Articles tagged with Surgery
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.
A systematic review found that both endovascular (EVAR) and open surgical (OSR) repairs for abdominal aortic aneurysm (AAA) can lead to renal function impairment. The study included six studies with over 2,100 patients, revealing similar risks of renal decline in EVAR and OSR groups.
A new study from the University of Tennessee Health Science Center found that advances in imaging technology have led to a six-fold increase in the diagnosis of blunt cerebrovascular injuries in trauma patients. This has resulted in a significant decline in stroke and related death rates over the past 30 years.
Surgical site infections affect up to 300,000 patients annually, with an estimated annual cost of $3.5 billion to $10 billion. The new guidelines recommend measures such as quitting smoking, controlling blood sugar, and using antibiotic sutures to reduce the risk of SSIs.
A study found that AYA patients with small intestine GISTs had improved survival rates compared to older adult patients with stomach GISTs. Surgical management was also associated with improved survival in AYA patients, even those with metastatic cancer.
A University of Alberta researcher has developed a method to treat surgical masks, making them effective against airborne viruses. By using a salt-based treatment, the mask's fibre filter can trap and kill viruses, reducing the risk of transmission.
A Mayo Clinic study found significant discrepancies in reporting postoperative infection complications between hospital-based administrative data and clinical registry data. The analysis of four common complications revealed that the two approaches yielded vastly different assessments, with rates varying up to fivefold.
Using cardiac imaging during heart surgery can detect serious residual holes in the heart that may occur when surgeons repair a child's heart defect. Pediatric experts say this tool, called transesophageal echocardiography (TEE), improves outcomes for children with congenital heart disease.
A recent study published in BMJ Global Health reveals that children from low-income countries are at a significantly higher risk of dying after emergency abdominal surgery. The likelihood of dying is up to 7 times greater than for children from rich nations.
The new guidelines aim to reduce SSI risk through patient education, lifestyle changes, and improved hospital management. Target blood glucose levels are set at 110-150 mg/dL for all patients before surgery, while smoking cessation and weight loss are encouraged.
Researchers at the University of Adelaide have developed an optical fiber probe that can distinguish breast cancer tissue from normal tissue. This technology has the potential to reduce unnecessary follow-up surgery for 15-20% of patients.
The use of frailty screening initiatives before surgery has been shown to reduce the risk of death among elderly patients. The study found that mortality rates decreased by 70% and 19% at 30 and 180 days, respectively, after implementation of the initiative.
Residents selectively extend work shifts to facilitate care transitions, stabilize critically ill patients, and perform routine responsibilities. However, senior residents reported more frequent duty hour violations, with junior residents having the highest rate of frequent violations.
A national survey of US general surgery residents found that 86% preferred flexible duty hour policies over standard schedules, with a stronger preference among senior residents. The study also showed that flexible hours improved patient safety and continuity of care, and reduced resident dissatisfaction.
A new study has found that ventilator-associated pneumonia rates have been stable and substantial since 2005, with approximately 10% of critically ill patients developing the condition. The study's findings contradict previous data from the Centers for Disease Control and Prevention, highlighting a need for further research into preven...
Trauma patients who receive intensive physical, occupational, and cognitive therapy at acute care inpatient rehabilitation facilities are more likely to go home and survive a year after discharge. The study found that these patients experienced significant improvements in functional outcome and had a lower risk of death after a year.
A study published in Infection Control & Hospital Epidemiology found that robotic surgical instruments are difficult to clean completely, with a protein residue remaining despite multiple cleanings. The researchers suggest establishing new standards for cleaning these instruments using repeated measurements of residual protein.