Articles tagged with Surgery
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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.
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.
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.
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 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 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.
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.
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.
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.
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.
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.
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.
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.
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.
The journal's editors emphasize the importance of universal access to basic surgical services, citing their cost-effectiveness in reducing child mortality and improving maternal health. The movement to promote surgery as a global public health tool has gained momentum, with potential benefits in addressing infectious diseases like HIV.
Researchers have developed a new imaging system that highlights cancerous tissue, allowing surgeons to visualize and remove diseased tissue with greater precision. The FLARE system uses special chemical dyes and near-infrared light to 'cutting by color' tumors more easily.
A study published in the Journal of Clinical Sleep Medicine found that bariatric surgery can improve obstructive sleep apnea (OSA) symptoms, but only a few patients experienced complete resolution. Most patients continued to have moderate to severe OSA despite significant weight loss.
Research reveals teens' flawed attitudes towards trauma-related injuries, prioritizing fate over choice. Program participation improved risk perception, but knowledge decayed over time. Emotional connections with injured peers and reflection components played a crucial role in sustaining long-term changes.
Despite a median waiting time of 8 months, 63% of patients preferred to stay with their current surgeon due to trust, reputation, and personal experience. This highlights the importance of addressing patient concerns in setting waiting-time guarantees.
A UK liver transplant unit reports a higher than average success rate for children receiving living donor transplants, with an 98% year one survival rate. The study found that the majority of children experienced excellent graft function and rapid recovery after surgery.
A study published in the Journal of the American College of Surgeons found that optimizing university recruitment strategies and processes can lead to a significant increase in female surgical faculty. The research also identified cultural stereotypes, insufficient mentoring, and family responsibilities as barriers to women's career ad...
A study published in the Journal of the American College of Surgeons found that morbidly obese patients undergoing Roux-en-Y gastric bypass surgery are at an increased risk of developing kidney stones as early as three months post-operation. The study suggests a possible link between the surgical procedure and changes in urinary electr...
A recent study conducted by researchers at Qilu Hospital of Shandong University used 3T MRI to stage and plan sphincter-sparing surgery for patients with rectal cancer. The study found that MRI accurately identified 31 of 32 resectable cases, contributing to precise surgical planning.
A substantial proportion of rectal cancer patients receive inappropriate surgical care due to wide variations in practice. The use of abdominoperineal excision (APE) rates have declined, but disparities persist among different regions and surgeon experience levels.
A study published in PLOS Medicine highlights the significant impact of surgical conditions on global health in Africa. The authors propose innovative strategies to improve access to essential surgical care, including donation programs and public-private partnerships.
Researchers presented promising results for OncoVEXGM-CSF in treating metastatic melanoma, achieving treatment success in 32% of patients. Additionally, studies on robotic prostatectomy found excellent cancer control outcomes with disease-free survival rates at 21 months. The association between obesity and microvascular invasion was a...
A remote healthcare system with three main functions could address socioeconomic problems by providing quality medical care to all citizens, regardless of location. The system uses video conferencing, vital signs data uploading, and drip infusion monitoring to support nursing staff and care managers.
A unique surgical case presented a patient with heterotopic gastric tissue simulating acute appendicitis. The inflammation from the gastric tissue caused localized pain and elevated white blood cell count. Removal of the inflamed lymph node containing the gastric tissue resolved the symptoms.
A new study published in the Journal of the American College of Surgeons reveals that long-term survival and liver rejection rates are equivalent for African-American liver transplant patients as compared to patients of other races. The study suggests that race is not a predictor of survival, contrary to previous findings.
Researchers found that airbag use significantly reduces injuries to the brain, face, spine, and chest; lowers in-hospital mortality rates, injury severity, and hospital-acquired infections. The study suggests optimal airbag use could lead to cost savings for trauma centers.
A new model predicts visual clarity from wavefront aberrations, enabling the use of aberrometers to automatically produce prescriptions. The metric could be used internationally and provide direct predictions of visual acuity.
A Canadian clinical trial has found that aprotinin increases the relative risk of death by 50% compared to other antifibrinolytics used to prevent blood loss during heart surgery. The study involved over 2,000 patients and showed that tranexamic acid or aminocaproic acid are safer choices for cardiac surgical patients.
Researchers suggest adopting apoptosis to restructure businesses, eliminating malfunctioning processes. This approach can prevent commercial decay and protect organizations from demise.
A study found that minimally invasive robotic bypass surgery reduces hospital stays, complications, and costs for patients, particularly those at high risk. The procedure also shows better long-term results in bypass graft patency, providing quality of life benefits.
The number of general surgeons per 100,000 Americans has declined by over 25% since 1981, mainly due to an aging population and a lack of rural training opportunities. Rural areas are disproportionately affected, with urban areas experiencing a slightly greater decline.
Researchers from NewYork-Presbyterian Hospital/Columbia University Medical Center presented findings on the effectiveness of drug-eluting stents in preventing restenosis. The studies also explored the safety and efficacy of bivalirudin for patients undergoing primary angioplasty, particularly those with diabetes and advanced age.
A new method of pancreaticojejunostomy has been developed to overcome technical difficulties in performing the procedure on soft pancreas with narrow ductal size. The method uses a fast-absorbable suture material and temporary stent to secure complete external drainage of pancreatic juice.
A study found no significant benefit in reducing nosocomial MRSA infections in surgical patients with universal screening on hospital admission. Targeted screening for high-risk procedures may be more effective in preventing MRSA infections.