Articles tagged with Surgical Procedures
A comprehensive analysis of over 60,000 surgical procedures found that overlapping surgeries do not significantly increase the risk of post-surgical complications and patient death in most cases. However, patients deemed high risk due to age and preexisting medical conditions, as well as those undergoing coronary artery bypass graft su...
Researchers compared two groups of patients who underwent clot retrieval with either a balloon-guided catheter or a conventional guide catheter. Patients treated with the balloon-guided catheter showed improved restoration of blood flow scores and clinical outcomes, highlighting its potential to enhance stroke patient care.
A study by Kenton Panas and colleagues found that cross-contamination during two-person assisted gowning procedures is common, affecting 67% of cases. A single-person gowning procedure can eliminate this source of contamination and optimize sterile technique in the OR.
A new study published in The Journal of Bone & Joint Surgery found no increase in complications for patients undergoing overlapping orthopedic surgery. The analysis included over 22,000 outpatient procedures and showed a comparable complication rate between overlapping and nonoverlapping surgeries.
A new study published in The Annals of Thoracic Surgery found no major impact on brain health after major heart surgery. Researchers compared cognitive decline between patients undergoing heart surgery and those who received a catheter-based procedure, and found that the two groups showed little difference in memory performance.
A national survey found that nearly half of respondents believed most people who have weight loss surgery do it for cosmetic reasons, while 40% think it's an 'easy way out'. The study suggests that negative public attitudes may be a contributing factor to the low use of weight loss surgical procedures.
Researchers at Ben-Gurion University have improved a standard clinical scoring system to predict diabetic remission after bariatric surgery, extending prediction time from one to five years.
A multicenter study of 14,135 orthopaedic procedures found that overlapping surgeries did not increase complication rates and had lower hospital stay lengths. The researchers emphasize the importance of patient informed consent and disclosure of this practice.
Researchers have developed a miniature pacemaker design that enables less painful, faster recovery times, and reduced medical costs. The innovative approach uses a tiny incision to implant the device, cutting down on surgical time.
A study of almost 2,400 patients in Michigan who underwent surgery found that more opioids were prescribed than used. Patients used about 27 percent of the opioids prescribed, with larger prescriptions associated with increased use.
Researchers at Boston University School of Medicine developed a simplified procedure called SEAL to remove scar tissue and adhesions that contribute to post-surgical low back pain. The study found short-to-moderate term pain relief in 74% of patients, with over 40% experiencing greater than 50% pain relief after three years.
A study published in The Annals of Thoracic Surgery found that day of discharge has no impact on hospital readmissions for patients after major heart surgery. The research credited education and outpatient intervention programs with improved patient outcomes.
A systematic review of 25 clinical trials found little evidence that invasive surgery reduces chronic pain. The study's findings raise concerns about the widespread use of these procedures without rigorous testing.
Researchers found that the Ross procedure reduced death from all causes by 46% compared to mechanical valve replacement, while also decreasing stroke and bleeding complications. However, patients undergoing the Ross procedure were more likely to require reoperation due to graft failure.
A 2014 US Drug Enforcement Administration policy change was associated with an increase in filled opioid prescriptions after elective surgery. Most of the increase was attributed to hydrocodone, the most commonly prescribed opioid following surgery.
The guidelines, published in the Journal of the American College of Surgeons, recommend custom-tailored pain management regimens based on the operation and patient needs. The ranges offered for each procedure generally call for reductions from current rates of opioid prescription.
A specialized heart bypass program with a dedicated team may result in faster operations and improved patient survival. The study found lower rates of blood transfusions and complications such as stroke during the specialized era.
A recent study found that receiving a red blood cell transfusion before, during, or after surgery significantly increases the risk of developing postoperative blood clots. The research analyzed data from over 750,000 surgical patients and revealed that these transfusions were associated with an elevated risk of venous thromboembolism.
A new study found that nearly two-thirds of patients admitted to Ontario hospitals with hip fractures did not receive surgery within the recommended 24-hour window. Hospital-level improvements are necessary to address these delays, with factors such as patient transfer and preoperative consultations contributing to wait times.
A Johns Hopkins study found that patients undergoing colonoscopies and upper-GI endoscopies at US outpatient specialty centers face a higher risk of bacterial infections than previously believed. The research revealed that infection rates vary widely among facilities, with some ASCs experiencing rates up to 100 times higher than expected.
A new study has demonstrated that video-assisted thoracoscopic surgery (VATS) under local anesthesia can be safely performed on patients with lung cancer who previously would have been deemed inoperable. The procedure showed better patient satisfaction and reduced length of stay compared to traditional surgical methods.
A new study found that patients with low risk of local recurrence can safely undergo surgery alone without receiving chemoradiotherapy. This strategy could reduce the number of patients who receive chemoradiotherapy by half, with minimal risk of undertreatment.
A simple walking test, known as the 6-minute walk distance, can predict a patient's risk of developing postoperative cognitive dysfunction (POCD) after heart surgery. The study found that patients with lower 6MWD distances were more likely to experience POCD.
A study of 704 day surgery patients in Sweden found that those with inadequate health literacy had poorer postoperative recovery and reduced health-related quality of life two weeks after surgery. Identifying patients with low health literacy is crucial to optimize their care and improve outcomes.
A study of nearly 300 women found that while most pelvic prolapse surgeries regress over time, symptoms remain significantly improved five years post-surgery. The study suggests that neither procedure might work as well in the long-term as surgeons once thought.
A recent study published in the Journal of the American College of Cardiology found that Medicaid expansion in Michigan did not negatively impact patient outcomes for coronary artery disease procedures. The research used data from 7,558 CABG procedures and 45,183 PCI procedures performed at various hospitals across the state.
A new study by Brigham and Women's Hospital reveals substantial problems and risks associated with medical tourism for plastic surgery. The most common complications included infections, pain, and wound-healing issues, with many patients relying on US medical insurance to cover follow-up care.
A survey of 502 individuals found that patients are more willing to undergo non-invasive dental procedures such as teeth cleaning and whitening performed by a robot. The promise of half-price dentistry increased participants' willingness to accept robotic dentistry, with only 32% opposed at full price.
A study of trained surgeons found that repeating similar procedures on an operating list results in shorter operating times. This natural 'warm-up' effect allows surgeons to optimize their performance and reduce operating times.
Researchers found that surgeons complete operations more quickly when repeating a procedure, reducing operating theatre time by an average of 6% across 35 procedures. This 'warm-up' effect was consistent across different procedures and could lead to improved patient outcomes.
A new study reveals that elderly Medicare patients underwent fewer minimally invasive surgeries compared to the general population, missing out on potential benefits of lower complication rates and readmissions. The study highlights the underuse of minimally invasive surgery in eligible candidates as an example of low-value care.
Patients who underwent gastric bypass surgery experienced significant weight loss, improved glycemic control, and reduced cardiovascular risk compared to those on intensive lifestyle management. After three years, surgical patients saw an average of 55 pounds lost and lower hemoglobin A1c levels.
A new study by Johns Hopkins researchers found that a common knee operation in elderly patients provides little benefit and may be considered low-value care. The procedure, called arthroscopic partial meniscectomy (APM), accounted for an estimated two-thirds of all orthopaedic knee arthroscopy procedures in older patients.
A national medical records analysis suggests an increase in gender affirming surgeries performed for transgender individuals, with improved access to Medicare, Medicaid, or private insurance coverage. The study found no observed mortality associated with gender affirming surgery throughout the entire study period.
A study found that genital surgery increased among transgender patients between 2000 and 2014, with 46.4% paying out of pocket for procedures during this period. The number of patients covered by Medicare or Medicaid also increased, indicating growing demand for gender-affirming surgeries.
A study at a safety-net hospital in northeast Florida found that it could perform complex operations like esophagectomy with fewer complications and shorter hospital stays than the national average. The institution's use of a written, standardized protocol was credited for its superior outcomes.
A recent study found that patients who lost at least 8 percent of their excess weight just one month before undergoing bariatric surgery had a 7.5 percent greater weight loss at the 12-month post-surgery mark compared to those who did not achieve this goal.
Enhanced recovery after surgery (ERAS) programs reduce hospital stays and opioid use for colorectal and bariatric surgery patients. The ERAS program includes preoperative education, carb loading, and pain management strategies to improve patient outcomes and lower costs.
A retrospective cohort study found that bariatric surgery is associated with a lower risk of death from any cause compared to nonsurgical obesity management. The study analyzed data from over 8,000 patients who underwent weight-loss surgery and 25,000 who received nonsurgical care.
A study published in Pediatrics found that black children are more than twice as likely to die after surgery, with increased risks of ventilator use, oxygen support, and wound infections. The authors developed race-specific models to predict surgical outcomes and suggest interventions to reduce mortality rates
A survey of 1,728 participants found that most preferred surgical treatment over antibiotics for appendicitis. This contradicts the idea that antibiotics alone can be a suitable alternative to surgery for many patients.
Experts say children aged 8-10 are best placed to explain surgical facts to patients due to their everyday language usage. Research shows that clear information reduces anxiety and improves patient satisfaction.
A new study by NYU Langone Health finds that a healthcare center in India has developed a sustainable cataract surgery model, emitting 96% less carbon than the UK while producing comparable health outcomes. The model's key practices include shorter surgery durations, better re-use of surgical materials, and more efficient sterilization.
A population-based study of patients with hip fracture surgery and elective total hip replacement found that overlapping surgery was associated with an increased risk for complications, especially in nonelective procedures. The duration of the surgical overlap appeared to increase the risk.
Researchers at The Dartmouth Institute found that physicians with more experience and certain specialties tend to slow the use of carotid revascularization procedures. Despite evidence showing these procedures don't benefit older or symptom-free patients, decline rates remained inconsistent across specialties.
A Massachusetts panel has identified factors contributing to cataract surgery adverse events and strategies for preventing patient harm. The team recommends standardized safety protocols, proper training, and the use of least invasive anesthesia forms to reduce errors.
Researchers identified 71 low-value general surgical procedures, with the highest impact interventions including inguinal hernia repair and routine endoscopy in asymptomatic patients. Experts emphasize the importance of maximizing patient care value through precise treatments and challenging existing dogma that 'more is better'.
A study found that lavender aromatherapy reduced preoperative anxiety in ambulatory surgery patients. The effect was modest but showed promise as a potential tool for managing anxiety in the operating room setting.
A team from Michigan Medicine proposes a data-driven, insurer-funded approach to make surgery safer and less expensive for all; the Value Partnership model has saved lives and dollars at 72 Michigan hospitals, with potential for federal help to accelerate nationwide adoption.
Researchers found that robot-assisted laparoscopic surgery for kidney removal had comparable patient outcomes but higher costs, with a 46.3% chance of prolonged operative time compared to traditional procedures.
Performing cholecystectomy before gastric bypass surgery may lower risks for patients with obesity and symptomatic gallstone disease. The analysis, based on 79,386 and 36,098 patient data from 2007 to 2013, suggests that the best strategy is to perform cholecystectomy prior to gastric bypass surgery.
Patients treated by female surgeons have slightly lower death rates in the first few weeks after operation, but results do not support preferential selection of a surgeon based on sex. Researchers found no significant difference in readmissions or complications.
Plastic surgeons at Maastricht University Medical Center used the Microsure robotic device to perform a super-microsurgical intervention on a patient's lymphedema, the world's first of its kind.
A study led by Duke University Medical Center found that biologic valves used in trans-catheter aortic valve replacement (TAVR) and open-heart surgery continue to perform well up to five years after implantation. The results provide reassurance for the long-term benefits of minimally invasive valve replacement.
The Pelvic Floor Society issues a consensus statement on the use of mesh surgeries for treating constipation and rectal prolapse. The statement emphasizes proper training, accreditation, and tracking of complications to ensure patient safety.
A new study reveals that post-surgical painkiller prescriptions can become a pathway to continued, nonmedical opioid use in teens and young adults. The research found that nearly 5% of patients who underwent common surgeries had persistent opioid use after 90 days.
A randomized clinical trial compared laparoscopic and open surgeries for pancreatic cancer patients. Laparoscopy showed reduced blood loss, decreased transfusions and shorter hospital stays without differing complications or pathological outcomes.
Most events leading to sustained prescription opioid use were nonspecific diagnoses, such as lumbago, rather than hospital procedures. Spine and orthopedic disorders were common conditions associated with the initial opioid prescription.
A James Cook University scientist has discovered an alcohol-free antiseptic solution that is safe and effective for minor surgical procedures. The study found a slightly lower infection rate with the new solution compared to traditional water-based antiseptics.
Nearly 60% of mechanical thrombectomies occur during non-work hours, with peak periods between 8-11 p.m. The study emphasizes the importance of understanding procedure timing to optimize patient outcomes and optimize physician staffing at stroke centers.