Articles tagged with Surgical Procedures
A study of Medicare data reveals that surgical treatment for nonmelanoma skin cancer has increased substantially since 2001, primarily due to the growing use of Mohs micrographic surgery (MMS). MMS was more likely performed on lesions on the lip and eyelid, and its use varied by age and region.
A study comparing sleeve gastrectomy with medical treatment found that bariatric surgery was effective in achieving diabetes remission, particularly for those with short-term type 2 diabetes. In contrast, conventional medical therapy did not lead to significant improvements in diabetes-related outcomes.
A high level of skill and knowledge is necessary to optimize patient outcomes in bariatric surgical patients. The journal Bariatric Nursing and Surgical Patient Care emphasizes the need for consistent care with current evidence and best practices.
A new study found that robotic-assisted surgery for bladder cancer results in fewer deaths, in-patient complications, and reduced need for intravenous nutrition compared to traditional open surgeries. However, the procedure is more costly due to longer operation times and greater use of disposable instruments.
Patients diagnosed with aortic stenosis who are too sick for open-heart surgery have better survival rates and an improved quality of life after undergoing catheter-based heart valve replacement. The minimally invasive procedure adds years to life and life to years, according to a study published in the New England Journal of Medicine.
Patients with obstructive sleep apnea who undergo multilevel surgery have a higher risk of airway compromise postoperatively. Closely monitoring these patients in the recovery or high-dependency area after surgery is recommended.
A study published in Archives of Surgery found that total extraperitoneal inguinal hernioplasty (TEP) associated with lower chronic pain and improved sensation after inguinal hernia repair. However, TEP was linked to a higher incidence of operative complications.
Patients with high alcohol screening scores experience longer hospital stays, more ICU days, and increased return to the operating room compared to low-risk drinkers. Preoperative alcohol screening may identify patients at risk for increased postoperative healthcare resource usage.
Patients who underwent mitral valve repair along with bypass surgery had improved exercise capacity and reduced heart size compared to those who received bypass surgery alone. Blood markers associated with heart failure also showed improvement for dual-procedure patients.
Two U.S. Army studies found that patients with a history of shoulder instability are more likely to experience future instability, while arthroscopic surgery has better outcomes than open repairs. The studies also identified risk factors associated with surgical failure and found that arthroscopic Bankart repair has a lower failure rate.
Experts from NYU Langone Medical Center will present their latest research on diseases of the muscle, tendon, bone, and joint. The focus includes reverse total shoulder arthroplasty, platelet-rich fibrin matrix for rotator cuff healing, and effects of partial medial meniscectomy on tibiofemoral position and stability.
The University of Louisville has introduced a new transcatheter aortic-valve replacement (TAVR) procedure to treat severe aortic stenosis, allowing patients to avoid traditional open-heart surgery. The procedure involves implanting a biological valve through a catheter and expanding it with a balloon.
A meta-analysis of studies found that PCIs at centers with and without on-site surgery have similar rates of in-hospital mortality and emergency CABG surgery. However, additional outcome data are still needed to fully understand the risks associated with non-primary PCI at centers without on-site surgery.
A study of 189,533 patients found that a BMI below 23.1 increased mortality risk by 40% compared to mid-range BMIs. Patients undergoing certain procedures, such as exploratory laparotomy, were also at higher risk of death.
A national study led by Johns Hopkins cardiologist Thomas Aversano found that nonemergency angioplasty can be performed safely at hospitals without cardiac surgery backup, with low rates of complications and death. The study compared over 18,500 patients who underwent heart artery-opening angioplasty or stenting at hospitals with or wi...
A new surgical care bundle of 12 measures, including smoking cessation and gown change prior to skin closure, reduced Whipple procedure wound infections by 49% compared to a less comprehensive routine preoperative preparation. The measures also included intraoperative wound edge protection and chlorhexidine-alcohol skin preparation.
Patients with herniated lumbar disc symptoms who waited over six months to undergo treatment had poorer outcomes compared to those who treated their symptoms within six months. Surgical treatment, in particular, was found to be significantly more effective than nonoperative treatment, regardless of symptom duration.
A study analyzing data from over 268,000 patients reveals that those with IBD undergoing surgery have a two-fold increased risk of developing DVT or PE. The findings suggest standard DVT and PE prophylaxis should be reconsidered for this patient group
The study found that nearly one in five patients underwent a surgical procedure in the last month of life, and nearly 1 in 10 had a procedure in their last week. The likelihood of surgery varied by age, location, and hospital bed availability, suggesting that some operations may be discretionary or avoidable.
A recent study found that older patient age, congestive heart failure, and preoperative neurological problems are independent risk factors for death and complications after spine surgery. The study analyzed data from the American College of Surgeons National Surgical Quality Improvement Program database.
A UK study reveals that long-term complications after bariatric surgery should be thoroughly assessed and investigated. A Finnish study finds that bariatric surgery is a more cost-effective way to treat morbid obesity than non-operative care, with reduced healthcare costs and improved quality of life.
Patients undergoing open colorectal surgery may be at nearly twice the risk of developing venous thromboembolism compared to those undergoing laparoscopic procedures. A recent study analyzed data from over 149,000 patients and found a significant difference in VTE rates between the two methods.
Rapid treatment with medication and surgical procedures is crucial for stroke patients, reducing recurrence risk by 20%. Rehabilitation care has improved significantly over the past two decades, but evidence gaps remain, particularly in addressing mobility and speech impairments.
A randomized trial found women are at more than double the short-term risk of stroke following carotid stenting compared to traditional surgery. This study suggests that sex should be considered when choosing treatment options for carotid disease, as men show little difference in stroke risk between procedures.
A new study from the University of Pennsylvania School of Medicine reveals a substantial decrease in coronary artery bypass graft (CABG) surgery, while rates of utilization of percutaneous coronary intervention (PCI) have remained unchanged. The data analysis showed a 15% drop in annual CABG surgery rates between 2001 and 2008.
The annual rate of coronary artery bypass graft surgeries in the US decreased substantially between 2001 and 2008, with a 15% decrease in CABG surgery rate. In contrast, percutaneous coronary interventions (PCI) rates remained relatively stable during this period.
The new videojournal complements the peer-reviewed monthly publication Journal of Laparoendoscopic & Advanced Surgical Techniques, publishing fully peer-reviewed surgical and microinvasive demonstrations. The videos can be easily searched and shared to provide education and discussion among surgeons.
A recent study published in Archives of Surgery found that patients with do-not-resuscitate (DNR) orders have a higher risk of poor surgical outcomes, including increased mortality rates and complication rates. The study analyzed data from over 120 hospitals and found that nearly a quarter of DNR patients died within 30 days of surgery.
A study of 31 patients found that 77% stopped taking anti-tremor medications within a year after DBS surgery, with symptom improvement rates varying among patients. Long-term effects and potential need for continued medication are areas of future research focus.
The American Society of Plastic Surgeons reports a significant increase in men undergoing cosmetic procedures, with over 1.1 million procedures performed in 2010. Facelifts and other surgical procedures saw substantial growth, bucking the trend of minimally-invasive treatments.
A new study in Washington State found that referring patients to high-volume hospitals for operations did not improve overall outcomes. Despite increased volume-based referrals, rates of mortality, readmission, and complications remained largely unchanged.
Patients who underwent simultaneous bilateral knee replacement had a lower risk of major joint infection and mechanical malfunction compared to those with staged procedures. However, they also experienced higher rates of heart attacks and pulmonary embolisms.
Dr. Kuiken will showcase the enhanced mobility and functionality of TMR surgery, which reroutes brain signals to intact muscles, allowing patients to control prosthetic devices with thought. Over 50 amputee patients worldwide have benefited from TMR, including military veterans who lost limbs in combat.
A recent study published in the Journal of the American College of Surgeons found that delaying elective surgical procedures after hospital admission significantly increases the risk of infectious complications. The study analyzed data from over 163,000 patients and found that infection rates increased with delays in procedures such as...
The Nuss procedure has achieved a high success rate of 95.8% in correcting pectus excavatum, with refinements in surgical techniques and instruments developed to increase effectiveness and safety. New tools include stronger bars, improved tunnel creation, and titanium options for patients with metal allergies.
A new study published in the Annals of Surgery found that laparoscopic appendectomies may carry a higher risk of deep abdominal infections in certain patients, including those with diabetes, smoking history, and older age. The study suggests that open surgery may be a better option for these high-risk patients.
A recent study by chemists from University of Copenhagen and NASA found that anesthetic gases have a significant impact on the climate. One kilo of anaesthetic gas affects the climate as much as 1620 kilos of CO2, with three commonly used gasses having global warming potentials ranging from 210 to 1620 times that of CO2.
Dr. Rohan Walvekar's team has successfully removed a 20mm salivary stone using a robotic system, preserving the salivary gland and reducing blood loss, scarring, and hospital stay. This innovative technique offers a minimally invasive solution for patients with large salivary stones.
Neurological complications after heart surgery are common, affecting central and peripheral nervous systems, according to a study published in Hospital Practice. Complications can include strokes, seizures, delirium, and medication toxicity, highlighting the need for prompt identification and optimal management.
A study involving 30 patients found that robotic-assisted surgery can be performed safely with minimal blood loss and no significant long-term complications. The surgeries took an average of 512 minutes, but the rates of postoperative deaths, fistulas, and complications were comparable to those in open procedures.
A study reports on UCLA's experience with new techniques combining catheter ablation with minimally invasive surgical methods to access hard-to-reach areas of the heart. These procedures significantly improved accuracy in applying ablation therapy, offering more treatment options for high-risk patients.
A grant-funded program has helped increase the number of underrepresented minority surgeons in academia, with 86% of graduates acquiring fellowship training. The Diverse Surgeons Initiative addresses healthcare disparities by providing advanced minimally invasive surgery skills to qualified candidates.
A new surgical procedure using Kryptonite superglue has improved the recovery of heart patients after open-chest surgery, accelerating healing and reducing complications. The adhesive allows for new bone growth, enabling patients to breathe deeply without powerful painkillers.
General surgery residents showed significant improvement in performance scores when assisted by subspecialist surgeons remotely via a robotic platform. The study suggests telementoring could address the need for subspecialty expertise in rural medical centers, enhancing patient care.
A Colorado liability insurance database revealed that wrong-site and wrong-patient procedures continued to occur after nationwide steps to prevent them. The study found that non-surgical disciplines also contribute to patient injuries related to wrong-site procedures.
A UNC study found that radio frequency tags on surgical sponges can aid in preventing sponges from being left behind in patients following surgery. The researchers used a radio-frequency detection device in 1,600 operations and detected one sponge in an operation where manual counting was correct.
A Mayo Clinic study found that nerve inflammation may cause postsurgical neuropathy in some patients, leading to pain, numbness, and weakness. Immunotherapy can quickly improve symptoms in these cases.
Researchers found that bariatric surgery significantly improves lipoprotein profiles in women within a year, reducing the risk of cardiovascular disease. Significant weight loss also leads to improvements in glucose homeostasis and lower mortality rates.
A retrospective study found that obese women who undergo bariatric procedures before pregnancy are 3 times less likely to develop gestational diabetes than those who have bariatric operations after delivery. Additionally, deliveries after bariatric procedures were associated with reduced odds of cesarean section.
A retrospective study of 17 surgical programs from 13 countries found that the operative death rate was 0.2 percent, suggesting safe surgery is possible in these settings. The study highlights the need for quality improvement programs and global minimum standards for surgical care in humanitarian contexts.
A study of over 15,000 patients in Michigan found that serious complications from bariatric surgery are rare, with rates inversely associated with hospital and surgeon procedural volume. The most common complications were wound problems and minor issues.
A new study led by Rush University Medical Center indicates that arthroscopic hip surgery can give athletes with hip labral tears the chance to return to their sport within nine months. Most athletes (90%) were able to compete at the same level as before, while 78% returned to their sport.
Researchers found that extending the time spent on informed consent discussions leads to greater patient comprehension, with a stronger impact seen in patients who had 'repeat back' discussions. Additionally, factors such as race, ethnicity, age, and type of surgical procedure were associated with improved comprehension.
A study by Case Western Reserve University found that using a composite infection prevention score predicts lower postoperative infection risk. The study suggests that hospitals should report on multiple measures rather than individual ones for more accurate predictions.
Gastric band slippage, a complication of adjustable gastric banding surgery, can be diagnosed using X-rays. The 'O' sign, where the band appears as an O-shaped configuration instead of its usual rectangular shape, is a key indicator.
A study of 549 newborns found that infants who underwent a newer surgical procedure were more likely to survive their first year without needing a heart transplant. After the first year, both procedures yielded similar results.
A new Cochrane Systematic Review suggests phakic intraocular lenses (IOLs) may be a safer alternative to excimer laser surgery for moderate to high levels of short-sightedness. Patients who underwent IOL treatment reported better spectacle-corrected vision and contrast sensitivity, as well as higher patient satisfaction.
A joint clinical trial found that administering fibrinogen before heart surgery reduces bleeding risk. The study suggests fibrinogen concentrate could be used as a preventive therapy for patients undergoing cardiac surgery.
A study published in Archives of Surgery found that patients undergoing colon surgery have increased odds of death if performed at a teaching hospital. Teaching hospitals often have lower volumes and may employ less experienced surgeons for benign procedures compared to complex cancer surgeries.
Patients who receive audiotapes of their pre-surgery consultations exhibit higher knowledge scores, greater sense of control, and lower levels of anxiety and depression. The audiotaped recordings facilitate patients' recall of information and satisfaction levels, particularly among elderly patients.