Articles tagged with Surgery
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A Chinese Medical Journal study reveals that patients with prostate cancer can undergo surgical removal without a pre-operative biopsy, using a combination of mpMRI and PSMA PET/CT imaging. This approach reduces costs and complications associated with traditional biopsy methods.
A recent study published in the Journal of Vascular Surgery found that non-white patients have twice the risk of dying within 30 days of carotid endarterectomy compared to white patients. The study analyzed data from over half a million patients and highlights persistent racial disparities in medical outcomes.
A new plastic device has been developed to secure the surgical field during robot-assisted heart surgery, allowing surgeons to operate with greater independence. The device, made from a type of plastic used in medical implants and aerospace industry, expands to a certain size and retains its shape.
Researchers developed a new imaging technique using fluorescence-guided surgery to enhance visibility of tumors and nerves during head and neck cancer surgery. The technique uses two near-infrared fluorophores, one for tumors and another for facial nerves, allowing for clear differentiation between cancerous tissues and nerves.
A joint research team at Korea University College of Medicine announced the world's first comparative results of single-port robotic thymectomy, showing a lower conversion rate to multi-port surgery and shorter hospital stays. The study demonstrated that single-port robotic thymectomy is a safer alternative to traditional VATS thymectomy.
Researchers from Kyushu University found that precisely replicating a patient's native alignment during knee replacement surgery is crucial for optimal recovery and a higher quality of life. Patients who underwent changes in knee alignment after surgery had significantly worse long-term outcomes.
A study led by Dr. Clint Cary found that traditional open surgery is the most effective approach for removing lymph nodes behind the intestines in patients with testicular cancer. The study showed excellent cancer cure rates and low blood loss, short hospital stay, and rare major postoperative complications.
Doctors at Mayo Clinic used a new catheter-based approach to draw out resistant pockets of infection in the heart without surgery. Over 90% of participants had their infection cleared, with lower in-hospital mortality compared to those whose infections remained.
A cross-sectional study found a significant increase in GLP-1 receptor agonist (RA) use as anti-obesity medications from 2022 to 2023. Meanwhile, the rate of metabolic bariatric surgery decreased by 25.6% during the same period. These findings suggest a potential shift in treatment strategies for obesity management
Researchers at Osaka Metropolitan University have found that plasma irradiation can enhance tendon-to-bone junction repair, leading to faster healing rates and stronger repairs. The study used rabbit models to test the effects of plasma on rotator cuff injuries, showing promising results.
A new study suggests that MRI can predict patient outcomes and the risk of tumor reccurrence or spread for patients with rectal cancer who have undergone chemotherapy and radiation. This information could help doctors determine the best course of treatment, including whether to spare patients from invasive surgery.
Younger adults diagnosed with colorectal cancer have later-stage disease with more aggressive types of tumors. Obesity, family history, inflammatory bowel disease, and symptoms are strongly associated factors. These findings highlight disparities in colon cancer incidence among younger adults, particularly non-Hispanic Black patients.
Research suggests that listening to music after surgery can significantly reduce pain levels, anxiety, and heart rate, with patients experiencing a lower need for opioid medication. Music's calming effect may also contribute to faster recovery by easing the transition from waking up after surgery.
Researchers on the International Space Station have developed human liver tissues with enhanced functionality in microgravity, paving the way for novel stem cell-derived liver tissues and alternative to traditional liver transplants. The team also created a bioreactor system for stable supercooling preservation of tissues.
The American College of Surgeons Geriatric Surgery Verification program reduces surgical death rates by nearly half and increases the percentage of patients with documented care preferences. Implementing the program also enables hospitals to improve patient-centered care and reduce costs.
A study analyzing Reddit posts reveals that breast cancer patients struggle with unmet emotional and financial concerns during treatment and long after. The research highlights the importance of providing adequate support and education to address these concerns.
Two studies found that bariatric surgery is more cost-effective in the long term compared to GLP-1 RA weight loss drugs alone. Combining both treatments is even more cost-effective. The use of GLP-1 RA before surgery appears safe and may be a novel approach to treating obesity.
A study found that HLA-DRB1*01:03 is associated with severe ulcerative colitis, requiring major operations and systemic corticosteroid use. The allele has previously been linked to ulcerative colitis incidence, supporting earlier genetic studies.
A nonselective extracorporeal blood purification device reduced cardiac surgery-associated acute kidney injury in nonemergent patients. The study showed a significant reduction of AKI in the first 7 days after surgery.
A recent study published in Knee Surgery, Sports Traumatology, Arthroscopy found that children who undergo surgery for discoid lateral meniscus are at higher risk of developing further knee injuries with age. Younger patients were particularly prone to relapse after surgery.
A new study found that common breast cancer treatments, including chemotherapy, radiation, and surgery, can increase expression of aging markers in breast cancer survivors. The study suggests that these treatments can have a more extensive impact on the body than previously thought, leading to accelerated biological aging.
A recent study published in Liver Cancer found that patients with diabetes mellitus and comorbid obesity are at a higher risk of liver cancer recurrence after resection. The risk is significantly higher for those with comorbid obesity, increasing by approximately 3.8 times over five years postoperatively.
Researchers created a Comorbid Operative Risk Evaluation (CORE) score to better predict post-surgery mortality. The model accounts for pre-existing chronic illnesses and aims to improve analysis of surgical outcomes using large databases.
A new study found that the IOTA ADNEX ultrasound model can detect up to 96% of ovarian cancers in postmenopausal women, outperforming the current standard test. The research team recommends replacing the risk of malignancy (RMI1) test with the IOTA ADNEX model.
A study found that female physicians are underrepresented in high-compensation specialties compared to non-high-compensation specialties. High-compensation surgical specialties experienced a steady increase in female applicants and matriculants over time.
The University of Pittsburgh has been awarded a 10-year, $100 million contract from the U.S. Department of Defense to continue its Linking Investigations in Trauma and Emergency Services (LITES) Network. The network will fund new research on trauma care and expand ongoing studies.
The 2024 guideline provides comprehensive recommendations for assessing cardiovascular disease risk and managing patients taking SGLT2-inhibitors. It also highlights the importance of judicious screening and evidence-based management of cardiovascular conditions before, during, and after noncardiac surgery.
Researchers at MIT and MGH developed statistical models based on rigorous physiological data from over 100 surgeries, providing accurate measures of nociception. The new models aim to help anesthesiologists optimize drug doses and minimize post-operative pain and side effects.
The 2024 Chinese consensus on radiofrequency therapy for gastroesophageal reflux disease standardizes treatment approaches by outlining essential surgical indications, contraindications, and postoperative management. The consensus also highlights the importance of precise energy application to the lower esophagus and cardia.
A nonrandomized clinical trial found that wearable devices can increase moderate-to-vigorous physical activity and reduce dyspnea at 6 months post-lung cancer surgery. This suggests a promising role for wearable devices in personalizing perioperative rehabilitation strategies.
A new study found that vulnerable patients treated at Commission on Cancer-accredited hospitals had a 9% lower mortality rate and were more likely to receive guideline-based care. This is attributed to CoC accreditation requirements for treatment guideline adherence, community engagement, and addressing barriers to care.
The study reports an overall 5- and 10-year survival of face transplants at 85% and 74%, respectively, making them a viable option for patients with severe facial defects. The majority of these complex cases are typically treated with conventional methods.
The study found that home discharge rates increased more for Hispanic compared to non-Hispanic white patients, highlighting the importance of considering differential outcomes in Medicare payment policies. These findings suggest the need for tailored approaches to address racial and ethnic disparities in joint replacement care.
A study analyzing National Joint Registry data found that trainee surgeons' outcomes are comparable to those of more experienced consultants. The rates of subsequent revision surgery were no different between the two groups, suggesting similar skill levels.
A clinical trial by the ECOG-ACRIN Cancer Research Group shows striking results from chemotherapy before surgery to shrink tumors and reduce tissue removal. Patients who received chemotherapy had a 50% chance of preserving vital organs, compared to 15% for those having surgery.
Biomedical engineers at the University of Rochester have developed a novel technique using ultrasound waves to organize endothelial cells into patterns that promote the growth of new vessel networks. The team aims to treat ischemic injuries caused by damaged tissue in reconstructive and plastic surgeries.
The world's first combined whole eye and face transplant has demonstrated allograft survival, including rejection-free graft survival. The transplanted eye has maintained normal pressure, good blood flow, and some remaining structure and functions in the retina. Researchers are now focused on understanding how to restore sight.
Women with hepatocellular carcinoma are less likely to receive a deceased-donor liver transplant due to sex-based differences in candidate size. The study's findings highlight the need for changes in allocation policy to improve access to size-matched donor livers for smaller candidates.
Researchers at McGill University developed AI-guided feedback systems that outperformed human instructors in teaching neurosurgical skills. The study found that expert instruction alone led to poorer surgical learning outcomes, highlighting the potential of AI to enhance learner surgical skills acquisition.
The MATTERHORN trial shows that transcatheter edge-to-edge repair is non-inferior to surgery in patients with secondary mitral regurgitation, with some safety benefits favouring TEER. The study found no significant difference in efficacy between the two techniques.
Researchers found that supplementing potassium only when levels fell below 3.6 mEq/L was noninferior to the current practice of maintaining higher levels, with no increase in adverse outcomes. Lower thresholds did not worsen clinical outcomes or dysrhythmias.
Continuation of renin-angiotensin system inhibitors before major noncardiac surgery was not associated with a higher rate of postoperative complications compared to discontinuation. The study aimed to investigate the impact of continued use of these medications on surgical outcomes.
A study published in The Lancet found that starting medical abortion at home is as safe as in a hospital, with 71% of participants able to be treated as day patients. The procedure also promotes patient autonomy and can reduce healthcare costs.
Recent years have seen therapeutic advances in kidney cancer due to deeper understanding of the disease's biology, with improved treatments and early detection contributing to decreased deaths. Cigarette smoking and being overweight remain major risk factors for kidney cancer.
A new study found that private clinics in Ontario increased cataract surgery rates for higher-income patients after receiving public funding, while lower-income patients saw a 9% decrease in access. The researchers suggest policy changes to address conflicts of interest and ensure equitable access to surgery.
A team at ETH Zurich successfully conducted the first remote-controlled magnetic endoscopy procedure across a 9,300km distance. The procedure allowed for precise navigation and manipulation of a probe in a live pig's stomach via a joystick controlled by an operator in Zurich.
A new treatment approach has been confirmed effective in a major study, showing that locally advanced rectal cancer patients can experience complete tumour disappearance without needing surgery. This method reduces the risk of recurrence and preserves normal bowel function, offering a promising alternative to traditional treatments.
A recent Vanderbilt University Medical Center study found that both hyperoxia and normoxia are safe during cardiac surgery, contradicting previous assumptions. The research discovered no significant differences in organ injury between the two oxygen levels.
Women undergoing cardiac surgery have a lower risk of developing postoperative atrial fibrillation compared to men, but are more vulnerable to its associated long-term morbidities. A study found that once atrial fibrillation develops, women have a significantly higher risk of mortality than men.
A WVU researcher argues that more validation is needed for the increasing number of gallbladder surgeries performed for biliary dyskinesia, a functional gallbladder disorder. The researcher suggests that a combination of factors must come together to diagnose and select patients who would benefit from surgery.
Researchers found distinct molecular responses in skeletal muscle following bariatric surgery between obese individuals and those with additional T2D. Obesity individuals showed improvements in metabolic health, while T2D participants had limited changes.
Researchers discuss the role of gut microbiota in regulating basal inflammation levels and promoting healing of the bowel after surgery. Weakened gut barrier function may lead to persistent low-grade inflammation and increased risk of cancer recurrence.
A uterus transplant was successfully performed on women with absolute uterine-factor infertility, resulting in a high live birth rate. However, the procedure was also associated with significant medical and surgical risks for both recipients and donors.
Researchers found that symptom-triggered testing can pick up early-stage aggressive ovarian cancer in 1 in 4 of those affected. The UK's protocol for picking up early-stage disease is an effective way to diagnose even early-stage ovarian cancer, with complete surgical removal possible in more than three quarters of women.
A new clinical algorithm developed at the University of Gothenburg can accurately identify highly aggressive forms of basal cell carcinoma. The algorithm uses a combination of clinical and dermoscopic images to distinguish between low-risk and high-risk tumors, allowing for more effective treatment and better patient outcomes.
A novel technique for tissue slicing and cultivation has been introduced, utilizing hierarchical magnetic microneedle array robots to address challenges in clinical settings. The method enables precise control over tissue manipulation and analysis, promising advancements in precision medicine and personalized treatment.
Researchers at MedUni Vienna have identified AF1Q as a promising biomarker to predict gastric cancer recurrence risk. The study found that 97.8% of tumour samples had elevated AF1Q levels, associated with higher recurrence risk and lower survival chances.
A new mathematical method, validated with experimental animal data, provides fast, reliable, and minimally invasive way of determining how to treat critical blood pressure changes. The method accurately tracks cardiac output and systemic resistance, mirroring estimates from more invasive catheters in some cases.
A recent study published in JAMA Network Open reveals significant gender differences in electronic health record (EHR) usage among surgeons. Female surgeons were found to spend more time documenting patient encounters and writing longer notes compared to their male counterparts.
The new guidelines from the Surgical Infection Society offer updated recommendations for antimicrobial agent selection, source control, and treatment of specific pathogens. These evidence-based guidelines aim to improve clinical outcomes and reduce mortality rates from intra-abdominal infections globally.