Articles tagged with Surgical Procedures
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.
Researchers identified four specific genes linked to lethal stomach cancers, enabling potential targeted treatments and less aggressive procedures for some patients. The study's findings support a more personalized approach to treatment based on each patient's tumor biology.
New research suggests that patients' muscle quality before hip replacement surgery may predict their risk of poor recovery. Patients with poor muscle quality were more likely to perform poorly on movement tasks after surgery, compared to those with good muscle quality.
A University of Cincinnati study explores the link between health literacy and fear surrounding cataract surgery, revealing no correlation between the two. The research emphasizes the importance of open communication and building relationships to overcome fear.
Researchers at UCL developed a new scoring system, CAR, to identify patients with narrowed carotid arteries who can be effectively treated with optimised medical therapy. The study found low rates of recurrent strokes and heart attacks among patients treated with medication alone.
A study led by University of Bristol found that COVID-19 pandemic reduced elective surgery in children with CHD, but did not increase post-operative complications or death. The research suggests prioritizing urgent and emergency procedures may be appropriate during healthcare disruptions.
A multicenter retrospective study found that routine caudate lobe resection does not significantly improve long-term survival and recurrence for patients with HCCA. However, achieving a negative margin is crucial for improving prognosis.
A surgical procedure called Birmingham hip resurfacing enables aging athletes to remain highly active, even many years after the procedure. Studies have shown that patients who underwent this procedure were able to return to high-impact sports and maintain their activity levels for an average of 14 years after surgery.
The study found that patients with coaxial silicone drains had lower analgesic consumption and better-preserved respiratory muscle strength during the first 2 postoperative days. This suggests that coaxial SIL drains can reduce postoperative pain and improve patient comfort and recovery following VATS lobectomy.
Thoracic surgeons can rely on DeepSeek's accurate diagnoses, precise surgical planning, and early warning systems to enhance patient care. However, challenges persist, such as limited dataset availability and high economic burdens, which must be addressed for seamless integration of AI in thoracic surgery.
The new tool has the potential to improve cancer survival rates and patient quality of life worldwide by allowing for more targeted and less invasive surgeries. Researchers are currently developing a fully functional prototype that can be trialled in large animal models before progressing to human clinical trials.
Researchers developed an AI algorithm to help surgeons position knee components in a way that better matches each patient's natural anatomy. Patients with naturally bowed legs responded well to the 'functionally aligned' knee surgery, reporting better outcomes.
A new transcatheter valve has shown high survival rates and improved quality of life in patients with aortic regurgitation. The trial found an overall mortality rate of 8.1% at one year, meeting non-inferiority to open heart surgery outcomes.
Patients with low surgical risk undergoing transcatheter (TAVR) or surgical aortic valve replacement (SAVR) show comparable death, stroke, and reintervention rates at five years. The study found that TAVR is as effective as surgery in improving symptoms, functional class, and overall quality of life.
A new antidote, bentracimab, safely restored platelet function in patients on ticagrelor, reducing the risk of bleeding during urgent surgery or major bleeding events. The study showed similar results for surgical and bleeding patients, with 94.3% achieving normal blood clotting after treatment.
A new study finds that prothrombin concentrate is superior to frozen plasma in controlling bleeding during heart surgery, reducing major bleeding events by nearly 50%. The concentrated product caused fewer adverse effects and saved hospitals resources, suggesting a potential shift in treatment guidelines.
A new surgical technique called NeuroSAFE has been shown to preserve erectile function in men with prostate cancer, with 39% of patients experiencing no or mild dysfunction after treatment. This is compared to 23% of those who received standard surgery.
Researchers at NYU Abu Dhabi have developed an innovative sensing system that restores tactile feedback in minimally invasive surgery. The 'off-the-jaw' system integrates force and angle sensors into laparoscopic tools, providing real-time measurements of grasping forces and tissue stiffness.
UC San Diego Health has earned The Joint Commission's Gold Seal of Approval for Advanced Certification in Spine Surgery, reflecting its dedication to patient safety and surgical innovation. The health system continues to provide consultation to other organizations exploring the certification.
The WATER III trial shows that waterjet surgery can better preserve ejaculation function compared to standard laser surgery. The technique has similar outcomes and can be performed with robot assistance, reducing waiting times for men with urinary problems caused by an enlarged prostate.
A new MRI technique has been successfully used to treat adults with drug-resistant epilepsy, allowing doctors to offer life-changing surgery to patients. The parallel transmit 7T scanner identified previously unseen structural lesions in nine patients, confirming the effectiveness of the treatment option.
A new study found that over 40% of children who underwent complicated appendicectomy recovered faster and had fewer complications when cared for in the home following surgery. This model of care reduced hospital time by 35% and saved families and hospitals over $1,400 per day.
A new Concordia-developed app, iSurgARy, uses augmented reality to guide catheter insertion into the brain, improving ventriculostomy safety and accuracy. The app provides spatial awareness of patient anatomy, allowing surgeons to better aim at their target points.
A multicentre study led from Finland has shown that lymph node transfer is a viable treatment for swelling in the affected limb after breast cancer surgery. The procedure involves transferring patient's lymph nodes to the armpit to replace removed lymph nodes, improving excess arm volume and reducing skin interstitial fluid.
The HE Breathing ventilation mode has been shown to significantly enhance surgical safety, reduce perioperative mortality, and promote faster recovery in complex airway surgery. By reducing anesthesia time and hospital stays, this innovative technique offers a major advantage over conventional intubated ventilation methods.
A recent NIH-supported clinical trial found that adenotonsillectomy significantly reduces medical office visits and prescription medicine use in children with mild sleep-disordered breathing. The surgery was tied to a 32% reduction in health care encounters and a 48% reduction in prescriptions used among participants.
A new study found that adenotonsillectomy, a surgical procedure for enlarged tonsils and adenoids, significantly reduces medical office visits and prescription medicine use in children with mild sleep-disordered breathing. The surgery was associated with a 32% reduction in healthcare encounters and a 48% reduction in prescriptions.
A new gel impregnated with molecule T-5224 blocks key signaling pathway in scar tissue formation, reducing adhesions by nearly 300% in mice and minipigs. The gel is easy to apply and release the molecule over a period of two weeks.
A new study reports that Raman spectroscopy, a noninvasive technique, can distinguish between abnormal FCD type II tissue and healthy brain cells with remarkable accuracy. This method could provide real-time guidance for surgeons to more accurately identify and remove affected tissue during surgery.
Researchers at Wisconsin National Primate Research Center and Morgridge Institute for Research have developed a universal, small-diameter vascular graft using stem cell-derived arterial endothelial cells. The graft overcomes limitations of current clinical options, which include invasive procedures and limited donor availability.
A recent study by Washington University in St. Louis explores the potential of large language models to predict postoperative complications from preoperative assessments and clinical notes. The work shows that specialized LLMs can significantly outperform traditional machine learning methods in forecasting postoperative risks.
Researchers have developed a specialized nanoscale material that illuminates cancer cells under freezing conditions, improving surgical precision. This technology enhances surgeons' ability to detect and remove cancer cells during cryosurgery.
A new study led by the CIBEREHD group at Hospital Germans Trias demonstrates a significant improvement in monitoring and treatment of Crohn's disease patients. By analyzing calprotectin levels, patients can avoid unnecessary repeat colonoscopies.
A new study suggests that early weight bearing on broken ankles is generally safe and can help speed up patient recovery by preventing muscle deconditioning and improving joint range of motion. Healthy patients can typically start bearing weight within three weeks of surgical intervention without experiencing increased complications.
Research on treating moderate aortic valve dysfunction during rheumatic mitral valve surgery shows concomitant aortic valve surgery may improve echocardiographic outcomes. The study suggests delaying aortic valve surgery may be a viable option for patients with moderate predominant aortic regurgitation.
Short-course corticosteroid treatment was associated with lower surgical site complications and in-hospital mortality in patients with postoperative acute lung injury following lung resection surgery. The optimal duration of corticosteroid treatment remains uncertain, highlighting the need to weigh benefits against adverse effects.
A study published in the Journal of Neurosurgery found that surgery can alleviate psychiatric distress and improve cognitive function in patients with Chiari Malformation type 1. Nearly 90% of patients showed improvements in cognitive function or psychiatric symptoms, with many reporting a significant reduction in brain fog.
The hybrid operating room enables the entire procedure to be performed in a single step, allowing for more precise positioning of the thoracic endoprosthesis. This approach requires collaboration between thoracic surgeons and vascular surgeons.
Thousands of Medicare beneficiaries developed postoperative infections up to six months after coronary artery bypass grafting or aortic valve replacement. Women had a 60% greater odds of developing infections, including urinary tract, pneumonia, and sepsis.
New guidelines from European Association for the Study of Obesity aim to improve patient safety in obesity surgery medical tourism. The guidelines recommend multiple aspects of care, including at least 2 years of follow-up and pre-operative alcohol screening, to prevent serious injuries and death.
A new laparoscopic imaging technique uses stereo depth estimation and speckle-illumination SFDI to accurately map the optical properties of biological tissue. The device provides detailed optical property maps, enabling surgeons to identify critical tumor margins and improve clinical outcomes.
A study published in Mayo Clinic Proceedings suggests that virtual reality can reduce preoperative anxiety in older patients undergoing open-heart surgery. The research found that immersive VR was effective and well-tolerated, leading to reduced anxiety scores and improved mood.
Nearly 1 in 3 Americans face long drives and high costs for surgical care within an hour's drive. Rural adults are particularly affected, with 44% driving over an hour for operations.
The percentage of rural patients traveling over 60 minutes to obtain surgical care significantly increased between 2010 and 2020. This disparity persists due to factors like rural hospital closures and workforce shortages, contributing to growing healthcare access issues for these patients.
A new $10.8 million multicenter clinical trial will compare hip replacement surgery with simpler internal fixation for minimally displaced femoral neck fractures in patients over 60. The trial aims to improve patient outcomes and inform clinical practice.
A new study at U-M Health shows that hospitals can focus the use of preoperative tests on high-risk patients, while safely reducing unnecessary testing in others. The result is less wasted money and resources, as well as less time wasted for patients and clinical staff.
The KeyScope is a low-cost, robust laparoscope priced at approximately $1,000, making it accessible in low- and middle-income countries. It offers high-resolution images, color accuracy, and low distortion, comparable to standard laparoscopes.