Articles tagged with Surgery
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.
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.
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 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.
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 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.
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.
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.
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 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
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.
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.
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.
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.
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 budget impact analysis found that catheter-based TAVR is an affordable and effective strategy for treating aortic stenosis patients, with lower total costs compared to surgical SAVR. The study showed that the upfront cost of TAVR is partially offset by reduced healthcare resources, making it a more efficient option.
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.
Researchers evaluated 35 commercial breast biopsy markers for ultrasound color Doppler twinkling, finding that three markers exhibited actionable twinkling for ≥2 transducers. Higher surface roughness was associated with actionable twinkling in C1-6 and 9L transducers.
The American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) has selected top research presentations for its 2022 Annual Meeting & OTO Experience. These include groundbreaking studies in otology, laryngology, endocrine surgery, and head and neck surgery.
A review of ERAS programs in minimally invasive gynecologic surgery reveals improved patient recovery, reduced postoperative complications, and shorter hospital stays. Implementing ERAS protocols also reduces opioid consumption without increasing complications or healthcare costs.
A group of researchers from Osaka Metropolitan University found that administering parathyroid hormone to rat Achilles tendons increased the production of cartilaginous matrix and promoted chondrogenic differentiation. This breakthrough discovery may lead to improved outcomes for meniscal reconstruction surgery, protecting knee cartila...
A new study from Harvard Medical School reveals that patients who recover well after cardiovascular surgery exhibit precise paths for white blood cell and platelet counts. These trajectories can be used to monitor recovery in a personalized way, enabling clinicians to intervene earlier when necessary.
A research team has been awarded $10 million to develop a collaborative care model to prevent Alzheimer's disease and other dementias among delirium survivors. The study aims to improve cognitive recovery and quality of life for patients after emergency surgery.
A cohort study found that reinfection rates are low after successful hepatitis C virus (HCV) treatment in people who inject drugs, suggesting a benefit of treatment in this population. The risk for reinfection was highest among those with ongoing injecting drug use and needle sharing.
A systematic review and meta-analysis found no significant differences in treatment success between nonoperative and operative management for acute uncomplicated appendicitis. However, the nonoperative group experienced significantly longer hospital stays and higher recurrence rates.
A study of 12,000 Medicare beneficiaries with heart failure at risk for requiring a left ventricular assist device (LVAD) found racial and sex disparities in LVAD access. Adjusting for individual poverty and community-level social determinants of health did not alter the inequity in one-year survival among groups.
A retrospective study found that patients with multiple architectural distortions on digital breast tomosynthesis were more likely to have high-risk pathology, but not significantly different frequencies of malignancy. Biopsy of all areas may be warranted for these patients.
Researchers from the University of Gothenburg found that assessing melanoma thickness is challenging for both human dermatologists and machine-learning algorithms. Despite differences in success rates, both groups achieved comparable results when evaluating dermoscopic images, highlighting the need for further study to improve diagnost...
Researchers examined law enforcement interactions with patients and clinicians in an urban emergency department, highlighting their impact on patient care. The study's findings suggest that effective communication between law enforcement officers and healthcare providers is crucial for safe and efficient patient treatment.
A recent Kaiser Permanente study suggests that fully vaccinated patients who have had COVID-19 may not be at an elevated risk of complications after surgery. The research analyzed records from over 228,000 surgeries and found no significant difference in postoperative complication rates between vaccinated and unvaccinated patients.
A study of nearly 3 million adults found no increased mortality among uninsured or Medicaid patients after major surgery during the pandemic compared to commercial insurance holders. The findings contradict previous concerns about unequal access to care.
The study provides guidelines for healthcare facilities to respond effectively to mass shooting incidents. The clinicians identified the importance of modified triage plans, prioritizing patients based on anatomical considerations, and clear communication with emergency responders. By implementing these strategies, hospitals can better...
A study of 1,300 patients found most thyroid cancers are discovered in asymptomatic individuals, supporting the hypothesis of ongoing subclinical disease detection. The findings contradict the notion of a rising incidence of thyroid cancer.
A study found that female patients are more likely to require re-interventions after surgical treatments for intermittent claudication. Additionally, guideline-directed medical therapy was less frequently used among females compared to males.
Researchers from University Hospitals developed a transfusion appropriateness algorithm to analyze blood transfusions for adult patients. The algorithm led to a decrease in transfusions and an increase in appropriate use, resulting in cost savings of $2.5 million over 12 months.
A recent study found that 49% of transgender and gender-diverse patients who undergo gender-affirming genital surgery travel outside their home state, resulting in significantly higher out-of-pocket medical expenses. The average out-of-state patient pays $2,645, compared to $1,781 for in-state patients.
Outpatient antibiotic management of selected patients with appendicitis is safe, allowing many to avoid surgery and hospitalization. This treatment approach is associated with fewer serious adverse effects compared to hospitalization.
The study reveals uterus transplant outcomes are safe for the recipient, living donor, and child, making it a potential solution for women struggling with uterine-factor infertility. Uterus transplants may be a viable option for these individuals, offering a chance to conceive and carry a pregnancy.
A cross-sectional study of 885 surgical residents revealed that trainees perceived as white received similar autonomy, while those perceived as African American, Black, Hispanic, or Latinx experienced disparities. Autonomy differences were negligible by the end of residency.
A new study found that hospitals can reduce excessive opioid prescribing by implementing an evidence-based default setting for opioid prescriptions written in electronic health records. The study showed that patients who received a standard prescription size with a lower default dose of opioids had similar pain control, but took home f...
A new study found that post-operative atrial fibrillation (POAF) is associated with a higher risk of hospitalization for heart failure among patients undergoing cardiac and non-cardiac surgery. POAF may be an early marker for heart failure, and its presence could contribute to the development of the condition.
Updated long-term results from Phase III trials demonstrate significant benefits from combining procarbazine, lomustine, and vincristine chemotherapy with radiation therapy for patients with anaplastic oligodendrogliomas. Patients with chromosome 1p19q codeleted tumors experienced improved overall survival and progression-free survival.
Researchers will develop and test new beacon molecules and imaging equipment to improve the detection and removal of non-small-cell lung cancers, aiming to reduce unnecessary tissue removal. The goal is to enhance surgical outcomes and improve patient care.
Researchers at the University of Pittsburgh have developed self-powered smart implants that can monitor spinal fusion healing in real-time. The implants use a new class of multifunctional mechanical metamaterials to record pressure and stresses, generating their own power and providing crucial information about the healing process.
Researchers from NYU Abu Dhabi have developed a simple yet effective approach for on-demand tactile sensing in minimally-invasive surgery. The Smart Laparoscopic Forceps (SLF) system measures grasping force and angle, providing surgeons with relative stiffness index of tissue to help with decision-making during operations.
A study evaluating discharge data from five states found that postoperative mortality rates in children undergoing tonsillectomy were associated with recognized risk factors for complications. The analysis revealed that comorbidities, such as heart disease and respiratory conditions, significantly increased the risk of mortality.
Researchers at CMU propose a new cell delivery method using shrink-wrapped corneal endothelial cells as an alternative to cornea transplant. The technology enables rapid engraftment into intact tissues, showing promise in treating diseases such as cystic fibrosis and heart attack.
A Michigan study reveals that hundreds of thousands of surgical and dental opioid prescriptions are filled long after writing, but a state law helped reduce this trend. The authors suggest tightening state laws to prevent or reduce misuse associated with delayed dispensing of opioids.
A large-scale analysis of daytime surgeries performed by surgeons who operated the previous night found no correlation with increased risk of in-hospital mortality or major complications. The study, involving nearly 500,000 operations, suggests that surgeons can perform safely and effectively even after a night shift.