Articles tagged with Surgery
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A Johns Hopkins study reveals racial disparities in pediatric heart transplant patient outcomes, with white patients more likely to survive a decade after surgery. The analysis of 2,721 transplants found that children who received their hearts from younger donors and were transplanted later had better long-term survival rates.
A new analysis of the PARTNER trial found that TAVR via the femoral artery is more cost-effective than SAVR for eligible high-risk patients, while transapical approach yields unattractive results from a health economic perspective. The study suggests that refinement of the transapical approach could improve outcomes and reduce costs.
A study found that transcatheter aortic valve replacement (TAVR) provides meaningful clinical benefits compared to surgical valve replacement in patients suitable for the transfemoral approach. In contrast, patients ineligible for this approach experienced no benefit and potentially worse outcomes with TAVR.
A recent meta-analysis notes that current evidence is not adequate to determine the best margin for common melanoma presentations. A new study adds to the evidence base with no significant difference in overall survival or recurrence-free survival for patients with a melanoma thicker than 2mm and two centimeter resection margins.
The NCBRSI will bring together scientists, clinicians, and clinical trial specialists to develop groundbreaking surgical ideas, carry out clinical trials, and disseminate knowledge and techniques to hospitals across the UK. The centre aims to improve quality of life for millions of people affected by bowel disorders in the UK.
A study suggests that referral practices need to be tailored by specialty. Primary care physicians are more likely to cite patient access and physician communication as reasons, while specialists prioritize patient experience.
Researchers found that physicians from different specialties experience similar work intensity and stress levels, contrary to common assumptions. This study suggests more equitable payment for primary care physicians and validates measurement tools for assessing stress and workload in medicine.
A new study found that simpler defibrillators with fewer risks of surgical problems and death are equivalent in benefits to complex devices. The study analyzed over 100,000 records and suggests re-evaluation of routine use of dual-chamber defibrillators.
A recent study found that the rate of TAVI success is similar between male and female patients, despite increased iliac complications among females. However, female patients had a higher one-year survival estimate (76%) compared to males (65%). Male gender was also identified as a strong predictor of one-year mortality after TAVI.
A study published in the Journal of the American College of Surgeons found that acute care emergency surgical service (ACCESS) reduced surgical decision time by 15% and overall ED overcrowding by 20%. The implementation of ACCESS also improved length of stay for patients with appendicitis cases.
A surgeon's behavior in the operating room affects patient outcomes, healthcare costs, medical errors, and staff-satisfaction. Civility in the surgical suite can lead to fewer post-operative deaths and complications, improved clinical outcomes, and reduced medical errors.
The study found that trusts with more pure thoracic surgeons saw a significant increase in lung cancer resection rates. In 2009, the overall resection rate rose by 46% due to increased investment in thoracic surgical expertise.
A study published in the Journal of the American College of Surgeons predicts a shortfall in the combined workforce of physicians, advance practice nurses, and physician assistants over the next two decades. The US will face serious shortages if an adequate supply of advanced medical professionals is not met.
A study published in the Journal of the American College of Surgeons found that cardiac valve procedure patients' outcomes are influenced by their primary insurance type. Uninsured and Medicaid patients experienced higher risks of mortality, longer hospital stays, and increased total costs compared to those with private insurance.
A study published in Archives of Surgery found that most hospitals follow established practice guidelines for surgical treatment of cancer patients with Medicare. However, disparities in care exist, with patients receiving the right care at the right time not always guaranteed.
A study published in the Journal of Pediatric Urology found that a surgical technique for repairing hypospadias in boys results in a postoperative success rate better than 95%. The procedure, called tubularized incised plate (TIP) repair, is effective regardless of anatomy, and offers a more natural appearance after surgery.
The Wilderness Medical Society has published evidence-based practice guidelines for the prevention and treatment of frostbite. The guidelines emphasize preventing frostbite through measures such as maintaining blood flow to extremities, exercising, and minimizing exposure and heat loss. Treatment options include field-thawing followed ...
A recent study published in JAMA found that bariatric surgery among older, severely obese patients is not associated with reduced mortality. The study examined the long-term survival of high-risk patients who underwent bariatric surgery and compared them to nonsurgical controls.
A molecular imaging procedure using PET/CT and F18 NaF radiotracer accurately diagnoses and manages chronic back pain by pinpointing the source of abnormal bone reaction. In a study, this method was found to be highly effective in more than 85% of cases, providing relief for patients with hardware implants or bone grafts.
Research published in the British Journal of Surgery found a significant association between surgical site infections and noise levels in operating theatres. The study found that patients who underwent surgery in noisy environments were more likely to develop SSIs.
A large Swedish study found that surgical removal of the appendix and tonsils before age 20 increased the risk of premature heart attack. The study's findings suggest a potential link between immune system alterations and cardiovascular disease.
Georgia Health Sciences University surgeons developed a robotic facelift incision technique for removing diseased thyroid tissue, reducing the risk of neck scars and other complications. The procedure is considered safe for some patients, particularly those with larger thyroids or known cancers.
A pan-Canadian clinical trial led by UBC researchers aims to revolutionize oral cancer surgery with a new fluorescence visualization technique, potentially reducing recurrence rates and improving patient outcomes.
A study published in the Journal of the American College of Surgeons found shave biopsies to be a safe and accurate method for initial evaluation of melanoma. The study analyzed 600 consecutive patients who underwent shave biopsies, revealing that 97% of the results were accurate in determining T-stage and depth data.
A Nordic multicentre study found that pelvic organ prolapse surgery using synthetic mesh can restore genital anatomy and provide efficient symptom relief. However, the study also revealed an increased risk of complications with this method compared to traditional surgery.
A new Johns Hopkins study suggests that older, sicker heart-transplant recipients fare significantly better at high-volume centers than low-volume centers. The research found a 67% increased risk of death after one year for high-risk patients transplanted at low-volume centers.
A Swedish research team found that surgery significantly reduces prostate cancer mortality risk, even among men with low-risk tumours. The study followed 347 patients and found that surgical patients had a lower risk of dying from prostate cancer than those who underwent watchful waiting.
The MarginProbe System detected positive margins in 72% of cases, compared to 22% without the device, reducing patients' need for re-excision procedures. The technology improved traditional breast cancer surgery outcomes by providing immediate feedback on excised tissues.
A proposed Emergency Surgery Coalition aims to prevent supply delays and duplication of services after natural disasters. The coalition, involving experienced surgical humanitarian agencies, could support improved surgical delivery.
Researchers have validated a new 'Llanto' scale to measure infant pain after surgery, providing health staff with a simple and concise tool. The scale assesses factors such as crying patterns, breathing rate, and facial expression, allowing for accurate estimation of the child's suffering.
A study of 82 diabetic patients undergoing CABG found aggressive glycemic control did not improve survival rates. Instead, it led to a higher incidence of hypoglycemic events without significant benefits in major adverse effects.
The Endocrine Society released a new Clinical Practice Guideline for the evaluation and treatment of pituitary incidentalomas. The guideline recommends a complete history and physical examination, including visual field examinations if necessary, for patients with a pituitary incidentaloma.
A recent study by UCSD researchers found a significant inverse association between surgeon availability and road traffic injury-related deaths. Regions with more surgeons showed lower mortality rates, suggesting timely surgical treatment can reduce death risk.
A recent study published in Archives of Facial Plastic Surgery found that periocular treatment significantly improved overall quality of life for patients with facial paralysis. The treatment also reduced symptoms of dryness and irritation around the eyes.
A study found that gastric bypass patients take longer to process alcohol and have higher breath alcohol content after surgery. Researchers recommend limiting alcohol consumption to one standard drink every two hours for RYGB patients.
Early appendectomy significantly reduces time away from normal activities and overall adverse event rates compared to interval appendectomy in children with perforated appendicitis. The study found that early appendectomy led to a significant reduction in hospital stay length and improved patient outcomes.
Scientists at UC San Diego have developed injectable fluorescent peptides that cause hard-to-see peripheral nerves to glow, alerting surgeons to their location. The discovery could revolutionize nerve preservation in surgery, especially in cases where nerves are damaged or distorted.
Researchers have developed a system that recognizes hand gestures as commands to control a robotic scrub nurse or display medical images during operations. The technology aims to reduce surgery lengths and infection risks, while also having potential applications in emergency response activities.
A new study from Henry Ford Hospital finds that surgery greatly reduces daytime sleepiness in patients with obstructive sleep apnea compared to other non-surgical treatments. The study shows a significant improvement in Epworth Sleepiness Score after surgery, with a 50% reduction in apnea/hypopnea events during sleep.
Researchers analyzed data on 45,000 CABG patients and found a decline in stroke occurrence over the past three decades. The study identified various risk factors associated with stroke after CABG, including older age, previous stroke, and certain surgical techniques.
A recent study found that up to 16% of surgeons reported suicidal thoughts in the past year, despite depression being a common link. Burnout, emotional exhaustion, and depersonalization were also strongly associated with suicidal ideation.
A web-based curriculum was found to be an effective method for teaching and assessing systems-based practice concepts in surgical residents. The study showed a significant improvement in knowledge of health care business concepts and principles, with residents reporting a preference for Web-based learning.
A Rhode Island Hospital study found that culturing the nose is more likely to reveal MRSA than other body sites, and a strong correlation exists between nasal MRSA quantity and colonization at other sites. The researchers suggest screening the nose and groin for MRSA yields the highest yield.
Dual-physician marriages are increasing, but surgeon-surgeon marriages face greater challenges in balancing personal and professional lives. Surgeons married to fellow physicians experience higher rates of career conflicts, work-home conflicts, and decreased mental quality of life.
Two papers review cases of vascular trauma in battle-injured service personnel, highlighting high lethality of torso injuries and the importance of limb salvage. Additionally, a study on primary blast injury to the abdomen finds that abdominal PBI has significant potential for death and illness, with key findings on incidence rates and...
The American Association of Gynecologic Laparoscopy (AAGL) advocates for vaginal or laparoscopic hysterectomy due to low surgical risks and reduced morbidity. These minimally invasive procedures enable faster recovery periods and shorter hospital stays.
A new implantable device aims to restore balance during Meniere's disease attacks while preserving natural hearing and residual balance function. The device, developed by University of Washington researchers, has shown promising results in a 10-person surgical trial.
A new study published in the Journal of the American College of Surgeons found that airbags significantly reduce the risk of kidney injury in car crashes. The research analyzed over 2,800 records and found a 45-52% reduction in renal injuries with airbag deployment.
Despite the PARTNER trial's promising results, surgical aortic valve replacement should remain the standard treatment for aortic stenosis. Transcatheter aortic-valve implantation (TAVI) is only suitable for patients at high risk who have decreased life expectancy and cannot undergo surgery.
A team-based training program incorporating aviation crew practices significantly reduced surgical mortality rates in hospitals participating in the program. The study found a 50% greater decrease in annual surgical mortality rate among trained facilities compared to non-trained facilities.
Lakeland Surgical & Diagnostic Center CEO David G. Daniel received the APIC Healthcare Administrator Award for his efforts to virtually eliminate healthcare-associated infections at his facility. His leadership led to a significant reduction in surgical site infections, with infection rates declining every year since 2006.
The partnership aims to double the number of physicians graduating from Mozambique medical schools in the next decade and improve surgical care in rural areas. The UCSD component will focus on training additional faculty and building surgical research capacity within UEM.
A pediatric field hospital in Haiti evolved from a disaster service facility to a full-fledged children's hospital, providing critical care to over 50 injured children. The hospital's transformation showcased the importance of adaptability and teamwork in disaster response.
Researchers presented studies on safe outpatient total thyroidectomy using a serum parathyroid hormone-based discharge algorithm, as well as the potential benefits of statins in treating chronic rhinosinusitis. Additionally, a study examined the impact of mobile phone use on auditory health and found increased risk of cochlea damage. O...
African-American victims of motorcycle crashes are 1.5 times more likely to die from their injuries than similarly injured whites, despite wearing helmets. Injury-prevention programs may not be sufficient to protect all riders equally.
High blood glucose levels after surgery may be a significant risk factor for surgical site infections in general surgery patients, according to a recent study. The authors found that postoperative hyperglycemia was the most important risk factor for surgical site infections in both general and colorectal cancer surgery patients.
A new material can mark early-stage tumors using ultrasound imaging, potentially reducing the need for second surgeries and making operations more comfortable for patients. The durable material is made of porous glass spheres filled with a gas that helps it last longer.
Researchers found that low-income neighborhoods have nearly 20 times more penetrating injuries and six times higher blunt injury rates compared to high-income areas. The study suggests that interventions are needed to reduce injury rates in low-income neighborhoods.
A new study found that smoking increases breast abscess risk by 6 times, while nipple piercing is also a risk factor. Smoking also leads to higher recurrence rates, with 40-50% of cases recurring.
A new technique preserves periprostatic anatomy by keeping intact the pubovesical complex, achieving a higher rate of urinary continence after radical prostatectomy. The study reports a 25.7% weighted mean continence rate immediately after catheter removal.