Articles tagged with Surgery
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The Occupant Transportation Decision Algorithm (OTDA) helps emergency responders and hospitals evaluate a crash victim's need for trauma care by analyzing data from electronic data recorders on board vehicles. The algorithm can aid in triage, reducing overtriage and undertriage rates.
A long-term follow-up study found significant improvement in health-related quality of life after bariatric surgery for patients with BPD-DS. The study evaluated 27 patients who underwent the procedure and compared their outcomes to pre-surgery scores and those from the general population.
A study found that a quality improvement initiative by the Centers for Medicare and Medicaid Services increased the removal of liver transplant candidates from the waiting list. The analysis of nationwide transplant data showed that over 4,300 Americans were delisted between 2007 and 2012 due to deteriorating illness.
A systematic overview of randomized controlled surgical studies found awareness for conflicts of interest has grown, but more work is needed to improve transparency. Many studies still fail to disclose potential conflicts of interest, raising concerns about the reliability of evidence-based medicine.
A new study found significant variability in surgical antibiotic prophylaxis use and appropriateness among children's hospitals, with a median rate of 64.6% for appropriate use across all procedures. The likelihood of Clostridium difficile infection and epinephrine administration was higher in patients receiving antibiotics
University of Wisconsin-Madison engineers developed a biologically inspired artificial eye that can see in the dark using a lobster-inspired fish-eye design. The system improves image-taking through lenses rather than sensor components, resulting in fourfold sensitivity improvement.
A survey of program directors found that flexible work hour schedules improve the continuity of patient care without compromising patient safety. Directors also believed that flexible duty hours would positively affect patient safety, continuity of care, quality of resident education, and resident well-being.
A recent study found that patients with severe, symptomatic aortic stenosis who underwent transcatheter aortic valve replacement (TAVR) with the SAPIEN XT device had similar two-year clinical outcomes to those who underwent surgical aortic valve replacement. Additionally, TAVR was associated with reduced severe bleeding, length of stay...
The Sterile Box, a mobile container, sterilizes surgical instruments to minimize risk of infections in patients. The system's performance was nearly perfect in trials, and it addresses issues with unreliable power and inadequate quality control in developing countries.
The Memorial Sloan Kettering Cancer Center fellowship program successfully trains international surgeons to return home and perform cancer operations, addressing a significant gap in low- and middle-income countries.
The study analyzed 105,002 elderly patients' outcomes from 2000 to 2014, showing improved overall mortality rates and reduced length of hospital stay. However, factors such as age, pre-existing disease, and weekend operations increased in-hospital mortality
Researchers from Brigham and Women's Hospital identified five research priorities to address health care disparities in surgical care. The top priorities include leveraging electronic health records, improving patient-provider communication, and evaluating regionalization of care.
A study published in Annals of Internal Medicine found that quitting smoking abruptly is more likely to lead to lasting abstinence compared to quitting gradually. The researchers found that patients who quit abruptly were 25% more likely to stop smoking in both the short and long term.
Researchers from Kaiser Permanente found that flu vaccination during hospitalization does not increase the risk of emergency department visits or subsequent hospitalizations. Vaccinated patients also did not have an increased risk of fever or laboratory tests checking for infection.
Researchers developed a statistical model to predict in-hospital mortality after TAVR based on over 13,000 patients. The model includes factors like age, glomerular filtration rate, and hemodialysis, providing valuable information for patient counseling and quality improvement.
A groundbreaking study led by Dr. Dagmar Krüger has revealed that the human gut's secretory capacity does not decline with age, contradicting long-held assumptions. The research team examined over 2200 specimens from 450 patients with bowel disease and found no correlation between intestinal secretion and age or gender.
Innovative chemotherapy delivery methods for brain tumors are explored, including intra-arterial delivery, osmotic disruption, and implantable polymers. These strategies aim to enhance therapeutic agent distribution in the CNS, raising interest in the oncology community.
Researchers at Brigham Young University have developed origami-inspired engineering techniques to create ultra-small surgical instruments, allowing for minimally invasive procedures. The technology aims to reduce the size of incisions necessary for surgery, potentially enabling self-healing wounds without sutures.
The study found that trauma surgeons working with geriatricians improved multidisciplinary care for elderly accident victims, leading to reduced short-term mortality rates and ICU readmissions. The program increased referrals for cognitive evaluation and advanced directives, demonstrating the benefits of comprehensive clinical pathways.
Researchers found that charges are inflated by a factor of three to one, disproportionately affecting the underinsured and uninsured. The study suggests targeting office-based events and procedures rather than operating room interventions for improved value within surgical care.
Gynaecologists propose permitting small surgical 'nicks' or minimalist procedures that change the appearance of young women's external genitalia without harming them. This compromise approach aims to uphold cultural traditions while safeguarding girls' and women's health and wellbeing. However, some experts disagree, arguing that such ...
A new Cochrane systematic review provides comprehensive insights into the surgical treatment of vaginal prolapse, comparing tissue repair with artificial mesh. The study found that while mesh reduces awareness of prolapse, its overall benefit is small and comes with increased risks, including reoperation and bladder injury.
A national multicenter randomized trial found that extending surgical trainees' shifts does not compromise patient safety. The study showed flexible duty hour policies reduced handoffs and increased residents' satisfaction with their training. The findings provide high-level evidence to inform resident duty hour policies.
A new landmark national study by Northwestern Medicine found that allowing surgical residents to work longer hours without compromising patient safety improved patient care and resident training. The FIRST trial investigated 4,330 residents and 138,691 patients, with similar rates of complications in both groups.
A study by Yale University researchers found that very few women undergo bilateral salpingectomy with ovarian conservation during hysterectomies for non-cancerous conditions. The procedure may help protect against ovarian cancer and preserve hormonal levels, but its use varies widely among hospitals across the US.
A recent study published in JAMA Surgery found that the use of biological mesh materials for abdominal wall hernia repair does not demonstrate added clinical benefits over synthetic mesh. The authors reviewed 20 studies and concluded that the expense associated with these devices cannot be justified without clear evidence of superiority.
A new study found that nearly two-thirds of women aged 70 and older with stage I breast cancer who are eligible to safely omit subsequent radiation therapy do not receive it. Despite guidelines recommending against radiation therapy for this group, the study suggests a lack of compliance or poor awareness among healthcare providers.
A recent review of 13 studies on weight-loss surgery found that being married might actually work against patients' chances of losing weight and keeping it off. The Ohio State University researchers discovered evidence that the impact of surgery extends to romantic relationships and family, potentially worsening marital dynamics.
A population-based study found that preoperative frailty is strongly associated with an increased risk of death following surgery, particularly in younger patients and after joint replacement. Frail patients are at a higher risk of mortality, especially in the early postoperative period.
Researchers found that a 56-day interval after chemoradiotherapy is the best timeframe for overall survival and tumor downstaging. The study analyzed data from nearly 12,000 patients with advanced stage localized rectal cancer.
A new study reveals that surgical treatment can effectively restore penile length and improve erectile dysfunction in patients with Peyronie's disease. The 'sliding technique' and penile prosthesis implantation showed promising results, with an average lengthening of 3.2 cm.
A new collaborative best practices guideline has been released for optimal care of older adults before, during, and after surgical operations. The guideline provides expert recommendations for surgeons, anesthesiologists, and allied health care professionals to address postoperative complications and prolonged recovery in older patients.
A study published in JAMA Oncology found that surgical castration was associated with lower risks of fractures, peripheral artery disease, and cardiac complications compared to medical castration. However, no significant difference was observed between the two treatments for diabetes and cognitive disorders.
A systematic review study suggests that nonoperative treatment of appendicitis is probably safe for adults but raises concerns about long-term outcomes. The study found that antibiotics-first treatment was successful in 3 out of 4 patients, but questions remain about quality of life, residual symptoms, and financial considerations.
A new study from Nationwide Children's Hospital found that antibiotics alone can be a safe and effective treatment for children with uncomplicated acute appendicitis. The non-operative management was associated with less recovery time, lower health costs, and no difference in complications at one year.
A Journal of the American College of Surgeons study reveals that a hospital's safety culture plays a significant role in delivering high-quality patient care. The study found that 10 out of 12 safety culture factors influenced surgical site infection rates after colon operations.
A study published in Health Affairs found that the most crowded US hospital emergency departments did not adopt effective interventions to improve flow, leading to worse patient care and outcomes. Despite increased adoption of strategies to reduce crowding over four years, many hospitals still failed to implement proven interventions.
A new study published in the American Journal of Transplantation found that faces transplanted change their appearance due to changes in the bone structure of the recipient, and seem to age at an accelerated rate. The research suggests the need for effective countermeasures to prevent muscle and bone atrophy in face transplant recipients.
A combination of detailed CT imaging and 3-D printing technology has been used to plan the surgical separation of conjoined twins. The 3-D models were designed so that they could be assembled together or separated during the surgical planning process, with a high level of concordance between the models and the twins' actual anatomy.
Research shows that higher C-section rates up to 19% can lead to lower maternal and neonatal mortality rates, while rates above 19% show no further improvement. This study suggests re-examining policy benchmarks for C-section rates on a country-wide level.
A new study found that as country-level C-section rates increase up to 19%, maternal and neonatal mortality rates decline, while rates above 19% show no further improvement. The World Health Organization's recommended rate of 10-15% may be too low.
A comprehensive study led by MD Anderson Cancer Center researchers found complete surgical excision of the implant and surrounding capsule to be the most effective treatment approach for BI-ALCL, with significant improvements in event-free survival and overall survival compared to radiation therapy and chemotherapy.
On November 13, 2015, a coordinated attack in Paris overwhelmed medical staff. Doctors from Assistance Publique-Hôpitaux de Paris (APHP) describe the heroic response of their colleagues, praising teamwork and solidarity in treating over 300 wounded patients.
A new study found that damage control resuscitation (DCR) practices originating in military settings have been widely adapted in civilian trauma care. The majority of responding Trauma Medical Directors reported routine use of a 1:1:1 blood product ratio, which increases patient survival rates.
A newly designed vital sign monitoring system reduces unnecessary alarms and increases patient safety in medical units. The system provides continuous monitoring of oxygen saturation, heart rate, blood pressure, and respiration rate, with 92% of nurses agreeing it is suitable.
A team of researchers at Rice University and the University of Pennsylvania created an implant with a network of blood vessels using 3D printing. The study shows that blood flowed normally through test constructs connected to native blood vessels, overcoming a major challenge in regenerative medicine.
A new peptide-based hydrogel has been developed by University of Delaware researchers to facilitate microsurgery. The hydrogel can be tuned with a specific amino acid to change form several times during a procedure, allowing precise control and reducing damage to tiny blood vessels.
Researchers found that patients who underwent surgery for abdominal metastases lived nearly 2.5 times longer than those treated with drug therapy alone, with an average survival of 18 months compared to seven months. Surgical resection may even offer a cure in certain patients, especially when combined with immunotherapy.
A new study found that patients' recollections of their last colonoscopy are variable, with many unable to recall key details such as the date of their procedure or the presence and number of polyps. The study suggests that doctors can contribute to these issues by not repeating crucial information to patients.
A new study shows that surgical removal of abdominal metastases can significantly improve overall survival for patients with stage IV melanoma. In this comprehensive study of over 1,600 patients, surgeons found that surgical resection provided a median survival time of 18 months compared to seven months for nonsurgical patients.
A recent study by the American College of Surgeons found that helmeted bicycle riders are 58% less likely to suffer severe traumatic brain injuries after a crash. The study analyzed data from over 6,200 patients and showed that helmets significantly reduce the risk of head bleeds, facial fractures, and even death.
Researchers have discovered four unique metabolites in urine samples that can accurately distinguish between malignant and benign adrenal tumors. These biomarkers show high sensitivity (94.7%) and specificity (82.6%) for diagnosing cancer, potentially improving treatment decisions for patients with adrenal incidentalomas.
A new simulation training program cuts precious minutes off trauma patients' evaluation times, getting them to medical imaging tests faster. The program involves former trauma patients and families in providing feedback to caregivers.
A study found that telehealth visits, whether by telephone or video, can identify veterans requiring in-person assessment or further care. The majority of veterans preferred telehealth visits due to increased convenience and shorter travel distances.
A new study by Vanderbilt University Medical Center found that 76% of patients accepted online postoperative care as the only form of follow-up, while 68% reported equal effectiveness between online and in-person visits. The researchers believe designing tools for online care is key to determining when in-person care is needed.
Research at Derby Teaching Hospitals NHS Foundation Trust found a 90% medical bed occupancy target reduced hospital death rates by 4.5-4.8% and improved the national 4-hour A&E waiting target performance from 33% to 51.4%.
Researchers at MIT and Boston Children's Hospital have developed a system that can take MRI scans of a patient's heart and convert them into a tangible, physical model. The models provide a more intuitive way for surgeons to assess individual patients' anatomical idiosyncrasies, improving surgical planning.
A new study published in the Lancet found that metabolic or bariatric surgery was more effective than standard medical treatment for the long-term control of type 2 diabetes in obese patients. Surgery resulted in better glycemic control, lower levels of blood glucose, and reduced need for anti-diabetic medication.
Research suggests that playing music in operating theaters can increase tensions due to ineffective communication and may impact patient safety. The study of 20 operations in the UK found repeated requests were 5 times more likely with music present than without.
Researchers from ITMO University created a vascular graft coating that prevents clot formation, ensuring unobstructed blood flow. The coating, which can be applied to any type of implant, uses a porous shell to release medication and prevent the growth of crystals or other unwanted substances.