinical data and called for future trials to be longer and more comprehensive.
Leading medical organizations have formed a coalition to combat the growing problem of firearm violence in the US. The Healthcare Coalition for Firearm Injury Prevention aims to promote education, advocacy, and community-centered approaches to reduce firearm-related injuries.
A study found that a commercial water purifier may have caused Mycobacterium abscessus infections in 4 cardiac surgery patients due to chlorine depletion. The hospital's water system was contaminated via municipal water, emphasizing the importance of monitoring and preventing mycobacteria.
Women have a roughly 30-40% higher risk of dying following coronary artery bypass surgery, with female patients having a 2.8% rate of death during or soon after surgery compared to 1.7% for male patients.
Researchers found that patients receiving salvage radiation therapy (sRT) with PSA levels above 0.25 ng/mL had a 50% higher risk of death compared to those with lower PSA levels. The study suggests delaying sRT until PSA levels exceed 0.30 ng/mL may increase mortality risk.
Researchers found that patients with greater buildup of fatty plaque deposits in the heart's three largest blood vessels had higher chances of developing serious health issues following surgery. This study suggests using existing chest scans to estimate patients' risk of heart attack or death during major surgeries.
Researchers at the University of Montreal Hospital Research Centre identified two bacterial strains that can either increase or decrease the risk of intestinal leakage after surgery. Modifying patients' gut microbiota before surgery may reduce postoperative complications and improve recovery.
A new study published in the Journal of the American Heart Association found that participating in home-based cardiac rehabilitation was associated with a 36% lower likelihood of death from heart-related complications among US military veterans within four years. The study analyzed data from 1,120 veterans who enrolled in a 12-week hom...
A study of over 1.2 million patients found women remain at higher risk for adverse outcomes after coronary artery bypass grafting. No significant improvement in outcomes has been observed over the past decade.
Patients with stage IIIB-IV melanoma who received neoadjuvant pembrolizumab had a significantly lower risk of cancer recurrence compared to those receiving adjuvant therapy only. The study found improved event-free survival rates in the neoadjuvant group, suggesting that starting immunotherapy before surgery generates better outcomes.
A case series study of 373,000 patients found that time from diagnosis to surgery over eight weeks was associated with worse overall survival. This delay may be linked to disadvantageous social determinants of health, suggesting the importance of timely surgical interventions in breast cancer care.
Researchers at Indiana University School of Medicine have identified a new type of cell called the vasculogenic fibroblast, which can help create new blood vessels for treatment. This discovery could lead to improved treatments for ischemic diseases such as diabetic wounds.
A phase 2 clinical trial shows that treating resectable stage 3 and 4 melanoma patients with pembrolizumab both before and after surgery greatly improves outcomes compared to pembrolizumab given only after surgery. This approach resulted in significantly longer event-free survival rates.
The average age of patients requiring anaesthesia increased by 2.3 years over the last decade, with a higher proportion of patients living with overweight and obesity. Surgical cases are becoming more complex, with a decrease in ASA 1 and an increase in ASA 2 and 3 patients.
A study by researchers at TUM found that gut bacteria play a crucial role in liver regeneration. The microbiome produces short-chain fatty acids, which are essential for liver cell growth and division. In mice treated with antibiotics, liver regeneration was delayed or not possible, but a
A tiny soft robot has been developed to help doctors perform surgery and search in hard-to-reach places. The robot uses ultraviolet light and magnetic force to climb on any surface, including walls and ceilings, without an external power supply.
Researchers re-examine molecular characteristics of WNT-subgroup patients to identify optimal treatment strategies for low-risk medulloblastoma. Key findings suggest that therapy-related late toxicity remains a concern, despite comparable survival rates between children and adolescents with this disease subtype.
Researchers found that IVC filters were effective in preventing pulmonary embolisms (PE) in patients with deep vein blood clots, even when used prophylactically. Approximately half of the patients had their filters removed without complication or recurrence of DVT or PE.
A new study found that preoperative surgeon intuition is an independent predictor of 30-day postoperative complications, but its predictive power is not as strong as a standardized risk calculator. The study suggests that the information gathered by the calculator is better at predicting outcomes than surgeons' gut feelings.
A new study links genetic changes in kidney cancer to patient outcomes, identifying four groups of patients based on mutation presence. This research may lead to more effective prediction of recurrence risk and personalized treatment for thousands of patients annually.
A new type of digestive endoscopy called Endocytoscopy can diagnose early esophageal cancers without the need for biopsies. Studies have shown that it achieves high accuracy (95%) and specificity (92%) rates, comparable to traditional pathological biopsy methods.
Researchers created adaptive optical phantoms by combining multiple pigments to mimic target tissue's optical properties, successfully validating them in extensive experiments. The new platform enables broader band spectra for emerging hybrid modalities and novel instruments.
A new study found that stroke patients experience a daily rhythm in cerebral blood flow regulation, with greater regulation during afternoon hours compared to morning and night times. This discovery may improve health outcomes by guiding daily activity and personal care during stroke recovery.
A new study suggests that virtual reality exercises can reduce pelvic pain in women with endometriosis, offering a potential digital health solution. The study found that VR and telehealth exercise sessions provided immediate relief from pain, similar to traditional supervised exercise sessions.
A pediatric trauma team at Golisano Children's Hospital significantly reduced unnecessary CT scans, minimizing radiation exposure and healthcare costs. The team's efforts, which included adapting existing guidelines and developing new ones, resulted in a 45% reduction in non-indicated scans.
A phase 3 clinical trial of nearly 700 patients with early-stage lung cancer found that sublobar resection surgery, removing part of the affected lobe, was as effective as traditional lobectomy in terms of disease-free and overall survival. Patients who underwent sublobar resection also showed modestly better lung function.
A new study found that a medication previously used to treat seizures can reprogram donor hearts to boost the production of beneficial enzymes, increasing storage time and improving post-transplant function. This technology could lead to a paradigm shift in extending heart storage and reducing primary graft dysfunction.
The updated guidance emphasizes the importance of healthy skin and nails, as well as easy access to alcohol-based hand sanitizers. Only 7% of healthcare personnel fully clean their hands, highlighting the need for ongoing training in proper technique and glove use.
Ultrafast MRI provides beneficial information for predicting DCIS upgrade to invasive cancer, including time to enhancement and lesion size. A study found that UF-MRI can accurately predict lesions diagnosed as DCIS at percutaneous biopsy that will be upgraded to invasive cancer at surgery.
Female residents face higher risk of unintended attrition, while underrepresented groups also experience elevated risk. The study highlights the need for strategies to support and retain diverse surgical residents.
Patients living in Southern states with expanded Medicaid were more likely to receive early treatment for invasive breast cancer. Despite this, the proportion of patients undergoing treatments actually decreased across all states.
A systematic review and meta-analysis found that MRI-based surveillance after surgical treatment can detect clinically occult local recurrences, potentially improving patient outcomes. The study included 19 studies and showed a significant association between high-intensity surveillance and the detection of local recurrences.