Articles tagged with Surgical Procedures
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.
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.
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.
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.
A multidisciplinary team approach can help patients make informed decisions about surgery, considering medical treatment options, risks, and benefits. For the sickest elderly patients, a patient-centered treatment approach can lead to better outcomes.
Researchers compared two common surgery procedures for vaginal prolapse and stress urinary incontinence. The study found no significant difference in functional or adverse event outcomes between sacrospinous ligament fixation and uterosacral ligament vaginal vault suspension surgeries.
A European study found that patients are more likely to die after common surgical procedures in hospitals with heavier nurse workloads and fewer nurses with bachelor's degrees. In contrast, a 10% increase in the proportion of nurses holding a bachelor degree is associated with a 7% decrease in the risk of death.
Researchers analyzed nearly 300,000 patients and found that surgical site infections are relatively rare after ambulatory surgery but the absolute number is substantial. Early access to a clinician can help identify and treat these infections early and reduce overall morbidity.
A new study published by JRSM Open suggests that up to 2 million people in England could benefit from bariatric surgery due to obesity-related diseases. The researchers highlight several factors contributing to low surgery rates, including patient awareness and socioeconomic status.
A study by BIDMC researchers found that African Americans are less likely to consider weight loss surgery due to lower quality of life concerns, not economic barriers. Patients' reported quality of life was a significant motivator for their decision-making process.
A year after arthroscopic partial meniscectomy, patients showed equally low incidence of symptoms and were satisfied with their knee. The study suggests that surgery is not an effective form of treatment for degenerative meniscal tears, and instead recommends exercise and rehabilitation as a more effective approach.
A study published in Medical Care found that high-volume ERCP providers had lower failure rates and hospitalization rates compared to low-volume providers. The authors suggest establishing quality improvement guidelines and credentialing processes to improve patient outcomes.
Rates of aortic valve replacement (AVR) for elderly Medicare beneficiaries rose between 1999 and 2011, alongside declining mortality rates. AVR outcomes also showed significant improvement across all age groups, including among patients 75 years or older.
The study analyzed 7,710 US TAVR cases, finding high success rates (92%) and low major complications. Long-term follow-up is essential to assess continued safety and efficacy of this technology.
A study by Laura Nabors at the University of Cincinnati found that chronically ill children use imaginative play to work through fears and express a full recovery. Play also helps siblings cope with their child's illness, highlighting the importance of parental support.
Severely obese patients who underwent gastric bypass or laparoscopic adjustable gastric banding surgical procedures experienced substantial weight loss, with most of the change occurring in the first year. The study also found significant improvements in obesity-related complications, including diabetes, hypertension, and high choleste...
A nationwide study found that individuals with Alzheimer's are more prone to ischaemic heart diseases but undergo fewer related procedures. Despite this, reduced cognitive function was not a clear explanation for the disparity in treatment
A recent study presented at CHEST 2013 found that beta-blocker use before, during, or after noncardiac surgery increases the odds of having an acute coronary event. This may lead to a higher risk of adverse cardiac events, irregular heartbeat, and worsening symptoms in patients with existing heart disease.
A study published in JAMA found that emergency surgery, advanced cardiac disease, and a revised cardiac risk index score greater than 2 are strongly associated with major adverse cardiac events (MACE) after noncardiac surgery. The study suggests delaying necessary noncardiac surgery may pose a clinical dilemma for patients.
A new study published in JAMA found that the Medicare centers of excellence policy limited minority access to weight-loss surgery, with a 4.7 percentage point decline in non-white patients receiving bariatric surgery after policy implementation. The policy restricts patients to high-volume hospitals designated as centers of excellence.
A new study published in JAMA found that intraoperative cholangiography during gallbladder removal surgery was not associated with a reduced risk of common duct injury. Despite controversy surrounding its effectiveness, routine use of intraoperative cholangiography may not be necessary to prevent common duct injuries.
A new study found that remote ischaemic preconditioning can reduce heart muscle damage after coronary artery bypass graft surgery. Patients who underwent the procedure had lower troponin I concentrations, indicating less damage, and were less likely to die from any cause or heart attack/stroke one year after surgery.
A retrospective study from Cleveland Clinic found that patients who underwent stenting of the carotid artery followed by open heart surgery had the best outcomes. The researchers compared three common treatment approaches and found that this combination had significantly lower risks of serious events after one year.
A study analyzing published research found technology/equipment problems account for almost 25% of operating room errors. Preoperative surgical checklists have been shown to reduce the error rate by half, suggesting their implementation as routine practice.
Researchers at Henry Ford Hospital have successfully integrated robotic ultrasound into kidney cancer surgery, providing direct control for the surgeon. This technology has been shown to reduce the need for assistant guidance and improve precision in measuring tumors from certain angles.
A recent study found that publicly reported death rates are unlikely to accurately identify poorly performing surgeons, particularly for less common procedures like bowel cancer resection. The research highlights the limitations of relying on public disclosure of surgeon performance for quality improvement.
A new minimally invasive procedure called CELS allows doctors to remove large and hard-to-reach polyps while keeping the colon intact. The procedure has been shown to have lower complication rates and shorter hospital stays compared to standard surgery.
Researchers found that the percentage of emergency bowel surgeries varies wildly from state to state, with some states having 7% mortality rates compared to less than 1% in others. The study suggests that analyzing potential contributing factors may help decrease these rates and improve outcomes.