Psychosocial risk factors, such as sleep duration, anxiety and parental fears, can be important predictors for identifying children most likely to experience higher pain intensity, delayed recovery and impaired quality of life following surgery, according to research reported in The Journal of Pain published by the American Pain Society.
More than half of all Medicare patients who have cataract surgery undergo unnecessary routine preoperative testing, despite strong evidence that these tests are usually not beneficial and increase national health care costs, reports a study published on April 16 in The New England Journal of Medicine.
Collaboration Aims to Expand Treatment Options and Improve Outcomes for Patients
The perioperative surgical home (PSH) is an emerging approach to improve care for patients undergoing surgery, and anesthesiologists are preparing to play a key role in leading it. But how will the PSH approach affect patients, the health care system, and the specialty of anesthesiology? These urgent questions are addressed by a coalition of senior anesthesiologists in a special article published by Anesthesia & Analgesia.
In a comparison of mechanical prosthetic vs bioprosthetic mitral valves among patients 50 to 69 years of age undergoing mitral valve replacement, there was no significant difference in survival at 15 years, although there were differences in risk of reoperation, bleeding and stroke, according to a study in the April 14 issue of JAMA.
Because the spine is made up of repeating elements that look alike, surgeons can mistakenly operate on the wrong vertebra. To avoid this, researchers have developed a software program that works seamlessly with currently available procedures to assist a surgeon’s determination of which vertebra is which. Results from its first clinical evaluation show that the LevelCheck software achieves 100 percent accuracy in just 26 seconds.
The Affordable Care Act (ACA) allowed millions of young adults to retain health care coverage through their parents’ insurance plans, but new research finds that many young African-American and Hispanic adults who need coverage for trauma care may not get it.
Vascular surgeons at The Valley Hospital in Ridgewood, NJ, are offering a new type of minimally invasive procedure for patients with a complex form of abdominal aortic aneurysm.
Research by Johns Hopkins scientists suggests that having a short series of phone conversations with trained counselors can substantially boost recovery and reduce pain in patients after spinal surgery.
Among diabetic patients with severe heart disease, coronary artery bypass grafting (CABG) surgery is better than stenting (percutaneous coronary intervention; PCI) at improving long-term survival and reducing the risk of adverse complications
By age 60, more than 50 percent of men in the United States suffer from benign prostatic hyperplasia, a condition that leads to annoying changes in urinary flow. While medical therapy is usually the first line of treatment, a new minimally invasive implant can dramatically reduce symptoms for men.
A new study in JAMA Surgery demonstrates that patients who underwent laparoscopic colectomy procedures required fewer days of health care utilization and the health care system spent less on their acute and follow-up care than those who underwent traditional open surgery.
Two approaches to fat grafting—injection of fat cells versus fat-derived stem cells—have similar effects in reversing the cellular-level signs of aging skin, reports a study in the April issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).
In women undergoing breast augmentation, a technique using transplantation of a small amount of the patient's own fat cells can produce better cosmetic outcomes, reports a study in the April issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).
Early surgery may not be the best treatment option for patients with Type V AC joint injuries, according to new research from Tripler Army Medical Center. The study, presented today at the American Orthopaedic Society for Sports Medicine’s (AOSSM) Specialty Day, showed military personnel returned to duty faster when surgery was not performed.
Delaying rotator cuff surgery on patients with shoulder stiffness may not be necessary, according to research presented today at the American Orthopaedic Society for Sports Medicine’s (AOSSM) Specialty Day.
How best to treat and recover from complicated hip injuries is a growing field in orthopaedic medicine. While diagnostic hip injections are commonly performed for patients with labral tear to confirm the pain etiology, research presented today at the American Orthopaedic Society for Sports Medicine’s (AOSSM) Specialty Day suggests that pain relief from this diagnostic injection may not predict better outcomes following arthroscopic hip surgery.
One in three young athletes who undergo ACL surgery experiences re-injury, according to research presented today at the American Orthopaedic Society for Sports Medicine’s (AOSSM) Specialty Day. The study examined the long term success of surgery for patients aged 18 years and younger.
Two new studies at Hospital for Special Surgery find that bariatric surgery prior to joint replacement is a cost-effective option to improve outcomes in severely overweight patients.
Orthopedic surgeons from the Perelman School of Medicine at the University of Pennsylvania have developed two new prediction tools aimed at identifying total hip and knee replacement patients who are at-risk of developing serious complications after surgery. The investigators unveiled the new models, and study findings on which they are based, on Thursday, March 26, 2015, at the American Academy of Orthopaedic Surgeons Annual Meeting in Las Vegas.
A team of Penn Medicine orthopedic surgeons has found that modern technology for healing distal femur fractures is as safe and effective as its more established alternative, without a potential shortfall of the older approach. . The findings are being presented on Thursday, March 26, 2015, at the American Academy of Orthopaedic Surgeons Annual Meeting in Las Vegas.
A new analysis of surgical outcomes nationwide concludes that more use of minimally invasive surgery for certain common procedures can dramatically reduce post-operative complications and shave hundreds of millions of dollars off the nation’s health care bill.
Major League Baseball pitchers who underwent a second Tommy John surgery saw their performance decline and their career shortened, according to researchers at Henry Ford Hospital.
A study by researchers at Hospital for Special Surgery finds that patients who go home after knee replacement and receive physical therapy at home do as well as those who go to an in-patient rehabilitation facility.
A study by researchers at Hospital for Special Surgery (HSS) finds that people in certain racial and socioeconomic groups are at a disadvantage when it comes to care they receive after fracturing a hip.
A study at Hospital for Special Surgery finds that hip replacement surgery is an excellent option to alleviate pain and improve function in juvenile arthritis patients under age 35 when conservative treatments fail to provide relief.
The results of a blood test done immediately after heart surgery can be a meaningful indicator of postoperative stroke risk, a study by researchers at Wake Forest Baptist Medical Center has found.
Patients with carpal tunnel syndrome are more than twice as likely to have migraine headaches, reports a study in Plastic and Reconstructive Surgery—Global Open®, the official open-access medical journal of the American Society of Plastic Surgeons (ASPS).
A new clip helps older patients with mitral valve prolapse and who are not strong enough for open surgery.
A newly developed website provides parents and children with individualized information and support—based on factors like coping style and levels of worry and fear—to help lower anxiety before outpatient surgery in children, according to a pair of articles in the April issue of Anesthesia & Analgesia.
Hospital for Special Surgery physicians and researchers to present innovative studies at annual meeting of American Academy of Orthopaedic Surgeons.
An endowed professorship in plastic surgery will boost research.
Anesthetics have been used in surgical procedures for more than 150 years, but the mechanisms by which inhaled anesthesia actually work are poorly understood. Now, researchers at Johns Hopkins Medicine have discovered that anesthetics bind to and interfere with certain proteins in excitatory neurons, which are necessary for these neurons to transmit signals involved in anesthesia and the perception of pain.
A select population of patients having surgery experience what is called pain catastrophizing – an irrational thought process that leads a patient to perceive pain as worse than it actually is. Antidepressant medications reduce negative mood and might change this way of thinking, but according to a study published in the April edition of Anesthesiology, the official medical journal of the American Society of Anesthesiologists® (ASA®), that may not be the case, at least for acute pain.
Researchers from Thomas Jefferson University and NIH tested for prophylactic antibiotic concentrations in joint fluid samples.
Minimally invasive surgery can prevent a fatal rupture of an abdominal aortic aneurysm. And now a new study has found the procedure can extend lives even in patients who are at high risk for surgery due to such risk factors such as advanced age, diabetes, smoking and kidney disease.
Newer drug-coated stents that keep arteries open have similar long-term rates of death compared with traditional bypass surgery for patients with more than one diseased coronary artery.
A minimally invasive spinal fusion back surgery results in less blood loss, less postoperative pain, smaller incisions, a shorter hospital stay and faster recovery and return to work.
In an analysis of outcomes of about 12,000 patients who underwent transcatheter aortic valve replacement, death rate after one year was nearly one in four; of those alive at 12 months, almost half had not been rehospitalized and approximately 25 percent had only one hospitalization, according to a study in the March 10 issue of JAMA.
Among patients with a displaced fracture in the upper arm near the shoulder (proximal humeral), there was no significant difference between surgical treatment and nonsurgical treatment in patient-reported outcomes over two years following the fracture, results that do not support the trend of increased surgery for patients with this type of fracture, according to a study in the March 10 issue of JAMA.
Study results of one-year data for more than 12,000 patients who had transcatheter aortic valve replacement (TAVR) in the United States show an overall one-year death rate of 23.7 percent and a stroke rate of 4.1 percent, according to a study published in the March 10 issue of JAMA.
The benefits of weight loss surgery, along with a treatment plan that includes exercise and dietary changes, are well documented. In addition to a significant decrease in body mass, many patients find their risk factors for heart disease are drastically lowered and blood sugar regulation is improved for those with Type 2 diabetes. Some patients, however, do not experience the optimal weight loss from bariatric surgery. The presence of a specific methane gas-producing organism in the gastrointestinal tract may account for a decrease in optimal weight loss, according to new research by Ruchi Mathur, MD, at Cedars-Sinai.
For patients undergoing coronary artery bypass graft (CABG) surgery, the anesthesiologist managing the procedure can have a major impact on the risk of adverse outcomes, according to a study published on January 23rd in Anesthesia & Analgesia.
Two of the fastest-growing plastic surgery procedures are gluteoplasty or "butt augmentation," to improve the appearance of the buttocks; and labiaplasty to address cosmetic and functional concerns with the vagina. New insights into the use and outcomes of these procedures are presented in the March issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).
A team of Vanderbilt engineers is using magnetic force to design new and improved instruments for minimally invasive surgery. The use of magnetic actuation allows them to create tools that are more flexible and more powerful than conventional designs, which place the instruments on the end of long sticks.
Cardiovascular risks of severe pediatric obesity, assessed among adolescents participating in the “Teen Longitudinal Assessment of Bariatric Surgery” (Teen-LABS) study, were published this week in JAMA Pediatrics.
The "wearable technology" Google Glass has a wide range of possible applications in plastic surgery—with the potential to enhance surgical training, medical documentation, and patient safety, according to a special paper in the March 2015 issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).
Cancer patients with limited brain metastases (one to four tumors) who are ≤50 years old should receive stereotactic radiosurgery (SRS) without whole brain radiation therapy (WBRT), according to a study available online, open-access, and published in the March 15, 2015 issue of the International Journal of Radiation Oncology • Biology • Physics (Red Journal), the official scientific journal of the American Society for Radiation Oncology (ASTRO).
Laboratory testing among patients undergoing cardiac surgery can lead to excessive bloodletting, which can increase the risk of developing hospital-acquired anemia and the need for blood transfusion
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