Women who have a positive urine culture test on the day of surgery for a pelvic-floor disorder are more likely to have a urinary tract infection (UTI) in the first six weeks after the procedure. These findings were presented this past week by researchers from Loyola University Chicago Stritch School of Medicine at the American Urogynecologic Society’s 33rd Annual Scientific Meeting in Chicago.
Simple postoperative activities such as deep coughing, getting out of bed, and walking improve pulmonary outcomes in patients who undergo major operations.
Among the latest discoveries in preventive care is a FDA-cleared antiemetic (non-drug) disposable acupressure wrist strip under the brand name Pressure Right®. This product empowers surgery patients to respond more favorably against PONV occurrences and because of improved patient satisfaction there is less demands placed on PACU nurses to treat PONV episodes.
Surgeons analyze more than 59,000 operations in four surgical specialties for postdischarge complications, particularly surgical site infections
Breast cancer patients who have received radiation therapy after mastectomy have more problems related to the use of implants for breast reconstruction, according to a review in the October issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).
With rising rates of morbid obesity, the number of bariatric surgery procedures is likely to increase as well, reports a paper in the October issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).
The Robotic Surgery Center at NYU Langone Medical Center recently completed its second year offering monthly robotic surgery education sessions for minimally invasive robotic procedures. Michael Stifelman, MD, director of the Robotic Surgery Center teaches and moderates each seminar at NYU Langone using the latest technology in robotic surgery.
Anemia is now confirmed as a risk factor for illness and even death following cardiac surgery, according to a new study. Although preoperative anemia has been linked to adverse events in other types of surgery, this is the first study to tie preoperative anemia with postoperative complications, including death, for all types of heart surgery.
Because there are more risks with having a total knee replacement in both legs at the same time than having a knee replacement in one leg, doctors in recent years have been selecting younger and healthier patients for the bilateral procedure. But some complication rates have risen.
• 70% and 40% of survey respondents found financial incentives to be acceptable for deceased and living kidney donors, respectively. • 45%, 14% and 27% of the public, health professionals, and people with or affected by kidney disease, respectively, supported monetary payment as incentives for living donors.
Strabismus (crossed eyes) can be psychologically debilitating. But many adults who have this defect wrongly believe there's no treatment.
Researchers at the University of California, San Diego School of Medicine have found that recovery from an emerging, minimally invasive surgical technique called Laparo-Endoscopic Single-Site Surgery (LESS) was less painful for kidney cancer patients than traditional laparoscopic surgery.
University of Iowa researchers find that total knee replacement surgeries have more than doubled in 20 years. The study, published Sept. 26 in JAMA, suggests the growth is driven by both the increase in the number of older Americans and increased demand among older adults for total knee replacements.
Corticosteroids are often given to children undergoing tonsillectomy to reduce postoperative nausea and vomiting; however, previous research has suggested that corticosteroids may increase the risk of hemorrhage during and after surgery. Researchers from the Massachusetts Eye and Ear, Boston, Naval Medical Center Portsmouth, Virginia, and colleagues set to determine the effect of dexamethasone, a corticosteroid, on bleeding. They found that administration of the dexamethasone to children during a tonsillectomy was not associated with excessive, serious bleeding events following surgery compared to patients who received placebo.
Resveratrol—the same natural polyphenol found in red wine—preserves the potent pain-relieving effect of morphine in rats that have developed morphine tolerance, suggests a study in the October issue of Anesthesia & Analgesia, official journal of the International Anesthesia Research Society (IARS).
Patients given high concentrations of inhaled oxygen during and after cancer surgery may be at higher long-term risk of death, according to a report in the October issue of Anesthesia & Analgesia, official journal of the International Anesthesia Research Society (IARS).
A neuropeptide hormone called orexin-A—which plays an important role in regulating the normal sleep-wake cycle—also affects emergence (waking up) after anesthesia, reports an experimental study in the October issue of Anesthesia & Analgesia, official journal of the International Anesthesia Research Society (IARS).
Screening air-dried fine needle aspirations (FNA) for a panel of genetic mutations linked to follicular or papillary thyroid cancer could reduce the need for diagnostic thyroid surgery, according to data presented at the 82nd Annual Meeting of the American Thyroid Association (ATA) in Québec City, Québec, Canada.
For patients undergoing neurosurgery at teaching hospitals, there's no "July phenomenon" of increased death and complication rates when new residents start their training, reports a study in the September 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 new virtual reality simulator—including sophisticated 3-D graphics and tactile feedback—provides neurosurgery trainees with valuable opportunities to practice essential skills and techniques for brain cancer surgery, according to a paper in the September 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.
The largest U.S. multicenter study of living kidney transplant donor chains showed that 46 percent of recipients are minorities, a finding that allays previous fears that these groups would be disadvantaged by expansion of the donor pool through this type of exchange process.
Severely obese patients who had Roux-en-Y gastric bypass surgery had significant weight loss that was sustained for an average of 6 years after the surgery and also experienced frequent remission and lower incidence of diabetes, hypertension, and abnormal cholesterol levels, compared to participants who did not have the surgery
Each year in Quebec, nearly 6000 people undergo coronary bypass surgery. Recovery is long and quality of life is greatly affected, in particular because most patients experience cognitive deficits that affect attention and memory for weeks or even months after the surgery. However, cognitive training helps to significantly reduce these postoperative complications.
Surgery causes a lasting increase in Alzheimer’s pathology in AD mice, via transient activation of brain inflammation. There was a clear and persistent decrement in learning and memory caused by surgery as compared with inhalational anesthesia – but only in the context of a brain made vulnerable by human Alzheimer-associated transgenes.
For a successful dental implant, the first step for some patients is reconstructive surgery of the jaw. A bone graft to augment the upper jaw can now be achieved by several methods. To assess these methods, their risk of sinus perforation, and the best evaluation technology, researchers put these procedures to the test on 20 human cadaver specimens.
In the largest study of its kind, University of Maryland School of Medicine researchers found that living donors who had a kidney removed through a single port in the navel report higher satisfaction in several key categories, compared to donors who underwent traditional multiple-port laparoscopic removal.
Potentially worrisome weight gains following tonsillectomy occur mostly in children under the age of 6, not in older children, a study by Johns Hopkins experts in otolaryngology- head and neck surgery shows.
Researchers at Moffitt Cancer Center and colleagues have published a study describing the greater difficulty in finding matched, unrelated donors for non-Caucasian patients who are candidates for hematopoietic cell transplantation (HCT).
Research to be published in New England Journal of Medicine shows no benefit over standard care.
A minimally invasive procedure known as endovascular repair used for abdominal aortic aneurysms has a low rate of complications, even in high-risk patients such as those with kidney, heart or lung problems, a Mayo Clinic study shows.
Using social media, Arnold Palmer Hospital for Children is inviting the world into the operating room as Aiden Burghardt , an 18-month-old boy, undergoes open-heart surgery to repair a congenital heart defect.
A team of scientists led by a bone marrow transplant researcher at Fred Hutchinson Cancer Research Center has shed new light on why most bone marrow transplant patients who receive tissue-matched cells from unrelated donors still suffer acute graft-versus-host disease (GVHD). The answer appears to lie in the discovery of previously undetected genetic differences in the DNA of patients and unrelated marrow donors.
Children who swallow powerful neodymium magnets are at risk of serious complications, requiring emergency evaluation and possible treatment. That's the message of a new clinical algorithm published in the September issue of The Journal of Pediatric Gastroenterology and Nutrition, official journal of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN). The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.
A 35-year-old Chicago woman is the first patient in the world to have a combined procedure that offers new hope for obese kidney patients.
Atrial fibrillation is a common complication of cardiac surgery, occurring in 10 percent to 40 percent of patients. Recent studies show it to be associated with poorer health following surgery and poorer long-term survival.
An innovative procedure to streamline a robotic partial nephrectomy, the surgical removal of a kidney tumor, significantly reduces the critical time the kidney is without blood flow, otherwise known as warm ischemia time (WIT), by nearly 25 percent, according to an analysis led by researchers at NewYork-Presbyterian Hospital/Columbia University Medical Center.
Hand and facial transplants are still rare, but experience so far has produced some suggested guidelines for anesthetic management in patients undergoing these complex "composite" transplant procedures, according to a pair of articles in the September issue of Anesthesia & Analgesia, official journal of the International Anesthesia Research Society (IARS).
Non-pain-related factors—including previous use of pain medications, high perceived risk of addiction, and symptoms of depression—increase the risk of continuing to use strong pain-relieving drugs several months after surgery, reports a study in the September issue of Anesthesia & Analgesia, official journal of the International Anesthesia Research Society (IARS).
Octogenarians need not shy away from heart valve surgery because of their age; however, those sent home following surgery do better than those discharged to care facilities.
Most patients who seek repeated (secondary) cosmetic nose surgeries do so because of new or uncorrected deformities—similar to the reasons for patients undergoing primary rhinoplasty, suggests a report in the September issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).
As fat grafting becomes incorporated into clinical practice, plastic surgeons propose a new approach to classifying these emerging techniques—emphasizing the need to match the right technique to the right clinical situation, reports the September issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).
An ultra-fast, 320-detector computed tomography (CT) scanner can accurately sort out which people with chest pain need – or don’t need – an invasive procedure such as cardiac angioplasty or bypass surgery to restore blood flow to the heart, according to an international study. Results of the study, which involved 381 patients at 16 hospitals in eight countries, are scheduled to be presented at the European Society of Cardiology Congress in Munich, Germany, on August 28. This is the first prospective, multicenter study to examine the diagnostic accuracy of CT to assess blockages and determine which may be preventing the heart from getting adequate blood flow.
A new study raises a cautionary note about the increasing use of a minimally invasive procedure to repair ruptured abdominal aortic aneurysms.
Rural and Urban Patients Have Equivalent Access to Successful Aneurysm Repair: Study supports a systematic regional approach to abdominal aortic aneurysm care
An undergraduate uncovers a sticky solution to injuries following laser vision correction surgery.
• Waiting to treat cytomegalovirus infections in transplant recipients until they reach a certain threshold is better than prophylactically treating all recipients. • Patients who were pre-emptively treated experienced less kidney scaring and better long-term organ survival than patients prophylactically treated. Cytomegalovirus infection is the most common infection in organ transplant recipients.
A study from the September issue of Anesthesiology determined that certain blood clotting treatment algorithms helped decrease blood transfusion requirements in cardiac surgery patients and were associated with improved outcomes and hospital cost-savings.
Placement of an endovascular stent has become a common procedure to successfully reopen blocked arteries. Even so, the treated vessel may once again narrow (restenosis), restricting blood flow. In the femoral and popliteal arteries in the leg, the use of nitinol stents magnifies this problem. About 20 to 40 percent of these stent patients experience restenosis 2 years after angioplasty. Now, an improved radiation technique may provide a safe and effective solution.
Webinar offers training opportunity for doctors worldwide.
A technique called high-definition fiber tractography (HDFT) provides a powerful new tool for tracing the course of nerve fiber connections within the brain—with the potential to improve the accuracy of neurosurgical planning and to advance scientific understanding of the brain's structural and functional networks, reports a paper in the August 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.
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