Articles tagged with Surgical Procedures
Researchers at Rice University and MD Anderson Cancer Center developed patient-specific models to predict stress and deformation in reconstructed pelvises. The study found that larger bone grafts experience lower stresses and smaller deformations than thinner bones.
A study highlights how social media is transforming neurosurgical education, collaboration, and case consultations globally. Platforms like Neurosurgery Cocktail have democratized neurosurgical knowledge, supporting high-level discourse among experts.
A study from Rangsit University shows that a simple bypass protocol guided by mean transit time can improve symptoms in 80% of patients with chronic cerebral occlusion or moyamoya disease. The protocol uses non-stress testing to evaluate cerebrovascular reserve and predict postoperative improvement.
A study published in JAMA found that cryopreserved platelets were less effective than liquid-stored platelets in achieving hemostasis, particularly at 24 hours after ICU admission. The research suggests that alternative storage methods may be needed for efficient surgical bleeding treatment.
A study found cryopreserved platelets to be a cost-effective option for managing surgical bleeding in cardiac surgery, dominating liquid-stored platelets in this setting. Further investigation is required to assess the economic benefits of cryopreserved platelets in broader populations.
A new study reveals thousands of NHS knee replacement operations are cancelled annually for avoidable reasons, costing millions and prolonging waiting times. Lack of available beds and medical ineligibility were the most common causes, with many cancellations avoidable with advance planning.
Researchers found that patients who can walk at least 1 meter per second before hip replacement have significantly better mid-term postoperative outcomes. This simple and reliable predictor could help physicians determine when to refer patients for surgery, and preoperative rehabilitation programs could be developed.
A new tool trained on videos of expert surgeons offers students personalized advice as they practice suturing, showing significant improvement in skills. The AI model incorporates explainable AI to provide detailed feedback, enabling meaningful self-training and scaling up medical training.
Researchers at University of California San Diego School of Medicine found that streamlined surgical preference cards can significantly reduce hospital waste and improve operational efficiency. By analyzing thousands of surgeries, they identified unnecessary items and optimized lists to save up to $3 million over five months.
This study evaluates the safety, efficacy, and patient satisfaction of total tubeless single-port thoracoscopic wedge resection in comparison to partial tubeless surgery. The results show that this minimally invasive technique has a shorter operative time with minimal impact on postoperative outcomes.
Researchers have developed a novel vaccine strategy using biomaterial scaffold vaccines to protect against Staphylococcus aureus infections in orthopedic device implants. The vaccines, made with immune cell-attaching molecules and S. aureus-specific antigens, create a beneficial immune response that significantly lowers bacterial burden.
The study found that men, Black patients, and those living in low socioeconomic areas were disproportionately affected by the increased amputation rates. The authors emphasize the need for aggressive prevention, early diagnosis, and intensive risk factor management to address the growing burden of diabetes and PAD.
A team of biomechanical engineers and surgeons has developed a 3D-printing soft robot that can accurately deliver hydrogels to the vocal cord surgical site. The device, which is only 2.7 mm in size, can reconstruct tissues removed during surgery and potentially prevent fibrosis and stiffening of the vocal cords.
Researchers have developed a new nanomaterial solution that improves the efficiency of existing lasers in removing kidney stones, reducing damage to surrounding tissue and potentially shortening surgeries. The solution involves adding dark nanoparticles to saline, which absorbs laser wavelengths and keeps the laser focused on the stone.
A study reveals that collared fully HA-coated femoral stems reduce the risk of early postoperative femoral fractures in total hip replacement patients, but also increase intraoperative complications. The findings suggest these stems may be a safer choice for surgeons when deciding on implant selection.
Rates of medications for opioid use disorder (MOUD) use increased among surgical patients from 2016 to 2022, with buprenorphine being the primary driver. MOUD use was highest in debridement and orthopedic procedures, highlighting the need for clinical practice guidelines to coordinate care and pain management.
A new Northwestern University study reveals that abnormal cells in transplanted lungs engage in harmful 'conversations' with the immune system, leading to damage and rejection. The findings provide a comprehensive roadmap for treating chronic lung allograft dysfunction and other scarring lung diseases.
A team from EPFL's School of Engineering has created MEDS, a pill-sized bioprinter that can guide bio-ink into damaged tissues in the gastrointestinal tract for repair. In experiments, the device successfully repaired artificial ulcers and sealed simulated hemorrhages.
A landmark study analyzed health data from over 600,000 patients across 10 countries to assess patient risk for non-ST-elevation acute coronary syndrome (NSTE-ACS). The AI-powered model GRACE 3.0 predicts risk more accurately and guides personalized treatment decisions.
A study published in PLOS Biology found that surgically disconnected neural tissue in epilepsy patients exhibits slow-wave patterns similar to those observed during deep sleep or anesthesia, suggesting absent or reduced awareness. The persistence of these patterns raises questions about the functional role of slow waves in the brain.
Current minimum case volume standards for complex surgical procedures no longer align with contemporary best practices. Studies have shown that fewer cases are now needed to meet benchmark 30-day mortality rates over time.
The implementation of a surgical handover system prioritizing sickest patients first improved handover quality, patient physiology, and staff perceptions of safety. The study found no increase in meeting duration.
A new study shows that a multi-step effort to reduce unneeded pre-operative testing, using a tailored program for each hospital, can lead to significant reductions in wasteful tests. The findings have already spurred an expansion of the program to 16 more Michigan hospitals.
Researchers have discovered a natural cutting system in female sawflies that can make precise cuts while avoiding vital structures. The mechanism uses tooth geometry and composition to select materials, potentially revolutionizing surgical instruments.
A large-scale observational study found that patients who continued taking ACEis or ARBs had a significantly lower risk of mortality and functional decline after non-cardiac surgeries. These benefits were most evident among patients undergoing orthopedic or gastrointestinal surgeries.
A systematic review of 42 studies found that bariatric surgery boosts short-term employment rates, with improvements in productivity and work capacity. However, the long-term effects are uncertain, with employment rates returning to pre-surgery levels after about five years.
A new study published in Diabetes, Obesity and Metabolism found that weight loss treatments, including medication and surgical procedures, may help lower the risk of obesity-related cancers in people with obesity and type 2 diabetes. The study analyzed data from over 180,000 people and found a significant reduction in cancer incidence ...
Researchers developed an integrated approach to solve the elective surgery assignment, sequencing, and scheduling problem (ESASSP), reducing delays and costs. The study suggests that hospitals can benefit from computationally efficient solutions to minimize operational costs and maximize resource utilization.
A randomized trial shows that implanting a brain shunt in older patients with normal pressure hydrocephalus significantly improves symptoms, including gait speed, cognition, and bladder control. The study resolves controversy surrounding the condition's existence and treatment effectiveness.
A study published in The Lancet Global Health reveals stark global inequalities in survival after emergency abdominal surgery for traumatic injuries. Patients in the world's least developed countries are more than three times likely to die within 30 days of surgery compared to those in the most developed nations.
Researchers found significant decline in neonatal male circumcision rates across most patient and hospital subgroups, including whites. Cultural influences and parental distrust of medical advice may contribute to the decline.
The procedure uses a combination of advanced imaging, artificial intelligence, and 3D printing to create a customized implant tailored to each patient's unique anatomy. This technology allows for more precise spinal alignment, reduced surgical complications, and faster recovery times.
New data published in JAMA provides further evidence for fetal embolization as a potential treatment for Vein of Galen Malformation. Outcomes show a dramatic reduction in mortality to 43% and no neurodevelopmental delay among treated patients.
Researchers are developing an AI imaging approach to distinguish between tumor progression and treatment effects in glioblastoma patients, promising to improve care and outcomes. The AI approach has already shown accuracy rates of up to 74% in initial testing.
The new book Spinal Surgery Biomechanics: Principles for Residents offers a comprehensive exploration of core biomechanical concepts essential for mastering spinal surgical procedures. It bridges the gap between theory and practice, providing a biomechanical framework that supports surgical planning and patient safety.
Researchers found that decompression with a nasogastric tube is linked to reduced complications in patients after oesophageal cancer surgery. This challenges declining trend of abandoning the tube post-surgery, which was previously thought to be safe.
The American College of Chest Physicians has released a clinical guideline on the management of patients with early-stage non-small cell lung cancer. The guideline provides evidence-based recommendations for primary treatment and outlines three flowchart graphs outlining the recommended course of treatment based on patient risk. These ...
The conference will feature keynote speakers Donna Ryan and Erik Wilson, as well as informative presentations and breakout sessions on the latest advances in obesity research. The Louisiana Obesity Society aims to support healthcare providers treating obesity through education and networking.
A new study finds that risk-reducing mastectomy is cost-effective for women aged 30-55 with a lifetime breast cancer risk of 35% or higher. The findings have significant clinical implications, suggesting that RRM could expand access to the procedure beyond BRCA1/BRCA2/PALB2 pathogenic variant carriers.
A new treatment approach using cyclophosphamide has been found to prevent most graft-versus-host disease in mismatched transplants. The study shows that 80% of patients are alive after a year, similar to outcomes seen in fully matched transplants.
Recent studies have revealed significant improvements in patient prognosis for chronic thromboembolic pulmonary hypertension (CTEPH) over the past few decades. Advances in surgical techniques, drug development, and multimodal therapies have led to increased treatment rates and improved survival rates among patients.
The FiLM-Scope surgical microscope offers precise 3D imaging using 48 tiny cameras, creating a detailed 3D map of the scene in real time. This technology can expand possibilities in manual and robotic microsurgery.
Chihtong Lee's research on retractor blade geometry explores how small design changes can improve patient recovery after spinal surgery. Her work, conducted in collaboration with Baylor College of Medicine, showed that blades with soft, biocompatible coatings significantly reduced tissue stress and postoperative complications.
Researchers compared CECS and EES techniques for treating giant and irregular pituitary tumors. The study found that CECS resulted in a higher gross tumor removal rate (66%) and lower postoperative bleeding rates compared to EES.
A landmark national study in China identifies the most effective treatment strategies for unruptured brain aneurysms, analyzing over 874,000 clinical entries and 42,000 radiological scans. The trial aims to guide patient-specific treatment strategies and inform healthcare planning in China's aging population.
Dr. Fong showcases advancements in liver surgery, gene therapy, and remote surgery, aiming to make exceptional cancer surgery accessible to everyone worldwide. He also highlights the potential of AI and wearables to improve patient outcomes and enhance surgical precision.
A new risk calculator, Clue Post-Surgery VTE Risk Instrument, has been developed to reduce unnecessary overtreatment and undertreatment of postoperative venous thromboembolism and bleeding risks. The tool uses just four inputs and provides evidence-based decisions for clinicians and patients.
A single-center retrospective cohort study found that performance status before open-window thoracostomy (OWT) is a significant factor affecting window closure. The study included 42 patients with empyema who underwent OWT, and the results showed that patients with poor performance status were less likely to have successful closure.
This study evaluated the surgical outcomes of median sternotomy (MST) in treating intrathoracic tracheal malignancies, with MST providing superior surgical exposure and results in fewer complications. MST was found to preserve vascular integrity, protect the left recurrent laryngeal nerve, and achieve longer resectable tracheal lengths.
A machine learning model developed by researchers at Washington University in St. Louis can predict the risk of persistent post-operative pain and provide uncertainty estimates for each prediction. The model achieves better performance than other prediction algorithms and offers a valuable tool for doctors to guide their decisions.
Surgical patients in the US are at a significant risk of experiencing food insecurity, according to a recent study published in JAMA Surgery. The research highlights the need for interventions such as food insecurity screening to improve food access and overall health outcomes for this vulnerable population.
A cross-sectional study found substantial cost shifting in veterans' surgical care from Medicare Advantage to Veterans Health Administration among high-veteran Medicare Advantage plans. This shift underscores the urgent need for policy reforms to improve the efficiency of veterans' care, as suggested by the findings.
A new research model projects long-term performance differences between biologic, synthetic, and long-acting resorbable meshes. The study found that long-acting resorbable meshes outperformed others in terms of time-to-recurrence, but came at a higher cost.
Surgeons at Mount Sinai performed the world's first heart-liver-kidney triple organ transplants in New York State, with two patients making full recoveries after the surgeries. The procedures were led by Anelechi Anyanwu and Sander S. Florman and represent a significant milestone in complex organ transplantation.
Bariatric surgery, a critical tool for combating obesity, is under threat in Australia due to skyrocketing indemnity insurance premiums. The study found that surgeons are being penalized by rising premiums, forcing some to reconsider their future in the field.
Surgeons from UCLA Health and Keck Medicine of USC successfully performed the world's first-in-human bladder transplant. The patient, who had lost most of his bladder due to a tumor removal, received a new kidney and bladder through the pioneering technique developed by Drs. Nima Nassiri and Inderbir Gill.
A new technique using focused sound waves and microbubbles has shown great promise in treating debilitating brain lesions called cerebral cavernous malformations. The approach has halted the growth of lesions almost entirely, offering a potential paradigm shift in treatment.
UCF students created an AI system, AIMS, to track surgical staples during robotic surgeries, reducing waste and improving sustainability. The technology was developed as part of the college's Senior Design capstone course and has been successfully tested in operating rooms at Orlando Health.
A new study found that no-touch vein harvesting significantly reduces the risk of graft failure up to three years after coronary artery bypass surgery compared to conventional harvesting. The technique also translates into meaningful clinical benefits for patients, such as lower rates of heart attacks and need for repeat revascularisat...
The Society of Thoracic Surgeons has launched a new risk calculator for patients undergoing ascending aorta and aortic root surgery, which provides real-world data collected through the STS Adult Cardiac Surgery Database. The calculator supports more accurate assessments of expected outcomes, including mortality and major morbidity.