Articles tagged with Surgical Procedures
A symposium in the journal SURGERY explores how surgeons can turn research ideas into commercially viable products that benefit patients and generate financial returns. The symposium emphasizes the importance of collaboration between surgeons and industry, while navigating issues such as conflict of interest.
The 2008 HealthGrades America's 50 Best Hospitals list identifies top-performing facilities with superior patient outcomes, including an average 27% lower mortality rate compared to all other US hospitals. These elite hospitals demonstrate consistent quality care across multiple procedures and diagnoses.
The annual HealthGrades Hospital Quality and Clinical Excellence study identifies top hospitals nationwide with a 27% lower risk of inpatient mortality. Distinguished Hospitals for Clinical Excellence have consistently delivered high-quality care across various specialties, reducing complications by an average of five percent.
Researchers analyzed data from over 45,000 Medicare beneficiaries treated for AAA and found that EVAR has a lower mortality rate than open repair, with a significant benefit for elderly patients. While EVAR may require more reinterventions, the risks are balanced by late complications of open repair.
A new study found that combining coronary artery bypass grafting (CABG) with surgical ventricular restoration (SVR) reduces the likelihood of subsequent heart problems by 24%, compared to 55% for CABG alone. SVR improves heart function, enabling patients to stay active and participate in daily activities without exhaustion.
Recent studies have compared carotid artery stenting (CAS) and carotid endarterectomy (CEA) in high-risk patients, yielding comparable results. However, its role in 'low-risk' patients remains unclear, with ongoing trials needed to determine the best approach.
The number of bariatric surgeries performed worldwide has surged fivefold in five years, with mounting evidence suggesting the procedure reduces mortality in morbidly obese individuals. Research highlights the benefits of surgery on obesity-related comorbidities and psychological well-being.
A study found a long-term positive impact on physical functioning in patients with osteoarthritis who underwent hip replacement, but no significant improvement in vitality or mental health. Patients with more severe OA showed the most improvement in physical functioning.
A study of over 300 live kidney donors found that they had good kidney function and tended to suffer a lower incidence of high blood pressure, diabetes, and heart-related deaths compared to the general population. Donors reported high satisfaction rates and would strongly encourage others to become donors if needed.
A study by researchers at University Hospitals of Cleveland and Johns Hopkins University found that intraoperative MRI can help detect residual disease and modify surgical plans, leading to additional resections in 73% of cases. The added imaging time was approximately 35 minutes per case.
A study found that surgical confusions in eye surgery are rare but can be serious, with the majority of cases involving incorrect lens implants. The Universal Protocol can prevent most confusions, suggesting a rate of 69 errors per 1 million eye operations.
A recent study led by UT Southwestern Medical Center reveals that government-imposed restrictions on bariatric surgeries in the US significantly limit access to these life-saving procedures for low-income and underinsured populations. Despite high-volume centers performing better, low-volume centers with higher-risk patients achieve co...
Researchers found equivalent survival rates for angioplasty and bypass surgery, refuting previous reports on diabetic patients. Bypass surgery led to fewer repeat procedures and more effective angina relief.
The HealthGrades Hospital Quality in America Study found a 71% lower mortality rate at top-rated hospitals compared to the lowest-rated hospitals across 18 procedures and conditions. Improvements were seen in procedures like pancreatitis, pulmonary embolism, and diabetic acidosis and coma.
A combination of capsaicin and QX-314 selectively block pain-sensing neurons in rats, blocking pain without impairing movement or other sensations. The treatment has great potential to improve pain treatment during childbirth, dental procedures, and surgery, offering a promising alternative to current nerve blocks.
Researchers found that TP10 significantly reduced complement levels during surgery, but there was no significant difference in mortality between groups. The study suggests that female patients may have special mechanisms protecting them from complement activation during open-heart surgery.
A recent study published in the Journal of Periodontology found that smokers experience greater residual gum recession after periodontal plastic surgery. The two-year study showed smokers had less desirable long-term outcomes compared to non-smokers. Quitting smoking before oral surgery can improve treatment success, according to experts.
A study of 12 patients undergoing male-to-female gender reassignment found that nasal surgery resulted in more feminine facial profiles. The procedure was highly effective, with most patients very satisfied with the results and reporting significant improvements in their overall perception of themselves as female.
A French surgical team successfully performed a cholecystectomy through the vagina in a 30-year-old woman, eliminating the need for external incisions. The patient recovered promptly with no postoperative pain or scars.
Researchers are developing robotic instruments that can navigate the chambers of the heart through needle-sized incisions and deploy tools to remove blockages, repair faulty valves and close leaks while the heart is still beating.
Researchers examine hypertrophic scar formation, current treatments, and promising research areas to advance the field. Current treatments for hypertrophic scarring are estimated to cost at least $4 billion annually in the US.
A new study published in the Journal of the American College of Surgeons shows that recombinant human thrombin reduces surgical complications and stops bleeding in 95 percent of patients within 10 minutes. The treatment also has a lower risk of antibody development compared to current standard blood-clotting treatments.
The study found that patients at 5-star hospitals had a 64% lower chance of developing major complications compared to those at 1-star hospitals. High-volume hospitals also performed laparoscopic procedures more frequently, resulting in shorter hospital stays.
A study of 65 tonsillectomy patients found no ongoing dysfunction in their sense of taste after surgery. Despite average ratings of taste and smell decreasing post-surgery, none reported persistent problems, suggesting other factors like pain or discomfort may influence ratings.
Researchers at the University of Cincinnati have successfully integrated minimally invasive lung surgery into their training programs with a standardized plan, increasing procedures by 57% over four years. The minimally invasive lobectomy results in faster recovery time and less pain for patients.
A team of Johns Hopkins undergraduates has invented a handheld metal detector to aid in the removal of orthopedic screws from patients' bodies. The device emits a tone that rises in pitch as the surgeon moves closer to the screw, guiding them to hidden hardware.
The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) reduces postoperative complications through comparative risk-adjusted adverse event data and prediction models. Studies show significant reductions in wound, surgical site infections, and urinary tract infections using ACS NSQIP.
A nationwide study compared two surgical procedures for urinary stress incontinence, finding the fascial sling procedure significantly more effective than the Burch colposuspension technique. The SISTEr trial involved 655 women and found overall success rates of 47% for the sling procedure versus 38% for the Burch procedure.
For patients who need non-cardiac surgery a short time after an interventional heart procedure, bare metal stents provide a safer choice. Drug-eluting stents can lead to life-threatening cardiac complications in these patients, according to a study by Thomas Jefferson University Hospital.
Researchers found comparable risks of major cardiac events within 30 days and similar outcomes three years after treatment. Drug-eluting stents were shown to be as effective as bypass surgery in restoring blood flow, with improved survival rates in lower-risk patients.
A survey of 500 Medicare patients found that physicians served as the main decision-makers one-third of the time, with men and those in worse health more likely to report this. The study highlights the need for further research on patient involvement in surgical decision-making.
Wernicke encephalopathy, a serious neurological condition, is increasingly reported after obesity surgery due to vitamin deficiency and vomiting. Patients should be alert for symptoms such as confusion, lack of coordination, and visual changes.
The rate of bariatric surgeries among adolescents more than tripled between 2000 and 2003, with only 771 teens undergoing the procedure in 2003. Most obese teens are still treated through diet and behavioral methods, but health problems related to weight make surgery an increasingly considered option.
A new study by Dr. Vivian Ho found that Certificate of Need regulations have minor benefits for open heart surgery but no benefits for angioplasty. The regulations may inadvertently increase the number of procedures performed to meet minimum volume quotas.
A study published in JAMA found that off-pump coronary artery bypass graft surgery had no effect on cognitive decline and cardiac outcomes at 5 years in low-risk patients. Cognitive decline ranged from under 5% to over 30% in the first year after CABG surgery.
Atrial fibrillation affects over 2.2 million US citizens, causing fatigue, shortness of breath, and stroke risk; the new Cox-maze IV procedure offers a simpler alternative to traditional surgery with fewer complications
The HealthGrades study reveals top hospitals have a significantly lower risk of mortality and complications compared to other hospitals. With an average 28% lower risk of mortality for certain procedures, these high-performing hospitals are setting a new standard for clinical excellence.
A study by Johns Hopkins Medicine suggests that brief preoperation team meetings can increase awareness of OR safety and perceptions of operating room personnel. The surveys showed a 13.2% increase in those who believed the policy would be effective and over 90% agreed that team discussions are important for patient safety.
A new study conducted at NYU Medical Center found that lap band surgery is an effective procedure for combating obesity in adolescents. Patients who underwent the surgery lost approximately 50% of their excess weight within a year, with no significant complications.
A study of over 15,000 coronary artery bypass grafting patients in New York State reveals that less experienced surgeons are more likely to perform off-pump CABG surgery on black patients. This disparity is attributed to the fact that black patients have limited access to the latest medical technologies.
A study of 332 HIV-infected patients found that those with high viral loads were at increased risk of surgical complications, including pneumonia. The researchers also found that patients with low CD4 cell counts had more complications than those with higher counts.
A large-scale review of bariatric procedures in older adults found significant increases in complications and mortality rates compared to younger patients. The study, which analyzed over 25,000 procedures, suggests that weight-loss surgery should be limited to those under 65 years old.
A study by HealthGrades found that bariatric surgery complication rates are high in some hospitals, with a mortality rate of 2 per 1,000. Five-star rated hospitals have significantly lower complication rates, and patients can find quality and cost information at HealthGrades.com
Researchers found that non-white patients, Medicaid recipients, and uninsured individuals were less likely to receive care at high-volume hospitals for certain procedures. The study highlights the need to address disparities in patient access to improve surgical quality of care.
A study found that black, Asian, and Hispanic patients, as well as uninsured individuals, are less likely to undergo complex surgery at high-volume hospitals. High-volume hospitals have been associated with better outcomes for certain procedures.
A study of 3,130 adults found that patients with more severe sleep apnea, a high body mass index, or other medical conditions were at a higher risk for serious complications after surgery. Concurrent retrolingual procedures also increased the risk of complications.
The HealthGrades 2007 hospital-quality study found a significant gap in patient outcomes between top-rated and poorly performing hospitals. The study analyzed 40.6 million Medicare records and revealed that mortality rates declined by nearly 8% across the nation, while the quality chasm between best and worst-performing hospitals grew ...
Postoperative nausea and vomiting affects one out of three patients after surgery, leading to patient dissatisfaction, longer hospital stays, and prolonged recovery. New guidelines incorporate antiemetics and a simple four-point scoring system for identifying high-risk patients.
The number of vCJD cases continues to decline due to BSE-infected beef consumption, but researchers explore the potential for transmission via blood transfusions and surgical operations. Key factors determining epidemic scale include instrument reuse frequency and cleaning effectiveness.
New training programs teach effective pain relief techniques, increasing to 97% of doctors now equipped, up from 71% 10 years ago. The American Academy of Family Physicians and others recommend universal use of local or topical anesthetics.
A handheld radio wand scanning device was tested on eight surgery patients and detected all tagged sponges with 100% accuracy. The device improved patient safety by reducing the risk of retained foreign objects, but human error remains a concern.
Researchers at Stanford University School of Medicine have developed a system using RFID tags to track surgical sponges during procedures. This technology has shown promise in accurately locating inserted sponges in under three seconds, reducing the risk of foreign objects being left in patients' bodies.
Two surgical procedures, laparotomy and bowel resection, and peritoneal drainage, were compared in a multi-center randomized controlled trial. The study found that patient survival rates and major outcomes were virtually identical between the two procedures.
A multicenter randomized controlled trial involving 117 premature infants found that laparotomy and bowel resection and peritoneal drainage surgical approaches have essentially the same major outcomes in terms of patient survival. The study ends three decades of speculation and debate over which approach is more effective.
Researchers found that bariatric surgery significantly reduced health complications and improved symptoms for adolescents (83% reduction) and older adults (51% reduction) with obesity-related conditions. This study suggests that surgical intervention may be a safer alternative to medication for treating GI disorders.
A new procedure-based consent form developed by surgeons at the University of Pittsburgh Medical Center significantly improves patient recall of diagnoses, procedures, and treatment alternatives. The study found that 98% of patients recalled treatment alternatives and 97% recalled risks after using the specialized form.
In Mississippi, physicians fought back against malpractice insurance crisis by educating patients on the benefits of tort reform, leading to a cap on noneconomic damages. In Alameda County Medical Center, advocacy focused on patient education helped pass a local tax measure to address financial crisis and protect services.
A recent study published in Archives of Surgery found that tightly controlled blood sugar levels before surgery can significantly reduce the risk of postoperative infections in diabetic patients. The research involved 490 diabetic patients who underwent major noncardiac surgery between 2000 and 2003, with 197 having good glycemic control.
A study of 452 patients found that older age and duodenal switch procedure were associated with increased complications after bariatric surgery. The findings suggest that surgeons should warn older adults about the risks involved.
A study of 347 patients who underwent bariatric surgery between 1992 and 2001 found a significant reduction in blood pressure 18 months post-surgery. Systolic and diastolic blood pressures decreased, with those without hypertension or taking antihypertensive medications experiencing smaller drops.