Articles tagged with Surgery
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A pilot program at Hackensack Meridian Health improved staff confidence in managing airway emergencies through simulation-based training, revised data collection tools, and standardized crash carts. The program resulted in significant gains in readiness, with 41.67% of staff feeling "very confident" in managing respiratory distress.
A six-year California records analysis found that vaginal mesh use is not associated with an increased risk of repeat surgery for recurrent prolapse. Careful patient selection is key to achieving good outcomes. The study suggests using strategies to balance surgical complication risks versus the risk of surgery for recurrent prolapse.
A small study of 20 surgeons found that most err on the side of operating despite perceived futility of treatment due to internal pride and pressure from patients' families. The researchers highlight the need for objective tools to assess risk and inform confident decision-making.
A new study found that surgeons have a substantial impact on genetic testing rates among breast cancer patients who need it. High-volume surgeons were more likely to refer patients for testing, while those with lower volumes saw less of a correlation between risk factors and testing rates.
A seven-year study published in The Lancet found that robotic surgery and open surgery are equally effective in treating bladder cancer, with no differences in complication rates. The study also showed lower blood loss and hospital stays for patients who received minimally invasive surgery.
A new study published in The Journal of Parenteral and Enteral Nutrition found that a nutrition care program significantly reduced readmission rates for malnourished surgical patients. The program resulted in a nearly 50% reduction in hospital readmissions and a 2.7-day shorter average length of stay.
Researchers at Kazan Federal University will develop autonomous controls for stitching in dynamic circumstances and with different types of tissues. The project aims to improve robotic surgical assistance, particularly in rural regions where skilled surgeons are scarce.
A study published in The American Surgeon found that ambulatory surgical centers who publicly listed their prices saw increased patient volume and revenue. Five of the six centers reported a 30-50% increase in revenue and patient satisfaction after implementing price transparency.
This special issue of CVIA journal presents major review articles and research findings on Adult Congenital Heart Disease, including pulmonary hypertension management, Ebstein anomaly surgery, and heart transplantation. Key topics include pregnancy in congenital heart disease and depression in adults with congenital heart disease.
Ebstein anomaly presents a wide spectrum of presentation, with outcomes varying by age at diagnosis. Surgical management is crucial, with poorer outcomes in neonates and excellent outcomes in adults.
The Fontan operation creates nonpulsatile pulmonary flow, leading to unique physiological consequences impacting the cardiovascular system and beyond. Innovative management strategies are needed to maintain quality of life and extend life expectancy in long-term survivors.
With improved surgical and medical management, more children with CHD survive to adulthood, leading to an increasing number of adult heart transplants. Approximately 300,000 adults with CHD have severe cases, making early recognition and referral crucial for successful transplantation.
A study found that most surgical residents have high risk debt-to-asset and debt-to-income ratios, and many feel the need for personal financial education. The researchers suggest providing financial training through accessible platforms like podcasts or web-based tools to help residents manage their debt.
A new study by Cedars-Sinai investigators found that online physician satisfaction scores tend to be skewed and can mislead patients. The study examined data from Healthgrades and found that ratings consistently skewed positively and had different distributions across specialties.
The surgical safety checklist has improved team communication and patient outcomes globally over the past decade. Effective implementation is essential to harness its full potential, particularly in resource-poor settings.
A team of researchers has developed a device called SpiderMass that enables surgeons to analyze tissue samples in real-time, potentially speeding up cancer surgery. The device uses mass spectrometry and a new ionization strategy to detect protein biomarkers, which could help identify stray cancer cells faster.
A new reference manual is in development to provide standards for military-civilian training platforms, ensuring combat readiness and retaining critical skills. The partnership aims to address challenges facing military surgery and civilian trauma care, including standard pre-deployment training and skills retention.
A study found that closing the left atrial appendage during coronary artery bypass or heart valve surgery reduces stroke and mortality risks, especially for patients with pre-existing atrial fibrillation. However, this procedure may increase risk in patients without prior atrial fibrillation.
The World Federation of Societies of Anaesthesiologists and WHO have updated international anesthesia standards to improve surgical care worldwide. The guidelines aim to provide concrete standards for facilities, equipment, medications, and professional aspects of anesthesia care.
A new study published in the Journal of the American College of Surgeons found a 61.7 percent reduction in colorectal surgical site infections in Hawaii's 15-hospital collaborative using AHRQ's Safety Program for Surgery. The program also improved hospital safety culture, with 10 out of 12 categories showing significant improvements.
A new 'scoring' system developed by Johns Hopkins Medicine enhances the prediction of survival in people with colorectal cancers that have spread to the liver. The system includes traditional Fong indicators plus genetic and morphological evaluation (GAME) factors, which outperform the existing Fong system in predicting patient outcomes.
A study reports that approximately half of young children with progressive familial intrahepatic cholestasis (PFIC) have received a liver transplant by age 10. Surgical biliary diversion was found to increase survival rates in children with mild or moderate PFIC2 mutations.
The journal published a special issue on valvular heart disease, featuring case reports and major reviews that will contribute to the field. Key findings include challenges in managing patients with severe aortic stenosis and ischemic mitral regurgitation.
Researchers developed a surgical camera inspired by the morpho butterfly's eye to help surgeons detect cancerous tissue. The camera uses infrared signals to locate tumors and can be integrated with surgical goggles, making it more accessible and cost-effective than existing technologies.
Researchers developed a camera that provides surgeons with both traditional color images and near-infrared images to detect fluorescently labeled cancer cells. The new camera greatly improves upon existing cameras, offering high sensitivity even under bright surgical lighting.
A study published in the Journal of the American College of Surgeons found that tourniquet use improves survival rates for civilian trauma victims with vascular injuries of the arms or legs. The study involved 1,026 patients and showed that those who received a tourniquet had significantly lower mortality rates than those who did not.
Researchers analyzed 5,298 patients with surgically removed ampullary tumors and found no survival benefit from adjuvant therapy. Patients receiving additional chemotherapy or radiation therapy did not show improved stage-specific survival rates compared to those who underwent surgery alone.
A new quality improvement initiative, NAPRC, aims to improve US rectal cancer care by adopting a multidisciplinary team approach. The program's proposed quality measures and process indicators were analyzed, revealing varying completion rates among hospitals.
A nationwide survey found that oral and maxillofacial surgeons prescribed more opioids after hydrocodone-containing products were rescheduled in 2014. The study also showed a significant reduction in phone calls requesting refill authorizations after switching to more potent pain medications.
The study found significant cultural challenges and infrastructure shortcomings that led to concerns about leaving residency, with 39% of respondents considering quitting. The survey also revealed a lingering negative stigma surrounding pregnancy, with 75% witnessing or experiencing negative comments from colleagues.
The study found a significant decrease in mortality risk in patients with severe burns, with age, burn size, and inhalation injury being key predictors of mortality. Continuous improvement in care protocols has led to a 2% per year reduction in mortality rates across all age groups.
A team of experts from around the world collaborated to develop a program to treat bladder exstrophy in children, resulting in improved patient outcomes and long-term sustainability. The program, which includes rigorous patient follow-up and training of local surgeons, has transformed care for children born with this complex disorder.
Research highlights the importance of preserving healthy kidney tissue and minimizing ischemia time in partial nephrectomy to prevent chronic kidney disease. Minimally invasive surgery is also shown to offer therapeutic scope without compromising oncological outcomes.
Researchers studied 308 older patients who underwent abdominal surgery, finding that both vulnerable and frail patients were at higher risk of readmission or death within 30 days and 6 months. The degree of frailty predicted increasing risk of readmission or death, with frail patients at greatest risk.
Patients in low income nations are more likely to develop surgical infections and are infected with bacteria resistant to medicines. The study found a significant link between antibiotic use and infection, highlighting an urgent need to tackle surgical infection globally.
A study of over 12,500 patients across 66 countries found that surgical site infections are a significant global health issue, with 22% of cases resistant to pre-surgery antibiotics. The incidence of infections varied greatly depending on the country's income level, with low-income countries being most at risk.
A study found that few dermatologists prescribe opioids, but those who do concentrate in Southern states and surgical practices. Higher rates of opioid prescribing were also observed among dermatologists in these areas.
The study found that ACA's Medicaid expansion led to significant increases in insurance coverage and a greater likelihood of patients receiving timely and optimal care for five common surgical conditions. This improvement was particularly notable for patients with serious surgical conditions such as appendicitis or aortic aneurysm.
A new study found that Medicaid expansion in the US led to improved access to surgery and higher quality surgical care, with significant improvements seen within less than two years. The study analyzed data from nearly 300,000 patients and compared 27 states with expanded Medicaid coverage to 15 without expansion.
A new smartphone app enables patients to remotely send images of their surgical wounds for earlier detection of surgical site infections and prevention of hospital readmissions. The study found seven wound complications detected, one false negative, and a high patient satisfaction rate.
A study of 6.7 million patients found postoperative mortality increased gradually as the day of surgery approached the weekend. The odds of death were 12% higher for Thursday operations and 24% higher for Friday operations compared to Monday operations.
A study found that genetic variations account for 7-12% of chronic postsurgical pain cases, while clinical risk factors like age and sex contribute to 3-6%. Patients under 65 years old, males, and those with a prior history of chronic pain were at increased risk.
The first analysis of surgical suite carbon footprints reveals that anaesthetic gas choice is a major contributor to greenhouse gas emissions. Reducing emissions can also reduce costs, without compromising patient care.
A new guideline based on patient data and education has been shown to effectively reduce opioid prescribing in surgery patients by up to 66%, while maintaining similar levels of pain control. The study's findings have the potential to significantly impact the national opioid crisis, with estimates suggesting over 13,000 excess pills ha...
A recent study reveals that 40% of hospitals do not routinely utilize CT shielding to protect patients from stray radiation during diagnostic imaging. Despite being aware of its benefits, only 84% of hospitals report using shielding, highlighting the need for increased awareness and implementation.
Suture ligation is a common but ineffective treatment for polydactyly, often requiring corrective surgery due to complications such as painful neuromas and infection. Surgical excision is considered a more effective option with fewer risks and less scarring.
A Stanford study found that mechanical heart valves are beneficial until age 70 for mitral valve replacement and until age 55 for aortic valve replacement. Researchers examined patient records from 142 hospitals in California between 1996 and 2013, resulting in the largest number of patients ever studied to examine this issue.
A study found circulating tumor cells (CTCs) associated with relapse in stage IV melanoma patients, suggesting a potential predictor for high-risk disease progression via liquid biopsy. CTCs were detected in approximately 40% of advanced stage melanoma patients and linked to faster relapse rates.
A new study has found that a pioneering heart valve repair device is safe and effective, reducing the need for open-heart procedures and resulting in improved quality and frequency of repairs. The Harpoon Mitral Valve Repair System repaired the heart while it continued to beat, with no deaths or major complications.
The 121st annual meeting of the American Academy of Ophthalmology features keynotes from CMS Administrator Seema Verma and a world-renowned expert on inherited eye disease. The meeting also explores innovations in big data, stem cell therapy, and gene therapies to improve patient care.
A large study of FEA lesions found that only a small percentage (2.4%) upgraded to breast cancer at surgery, while 30% were upgraded to higher-risk but non-cancerous lesions. Surveillance over surgery is recommended for women with FEA who do not have genetic mutations or are not interested in chemoprevention.
A survey of UK doctors reveals that workload pressures are a primary motivator for early retirement, particularly among GPs. Reducing bureaucratic burdens and shortening working hours could help retain senior doctors' expertise, which poses significant challenges for the medical workforce.
The study found that nonoperative management is associated with a significantly higher risk of dying during hospitalization for appendicitis. Patients receiving nonoperative management were, on average, eight years older and had more coexisting illnesses than those who underwent early operations.
A pilot study found that partnerships between rural hospitals and academic surgery departments can substantially increase patient satisfaction due to increased accessibility of quality surgical care. The partnerships also lead to cost savings for both the hospitals and the state, with projected savings of approximately $7 million.
A study of women with a 20% or greater lifetime risk of breast cancer found that only 23% underwent MRI screenings, even when the service was available at no cost. Researchers aim to understand why these women are declining screening, which could inform targeted interventions.
A recent study found that cloth skullcaps are more effective than disposable bouffant hats in reducing airborne contamination in operating rooms. The researchers tested three types of headgear and observed lower particle counts and microbial shedding with cloth caps, suggesting they may be a better option for minimizing infection risk.
Improving readability of discharge instructions can lead to better health literacy and reduced need for hospital follow-up calls. A study by the American College of Surgeons found that editing templates made sentences shorter and easier to read, resulting in a 2.4 times lower number of phone calls per 100 patients.
A study by Oakland trauma surgeons found that acoustic gunshot sensor technology can lead to quicker hospital arrival times and equal survival rates despite more severe injuries. The technology detects gunshots and provides responders with accurate information, helping paramedics treat and transport patients faster.
A standardized eight-step ambulatory surgery care protocol reduced patients' postoperative pain and unplanned returns to the emergency room after surgery. The protocol emphasized patient preoperative education and preferential use of monitored anesthesia care, significantly reducing rates of unplanned visits.
A new tool developed at the University of Michigan provides guidance on prescribing powerful opioid pain medications to surgery patients. The Opioid Prescribing Recommendations for Surgery are based on data and surveys from surgery patients across Michigan, aiming to prevent chronic opioid use and addiction.