Articles tagged with Surgical Procedures
Researchers at Houston Methodist found that injecting morphine into the tibia during knee replacement surgery reduces postoperative pain and the need for pain medication. This method, known as intraosseous infusion, may also facilitate a swifter recovery of the knee joint.
The new guideline provides evidence-based recommendations for managing patients on warfarin, DOACs, and antiplatelet drugs before and after surgeries. It aims to minimize preventable bleeding and thrombotic events by standardizing approaches and protocols.
A new study published in the Journal of the American College of Cardiology suggests that carotid artery stenting can be just as effective as surgery in preventing long-term stroke and improving durability. The research recommends expanding insurance coverage for this minimally invasive procedure, which can improve blood flow to the brain.
A Michigan Medicine study found that patients who received preoperative education on opioid risks and nonopioid pain management options consumed significantly less oxycodone, with only 16 doses used despite similar pain scores. The results suggest a multimodal approach to managing pain can reduce harm and prevent substance use disorders.
A new study suggests that overlapping surgery could help reduce hospital waiting lists by allowing a single surgeon to operate in two parallel theatres. However, the study's authors warn that this approach may increase the risk of complications, especially if critical portions of surgery are not adequately covered.
A new study published in JAMA Surgery found that surgeons who oversee multiple surgeries simultaneously have a higher risk of complications and death. For surgeries involving one anesthesiologist directing CRNA or resident care, those managing three to four overlapping cases saw complication rates rise by 14%.
Researchers found that despite a powerful brain response to sound during sleep, the level of alpha-beta waves associated with attention and expectation is significantly reduced. This means the brain can analyze auditory input but fails to focus on it, resulting in no conscious awareness.
The study found that patients with severe stress-induced myocardial ischemia are likely to benefit from heart bypass surgery or angioplasty, while those with mild or no ischemia are not. Early revascularization was associated with a more than 30 percent reduction in mortality compared to patients treated with medication.
A new UCLA study found that transgender patients who underwent gender-affirming facial feminization surgery reported higher scores in seven measures of psychosocial health, including anxiety, depression, and positive affect. The study suggests that facial feminization surgery is an important procedure for treating gender dysphoria.
Researchers assessed total medical and out-of-pocket costs for genital gender-affirming surgery, finding that costs differed between procedures conducted in- and outside the patient's state of residence. The study aimed to provide a more comprehensive understanding of the financial burden of this type of surgery.
A study found that rates of serious complications associated with shoulder surgery are low, but one in 26 patients need further surgery within a year. The effectiveness of some shoulder procedures is doubtful at best, according to experts.
Researchers developed a technology that uses surviving neurons to restore connection between brain and arm via specific stimulation pulses to the spinal cord. This allowed macaque monkeys with partial arm paralysis to improve precision, force, and range of movement in their arms.
A study found that older adults with superior memories, known as 'SuperAgers,' have a greater thickness in the anterior mid-cingulate cortex, potentially making it a biomarker for predicting delirium after surgery. This region of the brain regulates effort and behaviors, and its structure can be improved with training.
A narrative review of endoscopic sleeve gastroplasty (ESG) highlights its potential as a minimally invasive weight loss procedure. The review concludes that ESG induces significant weight loss and improves obesity-related conditions, with the technique's success attributed to delayed gastric emptying. Researchers support the use of ESG...
A new study by UCLA surgeons has developed a technique to remove the Adam's apple with minimal scarring, offering a welcome solution for transgender women and nonbinary people who often face stigma due to neck scars. The procedure, called 'scarless' tracheal shave, is effective and can be performed in 90 minutes with minimal equipment.
A survey of specialist surgeons reveals that most would opt for polypropylene mesh mid-urethral sling procedure for stress urinary incontinence, but conventional abdominal surgery with mesh or vaginal reconstruction is preferred for pelvic organ prolapse. The study aims to alleviate the negative stigma associated with mesh use.
A long-term study found that bariatric surgery improves physical activity and diet quality in participants, but only a small percentage meet federal guidelines. Patients may need continued support to maintain weight loss and health benefits after surgery.
Homa Alemzadeh's research aims to develop safety monitoring tools for robotic surgery, enabling better training for surgeons and increasing the availability of less-invasive procedures. Her work has the potential to improve patient outcomes in underserved rural communities.
Researchers have developed a test that measures blood levels of ceramides, a waxy substance similar to cholesterol, to predict diabetes remission in gastric bypass surgery patients. The study found that individuals with low ceramide levels prior to surgery had a higher likelihood of achieving diabetes remission two years later.
A small study found that an experimental hydrogel injection into spinal discs significantly reduced chronic low back pain and improved physical function. The gel, known as Hydrafil, is easy to administer with no open surgery required, offering a promising treatment for degenerative disc disease.
A recent study reveals that patients with lower body mass indexes (BMIs) could benefit from weight-loss surgery due to its effectiveness in treating type 2 diabetes and other comorbidities. The study found that patients with Class I obesity who underwent weight-loss procedures had shorter hospital stays, fewer complications, and improv...
A recent study published at the Euroanaesthesia Congress found that patients with higher body mass index (BMI) and weight prior to bariatric surgery are more likely to experience complications and have worse outcomes. The research analyzed data from over 4,000 adults who underwent weight loss surgery between 2006 and 2020, revealing a ...
Oregon State University scientists have created a hydrogel-based technology that helps surgeons identify nerves during procedures, reducing the risk of nerve damage. The innovation uses pluronics, polymers with FDA approval, to create a fluorescent probe that selectively labels tissues within the surgical field.
A survey study found that Americans are more willing to have surgery during a pandemic if they and hospital staff are vaccinated. Urgent or lifesaving surgeries were viewed as essential, while outpatient surgeries carried less risk of COVID-19 transmission.
A Swedish study found that rates of adverse events after hip replacement surgery are essentially the same for procedures performed by female and male orthopaedic surgeons. The overall rate of adverse events was lower for THA procedures performed by female surgeons, at 6%, compared to 7% for male surgeons.
A recent study published in the Journal of the American Medical Association Surgery analyzes data from almost 35,000 surgical patients to evaluate the accuracy of a risk assessment system called SURPAS. The researchers found that the eight-variable SURPAS model accurately predicted post-operative ICU use across nine surgical specialties.
A new analysis of the PROGRESS-CTO registry shows a significant increase in successful CTO PCI procedures, with higher efficiency and lower risk of complications. The findings demonstrate improved operator training and real-world experience leading to better patient outcomes.
A new study published in Anaesthesia found that a 'watch and wait' approach can lead to better outcomes for patients with severe frailty, reducing the need for emergency surgery. The study analyzed hospital data for adult patients with common acute conditions and found significant differences in survival rates between those who receive...
The Edmonton Protocol team has reported that islet transplantation is an effective therapy for patients with difficult-to-control Type 1 diabetes, with a high rate of graft survival and insulin independence. The procedure has been shown to stabilize blood sugar levels and improve quality of life for patients.
The DIPRA study found no significant difference in hand function between distal radial artery access and conventional proximal radial artery access. Radial artery occlusion occurred more frequently with PRA, but the risk was negligible.
A new robotic system has shown promising results in treating early-stage prostate cancer with high accuracy and low complication rates. The KangDuo Surgical Robot-01 is a feasible, safe, and effective alternative to current surgical robots, offering improved comfort levels for surgeons.
A new study has shown that Transcatheter Aortic Valve Implantation (TAVI) is just as effective as conventional open-heart surgery in treating severe symptomatic aortic stenosis. The procedure offers a safer and faster recovery for patients, with improved symptoms, functional capacity, and quality of life at 6 weeks.
A new clinical decision support software platform reduces harm due to medication errors in the OR by more than 95%. Clinicians using the system work with greater efficiency and provide better care, with improved blood pressure control and accurate pain medication adjustments.
A mailed at-home disposal kit increased self-reported rates of disposal of unused opioids after common surgical procedures. The study found that patients who received the kit reported a higher rate of opioid disposal compared to those without access to such kits.
Researchers found that cancer patients who underwent elective AAA repair were associated with longer hospital stays, renal failure, respiratory problems, and infection. However, a cancer diagnosis did not increase the risk of in-hospital mortality or cardiac complications.
A new study by the Mayo Clinic confirms that living kidney donor surgery via laparoscopic surgery is low-risk for most patients, with only 2.5% experiencing major complications. The study tracked over 3,000 donors and found that most complications occurred after discharge.
Researchers found a weak correlation between provider and patient satisfaction with anesthesia during ocular surgery, suggesting that providers are poor predictors of patient comfort. The study recommends further research to understand patient satisfaction with anesthesia.
A study published in The Journal of Thoracic and Cardiovascular Surgery found that female patients and those from lower-income neighborhoods have higher mortality rates following cardiovascular and thoracic procedures. Patients in these groups also experienced higher comorbidity burdens, urgent admissions, and poorer health outcomes.
A new robotic system allows surgeons to remotely treat patients experiencing a stroke or aneurysm, providing teleoperated endovascular treatment during the critical golden hour. With just one hour of training, neurosurgeons can successfully operate the system to guide a wire through complex vessels and reach difficult-to-reach areas.
Research shows austerity measures reversed gains made in reducing waiting time inequality for socioeconomically deprived patients in Scotland. Waiting times increased across all patients after the introduction of austerity measures in 2010.
Researchers at University of Oxford and Leeds found liposomal bupivacaine no more effective than current treatments for post-operative knee pain. The SPAARK Trial showed that the drug did not improve recovery or pain relief compared to bupivacaine hydrochloride alone.
Patients with serious illnesses seek cosmetic procedures to maintain their physical and mental well-being, as well as to become comfortable in social settings. The study found that these procedures are often chosen for noninvasive treatments and endorsed by doctors, friends, and family.
A study published in JAMA Surgery demonstrates that living-donor liver transplant is a viable option for patients with systemic controlled colorectal cancer and liver tumors. The procedure offers improved quality of life and survival for these patients, who previously had limited treatment options.
A retrospective cohort study found that shoulder injuries occurred in fewer than 1 in 10,000 patients who received intramuscular vaccinations administered in the deltoid muscle. Researchers also identified risk factors for developing shoulder conditions, including advanced age, female sex, and receiving pneumococcal conjugate vaccine.
A new study by researchers in Ontario found that pandemic-related slowdowns of cancer surgeries resulted in 843 life-years lost across the province's cancer population. The study highlights the need for measures of surgical prioritization during pandemic-related slowdowns.
A novel surgical approach and synthetic viral vector Anc80L65 successfully delivered genetic cargo to the inner ear of nonhuman primates, paving the way for a potential treatment for hearing loss and vestibular disorders. The study's findings suggest that this method could be translated to humans.
Children with high diastolic blood pressure scores had reduced risk of in-hospital mortality and reduced time in the ICU and hospital after CHD repair surgery. Predictive models could be improved by adding blood pressure polygenic risk scores to identify children at risk for adverse outcomes.
A new poll reveals that older adults aged 50-80 who consider elective surgery harbor concerns about costs, discomfort, caregiving needs, and more. Despite these concerns, most adults are satisfied with the result of their operation. Satisfaction varies depending on physical and mental health status.
A new study finds that nearly one in six older Americans undergo repeat hernia surgery, highlighting the need for more effective treatment options. The research suggests that minimally invasive procedures may be associated with a higher risk of subsequent operations.
A noninvasive imaging method called virtual intracranial EEG (ViEEG) has been developed to replace electrodes in epilepsy surgery planning. The method uses magnetoencephalographic (MEG) imaging to create a dynamic map of the brain during seizures, enabling precise identification of brain networks involved in seizure generation.
A new study from the University of Missouri-Columbia recommends pretreating urological patients with antibiotics tailored to their local infection patterns. This approach may reduce postoperative infections in transurethral procedures, which affect up to 10% of patients annually.
A US study analyzed opioid prescribing patterns before surgery, revealing that approximately 44% of patients received opioids as preoperative medication. The analysis spanned over a decade and examined the trend's impact on patient outcomes and potential risks.
A large-scale study found that simulation-based surgical training increased surgeons' skills for complex surgeries, with fewer total complications and ureteric injuries. Simulation training led to higher overall proficiency scores and fewer procedures required to achieve proficiency in complex surgeries.
A UOC study analyzed 28,000 European citizens' perceptions of robot-assisted surgery, finding that experience and user-friendliness are key factors in trust. The study highlights the need for a patient-aligned robotic strategy to develop effective healthcare policies.
A robot performed laparoscopic surgery on a pig without human guidance, demonstrating improved results compared to human surgeons. The Smart Tissue Autonomous Robot (STAR) excelled at intestinal anastomosis, a procedure requiring high precision and accuracy.
The UK has an estimated 1.5% prevalence of severe aortic stenosis among people aged 55+, equivalent to around 300,000 living with the condition. Over half of advanced cases will die within 5 years without treatment. The NHS may struggle to cope with the rising demand for life-saving surgical procedures.
A recent study published in The Journal of Urology found that serum hormone ratios can predict the risk of future infertility in children with cryptorchidism. Researchers discovered that inhibin B levels and anti-Mullerian hormone (AMH) are significant markers of spermatogenesis, helping to identify boys at high risk of infertility.
A pre-clinical study showed that the use of extracellular matrix supports improved nerve fibre regeneration across large nerve defects. The team's novel ECM-loaded medical device increased pro-repair inflammation, blood vessel density, and regenerating nerves, offering a promising alternative to current therapies.
A team of scientists at the University of Missouri used small wearable sensors to gather data on how people with a traumatic hand amputation use a prosthesis versus a transplanted hand. The study found that hand transplant recipients exhibit a more balanced pattern of limb use, while prosthesis users rely heavily on their prosthetic hand.
A study published in Neurosurgery found that responsive neurostimulation system reduced disabling seizures in 84% of children and young adults with drug-resistant epilepsy. The youngest patient to undergo RNS implantation was a 3-year-old child.