Articles tagged with Surgery
A study found that high PD-L1 levels are associated with increased risk of lymph node metastasis and poorer recurrence-free survival rates in patients with pulmonary adenocarcinoma. This suggests that PD-L1 expression may serve as a potential indicator for early postoperative recurrence.
A simulation study forecasted potential injury reductions in the US with AV adoption, suggesting a possible decrease in road traffic injuries. However, predicted confidence intervals remain broad, and no scenario reduced injuries outside of these bounds.
A new study published in JAMA Network Open found that older adults living in economically disadvantaged neighborhoods spend significantly fewer days at home after a hip fracture. The researchers analyzed Medicare data and found that people in the most deprived areas spent about 23 fewer days at home compared to those in less disadvanta...
A systematic review found that pancreatic cancer surgery significantly increases the risk of new-onset diabetes mellitus (NODM), particularly in patients with known risk factors. The study analyzed 45 studies and found an overall incidence of NODM of 24.5%, with a higher rate in those who underwent distal pancreatectomy.
A study highlights how social media is transforming neurosurgical education, collaboration, and case consultations globally. Platforms like Neurosurgery Cocktail have democratized neurosurgical knowledge, supporting high-level discourse among experts.
A study from Rangsit University shows that a simple bypass protocol guided by mean transit time can improve symptoms in 80% of patients with chronic cerebral occlusion or moyamoya disease. The protocol uses non-stress testing to evaluate cerebrovascular reserve and predict postoperative improvement.
Using GLP-1 receptor agonists may lower the risk of vertebral compression fractures and related surgical interventions in people with type 2 diabetes. The study suggests that these medications have a bone-protective effect, offering benefits for patients.
A targeted treatment approach significantly reduces moderate and severe acute kidney injury after major surgery in high-risk patients identified by biomarkers. The study shows that a closely monitored set of clinical measures provides effective protection in the first hours after surgery.
A Rutgers Health study found that patients aware of family members' past gallbladder surgery were more likely to seek early help and less likely to undergo high-risk, emergency gallbladder removal. This knowledge helped doctors avoid misinterpreting symptoms such as chest pain and nausea, leading to earlier diagnoses and treatments.
A study of 8,273 patients found that tranexamic acid significantly reduced the need for blood transfusions and did not increase the risk of blood clots. The medication promotes blood clotting, essential to stop bleeding during surgery, without increasing life-threatening complications.
A study found cryopreserved platelets to be a cost-effective option for managing surgical bleeding in cardiac surgery, dominating liquid-stored platelets in this setting. Further investigation is required to assess the economic benefits of cryopreserved platelets in broader populations.
NEJM Clinician curates highly relevant clinical insights from over 150 peer-reviewed journals to give physicians clear guidance without the noise. The weekly publication delivers summaries and commentary in a concise, 30-minute read, helping healthcare providers stay informed and confident in their decisions.
A large clinical trial published in JAMA Surgery shows that prehabilitation can reduce disability after surgery in older adults with frailty, provided they fully participate in the program. Participants who completed at least 75% of exercises had significantly lower levels of disability after surgery.
A new study reveals thousands of NHS knee replacement operations are cancelled annually for avoidable reasons, costing millions and prolonging waiting times. Lack of available beds and medical ineligibility were the most common causes, with many cancellations avoidable with advance planning.
Researchers found that patients who can walk at least 1 meter per second before hip replacement have significantly better mid-term postoperative outcomes. This simple and reliable predictor could help physicians determine when to refer patients for surgery, and preoperative rehabilitation programs could be developed.
A nationwide observational study from SWEDEHEART reveals that patients with type 1 diabetes have a significantly higher risk of stent complications compared to those without diabetes. The study emphasizes the need for adapted treatment and follow-up strategies for this patient group.
Researchers at University of California San Diego School of Medicine found that streamlined surgical preference cards can significantly reduce hospital waste and improve operational efficiency. By analyzing thousands of surgeries, they identified unnecessary items and optimized lists to save up to $3 million over five months.
A new study by Nagoya University researchers found that laparoscopic surgery significantly reduces blood loss and improves jaundice recovery compared to traditional open surgery for treating biliary atresia. The study analyzed data from 356 children who had surgery at two months old, tracking their outcomes for an average of 13 years.
A new clinical trial enrolls patients at the University of Cincinnati to study the effects of extended tranexamic acid dosing on recovery outcomes for young athletes after ACL reconstruction. The trial aims to test whether this approach can reduce pain, swelling and promote earlier movement in patients.
A study published in Journal of Translational Medicine found that successful root canal treatment can reduce inflammation linked to heart disease and improve levels of blood sugar and cholesterol. The researchers discovered a link between monitoring blood metabolic markers after dental treatment, which could help assess recovery and risk.
A new study by Stanford Medicine researchers finds that a personalized prehab coaching program can motivate patients, enhance their immune system, and result in fewer complications. The study suggests that one-on-one help is crucial for successful prehabilitation, leading to better adherence and improved clinical outcomes.
A population-based cohort study found that the cumulative incidence of scrotal surgery among male living kidney donors was 1 in 8 after 20 years, compared to 1 in 143 for non-donors. Most males who donate a kidney won't develop this complication, but it's essential to inform past and future donors about the risk and potential symptoms.
Researchers found that tubeless anesthesia significantly reduces postoperative complications, promotes enhanced recovery, and lowers costs in selected patients. The study also showed improved respiratory function and reduced intubation times.
This study evaluates the effectiveness of staged versus simultaneous bilateral lung volume reduction surgery in patients with severe emphysema. Both approaches significantly improve pulmonary function tests, but the staged approach offers a better composite outcome of overall survival and transplant-free survival.
A team of researchers at Osaka Metropolitan University has successfully treated spinal compression fractures in rats using stem cells derived from adipose tissue. The study found that these cells can promote bone healing and regeneration, making them a potential solution for osteoporotic vertebral fractures.
Researchers have identified iron-manganese alloys as promising candidates for temporary bone fixation. These alloys combine strength, biocompatibility, and degradation properties, allowing them to support bone healing while degrading naturally. However, challenges remain, including controlling the release of manganese, which can pose t...
A recent survey conducted by Orlando Health found that over one-third of men (38%) would rather endure stressful situations than discuss their prostate health. The reluctance to address this common issue often leads to delayed diagnosis and treatment, affecting men's quality of life.
A new, fully degradable cranial clamp made from poly-L-lactic acid has been developed to address traditional fixation system drawbacks. The study compared its performance to Aesculap CranioFix through laboratory tests and a clinical trial involving 90 patients, showing improved safety and healing outcomes.
A new project led by University of Delaware engineer Michael Hast aims to develop radiation-free imaging techniques that identify problems with bone healing sooner. The team uses 3D computational models and recent advances in magnetic resonance imaging (MRI) to estimate the strength of a healing bone and simulate real-world stresses.
Researchers have developed a new method to create smaller soft robots using 'bubble magic' that can navigate and operate within the body's narrow orifices. The soft robots, powered by fluid, have mirror-smooth skin and are ten times slimmer than previous versions.
Researchers have developed a novel vaccine strategy using biomaterial scaffold vaccines to protect against Staphylococcus aureus infections in orthopedic device implants. The vaccines, made with immune cell-attaching molecules and S. aureus-specific antigens, create a beneficial immune response that significantly lowers bacterial burden.
A team of biomechanical engineers and surgeons has developed a 3D-printing soft robot that can accurately deliver hydrogels to the vocal cord surgical site. The device, which is only 2.7 mm in size, can reconstruct tissues removed during surgery and potentially prevent fibrosis and stiffening of the vocal cords.
A study reveals that collared fully HA-coated femoral stems reduce the risk of early postoperative femoral fractures in total hip replacement patients, but also increase intraoperative complications. The findings suggest these stems may be a safer choice for surgeons when deciding on implant selection.
Dr. Bethany Slater, a highly skilled and compassionate surgeon, has been appointed as Division Chief of Pediatric Surgery at Mount Sinai Kravis Children's Hospital. She will focus on advancing surgical excellence, expanding minimally invasive techniques, and enhancing multidisciplinary care for children and families.
A new noninvasive method uses multi-echo ultrashort echo time MRI and shear wave elastography ultrasound to assess the structure and function of the Achilles tendon in professional ballet dancers. The study found that dancers tend to have more tendon stiffness, which corresponds with prior observations of a training effect.
A team of researchers has proposed a novel ultrathin flexible sensor inserted endovascularly to detect Type-I endoleaks with maximum rupture risk. The sensor is robust enough to withstand dynamic processes and exhibits long-term stability and functionality.
A new Northwestern University study reveals that abnormal cells in transplanted lungs engage in harmful 'conversations' with the immune system, leading to damage and rejection. The findings provide a comprehensive roadmap for treating chronic lung allograft dysfunction and other scarring lung diseases.
Researchers identified a set of biomarkers that can predict blood pressure outcomes five years after adolescents underwent metabolic bariatric surgery. The study found that blood-based biomarkers were more accurate than traditional risk factors, suggesting a potential new approach to predicting long-term blood pressure outcomes.
A recent study published in JAMA found that intraoperative blood pressure management with mean arterial pressure goals did not improve functional disability at 6 months postoperatively. The study suggests standard intraoperative blood pressure management may be sufficient for patients undergoing surgery.
A recent study published in JAMA challenges the common practice of individualizing blood pressure targets based on preoperative nighttime mean arterial pressure. The findings suggest that this approach may not be effective for high-risk patients undergoing major abdominal surgery.
Researchers developed a latex-based tissue adhesive to prevent seroma formation and prolonged lymphorrhea after axillary dissection. The study found that the adhesive significantly reduced wound exudate volume and allowed patients to be discharged earlier, with no complications reported.
A cohort study found that early extracranial surgery was associated with adverse outcomes in function, cognition, and disability after moderate-severe traumatic brain injury. The study suggests that further research is needed to determine if surgical timing or other interventions can improve long-term deficits.
Current minimum case volume standards for complex surgical procedures no longer align with contemporary best practices. Studies have shown that fewer cases are now needed to meet benchmark 30-day mortality rates over time.
A national survey of first-year fellows in minimally invasive gynecologic surgery found significant gaps in the use of FDA-cleared containment systems during laparoscopic hysterectomy and myomectomy. The majority of fellows cited cost as the main reason for using less expensive, off-label retrieval bags instead of FDA-cleared systems.
A new study shows that a multi-step effort to reduce unneeded pre-operative testing, using a tailored program for each hospital, can lead to significant reductions in wasteful tests. The findings have already spurred an expansion of the program to 16 more Michigan hospitals.
A new study by Edith Cowan University found that athletes experience atherogenic muscle inhibition after ACL reconstruction, impacting their return to sports. The research also identified changes in brain pathways within two weeks of surgery, which may contribute to the activation deficit issues.
A meta-analysis found significantly higher treatment failure and major complication rates within a year with nonoperative management among children and adolescents. Pediatricians can now inform shared decision-making with families using up-to-date data.
A systematic review found that patients value cancer surgeons who provide emotional support, maintain optimism, and set realistic expectations. These areas of communication include balancing facts with empathetic language, helping patients understand their treatment options, and involving patients in shared decision-making.
A new study found that untreated depression in cancer patients leads to poorer surgical outcomes, including longer hospital stays and higher mortality rates. However, treating depression with antidepressants can significantly improve post-surgical recovery and reduce healthcare costs.
Death rates from unintentional injury related to drug use increased by nearly 60% from 2018 to 2023. Middle-aged adults, particularly those aged 35-44, were found to be at higher risk of death from drug-induced accidental injuries.
Two studies reveal that adult pedestrians suffer more severe injuries than children in motor-vehicle accidents, with adults experiencing higher mortality rates and complications. Researchers hope to identify 'hotspots' of accidents using geocoding and advocate for community changes to prevent future crashes.
The study found a significant increase in the use of weight loss drugs like semaglutide and tirzepatide among patients undergoing metabolic and bariatric surgery. The proportion of patients receiving these medications rose from 1.8% to 29.4% between 2020 and 2024, reflecting growing popularity and perceived effectiveness.
A new analysis found that virtual reality effectively reduced anxiety during coronary angiography and had more stable vital signs than standard care. VR was superior to standard care in reducing anxiety and associated with significantly lower changes in heart rate and blood pressure.
A large-scale observational study found that patients who continued taking ACEis or ARBs had a significantly lower risk of mortality and functional decline after non-cardiac surgeries. These benefits were most evident among patients undergoing orthopedic or gastrointestinal surgeries.
Research presented at the European Emergency Medicine Congress finds that doctors and nurses are more accurate than AI in triaging patients in emergency departments. While AI showed some promise in flagging critical cases, its overall accuracy was lower than clinicians' across most metrics.
This randomized clinical trial shows electroacupuncture significantly accelerates postprostatectomy urinary continence recovery. It may serve as a safe adjunct to standard care, supporting its integration into multimodal rehabilitation protocols.
A new study found that over 40% of specialty clinics in the US turn away patients weighing 465 pounds or more due to lack of accessibility features. The study highlights a need for staff training on inclusive care and accommodations for patients with severe obesity.
A large-scale study revealed that SEEG improves decision-making in temporal lobe epilepsy by identifying specific patterns like LFPS that predict better outcomes. This enhancement enables clinicians to make more precise surgical plans, particularly for patients with non-concordant imaging or suspected bilateral epilepsy.
Researchers have quantified the costs of e-scooter injuries for the first time in Ireland, revealing an average cost of €1,726 per patient. The study found that e-scooter injuries mainly resulted in musculoskeletal injuries requiring major surgery, resulting in significant financial burdens on healthcare services.
A significant risk factor for in-home firearm homicide is domestic violence and child abuse, highlighting the need for improved safe storage laws and extreme risk protection orders. Young children are disproportionately affected, emphasizing the importance of preventing these deaths through stricter regulations.