Articles tagged with Surgical Procedures
Researchers found that positioning stroke patients with large vessel ischemic strokes at 0-degrees resulted in significant improvements in neurological function compared to those with 30-degree head positioning. This approach optimized blood flow through the narrowed artery and improved collateral arteries, leading to better outcomes.
Korea University researchers found that perioperative radiotherapy significantly improves survival rates among HCC patients at high risk of recurrence. The study suggests that radiotherapy can reduce recurrence and improve survival in these patients, providing a significant adjuvant treatment option.
A study of over 1,700 adult patients found that gastric bypass and sleeve surgeries have few short-term complications and are equivalent in terms of risk. The results suggest that patients and doctors can choose between the two procedures without worrying about short-term surgical risks.
A new American Heart Association scientific statement emphasizes the need for increased awareness of cerebral venous thrombosis (CVT) to facilitate prompt medical treatment. The statement updates guidelines for diagnosing and managing CVT, focusing on advancements in treatment approaches.
Researchers have identified five cases of Alzheimer's disease acquired through exposure to contaminated cadaver-derived human growth hormone (c-hGH) used in medical treatment between 1959 and 1985. Biomarker analyses and autopsy results confirmed the diagnoses, highlighting a rare but significant risk of transmission via this route.
A recent study published in World Neurosurgery found that the use of a 3D exoscope in spinal surgery resulted in more favorable outcomes for patients, including shorter hospital stays and operating room times. The device allows for increased visualization during procedures, leading to fewer errors and better patient outcomes.
A study published in Arthroplasty Today found that robotic-assisted knee revision surgery significantly influences the function of the knee replacement. The computer system can help predict implant size and balance the knee for stability, leading to improved patient outcomes.
Researchers at Fralin Biomedical Research Institute and Carilion Clinic found that preserving leg vein grafts in heparinized arterial blood, rather than saline, improves their health and viability. This discovery could lead to better outcomes for patients undergoing coronary artery bypass graft procedures.
Researchers at Medical University of South Carolina found that patients who received N-acetylcysteine (NAC) during spinal surgery reported lower pain scores and requested fewer opioids. This could lead to a reduction in opioid use after surgery, a crucial step towards minimizing addictive potential.
A biorobotic heart with a silicone robotic pump system can mimic the structure and function of a healthy or diseased heart. The device allows surgeons and researchers to demonstrate various interventions while collecting real-time data, bridging gaps between current simulators and animal studies.
Scooter-related injuries have significantly increased in the US, with a nearly three-fold rise from 2016 to 2020 and more than half of those injured patients undergoing major operations. Scooters are more frequently associated with long bone fractures and paralysis compared to bicycle riders.
Researchers at Johns Hopkins Medicine argue that post-Gender Affirming Surgery (GAS) regret is rarer than believed, citing limited evidence-based studies. They advocate for using scientific data to define and address post-surgical regret in diverse populations.
A recent study published in the Journal of the American Heart Association found that digoxin treatment significantly reduced mortality and the need for a transplant among infants undergoing a hybrid procedure for single-ventricle physiology. The researchers analyzed data from 259 infants who received digoxin during their interstage per...
The study analyzed 16 years of data from the American Board of Plastic Surgery and found an increased rate of outpatient abdominoplasty without overnight hospital stays. Concomitant liposuction was also more commonly performed in recent years. Despite changes, abdominoplasty remains a safe and reliable procedure.
Researchers found that gentle electric currents on the back of the head improved skills in virtual reality and real-world surgical settings. Participants with stimulation showed a notable boost in dexterity, transferring skills from simulation to actual robot use.
A study of 13,000 patients reveals few completed preoperative life-sustaining treatment documentation, with gaps in rates based on patient characteristics. The disparity affects veterans from different racial, ethnic, and rural backgrounds, as well as those with access to high-volume facilities.
A novel technique to test platelet function within a person's blood sample is faster, easier and more precise than methods currently in use. The technology has the potential to assess the effects of antiplatelet drugs on individuals and gain a clearer picture of bleeding risks for patients undergoing cardiopulmonary bypass surgery.
Post-surgery pain relief has shifted away from opioids since 2016, with a 36% drop in prescription rates and 46% decrease in average amount of opioids. However, the rate of decline slowed after 2020, suggesting ongoing efforts are needed to right-size prescribing.
Researchers at the University of Basel have developed a system that combines three functions: cutting bone, controlling depth, and differentiating tissue types. This autonomous system uses three lasers to make precise incisions with minimal human interference.
Women who underwent bariatric surgery had lower pregnancy weight gain compared to controls with similar early pregnancy characteristics. The study found no difference in weight gain based on surgical procedure or surgery-to-conception interval, but suggested a potential benefit for women with shorter intervals.
A clinical trial funded by NIH found that adenotonsillectomy improves sleep, quality of life, and blood pressure in children with mild sleep-disordered breathing. The study showed less daytime sleepiness, reduced snoring, and better outcomes for children who underwent surgery.
A study of 1.1 million patients found lower healthcare costs when treated by female surgeons compared to male surgeons. This analysis highlights the importance of creating inclusive policies and environments supportive of women in surgery to improve workforce diversity.
A new study will compare two treatment regimens: one using non-opioid medication and another with a low-dose opioid to determine the safest and most effective way to treat pain in adolescents and young adults recovering from common outpatient surgeries. The CARES for Kids study aims to generate evidence-based information on this topic.
A study of over 2.9 million patients found that gender concordance was associated with lower mortality for female patients, but higher mortality for male patients. The quality of surgical care provided by female surgeons is equivalent to or slightly better than that provided by male surgeons.
A large US study found that death rates after major surgery are similar whether a male or female surgeon operates on a male or female patient. Despite small differences, researchers believe their findings can help improve processes and patterns of care for all patients.
Researchers at CSU and the University of St. Andrews created an effective antimicrobial material that slowly releases nitric oxide, killing bacteria and fungus over time.
A new study from the University of Pennsylvania School of Medicine found that younger patients and those with no prior experience with opioids are more likely to use few or no opioids after surgery. The researchers used data collected through automated text messages sent to 3,600 patients who underwent common surgical procedures.
Researchers developed a deep convolutional neural network to pinpoint cardiac catheter tip locations in photoacoustic images, achieving high precision and recall. The approach has the potential to replace fluoroscopy during cardiac interventions, leading to safer procedures.
Jenny Wilkerson receives $1.94 million grant to develop novel models and investigate antinociceptive profiles of basal sex hormone alterations in patients with chronic post-op pain. The study aims to answer questions about the impact of altered sex hormone levels on recovery times, drug effectiveness, and long-term health.
Patients with breast cancer in conflict zones face significant barriers to treatment, including lack of standard procedures and funding for rebuilding capacity. This results in many patients being diagnosed with advanced breast cancer, often with limited palliative care options.
Researchers at Johns Hopkins Medicine found that people with high body mass indexes (BMIs) do not pose a significant risk for postoperative complications following chest masculinization surgery. Despite this, BMI was still used to determine eligibility for the procedure in many cases.
The American Gastroenterological Association suggests a balanced approach when treating patients on GLP-1 RAs undergoing endoscopic procedures. AGA recommends proceeding with the procedure as planned for patients who followed standard pre-procedure fasting instructions and do not have symptoms suggesting retained gastric contents.
A new study shows a significant decline in dental opioid prescriptions, with 45% fewer opioids dispensed between 2016 and 2022. However, progress slowed significantly during the COVID-19 pandemic, which may be attributed to dentists being more cautious due to limited follow-up appointments.
A new study reveals that women with atrial fibrillation (AF) have comparable outcomes to men when undergoing pulsed field ablation (PFA), a safer and more precise procedure. The results show improved AF recurrence rates in women after PFA, making them an eligible candidate for this life-enhancing treatment.
Researchers at the University of Cincinnati Cancer Center found that SmartClips, a wireless localization method for breast tumors, is safe and effective. The devices reduce patient discomfort and improve surgery efficiency by allowing surgeons to locate tumors more accurately.
A patient at OHSU received a single stimulator implanted in the brain to effectively control two life-altering conditions: seizures caused by epilepsy and compulsive behavior caused by obsessive-compulsive disorder. The treatment, known as responsive neurostimulation system (RNS), has dramatically improved Pearson's quality of life.
A retrospective cohort study found that Black, lower SES, and publicly insured teens are at higher risk of major complications after scoliosis surgery. These disparities also affect pre-operative care, including rates of brace prescription and second opinions.
Researchers found that patients who recorded more than 7,500 steps per day before surgery had a 51% reduced odds of experiencing postoperative complications. The study analyzed health data from 475 participants using Fitbit devices and found that chronic physical activity habits were associated with better surgical outcomes.
Trauma centers with high pediatric readiness scores (93 or higher) have much lower death rates than those with lower scores. The study highlights the importance of addressing gaps in pediatric emergency care, particularly the lack of a pediatric-specific quality improvement plan.
Research finds socioeconomic disparities in high-powered magnet ingestion, with lower-income children requiring more extensive treatment. Despite adult supervision and awareness of dangers, kids still swallow magnets, highlighting the need for improved safety measures.
The program, which has just one room and one laser, now has about 300 clients undergoing tattoo removal. Removing those tattoos may help individuals reduce their exposure to violence, build a new identity, and gain employment. Nearly nine out of 10 clients desired tattoo removal to transition to a healthier life.
Postoperative wound infections in the head and neck region are common complications, with risk factors including age, smoking, and comorbidities. Aseptic operating conditions and peri/postoperative antibiotics can help minimize infection rates.
Advances in VR display technology have overcome the 'screen door effect' by introducing 2117 PPI LCDs with high partition mini LED backlighting. This enhances contrast, color accuracy, and viewing angles, making VR experiences more immersive.
Researchers from the BMJ Group conducted a UK trial comparing septoplasty to medical management in adults with at least moderate symptoms of a crooked septum. Septoplasty was found to be more effective in improving SNOT-22 scores and quality of life outcomes, suggesting it should be offered to adults with at least moderate symptoms.
A study of 42,586 low-risk patients who underwent surgical aortic valve replacement reveals a 5-year survival rate of 93%. The study used the STS National Database and found that eight-year survival was close to 90%. The results provide a benchmark for outcomes in managing aortic valve stenosis.
A new study published in JAMA Health Forum shows that implementing a five-day limit on opioid prescriptions for surgery patients did not lead to increased pain levels or decreased satisfaction. However, the amount of opioid pills patients received dropped significantly after the limit went into effect.
A new technique to control severe bleeding in injured patients has been found to increase the risk of death. The REBOA treatment was tested in a clinical trial involving 90 adult trauma patients, but it did not show the expected benefits.
A recent study published in the Journal of Clinical Investigation found that coronavirus vaccines build immune memory in various organs, including the liver, kidneys, and lungs. This local immune response is more effective than circulating antibodies in protecting against infection.
A study by Johns Hopkins Children's Center investigators found that delaying surgical treatment of the anterior cruciate ligament (ACL) in some children is associated with a higher risk of new tears in the meniscus and cartilage. Adults, on the other hand, showed no significant increase in such risk.
Rates of opioid prescribing to US adolescents have decreased in recent years, mainly for non-surgical procedures. Opioid prescribing for surgical indications has remained relatively stable during the same period. This analysis of Medical Expenditure Panel Surveys data from 2015-2020 reveals a significant shift in prescribing patterns.
A scoping review found that surgical scorecards can lower surgical procedure expenses by providing surgeons with direct feedback on their costs. The study analyzed data from 21 studies and identified key elements such as surgical supplies and operative time, revealing no significant impact on patient outcomes.
Researchers have developed a new approach to treating invasive bladder cancer, combining chemotherapy and immunotherapy, which may preserve quality of life. In a phase 2 clinical trial, approximately 43% of patients achieved complete response without surgical removal of the bladder.
A new study found that living donor liver transplant access optimizes the timing of transplant for older, frail cirrhosis patients. Patients with moderate to severe frailty, short stature, and low MELD scores benefited from LDLT, reducing waitlist mortality and improving post-transplant outcomes.
Researchers surveyed patients undergoing elective surgeries and found that reducing opioid prescriptions led to higher patient satisfaction with pain management. The study's results were used to develop evidence-based guidelines for prescribing opioids after surgery, aiming to balance managing pain and opioid use.
A new study by the University of South Australia found that social media use is linked to higher self-judgemental attitudes and a greater likelihood of considering cosmetic surgery. The research also highlights the importance of self-compassion in mitigating these effects.
Researchers have successfully developed a robot that can autonomously navigate through living lung tissue, avoiding vital structures such as airways and blood vessels. This innovation enables surgeons to reach previously inaccessible small tumors, improving treatment outcomes for patients with lung cancer.
A retrospective cohort study found that surgical patients discharged with opioids had a significantly higher risk of persistent opioid use, unplanned health service utilisation, and mortality. The study highlights the importance of discussing pain management options with clinicians to mitigate these risks.
A study at the University of Miami Miller School of Medicine found that robot-assisted surgeries and improved pain-management initiatives led to earlier discharges for many patients. However, lower-income patients were less likely to be discharged on day one due to socioeconomic disparities.
A study by researchers at the University of Miami Miller School of Medicine found that thoracic surgeons who treat lung cancer are helping to reduce patients' risk of opioid dependence. The ERATS protocol, which includes intercostal nerve blocks and safe pain relievers, enables earlier hospital discharge with nearly opioid-free recovery.
Research suggests that women carrying disease-causing BRCA variants may face incorrect risk assessments of 60-80% for breast cancer, when in fact the true risk is less than 20%. This has led to unnecessary breast surgeries. The study aims to inform informed decision-making and responsible communication of genetic risks.