Articles tagged with Surgery
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Frailty increases odds of serious complications after outpatient operations like hernia and breast surgery. Patients with 2-3 frailty traits have more than twice the risk of serious complications compared to those with fewer traits.
Developed by the University of Sydney and Northeastern University, MeTro combines elastic protein technologies with light-sensitive molecules to seal wounds quickly and effectively. The glue sets in 60 seconds and has a built-in degrading enzyme to determine its longevity.
A study published in JAMA Surgery found that patients undergoing major abdominal surgery with lower health literacy levels experience longer hospital stays. Patients with low health literacy spent an additional median of one day in the hospital compared to those with high health literacy.
A new study found that delays in melanoma surgery are common among Medicaid and privately insured patients, highlighting the need for better access to specialty care. The likelihood of surgical delay decreased when dermatologists performed operations or made diagnoses.
A new study found that surgical cancer centers in England are investing heavily in unproven technologies to stay competitive, despite a lack of evidence on their effectiveness. This trend has led to the closure of several centers, with patients often traveling to alternative facilities offering robotic surgery.
A new web-based program called RoboLog has been developed to improve the reporting of robotic surgeries performed by surgeons in training. The system provides detailed information about a resident's involvement in robotic surgeries, allowing for more accurate assessment of their competency and earlier identification of deficits.
A study published in JAMA found that a postoperative 48-hour course of antibiotics significantly decreased the rate of surgical site infections within 30 days after delivery among obese women. The researchers used oral cephalexin and metronidazole, and found a 10.9% overall SSI rate compared to 15.4% in the placebo group.
A new study found that mandating sterile operating conditions at or close to the wound and tracking in-hospital outcomes on surgical site infections are key to minimizing surgery-related infections. The study also found that policies regulating OR personnel attire had no measurable impact on infection rates.
A study of over 600 colorectal surgeries found racial and socioeconomic disparities in pain management, with white patients more likely to receive optimal care. The findings highlight the importance of process measures in preventing these disparities, particularly for historically disadvantaged populations.
A new device using magnetic compression has been shown to be safe and easy for surgeons to use, offering a faster alternative to traditional suturing or stapling methods. The device was tested in a proof-of-concept clinical trial involving patients with complicated surgical reconstructions.
A national survey by Hartford Consensus reveals a disconnect between public perceptions and healthcare professionals' views on hospital safety during active shooter events. Healthcare professionals believe they have a duty to protect patients, but many also perceive hospitals as risky settings.
A study published in JAMA Surgery found that women with a history of C-section delivery had a higher risk of reoperation and surgical complications after undergoing a hysterectomy. Women with two or more C-section deliveries were also more likely to receive blood transfusions.
A new study by the American College of Surgeons found that mental health visits increase in the three months prior to a burn injury, suggesting an opportunity for intervention. The study also revealed that burn-injury patients experience significantly increased rates of self-harm after their injuries.
A large new study shows that only one in three patients who have bariatric surgery succeed in getting their body-mass index below 30 in the first year. Patients with lower BMIs before surgery had higher odds of achieving this goal and better health outcomes, including stopping medication for high blood pressure and cholesterol.
A new software technology helps surgeons precisely locate liver tumors during surgery by correcting for the organ's deformation. This innovation has shown to improve registration in over 70% of cases, aiding in more accurate and safer surgical procedures.
The University of Birmingham has been awarded £7 million by the National Institute for Health Research (NIHR) to establish a global surgical research unit. The unit will focus on developing sustainable international research hubs across low and middle-income countries.
A recent study published in the British Journal of Surgery found that topical antibiotics are moderately effective but not justified due to limited information on adverse effects. The research highlights the need to fight antibiotic resistance and encourages a more cautious approach to their use.
A University of Alberta study found that patients receiving 24/7 intensivist physician care had a lower risk of major complications and readmission compared to those cared for by resident physicians. Patients also experienced less time on mechanical ventilation and fewer surgical postponements.
A new study found that black patients on traditional Medicare are 33% more likely to be readmitted after surgery, while those enrolled in Medicare Advantage plans are 64% more likely. The authors suggest lower quality care, follow-up support, and social factors may contribute to the disparities.
A combined molecular biology test can accurately identify benign pancreatic lesions, potentially sparing patients from unnecessary cancer screenings and operations. The test uses two proteins to rule out precancer and cancer, with a sensitivity of 95.5% and specificity of 100% for distinguishing between serous cystic neoplasms (SCN) an...
A study examining TAVR procedures for off-label indications found similar 1-year mortality rates compared to on-label use. The procedure was used in 9.5% of cases, with adjusted 30-day mortality higher in the off-label group.
A team of engineers at Vanderbilt University has designed a novel solution to improve the accuracy of navigation systems used in delicate nose and throat surgeries. By using a thin layer of coffee grounds inside a stretchy silicone headpiece, they aim to reduce targeting errors caused by skin movement and accidental bumps.
A new minimally invasive system using radiofrequency energy has been shown to reliably create access for hemodialysis patients with minimal complications. The study found that 98% of arteriovenous fistulas were successfully created, and 87% were physiologically suitable for dialysis within three months.
Researchers analyzed tissue contraction to determine surgical margins for feline tumors, finding that current guidelines are often inadequate. The study suggests that more precise preoperative planning can lead to better outcomes and reduced morbidity for affected cats.
Researchers found a 30% drop in postoperative complications among Michigan Medicaid patients following Medicaid expansion, with lower predicted risks of major complications and mortality. Increased access to primary care may have contributed to these improvements.
A study published in the Journal of the American College of Surgeons found that trauma centers verified by the American College of Surgeons Committee on Trauma have lower complication rates for pediatric and elderly patients. The study analyzed data from the National Trauma Data Bank and found that patients treated at non-verified trau...
The World Federation of Societies of Anaesthesiologists has launched a global anaesthesia workforce map, highlighting huge shortages and disparities in high vs low-income countries. The map shows that only 1 in 100,000 people in some Sub-Saharan African countries have access to trained anaesthesia providers.
A phone-based transitional care program for surgical patients demonstrated high patient engagement and reduced hospital readmissions. The study found that 46% of patients had postoperative medication discrepancies, highlighting the need for improved discharge practices.
A study published by PCR found that TAVI significantly lowers the incidence of early stroke at 30 days and two years compared to surgical aortic valve replacement. The procedure also showed similar one-year mortality rates for both groups with stroke or encephalopathy at 30 days.
Researchers have developed a photoacoustic imaging technology that can produce detailed images of cells, allowing for more accurate assessment of tumor margins during surgery. The goal is to speed up the process and enable real-time feedback to surgeons, reducing the need for second surgeries.
A major survey research shows that warm weather is strongly associated with an increased risk of serious surgical site infections. Temperatures above 90°F were linked to a 28.9% higher odds of hospitalization with an SSI, compared to temperatures below 40°F.
The Osaka University research group has created a safe and easy-to-use self-donning surgical gown called 'Selfgown.' This innovative gown minimizes environmental infections from splashes when removing gloves, reducing the risk of transmission to others.
Researchers developed a new test combining International Normalized Ratio and thrombelastography to predict massive transfusion needs in trauma patients. The test was found to be highly sensitive and specific, reducing unnecessary transfusions by 97%.
The American Geriatrics Society has awarded Sei Lee, MD, MAS, for his groundbreaking contributions to preventive care for older adults, while Anne M. Suskind, MD, MS, received recognition for her study on the risks of minor urologic surgery in nursing home residents. Both awardees will receive support through 2033.
A study published by the American College of Surgeons found that 93.79% of trained surgeons believe teaching bleeding control techniques to the public is an appropriate priority. The study's findings suggest that training surgeons can effectively disseminate bleeding control knowledge and teach skills to the general public.
A new study analyzed 21,380 nephrectomies and found the 30-day mortality rate to be only 0.5%. Established risk factors were confirmed, with old age, co-morbidities, significant blood loss, and advanced stage of disease identified as major contributors.
Patients operated on by high-volume mitral valve surgeons experience lower one-year mortality and reoperation rates compared to those performed by lower-volume surgeons. High-volume surgeons are more likely to perform durable repairs, with repair rates ranging from 77% for 51+ cases to 48% for fewer than 10 cases.
A new study published in the Journal of the American College of Surgeons found that pancreatic cancer patients who travel to academic medical centers for surgery have longer overall survival rates and better quality care. For thyroid cancer patients, traveling also results in more adherence to evidence-based treatment guidelines.
A decade-long surgical outreach program has improved screening and diagnosis, reducing RHD-related deaths by 10% in Rwanda. The program also established a sustainable cardiothoracic care center, training local personnel to improve cardiovascular disease management.
Researchers analyzed data on 2,025 women diagnosed with stage I to IV melanoma and found no significant differences in prognosis between pregnant and non-pregnant patients. The study upends long-held beliefs about pregnancy and melanoma, showing that screening and treatment should be similar for both groups.
A new study by Rice University and MD Anderson Cancer Center found that high-volume surgeons who perform more complex cancer operations have lower patient costs due to reduced complications and better outcomes. However, this association disappears when accounting for processes of care and complications associated with surgical procedures.
The American Association for Thoracic Surgery has released guidelines for identifying and treating anomalous aortic origin of a coronary artery (AAOCA) in young athletes. AAOCA can increase the risk of sudden cardiac death due to ischemia and arrhythmias, especially during intense exercise.
The updated AATS guidelines offer guidance on managing ischemic mitral regurgitation (IMR), a condition associated with increased long-term mortality. For patients with severe IMR, replacement or repair of the mitral valve is considered based on specific criteria.
The American College of Surgeons has published comprehensive hospital-level surgical care standards for older adults, reflecting a shift toward interdisciplinary care. The new standards aim to improve the quality of geriatric surgery by addressing physiological changes related to aging and chronic diseases.
A study found that the 2006 Massachusetts health reform led to a significant increase in surgical intervention for thyroid cancer, particularly among nonwhite patients. The researchers discovered a 26% rise in thyroidectomy rates and a 22% increase in neck dissections among these patients compared to those with private insurance.
A new fluorescent probe developed by Michigan Technological University researchers has the potential to improve cancer surgery outcomes. The probe uses a near-infrared fluorescence that can penetrate deep tissues, reducing background noise and increasing precision for surgeons.
Researchers from UnityPoint Health developed an effective eight-minute educational module to teach staff in a large workplace about basic knowledge and skills to locate and use bleeding control equipment. The module showed positive results with 55% of respondents having direct patient care responsibilities, but limitations were noted r...
The SURTAVI trial shows that TAVR is comparable to surgical aortic valve replacement for intermediate-risk patients, with similar all-cause mortality rates and better mean aortic valve gradient at two years. Near-term results also indicate improved outcomes for TAVR patients, including lower stroke rates and quicker hospital discharge.
The SURTAVI trial shows that self-expanding TAVR is non-inferior to open-heart surgery for intermediate-risk patients with severe aortic stenosis, with comparable rates of stroke and death. The study found no significant differences in mortality or disabling stroke between the two groups at 2 years.
A study published in JAMA Surgery found that racial disparities in firearm injuries are more strongly associated with race than neighborhood income levels. The researchers argue that establishing a national database on gun violence incidents is crucial to understanding and addressing this public health problem.
A recent analysis found that only 31.8% of newborns were assessed for prolonged, continuous pain in European neonatal intensive care units. Intensive care units with specific support systems performed assessments more frequently, highlighting the need for better pain monitoring in newborns.
Researchers at Wake Forest University developed a tool to calculate the likelihood of survival and independence after hospital discharge in elderly patients with traumatic brain injury. The tool accounts for variables such as age and severity of brain injury, providing a statistical estimation of the patient's prognosis.
A study by the American College of Surgeons found that nonoperative management of abdominal gunshot wounds is safe and effective for selected patients, reducing complications and mortality rates. Trauma professionals now consider this approach as a viable alternative to operation.
A new study reports improved kidney transplant success rates in children and infants over the past 53 years. The study found that young children now experience better long-term transplant success than adults, with almost 100 percent patient survival rate.
Older adults who underwent surgery for a herniated lumbar disk experienced similar improvements in disability, health-related quality of life, and leg pain compared to younger patients. However, they had more perioperative complications and longer hospital stays.
A new biocompatible 3D tracking system has shown promising results in improving the accuracy of robot-assisted surgery. The system, which uses near-infrared fluorescent markers, enables accurate tracking of tissue and surgical tools with millimeter accuracy.
Researchers find that mosquito mesh is a cost-effective alternative to commercial mesh for groin hernia repair. The study's lead author advocates for further research on implementation, safety, and training to bring high-quality surgery to millions of people in need.
Researchers analyzed data from over 580 patients with stage II melanoma and found that 40% of recurrences were spotted by patients due to suspicious skin changes or other symptoms. Patients are encouraged to regularly examine their skin and report any new or unusual symptoms to their physicians.
A case series analysis of 22 patients with frontal sinus fractures found that 20 treated without surgery showed improvement, with no complications. The minimally disruptive treatment protocol promises to revolutionize the treatment of frontal sinus fractures by prioritizing sinus preservation.
A study published in the Journal of the American College of Surgeons found that the New York State Medicaid expansion improved access to cancer surgery for the uninsured, but failed to reduce racial disparities. The proportion of minority patients undergoing cancer surgery remained unchanged relative to whites.