Articles tagged with Surgery
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.
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.
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.
New studies find over half of new doctors experience some form of sexual harassment in their first year, with women and men experiencing varying rates of recognition and types of harassment. The #MeToo movement has led to increased recognition of what constitutes harassment, but more work is needed for medical schools and hospitals.
A new AI tool can predict which breast cancer patients are at risk of chronic arm swelling after surgery and radiotherapy. The tool, developed by international researchers, uses machine learning algorithms to analyze patient data and provides easily understandable explanations for doctors and patients.
A multi-institutional team is creating innovative technologies to reduce complications associated with left ventricular assist devices (LVADs), including infection, thrombosis, stroke, and bleeding. The new LVAD will deliver a physiological response to changes in the recipient's activity levels using a 'smart' Maglev drive technology.
A new study from Johns Hopkins Medicine found that circulating tumor DNA levels can accurately assess how gastroesophageal cancers respond to treatment and predict future prognosis. The study tracked minimal residual disease by analyzing ctDNA, showing a correlation between ctDNA clearance and cancer-free survival.
A Northwestern University team developed a wireless, implantable temperature sensor to monitor inflammatory flareups in patients with Crohn's disease. This allows clinicians to act earlier to prevent permanent damage caused by inflammatory episodes.
Research highlights new findings on social vulnerability and survivorship after colorectal cancer resection, as well as disparities in kidney recovery among Black donors. Additionally, studies reveal cost savings from implementing quality interventions and explore eligibility for transplants in obese patients with end-stage renal disease.
A study published in Lancet Gastroenterology & Hepatology found that not placing a drain during distal pancreatectomy surgery improves patient outcomes. The study, involving 282 patients across ten Dutch and two Italian hospitals, demonstrated a significant reduction in postoperative pancreatic leaks and overall morbidity.
The study found a significant decrease in newly diagnosed breast cancer cases, with the largest declines seen among women aged 50-69 and Hispanic women. The results have implications for how physicians and policymakers address issues related to diagnostic delays during the pandemic.
A collaborative study found that patients with end-stage renal disease who undergo weight loss surgery can experience significant improvements in BMI, hypertension, and diabetes management. This enhancement of overall health and transplant viability offers hope for previously ineligible patients.
Researchers found that patients recovering from robotic lung surgery do not fully recover even after 90 days, despite common expectations. The study suggests a more thoughtful approach to pre-surgery communication with patients is needed to better understand their recovery experiences.
Researchers at Children's Hospital Los Angeles found significant variation in opioid treatment for critically ill infants across different institutions and geographic regions. The study reports wide variability in opioid prescribing practices, which can impact hospitalization length of stay, healthcare costs, and long-term outcomes.
A multicenter randomized trial showed a paclitaxel-coated balloon to be superior to an uncoated balloon in preventing target lesion failure in patients with coronary in-stent restenosis. The study included 600 patients and demonstrated the effectiveness of paclitaxel-coated balloons as a treatment option.
Patients living in areas with severe primary care shortages have a higher risk of emergency surgery, complications after surgery, and readmission. The study highlights the need for efforts to increase training and geographic distribution of primary care providers.
A new study quantifies a dramatic rise in school shootings and related fatalities over the past 53 years. The study found that the likelihood of children being a school shooting victim quadrupled between 1970 and 2022, highlighting the need for preventative measures.
Patients with behavioral health disorders (BHDs) are less likely to undergo surgical resection and face a higher probability of complications, extended hospital stays, and readmission. BHDs increase healthcare costs by 7.76% and worsen prognosis in cancer patients.
Seven high-impact studies will be showcased, exploring novel therapies and improving treatment outcomes for patients with head and neck squamous cell carcinoma. These findings highlight advancements in immunotherapy, risk-directed adjuvant therapy, and FDG-PET-based selective de-escalation of radiotherapy.
A new Yale study found that older Americans have a high risk of hospital readmission within 180 days of undergoing major surgery. The risk is particularly acute for individuals with geriatric-specific conditions such as frailty and dementia, with rates of readmission ranging from 27.6% to 39%.
A new review at ECCMID 2024 will examine improving preventive measures to stop surgical infections. It highlights the need for evidence-based recommendations, citing examples such as pre-surgery showering and instrument handling, while acknowledging inconsistent practices.
Researchers found that synthetic PIC gel can stimulate cell growth and increase collagen production, potentially improving wound healing after pelvic organ prolapse surgery. The study also showed a mild immune response to the gel when tested on laboratory animals.
After 7 to 12 years of follow-up, bariatric surgery outperformed medical/lifestyle intervention in achieving superior glycemic control with reduced medication use and higher rates of diabetes remission. Individuals who underwent bariatric surgery had better long-term management of their type 2 diabetes.
The study found that bariatric surgery improved blood sugar control and reduced diabetes medication use more effectively than medical and lifestyle modifications. Bariatric surgery also led to superior cholesterol and triglyceride levels, which can contribute to fewer heart attacks and strokes.
A study compared traditional logistic regression models and machine learning algorithms to predict the best surgical technique for patients with submucosal tumors. The traditional regression approach was found to outperform ML algorithms, with morphology ranking as the highest contributor to prediction accuracy.
A new AI system is being developed to provide real-time feedback and instruction for surgical trainees, addressing the need for constant supervision in laparoscopic surgery. The system uses computer vision model to detect the student's actions and provides immediate assessment and training direction.
Researchers successfully performed robot-assisted remote radical distal gastrectomy for stage T2N0M0 gastric cancer using 5G communication technology. The procedure demonstrated minimal intraoperative delays and no packet loss, highlighting the potential of 5G to advance remote surgical procedures.
A UK study published in Anaesthesia found that black children are at a significantly higher risk of postoperative complications following emergency appendicitis surgery, with a four-fold greater risk compared to white children. The study also identified other risk factors for complications, including pre-existing medical conditions and...
A new study in tens of thousands of people with obesity shows the impact of different weight management treatments on achieving a 5% weight loss. Effective treatment options include nutrition counseling, medically supervised meal replacements, anti-obesity medications, and bariatric surgery.
Researchers developed a wireless device powered by light that can be implanted to regulate cardiovascular or neural activity in the body. The ultralight membrane is thinner than a human hair and contains no moving parts, offering a minimally invasive surgery alternative.
Researchers found that pulse oximeters underestimate blood pumping and overestimate resistance, affecting treatment decisions. Direct blood oxygen measurement is crucial for accurate guidance, especially for Black patients already at higher risk.
Researchers developed a portable, droplet-based millifluidic device to monitor patients in the critical first days after surgery. The device measures drainage fluid's alpha-amylase activity in real time, reducing test duration from six hours to two minutes.
Researchers found that 86 patients experienced severe residual paresthesia after spinal surgery, leading to lower satisfaction rates. Patients with pre-surgical pain were more likely to have persistent paresthesia, highlighting the need for treatment strategies for this condition.
A new screening tool has been developed to catch endometrial cancer cases earlier, saving lives. The partnership between Pennington Biomedical's Metamor Institute and the LSU School of Medicine has already screened over 2,000 women and found abnormal bleeding in many cases.
A study of over 250 patients with Cushing's disease and nonfunctioning pituitary adenomas found that those who achieved remission were more likely to develop new-onset autoimmune disease within three years. Higher prevalence of adrenal insufficiency may have contributed to this development.
Weight loss treatments such as nutrition counseling and bariatric surgery increased the patient-level probability of achieving significant weight loss. Current treatment utilization rates are insufficient to impact the population level, highlighting a need for improved access.
A new study has found that routinely changing surgical gloves and instruments is cost-effective and safer, reducing surgical site infections (SSIs) by 13% in seven low- and middle-income countries. The economic evaluation, funded by the UK's National Institute for Health and Care Research, compared the costs and SSIs associated with ro...
A new study suggests that including socioeconomic status in the calculation of Medicare readmission penalties would reduce penalty amounts for 38% of safety-net hospitals compared to 17% of non-safety net hospitals. This adjustment could help alleviate financial pressure on these hospitals, which often care for sicker patients with lim...
Researchers found that bariatric surgery led to improved cognition and overall well-being two years after the procedure. The study revealed changes in blood vessel efficiency and cortical thickness of the temporal cortex, offering new treatment options for patients with obesity and dementia.
A randomized clinical trial of 1,680 patients with acute ischemic stroke due to large-vessel occlusion found no significant improvement in disability with adjunctive methylprednisolone. The study suggests that methylprednisolone may not be effective as an adjunct therapy after endovascular thrombectomy for this patient population.
A team of researchers analyzed 61 symptomatic and 35 asymptomatic knees with discoid lateral meniscus surgery. They found that larger meniscus sizes were associated with increased knee pain and symptoms. The study's results have important implications for surgical treatment and preoperative imaging.
A machine learning study of 22,000 surgical cases found that models can inform individual prognosis and aid in decision-making to reduce ineffective spine care. The findings suggest that these models may improve outcomes for patients undergoing lumbar disc herniation surgery.
Rates of re-excision after initial breast-conserving surgery remain high across the US, leading to increased healthcare costs and a higher risk of postoperative complications. The study found that younger age and ductal carcinoma in situ are associated with a higher reoperation rate.
University of Melbourne researchers have received a $35 million grant to develop a world-first tissue engineered cornea to treat corneal blindness. The technology has the potential to provide corneal tissue to surgeons worldwide, including countries with limited eye banks.
A global study has identified evidence-based approaches to prevent breast cancer-related arm lymphoedema (BCRAL) by addressing risk factors and implementing surveillance programs. The research provides a clinical guide for healthcare teams worldwide to adopt a proactive approach in preventing this irreversible complication.
A large study of 432,000 cancer patients who underwent major surgery found an increased rate of venous thromboembolism associated with cancer surgery. The risk persisted for about two to four months postoperatively and varied between cancer types.
Researchers developed a risk calculator to predict individualized risk of right heart failure after left heart pump surgery, tailoring care to each patient. The STOP-RVF calculator uses machine learning and considers variables such as pre-existing health conditions, medications, and demographic information.
A new study found that nearly half of older adults who considered elective surgery were deterred by financial concerns and the need for paid time off. In contrast, those worried about post-operative pain were more likely to proceed with surgery.
UCLA surgeons and scientists present research on ethnic predictors of gastric cancer survival, early liver retransplantation and risk factors for chemical restraint use in adult trauma patients. The studies highlight the importance of understanding these factors to improve patient care.
A 10-year follow-up study of nearly 2,500 U.S. men who received prostate cancer treatment found that adverse effects of treatments on sexual function may be deemphasized in decision making for some men. The study suggests that active surveillance can be a beneficial option for patients with favorable-prognosis prostate cancer.
A new study found that Black patients were more likely to choose active surveillance, while those with a strong desire for a cure or expecting longer life with treatment were less likely. Education and urologist interventions can increase active surveillance adoption among low-risk prostate cancer patients.
Researchers found that counties with higher uninsured rates and reduced access to mental health services have higher opioid prescriptions. Conversely, better healthcare quality was associated with a greater drop in opioid prescriptions over time.
A study of nearly 15,000 adults with non–small cell lung cancer found that Medicaid expansion decreased postoperative mortality within 30 and 90 days after hospital discharge. This suggests that expanded Medicaid coverage may improve cancer outcomes and access to care for this population.
Researchers from MD Anderson Cancer Center reported a case of a patient with an exceptional response to pazopanib treatment for over 5 years. The study shows that pazopanib prevents or delays the progression of additional metastasis in EWSR1-NFATC2 positive sarcomas. Further studies are warranted.
A new study suggests that using artificial intelligence to scan surgery patients' medical records can identify those with risky drinking habits who may benefit from education or treatment. The AI system analyzed over 53,000 patient records and found three times more patients with high-risk alcohol use than diagnosis codes alone.
No significant disparities in receipt of general anesthesia were found among laboring patients who had labor epidural catheters in situ across different racial and ethnic groups. The study suggests that prior care disparities may contribute to higher rates of general anesthesia among minority groups.
Researchers at UMCG have successfully performed liver transplants after prolonged preservation using a perfusion machine, showing similar outcomes to immediate transplants. The new method allows for safer and more efficient liver transplantation during the day, reducing complications and mortality rates.
New research reveals that the age at which individuals are tested for VWD significantly affects their diagnosis, with older patients more likely to be misdiagnosed. The study also found that as people with VWD get older, they respond better to treatment, potentially reducing medication and side effects.
A large randomized study investigated the effect of preoperative, low-dose oral administration of midazolam in older patients on patient satisfaction and safety. No significant difference was found between midazolam and placebo groups regarding patient safety.
The AGA releases its first comprehensive evidence-based guideline for managing pouchitis, a complication of ulcerative colitis surgery. The guideline recommends treatment with antibiotics and multi-strain probiotics to prevent recurrent pouchitis.