A team of doctors and practitioners implanted a ventriculoperitoneal shunt followed by a new operation to stabilize and reduce the size of the baby’s head in it's first week of life - the first time these two surgeries have been performed in a child so young, according to the authors.
As surgical teams gain experience with facial transplantation, a careful approach to planning based on the principles of craniofacial surgery can help to maximize patient outcomes in terms of facial form and function, according to an article in The Journal of Craniofacial Surgery. The journal, under the editorship of Mutaz B. Habal, MD, is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.
A dozen years ago, controversial clinical trial results caused an international medical society to warn against the use of stents in leg arteries. But recent years have brought significant improvements in stent technology. One-year follow-up results of a worldwide, multicenter trial with 744 patients show that 90 percent of participants had successful procedures that did not require a repeat treatment.
A review of more than 15,000 nerve block procedures performed in children at U.S. hospitals finds little or no risk of permanent complications or death, reports a study in the December issue of Anesthesia & Analgesia, official journal of the International Anesthesia Research Society (IARS).
For children undergoing brain surgery, a new technology allows noninvasive, continuous monitoring of blood hemoglobin levels, according to a study in the December issue of Anesthesia & Analgesia, official journal of the International Anesthesia Research Society (IARS).
The American Society of Breast Disease (ASBD) is merging art and medicine this week, by using clay sculpting and other techniques to teach surgeons new skills in breast cancer surgery and reconstruction.
Johns Hopkins experts are recommending early post-surgical assessment -- preferably within 24 hours -- for trouble chewing and swallowing food, or speaking normally, among patients who have had benign tumors removed from the base of the brain.
A new technology called the Pipeline embolization device (PED) shows encouraging results in patients with certain types of difficult-to-treat brain aneurysms, reports the December issue of Neurosurgery, official journal of the Congress of Neurological Surgeons. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.
A developing new laser surgical technique for epilepsy appears to be safe and effective and reduces hospital stays to one or two days, according to two research reports presented today during the American Epilepsy Society 66th Annual Meting at the San Diego Convention Center. Both studies were conducted on pediatric patients with refractory focal seizures. Investigators reported the laser technique which requires only a small scalp incision and twist drill hole in the skull to be more precise and with fewer complications than conventional resective surgery. The laser system is already FDA cleared for neurosurgery.
Patients who practice respiratory physical therapy exercises before elective cardiac surgery may reduce serious pulmonary complications later, finds a new evidence review from The Cochrane Library.
A study has found that young, less-experienced surgeons made major surgical mistakes almost half the time during a “simulated” gall bladder removal when they were distracted by noises, questions, conversation or other commotion in the operating room.
Surgical teams at Cedars-Sinai have reduced surgical site infections by more than 60 percent for patients who undergo colorectal procedures by introducing evidence-based protocols that are easy to follow and relatively low in cost.
Lobectomy for primary lung cancer takes longer when a patient is obese, not only increasing the resources required to achieve a good outcome, but also adding to national health care costs. The researcher found that for every 10-unit increase in BMI, operating room time rose by 7.2 minutes—even in hospitals experienced in caring for obese patients.
New research from the University of Pennsylvania School of Nursing reports that parents present during a child’s more invasive procedures reported higher levels of comfort, more procedural understanding and less emotional distress – while clinicians reported parent presence did not affect their technical performance, therapeutic decision-making, or ability to teach.
Readmission rates related to spine surgery may be misleading in terms of how patients actually fared, since many readmissions were unavoidable.
Experimental technology could transform field of lung transplantation.
Inhaled nitric oxide reduced the adverse effects of transfusing stored blood in mice, according to a study from the December issue of Anesthesiology.
Children with Prader-Willi syndrome may receive relief from sleep disorders after undergoing an adenotonsillectomy, suggests a new study from Nationwide Children’s Hospital published in the November print issue of the Archives of Otolaryngology-Head and Neck Surgery.
A new study review published by the University of Kentucky found that music therapy can be beneficial to patients before, during and after a surgical procedure and may reduce pain and recovery time.
Patients who undergo gastric bypass surgery for severe obesity lose nearly twice as much weight when keep post-op appointments.
• The detection of preformed donor-specific antibodies by newer tests, despite negative results from traditional tests, nearly doubles a kidney transplant recipient’s risk for rejection. • It also increases the risk of kidney failure by 76%. Nearly 17,000 kidney transplants take place each year in the United States.
Not all bariatric surgeries will help you lose the large amount of weight you seek and help you get rid of type 2 diabetes.
While more than 900,000 total knee replacement surgeries were performed in the U.S. in 2011 to treat debilitating knee osteoarthritis, the success rate of post-operative functional gains vary widely, according to new research findings presented this week at the American College of Rheumatology Annual Meeting in Washington, D.C.
Patients who make $35,000 a year or less report better outcomes after knee replacement surgery than people who earn more, research by Mayo Clinic and the University of Alabama at Birmingham shows.
Research from the Rothman Institute at Jefferson has shown aspirin to be just as effective as warfarin in preventing clots, specifically pulmonary emboli, life-threatening blood clots that can develop in the arteries of the lungs following joint replacement surgery. Their research was recognized as one of the best poster presentations at the recent American Association of Hip and Knee Surgeons (AAHKS) meeting in Dallas.
A landmark study could lead to fewer inappropriate shocks from implanted defibrillators.
A new anterior approach to hip replacement surgery results in less pain, faster recovery and better mobility. The surgery is performed through the front (anterior) of the hip, rather than the back (posterior). The incision is only about 2 ½ inches long.
Letting children watch a favorite cartoon is an effective and safe way to reduce anxiety before anesthesia and surgery, concludes a study in the November issue of Anesthesia & Analgesia, official journal of the International Anesthesia Research Society (IARS).
People with diabetes mellitus who undergo heart bypass surgery for multiple blocked arteries have a significantly better 5-year-survival rate than diabetic patients who undergo angioplasty with drug-eluting stents (DES), according to a study published in the November 2012 issue of The Annals of Thoracic Surgery.
The Society of Thoracic Surgeons has updated its clinical practice guideline on use of antiplatelet drugs during heart surgery. The new guideline, published in the November 2012 issue of The Annals of Thoracic Surgery, takes into account newly available antiplatelet therapies, new scientific information, and a broader use of antiplatelet drugs such as before lung and vascular procedures.
Research by Dalhousie University student Katherine Mifflin found that having children watch a video immediately prior to surgery can reduce their anxiety during anesthesia induction, the most stressful time for children throughout the perioperative process. Findings were recently published in the journal Anesthesia and Analgesia.
One of the fastest growing fields in orthopedic surgery is that of a hip specialist. To cater to this burgeoning field, a recent symposium with Hospital for Special Surgery brought together international experts in hip surgery to provide a comprehensive overview of recent advances and trends in treating a range of hip disorders.
A multidisciplinary team from the University of California, San Diego, is developing an alternate means of precisely tagging breast cancer tumors for removal or targeted destruction.
Using regional anesthesia rather than general anesthesia reduces the need for blood transfusions in patients undergoing bilateral total knee replacement, according to a new study by researchers at Hospital for Special Surgery.
Most liver transplant candidates who died or were removed from the transplant list actually received one or more liver donation offers, according to a recent UCSF study.
(PHILADELPHIA) – Researchers at Thomas Jefferson University Hospital have shown that combining distal protection devices with the prophylactic use of the drug nicardipine is more effective at preventing life-threatening complications following a percutaneous coronary intervention (PCI) (angioplasty, stenting) on patients who have undergone previous bypass surgery than distal protection devices alone.
One of the world’s leading bone marrow transplant experts is recommending a significant change to current transplant practice for patients who need marrow or adult stem cells from an unrelated donor to treat hematologic malignancies. Fred Appelbaum, M.D., director of the Clinical Research Division at Fred Hutchinson Cancer Research Center, asserts that bone marrow – not circulating, peripheral blood, which is the current norm – should be the source for unrelated donor adult stem cells for most patients who require a transplant. The reason: because there is less incidence of chronic graft-versus-host disease (GVHD), which can be a debilitating side effect of transplantation.
Robotic surgery offers many benefits over traditional procedures for patients who need urologic, gynecologic or cardiothoracic procedures, including reduced risk of complications and faster recovery. Robotic surgery also offers advanced capabilities to help surgeons provide better clinical outcomes than conventional open and minimally invasive surgeries.
Interventional cardiologists at UK HealthCare's Gill Heart Institute have successfully performed the facility's first two transcatheter aortic valve replacements. The procedure, also known as TAVR, is used for patients with severe, symptomatic aortic stenosis who are not candidates for traditional open-heart surgery.
Three in 10 patients receiving a kidney transplant require readmission to the hospital within 30 days of discharge following surgery, according to a Johns Hopkins analysis of six years of national data.
Study shows surgical proficiency levels are achieved at variable rates and suggests current protocols insufficiently evaluate residents’ skills.
A computerized checklist system designed to help physicians identify and use the best methods of preventing potentially deadly blood clots in hospitalized trauma patients dramatically reduced the number of these dangerous venous thromboembolisms (VTEs), new Johns Hopkins research suggests.
New Chicago adult congenital heart network holds first conference to address lack of adequate adult care for congenital heart defect patients.
Use of balloon angioplasty and placement of stents to widen clogged arteries have become standard medical procedure. Further advancing this treatment, drug-eluting devices are now delivering medication directly to the site where it can be most effective. While this technique has met with success in coronary arteries, its use in peripheral arteries is still under study.
Mayo Clinic urologists will discuss findings on enlarged prostates, bladder cancer and other research and will be available to provide expert comment to journalists on others’ studies.
A simple six-question quiz, typically used to assess disabilities in the elderly, could help doctors determine which kidney dialysis patients of any age are at the greatest risk of death, new Johns Hopkins research suggests.
• In the largest study of its kind, a variant within the multidrug resistance 1 (MDR-1) gene in kidney transplant donors was linked to a 69% increased risk for long-term failure of transplanted organs. • This variant affects the expression of the protein that the MDR-1 gene encodes, which pumps drugs out of cells. (Immunosuppressant drugs are critical for preventing organ rejection but are also toxic to the kidneys.)
The ideal sedative for oral surgery should make the patient comfortable during the surgery and should wear off quickly enough that the patient can leave the dental chair soon after the procedure. Finding the best plan of anesthetic treatment is essential to the success of dental procedures such as the extraction of wisdom teeth.
Nearly all groups of patients with spinal stenosis—but not smokers—do better with surgery than with nonsurgical treatment, reports a study in the October 1 issue of Spine. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.
Physical and mental decline are common side effects of hospital stays, particularly among older patients. That can hold true even if someone is hospitalized for just a day or two for a common procedure such as knee replacement surgery.
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