Articles tagged with Surgical Procedures
A study of joint replacements in England finds socio-economic inequalities remain, with those living in deprived areas having the least access to surgery. The findings highlight the need for healthcare commissioners to address disparities in joint replacement provision.
A study of over 7,000 patients found that Black and socioeconomically disadvantaged patients with vascular disease have more severe symptoms before bypass surgery and are at greater risk for amputation and other complications after the procedure. Advanced disease accounted for up to half the effect of race on odds for amputation after ...
A study published in Diabetologia found that bariatric surgery can regenerate damaged nerves and improve metabolic risk factors related to diabetes. Peripheral neuropathy, a condition affecting over 30 million Americans, showed improvements two years after the procedure.
A new study has identified key risk factors for surgical site infections (SSIs) following abdominal hysterectomies. The analysis of over 66,000 procedures found that patients with open surgery, obesity, diabetes, and younger age were more likely to experience an SSI.
A proactive patient education/recruitment program, administered with a nurse navigator, identified 37.3% more eligible patients for low-dose computed tomography (LDCT) screenings for lung cancer. The program led to a 42% increase in LDCT prescriptions among willing and eligible patients.
A new UK study of 3.6 million surgeries found that operating within 2 weeks of a positive COVID test is safe for recovered patients, with lower mortality rates compared to current guidelines. The study suggests that delaying surgery might cause more harm than good, particularly in patients who have already waited longer for surgery.
Research suggests Medicare reimbursements for complex cataract surgery are far lower than simpler procedures, resulting in a 'negative' margin. This disparity affects ophthalmologist practice patterns and patient accessibility, particularly for vulnerable populations.
A new surgical therapy has proven effective in treating melanoma in the eye that has spread to the liver, with 40% of patients experiencing tumor shrinkage, and offers a promising alternative to current treatments.
A new way to identify higher-risk groups of older surgical patients can help surgeons make better care decisions and compare hospital performance. The new definitions label fewer patients as multimorbid and specify high-risk comorbidity combinations, which contribute to patient risk.
Researchers developed a new approach to suturing based on the mechanics and spacing of a hitchhiker plant's attachment system, promising to balance forces across sutures and reduce failure rates in surgical procedures. The findings were published in Proceedings of the Royal Society A.
The study analyzed data from 151 hospitals that participated in an ISCR protocol for colorectal surgery to determine if they improved or worsened in complying with ERP process measures over an 18-month period. Key findings suggest a significant opportunity to improve compliance and patient outcomes, but inadequate resources and limited...
A novel AI architecture, relational reasoning network, accurately identifies anatomical landmarks in CT scans for orthodontic treatments. The model learns spatial relationships between landmarks without explicit image segmentation, achieving accuracy comparable to conventional methods.
The study found that transcatheter edge-to-edge repair achieved a successful repair for nearly 9 out of 10 patients and reduced valve leakage from severe to moderate or less in almost 90% of patients. Patients who underwent the procedure were half as likely to die within one year compared with those in whom the procedure was unsuccessful.
Despite calls to expand outpatient surgery, only a small subset of operations took advantage of this approach during the pandemic. Researchers recommend further studies to explore potential barriers to adoption, particularly for safe procedures performed in an outpatient setting.
Researchers found that Black men have a higher mortality rate after surgery compared to other groups, with a 50% higher risk of death after elective procedures. The study suggests that structural racism, poor pre-operative care, and exposure to toxins may contribute to these disparities.
A study of US adults found that Black men have a 50% higher death rate within 30 days of elective surgery compared to White men and women. The researchers highlight the need for better understanding of challenges facing Black men requiring surgery in the US.
Researchers analyzed 140,000 patient records and TV ads from Florida to investigate the effectiveness of DTCA for robotics surgery. The study found that patients exposed to robotic surgery advertising were more likely to choose it over conventional laparoscopic and open surgeries. Additionally, hospital marketers can use DTCA to sway p...
A study by researchers at TUM found that gut bacteria play a crucial role in liver regeneration. The microbiome produces short-chain fatty acids, which are essential for liver cell growth and division. In mice treated with antibiotics, liver regeneration was delayed or not possible, but a
A study analyzing over 12,000 patients found that transesophageal echocardiography-guided transcatheter structural cardiac interventions were associated with a major complication rate of 3.6%. The most frequently reported complication was gastrointestinal bleeding.
A recent study published in eClinical Medicine analyzed data from over 210,000 adult patients undergoing non-cardiac surgery in Boston between 2008 and 2020. The researchers found that cannabis users had a higher complexity of co-existing conditions, including mood disorders and substance use disorders, compared to non-users. Patients ...
A new analysis of 50,450 pediatric cleft or craniofacial surgery cases found that cleft procedures were rated as having an average efficiency roughly half that of the most-efficient procedures. The study concludes that the current RVU allocation system undervalues cleft surgical services relative to craniofacial procedures.
Researchers discovered that frail patients who received additional support before and after surgery were 18% less likely to die within a year. By connecting these patients with medical professionals and resources, they can make healthy lifestyle changes and receive guidance on managing their condition without surgical intervention.
A new genetic test can identify dogs at risk of a potentially deadly disorder resulting in excessive bleeding and bruising after surgical procedures. The DEPOHGEN test will allow for preventative treatment by administering antifibrinolytic drugs to dogs with the mutation before surgery.
A recent study published in Radiology found that thrombectomy is a safe and feasible treatment option for patients with primary isolated anterior cerebral artery medium vessel occlusions. The procedure showed similar outcomes to medical treatment in terms of early and long-term functional outcomes, mortality rates, and safety.
A recent study published in the British Journal of Surgery found that patients undergoing liver surgery fare better in higher-volume hospitals. In-hospital mortality rates were lower in these facilities, with a rate of 2.8%, compared to 3% in lower-volume hospitals.
Researchers found that spinal cord stimulation improved insomnia severity index and Epworth sleepiness scale scores by at least 30% in 39.1% and 28.1% of participants, respectively. The study also established minimally clinical important difference values to gauge treatment success.
Characteristics of a patient's neighborhood and hospital where they received treatment are both associated with risk of death after inpatient surgical procedures. Efforts should include improving hospital quality and addressing drivers of neighborhood deprivation to reduce postoperative mortality.
As abortion restrictions take effect, acute care surgeons should prepare to treat complications such as infection, haemorrhage, and injury to the uterus, bowel, bladder, and circulatory system. Experts argue that providers have an ethical duty to protect patient privacy and not report complications to law enforcement.
Thomas E. MacGillivray, MD, was elected President of The Society of Thoracic Surgeons, emphasizing the importance of long-term outcomes and the value of surgery for patients compared to competing therapies. With over 30 years of experience, Dr. MacGillivray has published extensively on aortic diseases and adult congenital heart disease.
Recent national data analyzed by leading cardiology and cardiothoracic surgical researchers found that the rate of successful repair has reached over 90% in the US, with an extremely low risk of mortality across nearly all age ranges. A novel risk model was developed to predict 30-day outcomes based on patient health conditions.
Researchers at Boston Medical Center discovered that Black and Hispanic patients had significantly worse vision outcomes after surgical treatment for retinal detachment compared to their White counterparts. The study suggests higher rates of proliferative vitreoretinopathy (PVR) may contribute to these findings.
Researchers at the University of Bath show that separating patient preparation from operating theatre schedules can significantly improve theatre availability and reduce waiting times. The study found a 40% improvement in theatre idle times and benefits for patient waiting times when surgery procedures are reconfigured.
A new jaw surgery technique, segmental mandibular advancement (SMA), has been shown to effectively treat moderate-to-severe Obstructive Sleep Apnea (OSA) in a pilot study. The procedure resulted in a 50% or more reduction in breathing disturbances at night for 58% of patients, with no signs of sleep apnea.
Researchers have developed an innovative amputated human limb model to evaluate molecularly targeted fluorescent probes for human tissues. The model allows for controlled testing of imaging agents with zero risk to patients, improving the accuracy and safety of surgical procedures.
Researchers tracked 392 patients with diffuse low-grade glioma over 20 years and found that aggressive surgical removal offered a distinct survival advantage. Smaller tumor sizes were associated with longer survival times, highlighting the importance of early intervention.
The procedure requires thorough pre-procedural evaluation and assessment of anatomical and hemodynamic data. Long-term results indicate that TPVR can effectively restore RVOT function, while improving survival rates and reducing the need for reintervention across age groups. Vigilant testing is recommended to avoid rare but serious com...
AORN Journal researcher Danielle Quintana defines surgical conscience as the moral obligation to perform duties regardless of cost or consequence. Her conceptual model illustrates the importance of consistent, accurate, and safe practice in the perioperative environment.
A large longitudinal study found that weight-loss surgery significantly reduces urinary incontinence episode frequency in adults with severe obesity. After seven years, improvements persist despite some weight regain, offering a durable benefit to patients.
A study published in PLOS ONE found that patients who used virtual reality (VR) during hand surgery required less sedation and had shorter recovery times compared to those who received monitored anesthesia care. VR use also improved patient comfort and reduced anxiety.
Researchers developed a natural material derived from seaweed to promote vascular cell growth and prevent blood clots in heart bypass surgery. Fucoidan, a seaweed-derived compound, was added to synthetic blood vessels using nanotechnology, significantly reducing the chances of clots forming.
A new PET imaging method is more effective than angiograms in determining the need for coronary stents or bypass surgery, according to UTHealth Houston researchers. The study confirms that PET threshold of severity at which stents and bypass surgery improve survival compared to medical treatment alone.
A new deep learning model using conditional generative adversarial networks (cGANs) has been developed to diagnose bowel ischemia. The model achieved an accuracy of over 93% in segmenting ischemic intestine images, surpassing current subjective methods.
Researchers found cannabis users had decreased patency and were 1.25 times more likely to require amputation one year after lower extremity bypass surgery. Cannabis use was also associated with a higher risk of opioid use after discharge.
Rates of complications, death, and subsequent surgery were similar for gastric bypass and sleeve gastrectomy in adolescents with severe obesity. Adolescents who underwent sleeve gastrectomy had lower emergency room visits and hospital admissions compared to those who had gastric bypass surgery.
The November issue of CHEST journal features new guidelines for perioperative management, studies on COVID-19 treatment and COPD treatment, as well as research on sleep apnea and long COVID. These findings have significant implications for patient care and healthcare resource use.
A new study has shown that total ankle replacement and ankle fusion surgeries equally improve quality of life for patients with advanced ankle osteoarthritis. However, a fixed bearing joint replacement showed significant improvement over ankle fusion in clinical scores.
A novel surgical procedure has shown promising results in addressing incontinence in children with Hirschsprung disease who underwent the pull-through operation. Four of six patients have achieved normal bowel function, reporting improved quality of life and increased freedom.
Two new studies found that dialysis facilities owned by nephrologists may provide better care, with patients receiving home dialysis more often. Additionally, a shorter interval between dialysis and surgery was associated with improved post-surgery survival rates.
Researchers at MIT have created biomedical devices made from aluminum that can be disintegrated by exposing them to a liquid metal called eutectic gallium-indium. This process could eliminate the need for surgical or endoscopic procedures to remove medical devices, such as staples and stents.
A recent study found that restoring blood flow to the legs through bypass surgery or stent placement reduced pain and improved quality of life for people with peripheral artery disease (PAD). The Best Endovascular versus Best Surgical Therapy for Patients with Chronic Limb Threatening Ischemia Trial enrolled 1,830 participants and foun...
Researchers at MIT have developed a new approach to improve the energy density of nonrechargeable batteries, enabling up to a 50% increase in useful lifetime. The new design uses a fluorinated catholyte material that reduces dead weight and improves safety.
Researchers found that bypass surgery resulted in a 32% lower risk of major medical events related to CLTI, as well as significant reductions in repeat surgeries and amputations. Adults without optimal veins for the bypass had no significant differences in outcomes between open bypass and endovascular procedures.
Research at American Heart Association Scientific Sessions 2022 found that bypass surgery improves blood flow to legs and feet, reducing major amputations and repeat procedures by 65% and 27%, respectively. The study of 1,830 patients with chronic limb-threatening ischemia concluded that surgical bypass is a better option for those wit...
The American Association for Thoracic Surgery published an Expert Consensus Document recommending use of mechanical circulatory support before, during, and after lung transplantation. The guidelines include recommendations for veno-venous ECMO and central veno-arterial ECMO.
A study found that reducing noise in the operating room can improve children's behavior after surgery, including fewer temper tantrums and increased willingness to eat. The researchers used a reduced noise environment with low lighting and muted communication devices, resulting in improved post-operative behavior.
The new guidelines, issued by the American Society for Metabolic and Bariatric Surgery (ASMBS) and the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO), recommend metabolic and bariatric surgery for individuals with a BMI of 35 or more, regardless of obesity-related conditions. The guidelines also endo...
The C-STICH clinical trial found that single-stranded suture threads may improve outcomes for mothers at risk of preterm birth by reducing the risk of infection. Researchers tested whether using single stranded sutures could decrease miscarriage or stillbirth rates due to an increased risk of infection.
Researchers compared pre- and post-pandemic surgical procedure volumes, finding significant changes in essential, urgent, and nonurgent procedures. Elective surgeries restrictions led to reduced overall surgery volume, with a notable decrease in nonurgent cases.
A landmark study published in The Lancet found that chlorhexidine gluconate and povidone-iodine aqueous solutions are equally effective in preventing surgical site infections in patients with open fractures. This finding has significant implications for healthcare practitioners and may reduce costs associated with accessing these antis...
A Hackensack Meridian health doctor and bioethicist argues that surgeons' subjective assessments can lead to 'ableist' biases in patient treatment. The author proposes using algorithms to aid doctors in making more data-driven decisions, reducing assumptions about patients' quality of life.