Articles tagged with Surgery
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A recent study found that female surgical residents are more likely to experience obstetric complications, postpartum depression, and burnout compared to their male counterparts. The research highlights the need for improved support in family planning aspects of healthcare work.
A new study found that an electronic health record (EHR)-based nudge intervention significantly decreased low-value axillary surgery in older women with clinically node-negative, HR+/HER2− breast cancer. The user-friendly intervention could be beneficial for other practice settings or patient populations.
Experts have established a comprehensive guideline for classifying and treating advanced liver cancer in China. The guidelines recommend personalized treatment options based on tumor characteristics, vascular tumor thrombus grade, distant metastasis, liver function status, portal hypertension, and hepatitis B virus replication status.
The study compared FDG-PET/CT and CT for evaluating treatment response in unresectable malignant pleural mesothelioma patients. The results showed that both imaging modalities provided accurate findings for tumor response evaluation, with high concordance between the two methods.
A new surgical method developed in Leipzig offers significant benefits over conventional treatment for cervical cancer, with a 9.4% lower recurrence rate after five years. This innovative approach also leads to a 58% lower risk of mortality from the disease.
Researchers discuss the use of antibody-drug conjugates (ADCs) in treating biologically aggressive tumors, such as uterine serous carcinoma. The ADC T-DXd has shown remarkable preclinical activity against primary USC cells lines and xenografts overexpressing HER2/neu.
A study by Michigan Medicine found that older women over 65 who require complex heart surgery are more likely to be treated at low-quality hospitals, where they also die in greater numbers. The sex disparity in mortality doubled from high-quality to low-quality hospitals.
A new coordinated care model, Trauma Medical Home, has been found to improve psychological recovery and quality of life for older adults with trauma-related injuries. The care model provides comprehensive support, including medication adherence and cognitive assessments, to help patients recover from physical or psychological injury.
A study found that transgender people experience barriers in accessing gender-affirming surgery, with participants describing the need for self-advocacy when interacting with healthcare professionals. The findings highlight the need for improved access to gender-affirmation surgery and reduced wait times.
Researchers have developed a minimally invasive surgical technique to remove lesions in the skull base region, reducing damage to the brain and preserving neurological functions. The endoscopic approach results in shorter operative times and less blood loss compared to conventional microscopic surgery.
A recent study published in JAMA found that transgender women on hormone therapy have drastically lower PSA levels, which may lead to delayed diagnosis and treatment of prostate cancer. The researchers analyzed Veterans Health Administration records and recommended caution when interpreting PSA values in transgender women.
A survey of pediatric bariatric surgeons found significant variation in the use of weight loss medications, particularly GLP-1As, in young patients. Most respondents prescribe GLP-1As for patients considering MBS, but preoperative and postoperative practices vary widely.
A new study from the University of Copenhagen reveals that AI has helped detect significantly more cases of breast cancer and reduce radiologist workloads. The AI system has been used to analyze tens of thousands of X-rays every year, resulting in a 12% increase in detected cases, including more small tumours of one centimetre or less.
A new outreach program, NESTS, has been developed to address the unique needs of Spanish-speaking trauma patients. The program connects patients with follow-up care, community resources, and social services, helping to improve their recovery outcomes.
A study analyzing data from 6,010 English practices between 2018 and 2022 found that the national average dropped from 29.3% to 19% of patients able to see a preferred doctor. Practices with more doctors and higher same-day appointment rates showed slower declines in continuity.
Researchers have developed a biodegradable scaffold to facilitate bladder tissue growth, reducing complications associated with traditional augmentation procedures. An implantable sensor also enhances patient monitoring, paving the way for improved bladder surgery outcomes.
A new biomarker has been discovered that can help predict which patients with clear cell renal cancer are at higher risk of recurrence. The 15-gene signature was found to be independently associated with worse disease-free survival and disease-specific survival in two large validation datasets.
The ARMMS-T2D study found that bariatric surgery yields greater long-term improvements in quality-of-life compared to medical management, with sustained weight loss correlating with better health and reduced pain.
Researchers analyzed three tumor markers for associations with radiographic response and clinical outcomes in NSCLC patients. The study found that CEA, CA-125, and CA-19-9 were associated with progression and radiographic responses in NSCLC.
A new study found that nearly five percent of pancreatic adenocarcinoma patients achieve a pathological complete response (pCR) after treatment, leading to a 63% 5-year survival rate. The research highlights the importance of tailoring treatment based on factors such as chemotherapy regimens and radiation therapy.
Researchers found significant variation in surgical outcomes within each hospital star rating group, despite CMS star ratings being associated with mortality, complications, and readmissions. This study emphasizes the need for continued improvement of publicly reported hospital grade measures to accurately reflect surgical quality.
Families with germline CDH1 P/LP variants show a cumulative risk of gastric cancer between 7-10% and breast cancer in female carriers at 37%
A recent survey of over 170 surgeons reveals that most are resistant to using video for pre-operative appointments, despite being open to converting some post-operative visits to telehealth. Urologists are more likely to adopt virtual care, with 88% already using it for at least some patients.
A glowing marker dye attached to a special marker molecule enables surgeons to visualize prostate cancer cells in real-time, allowing for more precise removal of cancerous tissues and preservation of healthy tissue. This technology has the potential to reduce the chances of cancer recurrence and minimize life-changing side effects.
In individuals with a diabetes duration of 10 years or less, bariatric metabolic surgery was associated with greater weight loss and reduced mortality compared to first-generation GLP-1RAs. No differences were observed between treatment modalities in patients with longer diabetes duration.
A study found that mass incarceration contributes to social disorganization and increased firearm homicides among Black communities in Chicago. Targeted policies addressing mass incarceration may help reduce urban firearm violence.
A meta-analysis of 15 randomized studies found that patients taking GLP-1 medications experienced only mild differences in gastric emptying, delaying solid food by about 36 minutes. The findings suggest it may be safe to continue these medications before surgery without a high risk of aspiration.
A study of 370 patients undergoing elective surgery found that those with higher levels of awareness about anesthesia had better understanding of general and local anesthesia. Patients who underwent surgeries related to eyes, nose, and throat scored higher on the knowledge test due to limited sources of information.
A new study by Brigham and Women's Hospital found that patients with dementia who underwent surgery for hip fractures experienced lower odds of death compared to those treated non-surgically. The benefit was seen in patients with head and neck of the femur fractures, but not in other locations.
A recent study by Dr. Zhaohua Jiang successfully demonstrated VLNT's effectiveness in reconnecting the lymphatic system and improving patient outcomes. The procedure involves transplanting healthy lymph nodes into the affected area, promoting regeneration and reconnection of lymphatic vessels.
A breakthrough in trauma care has nearly quadrupled the 'golden hour' for treating large animals with internal bleeding during emergency ground and air transport. Researchers used a closed-loop, autonomous intervention system to resuscitate pigs with traumatic injuries, extending their survival time by several hours.
A new study reveals that poor access to simple elective surgery in developing countries is storing up future health problems for patients. Inguinal hernia repair was used as a tracer condition, showing that untreated hernias can lead to delayed recovery and higher healthcare costs due to the need for more complex emergency surgery.
Researchers at Osaka Metropolitan University have discovered that plasma irradiation can accelerate tendon repair, showing faster regeneration and increased strength in lab rats. This breakthrough could lead to shorter treatment times and more reliable tendon healing for athletes and individuals with sports-related injuries.
Researchers review cell-based therapies for comprehensive sepsis management, highlighting the potential of mesenchymal stem cells and innate immune cells like macrophages. The review also emphasizes the need for further studies on optimal dosage, administration routes, and storage methods to maximize efficacy and safety.
A recent study published in the British Journal of Surgery found that hospitals with a higher proportion of female surgeons and anesthesiologists had better post-operative outcomes for patients. The study suggests that a team diversity threshold of 35% female members is crucial for optimal performance.
A study published in JAMA Surgery found that bariatric surgery significantly reduces the risk of breast cancer in women with obesity, particularly those with high blood insulin levels. The results show a 32% lower risk overall and a 52% lower risk for women with high insulin levels at the start of the study.
Scientists have developed a functional model of thoracic aortic aneurysm using human cells in laboratory rats, offering new avenues for drug development and effective screening. The model successfully mimics dilation of the human aorta and has potential applications for treating this potentially fatal condition.
Researchers studied cardiothoracic surgeons and found that accumulating failures triggers forces both increasing the opportunity to learn and decreasing motivation. This effect is higher for surgeons with lower perceived abilities to learn.
Severe hip OA linked to worse functional impairment and increased ASD severity even after surgery, according to a study published in The Journal of Bone & Joint Surgery. Patients with severe bilateral hip OA had poorer physical functioning, disability scores, and correction of spinal alignment.
Cyclosporine and its nonimmunosuppressive analog NIM-811 reduce liver damage and inflammation after ischemia-reperfusion injury. The study suggests these compounds may mitigate IRI during liver transplantation and resection.
Researchers developed a device with AI algorithms to analyze suckling strength and pattern in newborns. The system showed improved accuracy over subjective clinician assessments, identifying abnormal patterns that may indicate the need for surgical intervention or improved feeding practices.
Researchers have developed a novel rigid endoscope system for visible-to-OTN hyperspectral imaging, enabling non-destructive imaging and visualization of lesions in normal tissues. The system demonstrated high accuracy in classifying molecular vibration information of various targets with an OTN wavelength range.
A recent study found that preoperative GLP-1 receptor agonist use is not associated with an increased risk of postoperative respiratory complications. The results suggest liberalizing withholding guidelines for these medications may be beneficial.
A new study from Israel found that nearly 1 in 5 adults with congenital heart disease developed an abnormal heart rhythm during a five-year study. Those who developed arrhythmias had twice the risk of early death and increased hospitalization rates compared to those without irregular heart rhythms.
A phase 3 trial shows that pembrolizumab significantly prolongs overall survival in high-risk kidney cancer patients. The treatment delays recurrences and helps patients live longer, with a 38% reduction in risk of death compared to placebo.
A study by the University of Gothenburg found that women with triple-negative breast cancer and high immune cell levels have a lower relapse risk after surgery. This suggests that these patients may not need chemotherapy, despite having faster-growing tumors and higher relapse rates than other breast cancers.
A new online curriculum and simulation training program, developed by Penn State researchers, significantly reduced complications in central line placement. The program, launched in 2022, has been shown to decrease error rates for mechanical issues, infections, and blood clots.
Researchers developed a new treatment method using plasma irradiation to speed up bone healing. The study found that displaced fractures exhibited stronger unions than nonirradiated ones, with strength increased by 3.5 times.
Endoscopic sleeve gastroplasty is a cost-saving option compared to semaglutide for treating class II obesity. A study found that achieving price parity with semaglutide requires a significant discount of at least 3-fold.
A pilot study by UCLA Health investigators suggests that treating patients with immunotherapy and chemotherapy before surgery may improve long-term outcomes for those with borderline resectable pancreatic cancer. The study found a higher rate of successful tumor removal and increased overall survival when compared to historical controls.
A new study from Washington University School of Medicine found that nerve-stimulation treatment for obstructive sleep apnea is less effective for people with higher BMIs. The study analyzed data from 76 patients with BMIs of less than 35 and showed that the likelihood of successful treatment drops significantly as weight increases.
A digital health platform with one-on-one telehealth coaches significantly improves patient adherence to pre-surgical preparation and post-surgical recovery guidance. Patients who used the platform had shorter hospital stays and lower risk of readmission compared to those who didn't use it.
Researchers found a link between Fontan circulation and accelerated epigenetic aging, which can cause complications like osteoporosis and renal impairment. The study suggests this acceleration starts in childhood and continues into adulthood, with potential new treatment opportunities to delay progression.
A survey study found that one-third of surgical residents reported lacking meaningful mentorship, with non-white or Hispanic trainees disproportionately affected. The study emphasizes the need for efforts to facilitate mentorship and improve education and wellness outcomes for all residents.
A long-term study found that coronary heart patients who live in greener areas have a significantly lower risk of mortality after undergoing bypass surgery. The study, which followed over 3,000 patients for 14 years, found that living in a green environment was associated with better chances of survival.
Researchers have developed an implantable battery that runs on the body's own oxygen, providing stable power and compatibility with biological systems. The device shows promise for powering medical devices, monitoring wound healing, and even starving cancer cells.
Researchers assessed the feasibility of dual PD-L1/CTLA-4 checkpoint inhibition in Stage II or III hormone receptor-positive, HER2-negative breast cancer. Eight patients received upfront durvalumab and tremelimumab prior to neoadjuvant chemotherapy, showing mixed responses and limited benefit.
A randomized clinical trial has shown that delaying surgical repair of inguinal hernias in preterm infants until after discharge from the NICU reduces serious adverse events. The study found a high likelihood of hernia resolution with late repair, allowing for quicker hospital discharge.
A large retrospective cohort study found no increased risk of cauda equina syndrome in adults with low back pain who received chiropractic spinal manipulation. The study analyzed over 130,000 patients and suggested that underlying disc degeneration may be a risk factor for CES regardless of treatment approach.
The COVID-19 pandemic caused a significant decrease in colorectal cancer surgeries, with patients undergoing procedures having more advanced stages of cancer compared to those treated in 2019. The study found that approximately 10,000 fewer patients did not have surgery for colorectal cancer in 2020.