Articles tagged with Surgical Procedures
A new scoring system helps doctors predict which patients will likely become seizure-free after minimally invasive epilepsy surgery. The model is based on eight clinical factors and has been shown to outperform other predictive models in predicting seizure freedom.
A randomized phase 3 trial found that extended lymph node removal in bladder cancer surgery does not improve disease-free or overall survival but increases the risk of complications and death. The standard bilateral pelvic lymphadenectomy is considered a sufficient approach for these patients.
A University of Sydney-led study found multiple surgeries contribute to memory and brain health issues in older adults, with physical differences observed in brain areas responsible for memory. Cognitive decline is noticeable with each additional surgery.
A new study found that nursing shortages result in longer hospital stays and worse patient outcomes, including higher mortality rates. Understaffing by registered nurses and nurse assistants is associated with increased risks of adverse events, such as readmissions, deep vein thrombosis, pneumonia, and pressure ulcers.
A Cleveland Clinic study found bariatric surgery to be more effective in protecting kidney function and reducing the risk of kidney failure compared to GLP-1 medications. The study showed a 60% lower risk of progression of kidney disease and a 44% lower risk of developing kidney failure or death.
A randomized trial of 50 older adults undergoing hip hemiarthroplasty found no difference in pain scores or other outcomes between liposomal bupivacaine and standard bupivacaine. The study suggests that the use of liposomal bupivacaine may not be worth considering for geriatric patients with hip fractures.
A large NIH-funded trial compares three surgical approaches for treating trachomatous trichiasis, finding that one technique is just as effective as another in reducing post-operative complications. The study suggests that existing standard surgeries are better options than a modified method with a larger incision height.
Researchers developed a synthetic mucin gel inspired by cow slime to create a protective barrier around discs, preventing immune system attacks. This innovative approach may improve patient outcomes and reduce long-term complications after disc herniation surgery.
A new study published in Annals of Oncology found that long-course radiotherapy is safer and more effective than short-course radiotherapy for preserving organs in rectal cancer patients. The treatment was shown to prevent regrowth of the primary tumour, but had similar overall survival rates.
A study analyzing National Joint Registry data found that trainee surgeons' outcomes are comparable to those of more experienced consultants. The rates of subsequent revision surgery were no different between the two groups, suggesting similar skill levels.
The American Society of Colon and Rectal Surgeons has issued updated guidelines for evaluating and managing chronic constipation, emphasizing the need for personalized care and a multidisciplinary approach. The guidelines recommend strong and conditional recommendations based on evidence quality.
Research highlights the positive impact of bariatric surgery on controlling high blood pressure in people with obesity. Combining data from 18 randomized controlled trials involving over 1,300 participants, studies found that weight-loss surgery consistently improved blood pressure control and lowered cardiovascular disease risk.
Patients with periprosthetic joint infection (PJI) after total hip replacement have a five-fold increased risk of mortality within 10 years. Researchers found that PJI patients had a significantly higher 10-year mortality rate than those who didn't develop an infection, highlighting the need for prevention efforts and best practice gui...
Research published in the journal Heart found that women, Black people, and those from low-income households are less likely to be offered heart surgery than men, White people, and affluent individuals. When they do receive surgery, they are more likely to die within a year. The study highlights the need for prompt action to tackle the...
A study published in JAMA found that pulmonary vein isolation resulted in a statistically significant decrease in atrial fibrillation burden at 6 months. The procedure also showed substantial improvements in symptoms and quality of life for patients with symptomatic atrial fibrillation.
Women undergoing cardiac surgery have a lower risk of developing postoperative atrial fibrillation compared to men, but are more vulnerable to its associated long-term morbidities. A study found that once atrial fibrillation develops, women have a significantly higher risk of mortality than men.
A recent study published in JAMA Surgery found that about one-third of patients experience persisting abdominal pain five years after cholecystectomy. Researchers recommended caution with the procedure in patients with gallstones and abdominal pain, suggesting a restrictive selection strategy may be more effective.
Researchers at the University of Gothenburg found that hearts stored in a 'heart-in-a-box' method experienced lower rates of heart failure and severe organ failure after transplantation. This breakthrough method uses hypothermic oxygenated machine perfusion to keep the heart oxygenated and functioning better.
A new textured heart valve implant has been shown to be less likely to cause clotting, improving health outcomes for patients who receive the implant. Certain conditions such as cancer and smoking elevate the risk of blood clots after heart surgery.
Researchers have designed a shunt that can expand when activated by light, potentially reducing the number of open-chest surgeries needed to accommodate growing children. In lab experiments, they found the shunt could be expanded incrementally, with adjustments customizable to each child.
A study by the University of Gothenburg finds that removing Fallopian tubes during laparoscopic sterilization results in marginally more surgical complications than cutting them. The procedure may help protect against future ovarian cancer, a serious disease with limited early symptoms.
The study analyzed 21,031 vascular surgeries and found that the number of procedures has continued to decrease, particularly for younger and minority patients. The drop in vascular surgeries has been attributed to various factors, including elective surgery cancellations and resource scarcity during the pandemic.
A new Australian study reveals that people aged between 60-64 years, particularly men, are at the most risk overall. Women are more prone to repairs of femoral hernias and incisional hernias, a common side effect of abdominal surgery.
A 10-year follow-up study reports significant and lasting improvement in outcomes with posterior decompression and fixation surgery for patients with Thoracic Ossification of the Posterior Longitudinal Ligament (T-OPLL). Decompression and fixation yielded long-term benefits in neurological function, quality of life, and pain management.
Researchers at FAMU-FSU College of Engineering have developed an AI-powered tool to train surgeons by analyzing video of their surgical technique and providing feedback. The system uses deep learning models to evaluate surgical skills effectively, offering real-time feedback for aspiring surgeons.
A study by the University of Bristol found that nearly nine months of joint replacement surgery was lost since the start of the COVID-19 pandemic, with knee, shoulder, and ankle surgery being affected more severely. The recovery from this deficit is expected to take many years, if not decades.
Scientists analyzed 21,000 cells from tissue samples to develop a cell atlas of regenerating liver tissue. The study reveals changes in cell composition, gene expression, and intercellular communication that facilitate liver regeneration after portal vein embolization.
A randomized clinical trial found that posterior foraminotomy provides outcomes comparable to those of the more commonly performed anterior cervical discectomy. The two-year surgical success rate was 81% in patients assigned to posterior surgery, similar to 74% in the anterior group.
Researchers found a 37% reduction in mortality and a 24% reduction in medical complications among study participants who received iron infusions. The findings suggest that preoperative iron infusions may be a more effective strategy for reducing morbidity and mortality in surgical patients.
A new mathematical method, validated with experimental animal data, provides fast, reliable, and minimally invasive way of determining how to treat critical blood pressure changes. The method accurately tracks cardiac output and systemic resistance, mirroring estimates from more invasive catheters in some cases.
A study comparing traditional and new hip replacement stems found larger contact areas in certain femur regions with the new stems. Traditional HA stems, however, demonstrated superior long-term preservation of bone density.
A study published in Circulation found that adults aged 50-54 with severely narrowed leg arteries had a higher risk of amputation after emergency surgery than those aged 80-84. This contradicts the traditional belief that older people are at increased risk.
The study establishes criteria for identifying extranodal extension on imaging, allowing radiologists to make accurate calls and provide patients with less invasive treatments. This shift towards practice change has the potential to reduce side effects and improve outcomes for patients with HPV-associated head and neck cancers.
A new study found that surgical weight loss significantly reduces widespread pain in Black and Hispanic patients, with the greatest benefit seen within the first three months after surgery. However, disparities persist, with these groups still experiencing a higher pain burden than the general population.
A study found that 1 in 6 youths fill an opioid prescription prior to surgery and 3% continue using them three to six months later. Persistent opioid use among adolescents is a concern due to genetic, neurobiological, and social vulnerabilities.
A study by Michigan Medicine found that older women over 65 who require complex heart surgery are more likely to be treated at low-quality hospitals, where they also die in greater numbers. The sex disparity in mortality doubled from high-quality to low-quality hospitals.
Mayo Clinic's surgical team successfully performed the rare procedure, which included multiple organs, on a Massachusetts man with a rare form of laryngeal cancer. The landmark surgery, conducted as part of a clinical trial, marks a significant step towards making larynx transplantation available to a wider population.
The study confirms the effectiveness of 12 standards in reducing hospital length of stay, costs, and complication rates. Standardized care protocols across multiple phases of surgical care lead to improved patient outcomes and hospital efficiency.
A new study from the University of Toledo found that individuals with diabetes are nearly three times more likely to experience non-union complications following spinal fusion surgery. Researchers also found that diabetic patients have weaker bone growth and healing, leading to increased degeneration in adjacent segments of the spine.
A new study by ACS Journal of Proteome Research identifies shifts in tear protein levels as predictors of long-lasting pain after LASIK surgery. The analysis suggests that specific patterns of protein changes could one day be used to evaluate patients' risk of post-surgical eye pain and find new treatments.
Researchers have developed a minimally invasive surgical technique to remove lesions in the skull base region, reducing damage to the brain and preserving neurological functions. The endoscopic approach results in shorter operative times and less blood loss compared to conventional microscopic surgery.
A new surgical procedure reconnects muscles in the residual limb, allowing patients to receive proprioceptive feedback about their prosthetic limb's position. Seven patients who underwent this surgery were able to walk faster, avoid obstacles, and climb stairs more naturally than those with traditional amputations.
Researchers at Columbia University have developed a biomimicry-inspired device that nearly doubles the strength of rotator cuff repairs, reducing the risk of re-tearing. The device, made from a biocompatible resin, is designed to grasp soft tissues without tearing and can be customized to individual patients.
A new study demonstrates the potential of stem cell therapy to treat Hirschsprung disease by generating nerve cell precursors that produce missing nerves in the intestine. Transplanted gut samples showed improved functionality, suggesting a breakthrough for this rare condition.
Research from Michigan Medicine found that female patients with atrial fibrillation and tricuspid regurgitation are less likely to receive simultaneous procedures during cardiac surgery, despite guideline recommendations. This disparity may be related to perceived higher risk among women.
Researchers have developed a biodegradable scaffold to facilitate bladder tissue growth, reducing complications associated with traditional augmentation procedures. An implantable sensor also enhances patient monitoring, paving the way for improved bladder surgery outcomes.
A new study introduces a standardized handoff protocol called SHRIMPS, which improves surgical communication and reduces errors. After implementing the tool, 100% of cases included handoffs, with 98.2% of critical elements addressed.
A study by Nanyang Technological University found that eight in 10 gastroenterologists in the Asia-Pacific region accept and trust AI-powered tools for diagnosing colorectal polyps. The study also highlights the need for more research into what influences doctors' acceptance of AI in their medical practice.
Researchers found significant variation in surgical outcomes within each hospital star rating group, despite CMS star ratings being associated with mortality, complications, and readmissions. This study emphasizes the need for continued improvement of publicly reported hospital grade measures to accurately reflect surgical quality.
Researchers found that mono-canalicular Lacrijet stent insertion is a safe and effective treatment for congenital nasolacrimal duct obstruction in children, with success rates unaffected by age or previous failed probing. The study suggests early assessments and stenting as an option for pediatric epiphora management.
A majority of the American public favors providing incarcerated pregnant women with access to abortion, particularly in cases of rape or health risk. Most also support parental aid for these women, with conservative Republicans being least supportive of both
A new AI model has been shown to significantly improve the accuracy of diagnosing prostate cancer by 45 times compared to doctors' measurements alone. The system assists in mapping out the boundaries of cancerous tissue, reducing the risk of underestimation and enabling more precise treatment planning and effective surgical procedures.
A new study published in the Journal of Clinical Oncology finds that open radical hysterectomy leads to better survival and lower recurrence rates for early-stage cervical cancer patients. The research, led by Houston Methodist researchers, builds on earlier findings that suggested minimally invasive surgery carries a higher risk of di...
A six-state hospital system reported significant decreases in surgical site infections, mortality, length of stay, and readmissions after implementing a comprehensive SSI prevention bundle. Orthopedic patients showed the most benefit, with a 32.8% reduction in SSI rates.
A meta-analysis of 15 randomized studies found that patients taking GLP-1 medications experienced only mild differences in gastric emptying, delaying solid food by about 36 minutes. The findings suggest it may be safe to continue these medications before surgery without a high risk of aspiration.
A study suggests that women who underwent sleeve gastrectomy before pregnancy had children who gained more weight per month in the first three years of life. In contrast, those born to mothers who had Roux-en-Y gastric bypass surgery experienced slower weight gain. Researchers found this difference after adjusting for various factors, ...
A Korea University study reveals that gastrectomy decreases the risk of major adverse cardiovascular events in patients with gastric cancer. The research analyzed data from 2004 to 2013 and found a significantly lowered risk of cardiovascular disease in those who underwent gastrectomy.
Research finds insulin levels correlate with triglycerides, ApoB, non-HDL cholesterol, and free cholesterol in women with atherosclerotic coronary disease. The study suggests these laboratory-associated flags indicate early coronary atherosclerosis in both diabetic and non-diabetic women.
Researchers found that middle fossa craniotomy significantly improved hearing preservation and quality of life for patients after removing an acoustic neuroma. The study showed excellent facial nerve outcomes in 94% of patients, while 68% preserved their hearing.
A new study reveals that poor access to simple elective surgery in developing countries is storing up future health problems for patients. Inguinal hernia repair was used as a tracer condition, showing that untreated hernias can lead to delayed recovery and higher healthcare costs due to the need for more complex emergency surgery.