Articles tagged with Surgery
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Researchers have created a hydrogel-based material that can absorb up to three times more water-based liquid than traditional paper towels. The gel sheets also show promise in absorbing thick liquids, such as blood and syrup, with high efficiency and stability.
A recent study by BMJ Group found that oat biscuits are the best option for healthcare workers during tea breaks. The research ranked biscuit varieties based on nutritional content, crunchiness, and durability after dunking, with oat biscuits emerging as the top choice.
A study found that metformin use significantly reduces the risk of total knee and hip replacements in patients with type 2 diabetes. The researchers analyzed data from over 69,000 participants and discovered a significant association between metformin use and lower joint replacement rates.
The expert panel recommends individualized gender-affirming care, considering unique needs of transgender and gender-diverse individuals. They propose abandoning strict rules, such as hormone therapy initiation prior to surgery, in favor of a more comprehensive approach.
A recent study found that adults who receive chiropractic spinal manipulation for low back pain are less likely to undergo discectomy over two years. The study, published in BMJ Open, used real-world data and controlled for variables such as age and smoking.
Researchers at the Princess Máxima Center found that concentrating surgery for children with neuroblastoma resulted in shorter operation times and reduced blood loss. The study also showed a decrease in side effects, although further research is needed to confirm improved survival rates.
The American Society of Anesthesiologists' (ASA) new practice guidelines for monitoring and reversing neuromuscular blockade aim to reduce residual paralysis after general anesthesia. This can lead to decreased postoperative complications such as pneumonia, respiratory arrest, and reintubation.
The Children's Surgery Verification Quality Improvement Program, introduced by the American College of Surgeons, improved efficiency in treating children with traumatic injuries. The program reduced surgical wait times and hospital stays by over a day and decreased narcotics use in pediatric patients with femur fractures.
A study of nearly 4,000 patients found that the longer the time between COVID-19 diagnosis and surgery, the greater the risk of major cardiovascular events during or following surgery. This association could inform discussions on optimal surgical timing and perioperative outcomes for patients with a history of COVID-19 infection.
Researchers found that surgical risk for COVID patients diminishes with elapsed time from diagnosis, decreasing by half every 100 days and eventually leveling off at around 8% after 400 days. The study's findings suggest that doctors should consider the patient's proximity to COVID when deciding on surgery timing.
A nationwide retrospective study showed that adjuvant chemotherapy after neo-adjuvant chemotherapy and surgery significantly improved overall survival in patients with pancreatic adenocarcinoma, regardless of lymph node status or resection margins. The study included nearly 900 patients and was published in JAMA Oncology.
A large US study found that excess oxygen during surgery is associated with a higher risk of kidney, heart, and lung injury. The study of over 350,000 patients suggests that liberal use of oxygen may be harmful to the body's cells and tissues.
A comprehensive analysis of quality improvement initiatives in operating rooms reveals that sustainability interventions can significantly reduce costs and decrease carbon footprint. The study identified effective strategies such as powering down lights and equipment, reducing waste, and implementing recycling programs.
A recent study found that patients undergoing abdominal ostomy surgery have high rates of hospital readmissions and emergency department visits, often due to ostomy-related complications. The study analyzed data from nearly 28,000 patients and found that 42% were readmitted within 120 days after initial hospitalization.
A study by Harvard Medical School researchers found that organ donations and transplants increase by 21% during the week of large motorcycle rallies, with 26% more transplant recipients per day. The surge in donations does not alleviate the critical shortage of donor organs, highlighting the need for improved safety protocols.
A new study published in JAMA Surgery compares robotic liver resection with open liver resection for treating hepatocellular carcinoma. Robotic liver resection is found to be a safe treatment option for patients with compromised liver function, achieving comparable oncologic efficacy to traditional open surgery.
A study of over 45,000 births in Scotland found that women who had a planned vaginal birth after a previous C-section were more likely to undergo pelvic floor surgery compared to those who planned another C-section. The risk was particularly high for pelvic organ prolapse and urinary incontinence.
A study found that Medicare Advantage patients are more likely to be treated by less experienced surgeons and have higher mortality rates after complex cancer surgeries. They also experience longer delays in diagnosis and treatment due to prior authorization requirements.
Inducing a hibernation-like state in mice using Q neuron activation has been shown to protect kidneys from oxygen deprivation and avoid harmful side effects. This technique could lead to new methods of performing heart surgery with reduced organ damage.
A 30-year follow-up study of patients with early breast cancer found that radiotherapy does not improve overall survival rates after 10 years but reduces the risk of recurrence in the same breast. The study's findings challenge traditional concepts of long-term anti-cancer benefits of radiotherapy.
Researchers found that HER2-positive breast cancer patients with high levels of tumour infiltrating lymphocytes in residual disease have significantly shorter overall survival. High levels of TILs are associated with poorer outcomes, while lower levels are linked to improved survival rates.
Researchers at Clinica Universidad de Navarra found that ultrasound-guided surgery (IOUS) is more effective and quicker than traditional wire-localisation methods for treating ductal carcinoma in situ (DCIS). This technique reduces the risk of positive margins, a common cause of second operations.
A recent study published in JAMA Surgery found that self-reported loneliness is associated with an increased risk of death at 30 days post-surgery among Medicare patients. The research suggests that loneliness may be a significant social determinant affecting postoperative outcomes, particularly for non-elective care.
A Rutgers study of 86,964 adults with obesity and NAFLD found that bariatric surgery reduced the risk of major cardiovascular events by 49% compared to nonsurgical care. This is significant because heart disease is a leading cause of death in the US, and NAFLD can lead to liver damage and inflammation.
A randomized controlled trial found that both total ankle replacement and ankle fusion improve quality of life and have similar clinical scores in patients with end-stage ankle osteoarthritis. However, TAR is associated with greater wound-healing complications and nerve injuries, while AF is linked to more blood clots and nonunion of t...
A new study of 200,000 patients found that those who smoke cigarettes and drink heavily are more likely to experience post-surgical complications. However, talking to a health coach about drinking-related risks before surgery can help patients cut their alcohol use in half and reduce the likelihood of surgical issues.
Researchers have discovered that targeting a specific mutation in fibrolamellar tumors can reduce tumor growth in mice, offering a promising approach to treating this nearly incurable cancer. The findings highlight the potential for novel therapies against an intractable disease.
A randomized clinical trial will examine the efficacy of two supportive programs delivered by telephone and video conference in improving pain, psychological distress, and sleep disturbances in women undergoing surgery. The study aims to address the whole person's mental and behavioral health to optimize surgical outcomes.
A new study published in JNCCN found significant disparities in ovarian cancer treatment based on patient race, ability to pay, and healthcare access. Non-Hispanic Black patients were less likely to receive guideline-appropriate treatment compared to White patients.
Researchers have discovered two novel drugs that can block the growth and shrink the size of schwannoma tumors, a type of nerve sheath tumor found in the nervous system. The treatment works by inhibiting the Hippo signaling pathway, which is dysregulated in multiple types of cancer.
Researchers at UCalgary have discovered a potential new treatment for fibrosis, a condition that causes thickening of the gut wall and life-threatening blockage in people with Crohn's disease and ulcerative colitis. The study suggests that drugs targeting specific sensors may prevent inflammation-associated gut blockage.
The BEST-CLI trial found that patients who received Bypass had a 32% reduction in Major Adverse Limb Events and 65% fewer major re-interventions compared to Endo. Both treatments were effective, but individualized decision-making is crucial for optimal outcomes.
A large clinical trial found that administering steroids during infant heart surgery did not improve post-operative outcomes compared to placebo. However, secondary analysis revealed a small net benefit for some infants, with lower odds of bleeding requiring another operation.
Dual-energy CT (DECT) metrics provide insight into physiologic changes after lung cancer surgery, beyond PFTs and conventional CT. Lung perfusion ratio increases were greater after lobectomy than limited resection.
The new guideline covers key aspects of aortic disease diagnosis and management, including surgical intervention considerations, consistent imaging practices, genetic and familial screenings. The ACC and AHA emphasize the importance of a multidisciplinary team in providing optimal care for patients with aortic disease.
A recent analysis of COVID-19-positive donor heart transplants found no significant differences in transplant outcomes compared to those from non-COVID-19 donors. The study's results suggest that COVID-19-positive hearts may be as safe for transplantation, potentially addressing the shortage of available donor organs.
Researchers found that changing gloves and instruments just before closing wounds can prevent as many as 1 in 8 cases of Surgical Site Infection. A new toolkit also helps hospitals prepare for pandemics, heatwaves, and natural disasters.
Researchers at Oregon Health & Science University have counted more than 10,000 nerve fibers in the human clitoris, exceeding previous estimates of 8,000. This discovery could lead to better outcomes for phalloplasty surgery and improved sensation for transmasculine patients.
Research found that blood transfusions following solid tumor removal in pediatric oncology patients are associated with higher rates of post-surgery infectious complications, shorter disease-free intervals, and tumor recurrence. The study aims to inform thoughtful use of blood transfusion and encourage multi-center data collection.
A new study has identified a specialized and distinctive type of microglia with enhanced antioxidant function in the ischemia/reperfusion injured brain, linked to stroke. The presence of Peroxiredoxin-1 protects against acute I/R injury, reducing microglial cell death and inflammatory responses.
The Canadian Medical Association Journal (CMAJ) publishes special issues on the impact of anti-Black racism on patient health and healthcare professionals. Research by Black health scholars and practitioners sheds light on systemic inequities, including cancer care disparities and gaslighting in academic medicine.
Research at the ANESTHESIOLOGY 2022 annual meeting found that preschool children experiencing emergence delirium post-surgery do not exhibit long-term behavioral changes. No measurable problems were observed three months after surgery.
Adults who use cannabis experience 14% more pain after surgery and consume 7% more opioids. The study analyzed 34,521 patients and found a significant association between cannabis use and postoperative pain.
The new guidelines, issued by the American Society for Metabolic and Bariatric Surgery (ASMBS) and the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO), recommend metabolic and bariatric surgery for individuals with a BMI of 35 or more, regardless of obesity-related conditions. The guidelines also endo...
A deep learning algorithm trained on adult populations shows improved sensitivity for diagnosing thyroid nodules in children, with higher accuracy than traditional ACR TI-RADS. The study suggests the potential benefits of this new approach for evaluating thyroid nodules in younger patients.
A population-based analysis of 1,193 major surgeries found that 13.4% of patients died within a year, with frail and dementia-affected individuals facing significantly higher mortality rates
Researchers found that patients awaiting surgery experienced decreased pain and improved relaxation when given a music pillow to listen to during their wait. The study, which included over 30 participants, demonstrated a positive association between music and reduced anxiety in emergency department patients.
A study of 1.6 million Medicare patients found significant disparities in surgical consultation rates based on race, with Black patients receiving fewer consultations for emergency general surgery conditions than their white counterparts.
Researchers propose an optical imaging system for real-time hypoxia imaging in cancer treatment. The technique utilizes protoporphyrin IX to enhance contrast between tumors and healthy tissues, allowing for more effective surgical removal.
Researchers developed a generatively designed patient-specific bone fixation device using Generative Design technology. The implants are tailored to each patient's anatomy and biomechanical needs, resulting in lighter, less prominent, and minimally invasive designs that promote faster healing and reduced revision surgery.
A secondary analysis of a randomized clinical trial found that positive patient beliefs about antibiotic effectiveness for appendicitis are linked to lower risk of surgery and faster symptom resolution. This association remains unclear, with further research needed to understand its underlying mechanisms.
A new genetic test called PancreaSeq accurately classifies pancreatic cysts as potentially cancerous or benign, improving the accuracy of diagnoses compared to current guidelines. The test distinguishes between different types of cysts with higher accuracy than traditional forms of surveillance and current pancreatic cyst guidelines.
The TTUHSC team will provide no-cost colorectal cancer screening and colonoscopies to underinsured and uninsured people living in South Plains region counties. The FIT-STOP program aims to find signs of early-stage colorectal cancer to prevent treatment needs, leveraging existing relationships with partners.
Patients requiring emergency dialysis before or after surgery are at increased risk of death and functional decline. Notably, patients undergoing high-risk surgeries like esophagectomy/gastrectomy and heart surgery have significantly higher mortality rates.
A study published in JAMA Pediatrics found that gender-affirming top surgery significantly improved chest dysphoria and gender congruence among transmasculine and nonbinary individuals designated female at birth. The procedure was also associated with enhanced body image, with minimal surgical complications reported.
A new, dissolvable hydrogel developed by Mass General Hospital promotes wound healing for second-degree burns while minimizing pain and trauma. The biomaterial is highly absorbent, based on green chemistry approaches, and can be dissolved in under five minutes.
The analysis found that inadequate margin widths may result in higher risks of distant recurrence and breast cancer mortality, as well as increased local recurrence. The researchers recommend a minimum tumour free distance of 1mm from the margin for optimal oncological outcomes.
A study by researchers from UTHealth Houston and the University of Miami found that adolescents with severe obesity who underwent bariatric surgery before age 22 lost significant weight and experienced complete remission of comorbidities such as diabetes, asthma, and elevated lipids. The study's results show that these young patients c...
Researchers found no significant difference in pain levels between children who received ibuprofen and those who received a placebo before stent removal. Only 7% of pediatric patients reported severe pain following the procedure, compared to 55% of adults.
A study found that resiliency and family support play a crucial role in helping Hispanic breast cancer survivors manage lymphedema. Adaptations such as modifying work tasks and seeking support from family members enable survivors to maintain their quality of life.