Articles tagged with Surgical Procedures
A study published in JAMA Surgery demonstrates that living-donor liver transplant is a viable option for patients with systemic controlled colorectal cancer and liver tumors. The procedure offers improved quality of life and survival for these patients, who previously had limited treatment options.
A retrospective cohort study found that shoulder injuries occurred in fewer than 1 in 10,000 patients who received intramuscular vaccinations administered in the deltoid muscle. Researchers also identified risk factors for developing shoulder conditions, including advanced age, female sex, and receiving pneumococcal conjugate vaccine.
A new study by researchers in Ontario found that pandemic-related slowdowns of cancer surgeries resulted in 843 life-years lost across the province's cancer population. The study highlights the need for measures of surgical prioritization during pandemic-related slowdowns.
A novel surgical approach and synthetic viral vector Anc80L65 successfully delivered genetic cargo to the inner ear of nonhuman primates, paving the way for a potential treatment for hearing loss and vestibular disorders. The study's findings suggest that this method could be translated to humans.
Children with high diastolic blood pressure scores had reduced risk of in-hospital mortality and reduced time in the ICU and hospital after CHD repair surgery. Predictive models could be improved by adding blood pressure polygenic risk scores to identify children at risk for adverse outcomes.
A new poll reveals that older adults aged 50-80 who consider elective surgery harbor concerns about costs, discomfort, caregiving needs, and more. Despite these concerns, most adults are satisfied with the result of their operation. Satisfaction varies depending on physical and mental health status.
A new study finds that nearly one in six older Americans undergo repeat hernia surgery, highlighting the need for more effective treatment options. The research suggests that minimally invasive procedures may be associated with a higher risk of subsequent operations.
A noninvasive imaging method called virtual intracranial EEG (ViEEG) has been developed to replace electrodes in epilepsy surgery planning. The method uses magnetoencephalographic (MEG) imaging to create a dynamic map of the brain during seizures, enabling precise identification of brain networks involved in seizure generation.
A new study from the University of Missouri-Columbia recommends pretreating urological patients with antibiotics tailored to their local infection patterns. This approach may reduce postoperative infections in transurethral procedures, which affect up to 10% of patients annually.
A US study analyzed opioid prescribing patterns before surgery, revealing that approximately 44% of patients received opioids as preoperative medication. The analysis spanned over a decade and examined the trend's impact on patient outcomes and potential risks.
A large-scale study found that simulation-based surgical training increased surgeons' skills for complex surgeries, with fewer total complications and ureteric injuries. Simulation training led to higher overall proficiency scores and fewer procedures required to achieve proficiency in complex surgeries.
A UOC study analyzed 28,000 European citizens' perceptions of robot-assisted surgery, finding that experience and user-friendliness are key factors in trust. The study highlights the need for a patient-aligned robotic strategy to develop effective healthcare policies.
A robot performed laparoscopic surgery on a pig without human guidance, demonstrating improved results compared to human surgeons. The Smart Tissue Autonomous Robot (STAR) excelled at intestinal anastomosis, a procedure requiring high precision and accuracy.
The UK has an estimated 1.5% prevalence of severe aortic stenosis among people aged 55+, equivalent to around 300,000 living with the condition. Over half of advanced cases will die within 5 years without treatment. The NHS may struggle to cope with the rising demand for life-saving surgical procedures.
A recent study published in The Journal of Urology found that serum hormone ratios can predict the risk of future infertility in children with cryptorchidism. Researchers discovered that inhibin B levels and anti-Mullerian hormone (AMH) are significant markers of spermatogenesis, helping to identify boys at high risk of infertility.
A pre-clinical study showed that the use of extracellular matrix supports improved nerve fibre regeneration across large nerve defects. The team's novel ECM-loaded medical device increased pro-repair inflammation, blood vessel density, and regenerating nerves, offering a promising alternative to current therapies.
A team of scientists at the University of Missouri used small wearable sensors to gather data on how people with a traumatic hand amputation use a prosthesis versus a transplanted hand. The study found that hand transplant recipients exhibit a more balanced pattern of limb use, while prosthesis users rely heavily on their prosthetic hand.
A study published in Neurosurgery found that responsive neurostimulation system reduced disabling seizures in 84% of children and young adults with drug-resistant epilepsy. The youngest patient to undergo RNS implantation was a 3-year-old child.
A new study suggests that combining two drugs can reduce postoperative opioid use and side effects in adolescents with scoliosis. The combination of intrathecal morphine and oral gabapentin provides more effective pain control, resulting in fewer side effects and lower narcotic consumption.
A recent analysis of 1.3 million surgical procedures found that solo procedures performed by surgical residents were not associated with increased risk of death or complications. The study suggests that residents' performance in these settings may be comparable to that of attending surgeons.
A recent China-wide study investigated the effect of general versus regional anesthesia on post-operative delirium in older adults undergoing hip fracture surgery. The results showed no significant difference in delirium incidence between the two groups, contradicting previous assumptions.
A survey of 121 fertility specialists in Australia, UK, and New Zealand found that endometrial scratching is still offered by 34% of clinics despite lack of evidence, primarily for psychological benefits. Many respondents considered the procedure's drawbacks, including pain and cost.
Researchers found that up to one in five patients experience increased troponin levels after major surgery, indicating potential heart damage. These patients were also more likely to be anaemic before the operation.
Surgeons at Henry Ford Health performed the world's first precision prostatectomy through the bladder using a single port robotic surgical system. The procedure preserves a portion of the prostate capsule, improving functional outcomes such as erectile function and urinary control.
Researchers examined changes in surgical procedures during pandemic, comparing post-COVID-19 shutdowns with peak infection rates and prepandemic volumes. They found significant adjustments in procedure volumes, likely influenced by public health measures.
A LSU Health New Orleans study reports a nearly 70% decrease in morphine milligram equivalent (MME) per discharge opioid prescriptions for patients who underwent common lower extremity surgical procedures. The study also found a significant decline in new opioid prescriptions, from 50% in 2013 to 19.3% in 2018.
Scientists at Tokyo University of Science have developed a novel polymer-based hydrogel that can prevent postoperative pancreatic fistulae, a frequent complication of pancreatic surgery. The Exceval hydrogel shows great promise for clinical applications due to its adjustable properties and high absorption abilities.
Duke researchers developed a method to increase the depth of view of optical coherence tomography (OCT), allowing for clear images from beyond a millimeter beneath the skin's surface. The new technique, known as dual-axis OCT, tilts the light source and detector to collect more scattered light from deep tissues.
A study found that 'surgery selfies' taken by patients and assessed by clinicians can diagnose wound infections early, reducing GP visits and improving access to care. The practice could manage surgical patient care while reducing pressure on the NHS.
A recent study found that using consumer-grade wearable devices to track a child's heart rate and physical activity after surgery can help clinicians decide if at-home recovery is going as expected. The data from the wearables, coupled with parent reports, aids clinicians' decision-making and potentially prevents unnecessary ED visits.
A recent study published in Circulation found that patients receiving a combination of antiplatelet drugs for many months (up to 2.5 years) after stent procedures may not receive the full benefit of treatment. The researchers compared characteristics of 8,864 patients from an older trial to 568,540 contemporary patients and determined ...
A new study found that a simple surgical technique called posterior left pericardiotomy significantly reduces the risk of atrial fibrillation in patients undergoing cardiac surgery. The procedure, which involves draining excess fluid and small clots from the heart sac, was associated with a 56% lower incidence of irregular heart rhythm...
A new trial shows that the novel surgical device venous external support (VEST) may improve outcomes of coronary bypass grafting using leg veins by preventing intimal hyperplasia, a key factor in vein graft failure.
A NIH-funded study found that patients with a two-step surgical approach for 'leaky heart valves' had better short-term outcomes, but were more likely to need a pacemaker. The procedure involved repairing the tricuspid valve at the time of mitral valve surgery, and results showed reduced risk of death, reoperation, or severe regurgitat...
Researchers found a significant male bias in surgeon referrals, with male physicians more likely to refer patients to male surgeons. Female physicians were only 1.6% likelier to refer patients to a female surgeon, further widening the gender pay gap in medicine.
Defects in surgical care cost the American health care system over $12 billion annually. A holistic approach through Centers of Excellence can address these defects, increasing quality, patient experience, and reducing costs.
Boston University researchers found that even low levels of physical therapy before or after total knee replacement surgery lower the odds of chronic opioid use. Participation in six or more sessions of physical therapy post-surgery and initiation within 30 days of surgery were linked to reduced chance of chronic opioid use.
A new study found that facemask ventilation during routine surgery does not significantly increase the risk of COVID-19 transmission compared to normal breathing or coughing. The procedure is considered low-risk and should not delay or slow down surgery.
A new study found that a decline in hospital stays after surgery may be associated with an increase in post-discharge complications. Researchers recommend implementing a coordinated system to better identify and manage these complications, including improved patient education and enhanced communication between healthcare providers.
A nationwide pause of most elective operations led to significant financial losses for hospitals, with one study estimating a 42% loss of net revenue. Hospitals lost $1.53 billion from missed pediatric procedures, with a median time to recovery of one year.
A new surgical procedure, Conjunctivoductivo-dacryocystorhinostomy, has been developed to treat intractable canalicular obstruction and watery eyes. The procedure creates a new passage for tear fluid to flow, eliminating facial scarring and foreign matter.
A recent study by Michigan Medicine found that sleeve gastrectomy is associated with lower risks of death and complications compared to gastric bypass surgery. However, patients who underwent sleeve gastrectomy were more likely to require follow-up surgery.
Researchers at Karolinska Institutet studied long-term outcomes of patients with pacemakers after transcatheter aortic valve replacement and found no significant difference in mortality. The study included over 3,400 patients, with 481 receiving permanent pacemakers within 30 days of surgery.
A Canadian study found a significant decrease in cardiac procedures during the pandemic, resulting in higher wait list mortality rates. Despite no increase in wait times, patients with heart disease were at higher risk of dying while waiting for their procedure.
Researchers found that using the 'no-touch' technique to remove leg veins during coronary artery bypass surgery resulted in fewer blocked grafts and a lower incidence of recurrent chest pain. However, the technique was associated with more wound complications, particularly in female patients with type 2 diabetes or hypertension.
A new surgical procedure called Kareem's procedure has been introduced to treat congenital intestinal malrotation, a condition where the intestines twist, causing serious complications. The study shows favorable outcomes in patients with intact gut and disabling symptoms, with significant improvement in digestive symptoms after surgery.
The American Academy of Sleep Medicine has released a new clinical practice guideline recommending referral to upper airway or bariatric surgery for adults with obstructive sleep apnea who are intolerant of CPAP therapy. The guideline provides strong recommendations for treatment, considering factors such as BMI and patient adherence.
A mixed-methods analysis found that most surgical patients prefer virtual follow-up care for its convenience, which does not compromise patient satisfaction. The study highlights the potential benefits of virtual visits in improving access to care and reducing barriers for patients.
Research finds that patients undergoing planned surgery in independent sector hospitals have shorter hospital stays and lower readmission rates than those treated in NHS hospitals. The study analyzed data from over 3.5 million patients and found significant differences in length of stay, emergency transfers, and readmissions.
A study developed by HSS experts shows improved patient outcomes, including reduced hospital stays and readmissions, after implementing an optimized recovery pathway for complex spine surgeries. The new approach also lowered complication rates and enabled patients to recover faster at home.
A novel approach to improve fitness for surgery, known as 'prehabilitation', has been shown to reduce cancer patients' hospital stay by 1.8 days compared to standard care. This study suggests that prehabilitation can benefit patient outcomes and potentially confer a survival advantage.
A new adhesive, inspired by barnacles' sticky substance, can form a tight seal within seconds of application on wet surfaces, including blood-covered tissues. This bio-inspired tissue glue shows promise in rapidly controlling bleeding and may offer a more effective treatment for traumatic injuries.
Researchers found that a mobile interventional stroke team treated patients faster and with better outcomes than standard care. Patients treated by the MIST team were more likely to be functionally independent at 90 days post-stroke.
A new study by researchers at Massachusetts General Hospital found that preoperative urinalysis screening for asymptomatic patients undergoing surgery has little or no benefit. However, the test may lead to unnecessary antibiotic prescriptions and exposure to potential harms, including Clostridium difficile infection.
Preoperative testing is often unnecessary for low-risk surgeries, yet it continues to be ordered despite evidence suggesting its low value. Patients who had a complete medical history and physical done during a visit were more likely to have had preoperative testing.
The ASMBS Foundation announced PatientPartner as a premier sponsor of its monthly giving program, AWARE. The partnership aims to raise funds for obesity research and increase access to metabolic and bariatric surgery, a proven effective treatment for severe obesity.
A new study found a decrease in major abdominal surgeries among older adults, except for certain procedures like pancreatic cancer. The study suggests improvements in medical treatments and cancer screening may reduce the need for invasive surgeries.
The International Society of Feline Medicine has published guidelines for blood transfusions in cats, emphasizing the need for careful consideration due to risks and limited donor availability. Blood typing and cross-matching are crucial to prevent potentially fatal reactions.
Experts propose making general anaesthesia available to dying patients, citing high public support. This would provide unconsciousness during final moments, alleviating suffering.
A randomized trial of telemedicine versus office-based follow-up after arthroscopic meniscal surgery found equivalent patient satisfaction scores between the two groups. Patients using telemedicine for postoperative follow-up had similar pain scores and complication rates as those making in-person visits.