Articles tagged with Surgical Procedures
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.
Researchers found a 'weekday effect' in mortality rates for patients undergoing elective surgery, with higher risks at the weekend and end of working week. The study suggests poorer quality of care may contribute to this, particularly for patients with more diseases or previous admissions.
The new guidelines aim to optimize blood use for surgical patients by preparing units only for procedures requiring transfusions. By streamlining the process, hospitals can reduce waste, lower costs, and enhance patient outcomes.
A study evaluates long-term effectiveness of abdominal sacrocolpopexy surgery, finding that it effectively provides relief from POP symptoms but deteriorates over time. The procedure also decreases the risk of stress urinary incontinence, but mesh erosion remains a problem.
A JAMA study found that surgery for pelvic organ prolapse, specifically abdominal sacrocolpopexy, loses effectiveness over time. Despite initial success, women experience progressive loss of anatomic support and mesh erosion, a complication of the procedure.
A recent study found that women are more likely to undergo percutaneous nephrolithotomy (PCNL), a minimally invasive procedure to remove medium to large kidney stones. The study also discovered an increase in blood infection and overall complications, with sepsis incidence doubling from 1.2% to 2.4%.
A study found that interspinous spacers have a lower complication rate than spinal fusion, but patients receiving spacers are more likely to require repeated back surgery. The researchers compared outcomes of three surgical treatment options for spinal stenosis in over 99,000 Medicare patients.
Researchers at Cincinnati Children's Hospital Medical Center have successfully tested a catheter-based procedure that diverts bile into the small intestine, producing significant weight loss and metabolic benefits in obese rats. The study suggests manipulation of bile acids may be sufficient to recreate the effects of bariatric surgery.
New Johns Hopkins research finds no link between patient satisfaction scores and surgical care quality scores, but suggests that a better workplace culture for staff can improve patient satisfaction. The study emphasizes the need for better instruments to capture technical skills and medical judgment in measuring hospital quality.
A new tool allows surgeons to track surgical devices in real-time while minimizing patient radiation exposure by using a computer program that determines the fewest number of X-rays needed. The algorithm takes into account the type of procedure and required precision, providing precise location data with minimal radiation use.
A new study suggests that transgastric appendicectomy, a minimally invasive procedure through the stomach, may offer an alternative to traditional appendectomies. The procedure causes less pain than classical surgical methods and avoids external incisions, reducing wound infections and incisional hernias.
A recent study by Henry Ford Hospital reveals that the rise in minimally invasive kidney stone surgery has led to a higher incidence of blood infections and overall complications among female patients. The procedure's use has increased by 47% since 1999, with women making up a larger share of those undergoing the treatment.
A review of medical literature reveals limited data on experience-related outcomes in children's surgery, with hospital-level characteristics strongly associated with improved outcomes for complex procedures. Surgeon-level factors appear more important for common, less resource-demanding procedures.
A multicenter study found no significant difference in combined outcomes of death, stroke, heart attack, repeat revascularization or new renal replacement therapy between on- and off-pump coronary bypass surgery in elderly patients. The results suggest that both techniques are safe and effective for this age group.
A study suggests that non-emergency angioplasty performed at hospitals without on-site cardiac surgery capability is no less safe and effective than the procedure at hospitals with cardiac surgery services. The research found that rates of major adverse cardiac events were similar between the two groups, with outcomes not differing sig...
A study found that bariatric surgery outcomes improved across all hospitals, including both high-quality centers of excellence and non-excellence hospitals. The Centers for Medicare & Medicaid Services policy restricting coverage to COEs had no measurable impact on complication rates or reoperation needs.
The European Association of Urology (EAU) is releasing a policy statement on live surgery ethics, prioritizing patient safety. The statement aims to establish uniform standards and monitor outcomes for EAU-approved live surgery events.
A new study by UCSF neurosurgeon Christopher Ames and orthopedic surgeon Vedat Deviren found that complex spinal surgeries with two attending physicians were significantly shorter, averaging five hours instead of eight, and resulted in less blood loss, fewer major complications, and shorter hospital stays.
Researchers estimate that 80,000 never events occurred in American hospitals between 1990 and 2010, including leaving foreign objects inside patients. The study highlights the need for better patient safety procedures and public reporting of mistakes to prevent these errors from happening.
A new study led by Johns Hopkins Medicine found that long-term survival rates for patients undergoing abdominal aneurysm repair with either open or less-invasive endovascular procedures are comparable. However, the research suggests that elderly patients may not benefit from the minimally invasive operation.
The study found that inpatient bariatric procedures among adolescents plateaued at around 1,000 procedures annually from 2003 onwards. The preferred type of operation changed to minimally invasive laparoscopic procedures, replacing open procedures.
A recent UC Davis study reveals that general thoracic surgeons perform the majority of complex noncardiac thoracic surgeries, including esophageal and lung procedures. The research supports the recognition of general thoracic surgery as a distinct specialty, benefiting patients in selecting surgeons for specific procedures.
A study of postdischarge complications after general surgery procedures found that 16.7% of patients experienced a complication, with the majority occurring within 30 days of discharge. Proctectomy, enteric fistula repair, and pancreatic procedures had the highest postdischarge complication rates.
A new study by The Journal of Urology reports that outpatient urological surgical procedures performed in ambulatory surgery centers and physician offices are significantly less costly than hospitals. On average, payments for these procedures were up to a third lower when done outside hospital settings.
A University of Maryland study found that single-port kidney removal through the belly button resulted in higher satisfaction rates among living donors, with fewer limitations after surgery. The new technique also showed slightly less pain and no increased risks or complications compared to traditional multi-port laparoscopic removal.
The PRAGUE-12 trial revealed that surgical ablation using the MAZE procedure significantly improves sinus rhythm presence one year post-operatively among patients with permanent AF. However, it had no impact on mortality, stroke or other hard clinical outcomes during a one-year follow-up.
A study by University of Melbourne researchers found that doctors often fail to warn patients of risks affecting quality of life, particularly chronic pain and sexual dysfunction. To avoid 'he said/she said' disputes, keeping a clear record of consent discussions is key.
A study published in JAMA found that older Medicare patients who underwent cataract surgery had a 16% lower odds of hip fracture compared to those with untreated cataracts. The researchers suggested that cataract surgery may be associated with lower odds of subsequent fracture in the elderly population.
A study of over 200,000 patients found no long-term increased risk of death with endoscopic vein graft harvesting compared to open vein-graft harvesting, while also showing a significant reduction in wound complications.
Researchers found a significant association between total hip and knee replacement surgeries and an increased risk of acute myocardial infarction (AMI) during the first two weeks after surgery. The risk remained elevated for six weeks, with the strongest association in patients over 80 years old.
A new study examining the health-care expenditures after bariatric surgery found no significant association between the procedure and reduced healthcare costs. The research suggests that trends in adjusted total expenditures mirrored those of outpatient and inpatient expenditures.
A device used to prevent incontinence in women after pelvic-floor surgery shows promise, reducing symptoms but increasing side effects. Researchers suggest counseling women on risks and benefits prior to the procedure.
A study funded by the NIH found that surgery to support the urethra with a sling reduces incontinence rate, but carries risk of complications such as difficulty emptying bladder and urinary tract infection. The study suggests considering potential benefits and risks when deciding whether to have second procedure at same time as first.
A recent study suggests that laparoscopic Roux-en-Y gastric bypass is associated with greater safety and lower resource use compared to open Roux-en-Y gastric bypass. The minimally invasive approach resulted in shorter hospital stays, fewer complications, and lower total charges.
A Stanford University Medical Center study found that minimally invasive weight-loss surgery is safer and more effective than open surgery, with lower mortality rates, complication rates, and hospital stays. The study examined 156,271 Roux-en-Y gastric bypass cases and confirmed the superiority of minimally invasive techniques.
The study found that non-elderly, lower- and medium-income populations, as well as Hispanics and whites, experienced increased inpatient surgical procedures after Massachusetts health reform took effect. Improved access to outpatient care for vulnerable subpopulations is a key finding of the study.
A study in Neurosurgery found that surgeons with low experience (less than 4 procedures/year) have higher complication rates for spinal stenosis surgery. Hospital volume was unrelated to complication rates, suggesting individual surgeon expertise is key.