Articles tagged with Surgery
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.
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.
A Korean joint research team has developed a new tissue adhesive that restores damaged corneas by filling them and exposing them to light, potentially treating cornea ulcers without surgical interventions. The new sealant integrates well with adjacent tissues and promotes scar-free corneal tissue reconstruction.
A study by the American Society of Anesthesiologists found that inaccurately recording anesthesia start times results in lost billing time for anesthesia practices and medical centers. The study analyzed 40,312 procedures and determined a potential loss of $638,671.57 in one year.
A new study led by Columbia researchers discovered a link between serotonin and heart valve disease, specifically degenerative mitral regurgitation. The study found that patients taking selective serotonin reuptake inhibitors (SSRIs) were more likely to develop severe mitral regurgitation and require surgery at a younger age.
A new study shows that Medasense's NOL monitoring during major abdominal surgery can significantly reduce the proportion of patients with severe post-operative pain. The study found that intraoperative opioid dosing based on the NOL index reduced PACU pain scores by a median of 1.5 points at 90 minutes post-surgery. This technology use...
A new American Heart Association scientific statement suggests that surgery should be considered for patients with high-risk pulmonary embolism to improve survival rates. The statement also calls for increased research and data quality registries to better understand the disease process and effective treatments.
A study found that people can recall the location of over 100 objects on a grid with high accuracy, even after removing all images. Additionally, participants localized 60-80% of old items to within +/-10% of their correct time.
A recent study found that patients who met with surgeons for first-time surgery consultations via telemedicine were satisfied with the quality of communication, comparable to in-person visits. The study suggests that either method is appropriate, depending on what the surgeon and patient prefer.
A new study finds delayed appendicitis diagnosis is more common in non-Hispanic Black adults, particularly in lower-quality hospitals with fewer minority patients. Hospital integration that serves diverse populations may improve clinical care and create a sustainable healthcare system.
Researchers found poor adherence to surgical quality metrics in lung cancer patients, with only 40% receiving minimally invasive surgery and one-third receiving adequate lymph node sampling. Adherence to guidelines was associated with improved overall survival rates.
A new study published in CMAJ found that COPD patients who undergo major surgery are more likely to die and incur higher healthcare costs than similar patients without COPD. The study included 932 patients aged 35+ in Ontario, with COPD patients being older, more frail, and having lower income.
A new study suggests that acupressure before surgery can reduce anxiety, while acupuncture during surgery may provide additional relief from severe pain. The research found that patients who received these treatments had better recovery scores and lower levels of pain and anxiety compared to those who received standard care.
A significant risk of suicide is observed among cancer surgery patients, especially those who are male, white, and divorced. These demographic factors are associated with the highest risk, highlighting the need for suicide screening in high-risk patient groups
Researchers have developed shortwave-infrared and thermal imaging techniques to accurately diagnose active dental caries. SWIR-based approach shows superior results in detecting lesions, while thermal imaging proves less effective.
Researchers discovered that pre-surgery immunotherapy significantly improved patient outcomes for locally advanced colorectal cancer. The treatment showed substantial longer survival benefits, including low recurrence rates, in patients with mismatch repair-deficient or microsatellite instability-high (dMMR/MSI-H) CRC.
A recent study found that patients treated at centers that don't perform transplants have a 79% higher odds of being denied bridge-to-transplant designation. This change could exacerbate existing disparities in access to heart transplantation, according to the research team.
Researchers at Imperial College London have designed a low-cost external fixator for broken bones, made from stainless steel and aluminium, which can be manufactured locally. The device has shown similar stiffness to commercial devices in cadaver leg bones and is being tested in Gaza, Sri Lanka, and Ukraine.
The procedure requires thorough pre-procedural evaluation and assessment of anatomical and hemodynamic data. Long-term results indicate that TPVR can effectively restore RVOT function, while improving survival rates and reducing the need for reintervention across age groups. Vigilant testing is recommended to avoid rare but serious com...
A new AI tool developed by Brigham and Women's Hospital improves the accuracy of time-critical pathology diagnostics during surgery. The tool, which leverages deep-learning technology, translates frozen tissue samples into high-quality images, increasing diagnostic accuracy and reducing the need for lengthy laboratory tests.
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.
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.
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 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.
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.
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.
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.
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 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.
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 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 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 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 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 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.
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.
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.
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.
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.
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.
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.