Articles tagged with Surgery
Researchers found left side grafting has lower risk to donors compared to right lobe grafts, and recipients can achieve comparable survival rates with smaller graft sizes. The study suggests using left side grafts more frequently in adult-to-adult liver transplantation to reduce donor risk.
A new scale, the Duke Abdominal Assessment Scale (DAAS), helps clinicians determine disease severity and need for surgery in infants with NEC. The DAAS provides a standardized 10-point radiographic scale that increases with disease severity, enabling earlier detection of patients at risk for developing severe NEC.
A study found that minimally invasive radical prostatectomy with robotic assistance may shorten hospital stays and decrease surgical complications, but increase genitourinary complications. Men of higher socioeconomic status opted for this high-technology alternative despite limited data demonstrating superiority.
A study published in JAMA found that attending physicians working nighttime hours did not have a significantly increased rate of complications for procedures performed the next day. However, having less than six hours of sleep opportunity between procedures was associated with an increased rate of surgical complications.
A new study found that patients who underwent less-invasive endovascular repair of abdominal aortic aneurysms had a lower risk of death in the first 30 days after surgery compared to those who received open repair. The procedure also resulted in reduced blood loss, shorter hospital stays, and fewer complications.
A recent study published in Infection Control and Hospital Epidemiology found that iodine-based skin preparation solutions, such as 3M's DuraPrep Surgical Solution, may be superior to chlorhexidine in preventing surgical-site infections. The study of over 3,200 general surgery patients suggests a significant reduction in morbidity and ...
Researchers at the Thomas E. Starzl Transplantation Institute found that survival rates for intestinal and multivisceral transplants increased with innovative surgical techniques, novel immunosuppressive protocols, and better post-operative management. The five-year survival rate rose to 68 percent, similar to other abdominal and thora...
A randomized controlled trial found that surgical masks are non-inferior to N95 respirators in preventing laboratory-confirmed influenza among nurses. The study suggests that surgical masks may be a suitable alternative when N95 respirators are not available, particularly in routine healthcare settings.
A McMaster University study found that surgical masks are as effective as N95 respirators in protecting healthcare workers against influenza. The research showed an estimated effectiveness within one percent of the respirator, with no increased rate of infection.
A study published in the New England Journal of Medicine found that high-quality hospitals have medical teams proficient at rescuing patients once complications arise. Low-mortality hospitals have lower death rates from post-surgical complications compared to high-mortality hospitals.
Arizona State University has received over $32 million in federal stimulus funding for various research projects. The grants focus on developing new sources of renewable energy, improving the diagnosis of pediatric tuberculosis, and enhancing children's oral language skills.
A new study published in the Journal of the American College of Surgeons found no evidence of a 'July Phenomenon', where more medical errors occur due to new residents, despite widespread belief. The study analyzed data from a trauma registry and showed no differences in patient outcomes between July and other months.
A new study in Journal of the American College of Surgeons found that major disasters like Hurricane Katrina can significantly impact surgical services, leading to increased costs for routine operations. However, the same study revealed that hospitals can achieve cost efficiencies by having staff cover and share more duties.
A survey of nearly 4,500 general surgery residents found that most are satisfied with their training and relationships with faculty and peers. However, they also reported concerns about their clinical skills, family life strain due to work stress, and need for additional specialty training to be competitive in the job market.
A study of hospital relocation provides insights into aid disaster planning by restricting elective surgeries and limiting incoming transfers. This approach helped one major hospital reduce its census by 36% without interrupting emergency or trauma services, a strategy that can be applied during disasters to improve surge capacity.
A minimally invasive procedure called CT-guided tube pericardiostomy has been found to be just as effective as surgical drainage in treating pericardial effusion, with a significant cost savings of 89%. This treatment method spares patients from recovery time and reduces the risk associated with invasive surgery.
The US has reached a critical point on obesity, with 72 million adults affected. Health reform that directly addresses obesity is crucial to saving lives and reducing healthcare costs.
A study found that daily chlorhexidine bathing can dramatically reduce the risk of deadly bloodstream infections in ICU patients. Chlorhexidine glutonate is a cheap and effective antibacterial agent available for just $6 per bottle or $0.33 per packet.
A study by Elliott R. Haut and colleagues found no significant differences in death rates among patients treated by novice vs. experienced trauma surgeons in a structured trauma program. Patients managed by novice surgeons showed improvement in mortality rates after structural changes were implemented.
Dr. Michael E. O'Brien has been recognized for his outstanding contributions to dental education, receiving the Daniel M. Laskin Award for Outstanding Predoctoral Educator in Oral and Maxillofacial Surgery. He is a respected educator, mentor, and clinician with over 25 years of experience at LSUHSC.
A report in Archives of Surgery found that most women surgeons (82.5%) would choose their career again, citing lifestyle implications such as high patient acuity and irregular work hours. Women were also more likely to value part-time work options and child care benefits.
A survey of surgical residents found that nearly half consider duty hour regulations a significant barrier to their education. Senior residents are more likely to desire longer work hours than restrictions allow.
Researchers found no clear benefit of repairing patent foramen ovale in patients undergoing cardiothoracic surgery, but rather an increased risk of postoperative stroke. Patients with newly discovered PFO were more likely to be women and have a history of stroke or atrial fibrillation.
A Swedish study found improved long-term survival rates among patients with intact abdominal aortic aneurysms who underwent surgical repair between 1987 and 2005. Patients in their 80s and males experienced higher relative five-year survival rates, likely due to atherosclerosis, whereas advances in postoperative care and endovascular a...
A study published in the World Journal of Gastroenterology found that preoperative biliary drainage significantly reduced wound infection rates in patients undergoing resectional surgery for ampullary carcinoma. The findings suggest that PBD may have a positive impact on surgical outcomes, particularly in terms of infectious morbidity.
A study published in Journal of the American College of Surgeons reveals that segregation is associated with decreased access to surgical services and increased emergency room visits among minority populations. The research highlights the need to address racial disparities in healthcare, particularly in the most segregated areas.
A new study finds that an air traffic control tracking method significantly reduces errors in trauma management, with improved accuracy in recording critical patient data. The system also enhances hospital capacity management and real-time resource allocation.
A new study identified 43 valid quality indicators for pancreatic cancer care, with significant variation in patient and hospital adherence. The findings suggest that there is considerable room for improvement in the quality of care delivered to patients with pancreatic cancer.
A new surgical technique, total mesometrial resection (TMMR), has been shown to reduce complications and improve survival rates in patients with early-stage cervical cancer. The study found a 94% recurrence-free survival rate and a 96% 5-year survival rate, significantly better than traditional radical hysterectomy methods.
The article highlights the importance of sharing surgical knowledge between military and civilian surgeons to prepare for disasters. Canadian physician Dr. Vivian McAlister shares his experience working at a field hospital in Afghanistan and emphasizes the benefits of 'damage control resuscitation' techniques in saving lives.
A new brain-scanning process developed by University of Minnesota researcher Bin He holds promise for epilepsy treatment advancements. The technique uses functional neuroimaging to identify seizure foci and aid surgeons in pinpointing the brain network affected by seizures.
New research highlights large disparities in breast cancer care and treatment for African-American women, with a significantly lower five-year survival rate compared to Caucasian women. Socioeconomic barriers also hinder access to advanced treatments.
A new study found that electronic prescribing systems can significantly reduce order implementation and entry times, leading to lower personnel requirements and costs. While medication errors were not statistically significantly reduced, the system's efficiency gains translate to long-term cost savings.
Researchers present new techniques for early diagnosis and treatment of lung cancer, improving 5-year survival rates from 10% to 70%. A new factor that correlates with clinical parameters may also help indicate patient prognosis.
A study at UCLA used preoperative MRI to evaluate neurovascular bundles in patients undergoing robotic-assisted laparoscopic prostatectomy (RALP). The results showed that preoperative MR assisted surgeons in making more informed decisions about nerve sparing techniques, with less likelihood of causing impotence.
A Web-based reporting system helped identify four event patterns from morbidity reports and three from near-miss reports, addressing issues like chest tube placements and nurse-to-physician communications. However, under-reporting was disappointing, with only 27.2% of readmissions and 41.6% of inpatient deaths reported.
18F-FDG PET/CT is highly sensitive and accurate for whole-body staging of recurrent esophageal cancer, suggesting potential improvements in patient survival. The imaging modality also shows promise in guiding salvage treatment to early recurrence lesions.
New research published in The FASEB Journal suggests that slight dips in brain temperature can cause an increase in abnormal tau protein, which is associated with Alzheimer's disease. This finding highlights the need for caution when anesthetizing patients with Alzheimer's or at risk of developing the disease.
A recent study published in the Journal of the American College of Surgeons suggests that lung transplantation can be a viable option for patients older than 60, as long as they are younger than 70. The research found that mortality rates after one year were significantly higher for patients over 70 compared to those under 70.
A new surgical implant called Retisert has been successfully tested at the University of Iowa to treat sympathetic ophthalmia, a rare eye condition that can lead to complete vision loss. The implant provides slow-release immunosuppression to the affected eye, reducing or eliminating the need for systemic medications.
A pilot study involving 11 operating rooms found that using a Surgical Patient Safety Checklist significantly reduced major complications and inpatient deaths. The checklist improved communication among team members during surgery and increased the consistency of proven standards of surgical care.
A recent study published in the Journal of the American College of Surgeons found that morbidly obese patients are at higher risk for complications after colectomy. These complications include surgical site infections, wound openings, pulmonary embolisms and kidney failures.
A study of eight cities globally demonstrates that using a simple surgical checklist during major operations can significantly lower the incidence of deaths and complications. The rate of major complications fell from 11% to 7%, while inpatient deaths following major operations decreased by over 40%.
A study analyzed 45,528 patients with diverticulitis and found that racial disparities in outcomes may be related to initial condition rather than treatment differences. Insurance status was associated with complicated presentation, in-hospital mortality, and receiving a colostomy.
Research found that residents with advanced degrees and those in general surgery training were more likely to discontinue graduate medical education. The study of 795 graduates from a single institution revealed that 47 residents did not complete GME in their initial specialty, with many pursuing research-based careers.
Surgeons at the University of Chicago Medical Center have successfully performed the world's first pediatric robotic bladder reconstruction, using the DaVinci system. The innovative technique resulted in good outcomes and minimal complications, with the patient regaining full control over her bladder after six weeks.
A study published in CMAJ found that longer wait times are associated with more emergency department visits and a greater risk of incarcerated hernia. The study suggests that all inguinal hernias in infants and young children should be repaired within 14 days after surgical consultation.
A new study suggests that standardized patient prioritization and wait-list sharing among surgeons are more effective ways to reduce wait times for joint replacement surgery. Even with increased surgical capacity, it may take almost a decade to ensure 90% of patients receive surgery within recommended wait times.
Pregnant women who wait out stalled labor for an extra two hours can reduce health risks and eliminate over 130,000 C-section deliveries per year. A new study by researchers at UCSF found that one-third of women achieve a normal delivery without harm.
Stapled hemorrhoidopexy is a safe and effective procedure but can lead to life-threatening complications. Pelvic sepsis after stapled hemorrhoidopexy has a high mortality rate due to the lack of established treatment protocols, emphasizing the need for further research to identify optimal management strategies.
A study published in the American Journal of Roentgenology found that 3D CT scans significantly aid surgeons in treating varicose veins in the lower extremities, with excellent imaging results in 76% of patients. The scans also provided detailed views of the great saphenous vein, allowing doctors to make more accurate surgical plans.
Researchers found that complete removal of peritoneal surface disease (PSD) combined with heated chemotherapy can produce long-term survival in select patients. The study suggests a new approach to treating previously considered incurable cases of colorectal cancer.
A new study from Fox Chase Cancer Center suggests that young women with DCIS are not more likely to experience recurrence than older women. The study analyzed data from 440 patients treated between 1978 and 2007 and found no significant difference in recurrence rates based on age.
Researchers used a computer simulator to teach surgeons-in-training how to perform craniectomy procedures on cadaveric temporal bone specimens. After two weeks of practice, the researchers found that the trainees could correctly identify pre- and post-simulation bones with high accuracy.
A study published in Archives of Surgery found that limiting resident surgeon's work hours to 80 per week resulted in fewer patients experiencing bile duct injuries or other complications after gallbladder surgery. The analysis revealed reduced odds of bile duct injury and total complications during the second time period.
The UK government's 'bare below the elbows' rule for doctors is aimed at reducing hospital-acquired infections like MRSA and C.difficile. However, medical opinion is divided on whether this policy will compromise professional image without sufficient evidence of infection reduction.
UVA researchers have developed a method to reduce MRSA infections by rotating antibiotics every three months, resulting in a significant decrease in infection rates from 1.9 to 1.4 patients per 100 admissions. In-hospital mortality from surgical ICU-acquired MRSA infections also fell to zero.
Two percutaneous approaches show promise: edge-to-edge technique reduces regurgitation in 80-90% of cases, while mitral annuloplasty achieves similar results in 90% of patients. However, further trials are needed to assess efficacy and safety compared to surgical repair
The CoreValve ReValving System has shown high procedural success and excellent long-term outcomes in elderly patients with severe aortic stenosis. Procedural success rates reached 91%, with significant improvements in symptoms, quality of life, and mortality rates.
A comprehensive study of hip and knee replacement surgeries in England found that one in seventy-five patients require revision after three years. The research suggests that different patterns may emerge over a longer follow-up period, emphasizing the need for further research to evaluate surgical procedures and types of implants.