Articles tagged with Surgical Procedures
Researchers at Newcastle University developed a computer model that identifies brain regions responsible for epileptic seizures, leading to improved surgical outcomes. The study successfully simulated brain activity and identified the most seizure-prone areas in patients with temporal lobe epilepsy.
A new Henry Ford Hospital research study has found significant racial disparities in surgical outcomes for black and Hispanic patients undergoing major cancer and non-cancer surgeries. Despite improvements seen in other areas of healthcare, these disparities persist even at quality-improvement institutions.
A study found that postoperative Clostridium difficile infection rates were 0.4% per year among over 468,000 surgical procedures at the Veterans Health Administration. Patients with CDI had higher rates of postoperative illness, death, and longer hospital stays.
A study found hospital readmission rates to be common after emergency general surgery procedures, with varying rates depending on patient factors and diagnosis. The most common reasons for readmission were surgical site infections, gastrointestinal complications, and pulmonary complications.
A recent study found that patients with better insulin-producing cells before weight loss surgery are more likely to eliminate diabetes. The research suggests that measuring insulin cells' performance can help doctors predict which patients will benefit from the procedure, emphasizing the importance of early procedures.
A new surgical training program has been developed using techniques from sports and music to improve surgical performance. The model employs a coaching team with well-rehearsed communication to provide immediate correction when needed.
A study of nearly 60,000 women who received synthetic vaginal mesh slings for stress urinary incontinence found a low risk of needing second surgery for mesh removal or revision. High-volume surgeons performed fewer complications, and multiple mesh-based procedures increased the risk of complications.
A study found no significant difference in complication rates for women undergoing combined hysterectomy and panniculectomy, but longer hospital stays were observed. The research suggests that patient selection is crucial for avoiding complications in combined procedures.
A new study from Northwestern Medicine finds that seniors are more likely to be readmitted to the hospital within 30 days of ambulatory surgery, with age being an independent risk factor. The likely cause is difficulty understanding medication dosing and discharge instructions, as well as cognitive impairment among older patients.
The FDA has approved two new endoscopic bariatric therapies for treating obesity, providing patients with a minimally invasive alternative to surgery. Endoscopic bariatric therapies offer a viable option for patients who have been unsuccessful at weight loss with diet and exercise.
A study published in JAMA Surgery found that women who underwent Roux-en-Y gastric bypass surgery had a faster increase in blood alcohol concentration and reported greater feelings of drunkenness. This alteration in alcohol metabolism increases the risk of developing alcohol use disorders, highlighting the need for public awareness.
The new guidelines offer evidence-based recommendations for optimal temperature management during cardiopulmonary bypass, including cooling and rewarming rates. The guidelines aim to improve understanding of the relationship between temperature management and clinical outcomes, particularly its impact on brain function.
A recent report by the King's Fund shows that increasing day surgery has led to improved patient outcomes and reduced NHS expenditure. By 2013, day case activity had increased from 7% in 1974 to nearly 35%, saving an estimated £2bn for the NHS.
A new study at Northwestern Memorial Hospital reduces UTI rates by decreasing catheter utilization and implementing process improvement guidelines. The initiative targets catheter-related UTIs in the operating room, aiming to change clinical culture among surgeons and healthcare teams.
A new study found that use of a ring-reinforced shunt improved surgical outcomes in children born with hypoplastic left heart syndrome, reducing the need for repeat surgeries and improving survival rates. The study showed significant progress in a small but noteworthy advance.
Atrial fibrillation is a serious medical condition characterized by an irregular heart rate, which can lead to poor blood flow and increase the risk of strokes. The BRIDGE trial, sponsored by the NIH, found that forgoing bridging anticoagulation in patients with atrial fibrillation who need temporary interruption of warfarin for electi...
A national study involving over 9 million Medicare patients found that patients rehospitalized with complications after major surgery are 26% more likely to survive if they return to the hospital where they had their operation. The researchers suggest maintaining continuity of care when readmissions occur is a key predictor of survival.
A study published in The Lancet found that readmission to the same hospital after surgery is associated with improved survival rates. Patients who underwent a range of common operations fared better when treated by the same surgical team and returned to their original hospital for post-operative management.
A study of 2 million women found that D&C performed for miscarriage or termination increases the risk of preterm birth by 29%, with a higher risk of 7.6% in subsequent pregnancies
A new study by NYU Langone Medical Center finds that guidelines aimed at reducing routine testing before surgery had little effect on physician practice. Despite recommendations from professional associations, rates of certain tests remained unchanged over a 14-year period.
Bariatric surgery not only benefits patients' health but also strengthens their relationships with partners, according to a new study. Couples reported improved intimacy, better conflict resolution, and enhanced sexual relationships after one partner underwent weight loss surgery.
A study found that many medical tests are performed before low-risk surgeries despite guidelines, leading to surgical delays and patient anxiety. The Choosing Wisely campaign aims to raise awareness of unnecessary tests among physicians and patients.
Patients aged 80 and above are significantly less likely to be investigated or aggressively treated after surgery than their younger counterparts. This is despite the fact that the oldest old have higher rates of trauma and multiple underlying conditions on admission.
A recent study published in JAMA Surgery found that pregnant women who undergo general surgical procedures do not have a higher risk of postoperative complications. The research analyzed data from over 2,700 pregnant women and 516,000 non-pregnant women, revealing no significant differences in mortality rates, overall morbidity, or pos...
Researchers found high incidence of death and urgent cardiac surgery following off-label use of Lariat device, calling for FDA reassessment. The study highlights regulatory loophole allowing devices cleared for one purpose to be used in higher-risk applications.
A study of over 8000 patients found that surgeons with higher volumes are less likely to perform high-risk pneumonectomies, leading to better long-term survival. The researchers suggest that surgeon experience is an important factor in determining surgical outcomes for non-small cell lung cancer patients.
A study by UCSF researchers found that lower extremity revascularization procedures had little impact on patients' function in nursing homes. Despite the procedure's operative risk, only a few U.S. nursing home residents gained any walking ability after surgery.
A study by University Hospitals Cleveland Medical Center found that laparoscopic colectomy procedures resulted in $6,689 lower costs compared to open surgery, with patients experiencing fewer days of health care utilization. The study also showed a significant difference in healthcare expenditures and patient workdays after the procedure.
The study found that increased use of minimally invasive surgery for common procedures can reduce post-operative complications and save $280-$340 million a year in healthcare costs. By adopting more minimally invasive procedures, hospitals can prevent thousands of complications and reduce hospital stays.
Expert consensus paper provides guidance on transcatheter pulmonic valve replacement for patients with congenital heart disease. The recommendations stress the importance of a heart team collaborating on treatment decisions, and institutions must meet specific requirements to perform these procedures.
A five-year follow-up study of patients with extreme obesity found that duodenal switch was more effective in reducing body weight than gastric bypass, but it came with a higher risk of complications. The study suggests that duodenal switch should be used with caution due to its adverse effects.
Patients undergoing duodenal switch experienced greater weight loss and improvements in blood lipids, but also faced higher rates of nutritional complications. In contrast, gastric bypass resulted in better health-related quality of life for patients with severe obesity.
A study of nearly 350 hospitals found that hospital readmissions after surgery are often related to complications from the surgery itself, rather than a worsening of pre-existing medical conditions. The most common reasons for readmission included surgical site infections and intestinal blockages.
Most surgical readmissions are caused by expected complications like wound infections, occurring after discharge. Hospitals should focus on reducing surgical site infections and addressing issues like dehydration through better communication and patient education.
A study published in JAMA Surgery found that nonsteroidal anti-inflammatory drug (NSAID) use is associated with a higher risk of anastomotic leaks after nonelective colorectal procedures. The study included over 13,000 patients and showed a 24% increased risk for anastomotic leak among those who received NSAIDs.
A study published in JAMA found that US episiotomy rates decreased significantly between 2006 and 2012, from 17.3% to 11.6%, with notable variations based on insurance coverage and hospital characteristics. The decline was attributed to the restrictive use of episiotomy due to its risks and unclear benefits.
A Penn Medicine study analyzed hospital websites to assess the accuracy of TAVR marketing, finding that nearly all hospitals overstate benefits but underreport risks. The study highlights the need for hospitals to present a balanced view of both the known risks and benefits of the procedure.
A study found that bariatric surgery significantly reduced all-cause mortality rates among obese patients, with improved survival at 5 and 10 years post-surgery. The research involved 2,500 surgical patients and 7,462 control patients, and suggests a beneficial relationship between surgery and survival for severely obese adults.
Researchers at NYU Langone Medical Center stress the importance of blink assessment in facial transplant procedures, as well as during and after surgery. Careful evaluation can help preserve vision and prevent complications such as corneal exposure and eyelid retraction.
Reducing emergency surgery for common procedures like abdominal aortic aneurysm repair and coronary artery bypass graft can save healthcare costs. Elective surgeries result in lower mortality rates and better patient outcomes compared to emergency surgeries.
A study of over 1.4 million patients found that longer surgical procedures are associated with a higher risk of developing blood clots, including deep vein thrombosis and pulmonary embolism. The study also identified three common procedures as risk factors for blood clots.
A large-scale national study found that longer surgical procedures significantly increase the risk of life-threatening blood clots. The study analyzed over 1.4 million patients and found a 18-26% increase in clot risk with each additional hour of surgery.
A Swedish study found that only 3% of epilepsy surgery patients suffered lasting complications, with a downward trend over time. Despite the encouraging data, only 50-60 procedures are performed annually, highlighting the need for awareness and increase in availability throughout Europe.
A study comparing gastric bypass procedures found that RYGB resulted in greater weight loss than AGB but had a higher risk of short-term complications. The average maximum BMI loss was 14.8 for RYGB patients, while AGB patients lost an average of 8.0 pounds.
A large national study comparing bariatric surgery procedures found that bypass resulted in greater weight loss, but more short-term complications than banding. Patients who underwent bypass also had a lower risk of reoperations over the long term.
A new study found that patients who underwent bariatric surgery and later had body recontouring procedures maintained significantly greater weight loss compared to those without further surgery. The average BMI decrease was 18.24 years after contouring, versus 12.45 years for non-contouring patients.
A new review by UT Southwestern Medical Center surgeons found gastric bypass surgery to be more effective than banding for long-term weight loss (66% vs. 45%) and controlling type 2 diabetes, high blood pressure, and high cholesterol levels. Long-term complication rates also favored gastric bypass.
Patients who lost more than 100 pounds had the highest risk of complications from later surgical procedures to reshape their bodies. Nutrition plays a crucial role in skin healing and collagen production after bariatric surgery.
Researchers found that patients undergoing laparoscopic cholecystectomy during normal working hours were more likely to receive minimally invasive procedures. The study also revealed no significant differences in complication rates or length of stay between day and night surgeries.
The American Association for Thoracic Surgery has released new evidence-based guidelines for preventing and treating perioperative and postoperative atrial fibrillation. The guidelines aim to reduce the incidence of POAF, which is associated with longer hospital stays, increased morbidity, and mortality.
A recent study analyzing bariatric surgery data in Michigan reveals a significant shift towards sleeve gastrectomy (SG) as the most commonly performed procedure. SG became the predominant bariatric surgery procedure for patients with type 2 diabetes and its use increased by 61% between 2008 and 2013.
A recent study published in BJU International found a significant increase in preventable deaths following common urologic procedures in the US. The study analyzed discharge records of patients undergoing urologic surgery between 1998 and 2010, revealing that mortality rates remained stable while failure to rescue rates increased.
A study at Thomas Jefferson University found that using hypertonic saline during and after complex Whipple surgery reduced overall complication rates by 25%. The increased salt concentration helps to reduce fluid buildup and swelling, promoting faster recovery with fewer complications.
Researchers found a 42% reduction in preventable post-operative complications and a 72% reduction in mortality for minimally invasive surgery compared to open repair. The study analyzed 70,946 cases of abdominal aortic aneurysm repair over seven years.
A new study finds that minimally invasive surgery is underutilized in many US hospitals, with significant variability in procedure types and complication rates. The study suggests that differences in physician training and hospital practices contribute to this disparity.
A study found significant variation in the use of minimally invasive surgery among US hospitals, with some offering it to only a fraction of eligible patients. Surgical complications are estimated to cost $25b annually in the US and can be reduced by using minimally invasive surgery.
A new study published in The Lancet found that partial knee replacement surgery is safer than total knee replacement, with fewer life-threatening complications and deaths. Patients who undergo partial knee replacement are less likely to experience major complications such as heart attacks, strokes, or deep infections.
The study found a significant increase in discretionary surgery and a decrease in nondiscretionary surgery following the Massachusetts insurance expansion. This suggests that insurance expansion may lead to greater utilization of procedures for improving quality of life rather than addressing immediately life-threatening conditions.
A Kaiser Permanente study found that non-Hispanic white patients lost an average of 63% of their excess weight after gastric bypass surgery, compared to 59% for Hispanic and 56% for black patients. The study also showed that vertical sleeve gastrectomy patients lost similar amounts of weight across racial and ethnic groups.
A recent study of over 10,000 patients found that men tend to feel more pain after undergoing major surgery, while women experience higher levels of pain after minor procedures. The research suggests that the type and severity of surgery play a significant role in shaping pain perception.