Articles tagged with Surgery
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A recent study found that fenestrated-branched endovascular aortic repair significantly reduced mortality rates for patients with complex aortic aneurysms, with a 1% risk of mortality at 30 days compared to 21% in open surgical repair. The procedure also showed better outcomes regarding major adverse events, including spinal cord injury.
The study found that intraoperative esophagogastroduodenoscopy (IEGD) reduces hospital length of stay, radiation exposure, and costs compared to postoperative upper gastrointestinal (PUGI) radiographic series. IEGD also improves patient satisfaction with similar clinical outcomes.
A survey of 147 medical professionals found that smaller endotracheal tube sizes reduce complications in professional voice users. The team hopes to establish evidence-based practices for managing the airways of these patients, who are particularly vulnerable to damage from intubation.
Researchers developed a method to overlay a virtual scale on acquired endoscope images in real-time, allowing accurate estimation of colorectal polyp sizes. The approach uses triangulation principles and minimal image processing, enabling cost-effective diagnosis without adding extra instrumentation.
A Northwestern University study found that unionizing resident doctors does not reduce burnout, but provides additional benefits such as more vacation time and housing stipends. The study suggests that improving resident wellness requires a program-by-program approach, with implementing wellness toolkits being a promising solution.
Researchers developed a model to predict the risk of death and unplanned cardiac hospitalization among patients awaiting cardiac surgery. The tool, based on an ethnically diverse group of 62,375 patients, identifies factors such as gender, urban residency, and cardiac symptoms that increase the risk of adverse events.
A recent study investigated sex disparity in living donor liver transplant access, revealing a significant inequity between men and women. The research suggests that male donors have better access to liver transplants than female donors, highlighting the need for gender-specific solutions to address this disparity.
Researchers evaluated the frequency and accuracy of race and ethnicity reporting in top surgery journals. They found significant gaps in reporting, suggesting potential biases and inequalities.
Long-term kidney transplant survival rates in the US have increased significantly over the last three decades, with five-year survival rates for deceased and living donors rising from 66.2% and 79.5%, respectively, in 1996-1999 to 78.2% and 88.1% in 2012-2015.
A recent study published in Transplant Infectious Disease found that COVID-19 vaccination provides strong protection against the virus for solid organ transplant recipients, with an almost 80% reduction in symptomatic cases. The study examined data from over 2,150 transplant patients and showed that nearly 70% of vaccinated patients re...
Researchers found that local delivery of tumor-specific T-cells is an efficient option to convert tumors unresponsive to checkpoint inhibitors to permit tumor cures. Locally delivered T-cells showed similar control of established tumors as intravenous adoptive T-cell transfer.
The American College of Surgeons proposes four strategies to address the root causes of violence, including investing in at-risk communities and advocating for policy changes. Trauma Informed Care is a key feature of these strategies, aiming to foster empowerment and partnership with patients.
A study of 692 female surgeons found that nearly half experienced major pregnancy complications, including miscarriages and preterm birth. The researchers call for policy changes to support pregnant surgeons and change the culture surrounding childbearing.
The Patient-Centered Outcomes Research Institute (PCORI) has awarded $254 million to fund 28 new research studies aimed at reducing health disparities in maternal morbidity, preventing youth suicide, and improving behavioral health outcomes. Four studies will assess interventions to improve prenatal care for Black women and their child...
A new case report describes a 28-year-old COVID-19 patient who developed orbital cellulitis due to sinusitis, which spread to the area around the eye. Early surgical intervention prevented vision-threatening complications, emphasizing the importance of prompt treatment for severe cases.
Patients who underwent bariatric surgery reported improved physical health, energy, and reduced body pain compared to those on medical therapy alone. Significant weight loss and insulin independence drove these improvements in general health measures and quality of life.
The American College of Surgeons surveyed its members on firearm safety, with strong consensus for policy initiatives and safe storage. Most respondents support preventing people with serious mental illness from buying firearms and cracking down on illegal sales.
Researchers at USC have developed a new simulator that accurately predicts the forces acting on a knife as it cuts through soft materials, enabling applications in safer food processing and surgical robotics. The system uses 'differentiable' simulation to automatically tune parameters from real-world measurements.
Researchers develop a promising surgical technique called SurCOP to repair ventricular septal rupture (VSR) after severe heart attacks. The technique achieved a 100% success rate and improved survival rates by 77.8%, offering new hope for patients with life-threatening fluctuations in blood pressure.
Researchers at Northwestern and George Washington universities developed a wireless, battery-free pacemaker that disappears after use. The device wirelessly harvests energy from an external antenna, eliminating the need for bulky batteries and rigid hardware.
The study analyzed 114 COVID-19 guidelines from leading organizations in the UK, France, Germany, and the US, finding significant variations in respiratory protection recommendations. The variations were attributed to differences in national and international guidelines, as well as shortages of equipment.
Research shows that surgical face masks can filter out up to 98% of particles and provide low resistance to breathing. In contrast, plastic face shields have little to no protective effect.
Researchers at KTH Royal Institute of Technology have developed a new biocompatible polymer-based composite material that can replace metal plates in treating difficult and unstable fractures. The material, AdhFix, enables customized plating for fixation of fractures with a more comfortable recovery.
Dr. Catherine F. Sinclair has been selected as the next Editor-in-Chief of VideoEndocrinology, a pioneering videojournal covering thyroid, parathyroid, and endocrine-related procedures. She brings extensive experience in surgical management of neck endocrine diseases and is an internationally recognized expert.
Researchers developed a bio-inspired hydrogel to prevent post-operative adhesions in the heart, with promising results in rats and pigs. The hydrogel creates a protective barrier while allowing for movement and is designed to be easily removable and dissolveable.
A new study confirms that surgical masks effectively block expired particles from talking or coughing, even with leakage around the edges. The results show a significant reduction in disease transmission via expiratory particles when both infected and susceptible individuals wear masks.
Face masks are highly effective in preventing the spread of COVID-19 in virus-limited environments, but more advanced masks and ventilation are required in virus-rich settings. High compliance is necessary for mask effectiveness, with at least 60-70% required for surgical masks.
Researchers found that the proportion of non-white residents increased among obstetrics and gynecology, surgical, and nonsurgical training programs. The study suggests improvements in diversity and inclusion efforts are needed to address racial and ethnic disparities in medical education.
A randomized trial demonstrates that TAVI with a self-expanding supraannular bioprosthesis is comparable to surgical aortic valve replacement in terms of mortality and stroke risk at 24 months. Additionally, the study reveals that TAVI is superior to surgery in terms of valve hemodynamics but not in pacemaker implantation rates.
During the winter wave of COVID-19, anaesthetic and critical care staff in the UK faced immense pressure due to a surge in newly admitted infected patients. Surgery rates plummeted by one quarter compared to previous years, with many hospitals expanding ICUs to accommodate the influx.
New research published in CMAJ found Indigenous peoples in Canada experience higher rates of complications after surgery, lower surgery rates, and longer wait times for life-saving procedures. The study highlights the need for better data collection methods and real-time outcome monitoring to address structural racism in healthcare.
A recent study published in the Archives of Disease in Childhood found a significant rise in young children swallowing magnets over the past 5 years in the UK. Nearly half of these cases required surgery for retrieval, highlighting the dangers of small, powerful magnets, especially those intended for toys.
A recent study found that Black and Latinx surgeons are underrepresented in university leadership positions, with only a few individuals holding full professorships or department chairs. The study suggests that sponsorship, mentorship, allyship, and representation can help promote diversity and address these disparities.
Patients with segmental CTEPH treated surgically achieved excellent outcomes, with 80% long-term survival and good quality of life. Multidisciplinary post-operative care is crucial for optimal results.
A new study found that leaving an atrial communication at biventricular repair of unbalanced AVSD is associated with reduced long-term survival. The study included 581 patients and showed a significant difference in five-year survival rates between those with and without atrial fenestration.
The AATS Foundation fellowships have been shown to support career success in academic surgery, with recipients publishing peer-reviewed papers and securing NIH grants. A total of 42 individuals received the scholarship, resulting in impressive scholastic contributions and ascending to leadership positions.
A new study has successfully performed heart transplants using donation after cardiac death with normothermic regional perfusion, increasing cardiac allograft availability by 20-30%. The procedure allows for immediate reperfusion and assessment of the heart prior to transplantation, improving outcomes for patients.
A new, low-profile thoracic aortic endograft device has demonstrated safety and effectiveness in treating descending thoracic aorta aneurysms and PAU diseases. The RELAYPro endovascular device achieved 89.2% one-year treatment success rate with a reduced risk of complications.
A new study found that patients with severe mitral regurgitation who undergo transcatheter edge-to-edge mitral repair (TEER) may need surgical intervention if treatment fails. Up to 95% of these patients cannot have their valves repaired and require mitral valve replacement.
This study examines how the COVID-19 pandemic affected general surgical residents' operative experiences, finding that year of training and case complexity influenced their experiences. The research provides insights into factors contributing to the challenges faced by residents during this period.
The ACS Quality Verification Program utilizes data surveillance, standardized processes, and systems to identify quality improvement issues and improve surgical patient care. The program's 12 standards provide a framework for hospitals to implement robust surgical quality improvement initiatives.
A new set of guidelines developed by AATS and ESTS recommends a 30-day course of Venous Thromboembolism (VTE) prophylaxis post-discharge for patients undergoing surgical resection for lung or esophagus cancer. The guideline panel endorsed by American Society of Hematology and International Society on Thrombosis and Haemostasis found th...
A new study presented at the AATS 101st Annual Meeting found that severely ill COVID-19 patients treated with ECMO did not suffer worse long-term physical, psychological, and cognitive deficits than other mechanically-ventilated patients. The multidisciplinary team followed patients for up to five years after hospital discharge.
Researchers found that well-fitting three-layered cloth masks reduce exposure by up to 75% and can be as effective as surgical masks in preventing COVID-19 transmission. The study's findings suggest cloth masks can significantly reduce the risk of contraction, making them a valuable tool in community efforts
The 101st AATS Annual Meeting focuses on Diversity without Exclusion in a Culture of Safety, with keynote speakers including Condoleezza Rice and William G. Kaelin, Jr. AATS members will discuss advances in cardiothoracic surgery and related specialties.
A new study investigated associations between EHR usability and nurse job outcomes (burnout, job dissatisfaction) and surgical patient outcomes (inpatient mortality, readmission). The results found that EHR usability is critical to reducing nurse burnout and improving patient outcomes.
Increased tourniquet use in Los Angeles County has improved patient survival and reduced the need for blood transfusions. The study found that patients with prehospital tourniquets had lower mortality rates, fewer delayed amputations, and lessened blood transfusion requirements.
A minimally invasive retinal reattachment procedure using pneumatic retinopexy leads to better long-term integrity of photoreceptors compared to more invasive procedures. This technique achieves superior visual outcomes by allowing the retina to reattach naturally and minimize damage to critical cells.
A new study identifies risk factors for readmission to a different hospital for cancer patients who received surgical removals, associated with a 50% increased odds of dying. Risk factors include living far away from the original hospital and being older or white, highlighting the need for better care coordination.
A nationally representative survey found that over 40% of US adults aged 50-80 trust online reviews almost as much as family or friend recommendations when selecting a physician. Factors such as insurance acceptance and race/ethnicity were more influential, with online reviews ranking ninth in importance.
A large US study found that critically ill COVID-19 patients treated with extracorporeal membrane oxygenation (ECMO) have a significantly lower risk of death compared to initial studies. The study analyzed outcomes of over 11,000 patients and found that ECMO treatment resulted in an overall in-hospital mortality rate of 45.9%.
This study compared clinical outcomes of surgical patients with COVID-19 to those without, using data from a national database. The results showed differences in postoperative in-hospital morbidity and mortality between the two groups.
The Cohen Center will provide comprehensive, coordinated treatment for patients with Lyme and tick-borne diseases, offering affordable care with experienced physicians. The center will also integrate research and physician training into its clinical model, aiming to address the growing need for evidence-based treatments.
A new study from the University of Arizona Department of Surgery found that pancreatic cancer patients who undergo chemotherapy followed by resection live an average of 19.75 months, compared to 10.12 months for those who received only chemotherapy. The researchers suggest that surgery can improve survival even in difficult cases.
The study found that telehealth use surged across surgical specialties in response to the pandemic, highlighting its potential as a tool for sustaining surgical care. The analysis of insurance claims data revealed significant increases in virtual consultations and procedures.
A survey study found frequent sexist and racial/ethnic microaggressions against underrepresented groups in the medical field, associated with burnout. The study aimed to address a growing concern in the medical community.
A new study published in the Journal of the American College of Surgeons found that patients undergoing elective esophagectomy, gastrectomy, or pancreatectomy for malignancies at top-ranked hospitals had significantly lower in-hospital death rates compared to those at unranked hospitals. The average annual case volume for these high-ri...
A randomized clinical trial found that wearing clear masks reveals surgeons' faces, improving patients' perceptions of communication, trust, and empathy. This study suggests a potential benefit to using clear masks in surgical clinics.
A recent study published by the Norwegian University of Science and Technology found that elderly patients are at greater risk of dying from hip surgery if surgeons are in a hurry. During busy periods, patients have to wait an average of 20% longer before being operated on, which can lead to serious consequences.
Researchers at University of Calgary and University of Bern discovered that macrophages, a type of white blood cell, rush to surgical sites and cause excess scarring. Two methods to inhibit this natural response were found: removing macrophages or introducing a drug to block their stickiness.