Among patients who underwent gall bladder removal for acute calculous cholecystitis, lack of postoperative antibiotic treatment did not result in a greater incidence of infections, according to a study in the July 9 issue of JAMA.
In an analysis of about 460 patients with failed bioprosthetic aortic valves who underwent transcatheter valve-in-valve implantation, overall survival at one year was 83 percent, with survival associated with surgical valve size and mechanism of failure, according to a study in the July 9 issue of JAMA.
Just two weeks after undergoing complex and delicate brain surgery, Bill Abt’s surgeon cleared him to take a fishing trip. Abt caught 182 fish in four days at a remote lodge in Upper Sashkastian. And he didn’t need to take a single pain pill.
Researchers at Roswell Park Cancer Institute and the University at Buffalo found that cognitive assessment can effectively measure the expertise of robotic surgeons with varying levels of experience.
The new FDA-approved transcatheter heart valve therapy helps patients with aortic valve disease who are at high risk to undergo open-heart surgery.
In 2010, Bonnie Egbert, a veteran of more than 20 marathons, had to quit running due to excruciating pain caused by her right knee joint rubbing bone on bone.
Researchers at the University of California, San Diego School of Medicine have found that the risk of patient harm increased two-fold in 2006 – the peak year that teaching hospitals nationwide embraced the pursuit of minimally invasive robotic surgery for prostate cancer.
Sixty percent of U.S. Army soldiers who were unable to return to a military career after an Iraq deployment couldn’t do so because of a muscle, bone or joint injury.
The first genome-wide analysis of postsurgical pain in children has identified gene variants that affect a child's need for pain-control drugs. The findings may advance the process of calibrating pain-medication doses to a child's genetic makeup.
Researchers have developed a new supercooling technique to increase the amount of time human organs could remain viable outside the body. This study was conducted in rats, and if it succeeds in humans, it would enable a world-wide allocation of donor organs, saving more lives.
• In Tennessee and Florida, waiting times and other measures of geographic disparity in kidney transplantation became almost equal after the states adopted a Statewide Sharing variance to the national kidney allocation policy in the early 1990s. • Meanwhile, the geographic disparity in kidney transplantation became worse in other comparable states.
Patients who have post-operative complications following high-risk surgery have a significantly lower risk of being readmitted to the hospital within 30 days if they go see their primary care physician soon following discharge, a new study in JAMA Surgery shows.
The Breast Surgery Fellowship Program at Rutgers Cancer Institute of New Jersey and Rutgers Robert Wood Johnson Medical School is receiving a $75,000 training grant from the Breast Cancer Alliance to support a surgical fellow for academic year 2014-2015. It is the third consecutive year that the non-profit entity has given this award to the program.
Researchers using a complex set of data from records and imaging scans of patients who have undergone successful DBS implantation, have created 3-D, computerized models that map the brain region involved in dystonia. The models identify an anatomical target for further study and provide information for neurologists and neurosurgeons to consider when planning surgery and making device programming decisions.
Among more than 56,000 adults undergoing hip repair between 2004 and 2011, the use of regional anesthesia compared with general anesthesia was not associated with a lower risk of death at 30 days, but was associated with a modestly shorter length of hospital stay, according to a study in the June 25 issue of JAMA.
Patients who received regional anesthesia during hip fracture surgery had moderately lower mortality and a significantly lower length of stay than those who received general anesthesia, according to new research from the Perelman School of Medicine at the University of Pennsylvania. The study, published this week in JAMA, employed a new, more reliable Penn-developed technique for comparative-effectiveness research to pinpoint best practices. In a related study published in JAMA Internal Medicine this week, the team also reported high rates of mortality and functional disability among nursing home residents treated for hip fracture.
Among patients with a severe, life-threatening type of sclerosis, treatment with hematopoietic stem cell transplantation (HSCT), compared to intravenous infusion of the chemotherapeutic drug cyclophosphamide, was associated with an increased treatment-related risk of death in the first year, but better long-term survival, according to a study in the June 25 issue of JAMA.
Pool pass, sports camp, visiting relatives and getting tonsils removed are all normal activities for children during the summer months. "Kids need from 10 days to two weeks recovery time, so summer offers an ideal opportunity to get tonsil removal out of the way without interfering with school or winter holidays," says Laura Cozzi, MD, an ear, nose and throat specialist at Gottlieb Memorial Hospital in Melrose Park, Illinois.
A new study shows that for at least two years after bariatric surgery, patients continue to lose bone, even after their weight stabilizes. The results—in patients undergoing gastric bypass, the most common type of weight loss surgery—were presented Monday at the joint meeting of the International Society of Endocrinology and the Endocrine Society: ICE/ENDO 2014 in Chicago.
NYU Langone Medical Center is now using a novel technology that serves as a "flight simulator" for neurosurgeons, allowing them to rehearse complicated brain surgeries before making an actual incision on a patient.
Alabamian Tony Parris presented to UAB cardiologists with three blockages around the heart. The physicians devised a new hybrid procedure, which included minimally invasive robotic bypass surgery to one vessel, as well as stenting to two remaining vessels — all in the span of three days.
Patients with confirmed episodes of awareness during anesthesia and surgery don't seem to be at increased risk of posttraumatic stress disorder (PTSD) or other problems with psychosocial well-being at long-term follow-up, reports a study in Anesthesia & Analgesia.
Rony R. Sayegh, MD, of eye surgeon at University Hospitals Case Medical Center, is co-author of a review article about keratoprostheses, and is testing a new design of the Boston KPro.
Surgical residents who received anonymous feedback from their peers through a social networking site on their robotic surgery skills improved more than those who did not receive any peer feedback on their procedures, UCLA researchers found.
A study in the July issue of Anesthesiology revealed that patients who receive a simple, multicolor, standardized medication instruction sheet before surgery are more likely to comply with their physician’s instructions and experience a significantly shorter post-op stay in recovery. These findings are important because surgical patients often fail to follow their doctor’s medication instructions for preexisting conditions such as diabetes and hypertension on the day they are having surgery – a costly mistake that can lead to surgery cancellation, complications and longer hospital stays.
Proving that less really is more, five specific tests or procedures commonly performed in anesthesiology that may not be necessary and, in some cases should be avoided, will be published online June 16 in JAMA Internal Medicine. The “Top-five” list was created by the American Society of Anesthesiologists® (ASA®) for inclusion in the ABIM Foundation’s Choosing Wisely® campaign.
On Wednesday, June 11, a new prescription weight-loss medication that combines a popular antidepressant with a medication for addiction will be reviewed by the Federal Drug Administration (FDA) for potential approval.
Doctors at The Ohio State University Wexner Medical Center are the first in the country to begin treating some heart failure patients with a new wireless, implantable hemodynamic monitor that was just approved by the FDA.
Patients who want to compare prices for prostate-cancer surgery may find it rough going: A University of Iowa study found a 13-fold difference in prices quoted by 100 hospitals nationwide. Moreover, most provided little more than broad estimates, and only three gave a hard copy of the charges. Results appear in the journal Urology.
A clearer understanding of how mussels stick to surfaces could lead to new classes of adhesives that will work underwater and even inside the body.
For patients with mesial temporal lobe epilepsy (MTLE) that can't be controlled by medications, a minimally invasive laser procedure performed under MRI guidance provides a safe and effective alternative to surgery, suggests a study in the June 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.
Patients with diabetes mellitus have worse long-term outcomes and higher associated costs following coronary artery bypass grafting (CABG) surgery than patients without diabetes
In a finding that runs counter to most health disparities research, Johns Hopkins researchers say that while younger black trauma patients are significantly more likely than whites to die from their injuries, black trauma patients over the age of 65 are 20 percent less likely to do so.
In certain patients with abdominal pain after gallbladder removal (cholecystectomy), undergoing an endoscopic procedure involving the bile and pancreatic ducts did not result in fewer days with disability due to pain, compared to a placebo treatment, according to a study in the May 28 issue of JAMA.
(TORONTO, Canada – May 26, 2014) – A first-ever study from a large Canadian centre found that kidney transplant recipients lived longer and had better treatment success than patients on intensive home hemodialysis, but also had an increased risk of being hospitalized within the first year.
• Kidney transplant patients had a reduced risk of treatment failure or premature death compared with patients on long and frequent home hemodialysis. • Kidney transplant patients had a higher risk of being hospitalized within the first several months to a year, but they had a reduced risk over the long term.
About 70 percent of women who have both breasts removed following a breast cancer diagnosis do so despite a very low risk of facing cancer in the healthy breast, new research from the University of Michigan Comprehensive Cancer Center finds.
In the latest national report on organ transplant outcomes, patients receiving a new liver at the Cedars-Sinai Comprehensive Transplant Center had the best one-year survival outcomes of all hospitals in the Los Angeles region, with 90% of liver transplant patients surviving beyond that important milestone. Patients receiving new kidneys at the medical center also did extremely well with 97 percent of them surpassing the one year bench mark.
Patients experience fewer postoperative complications when a surgical safety checklist is used by their surgical team, reports the first large-scale review on the subject published in the June issue of Anesthesiology, the official medical journal of the American Society of Anesthesiologists® (ASA®). By following a simple checklist, health care providers can minimize the most common postoperative risks such as wound infection and blood loss.
Expectant mothers concerned about receiving an epidural, spinal or general anesthesia during childbirth can breathe a little easier. According to a study published in the June issue of Anesthesiology, the official medical journal of the American Society of Anesthesiologists® (ASA®), serious complications due to anesthesia during childbirth are very rare, occurring in one out of every 3,000 deliveries.
When it comes to treating kidney stones, less invasive may not always be better, according to new research from Duke Medicine. In a direct comparison of shock wave lithotripsy vs. ureteroscopy – the two predominant methods of removing kidney stones – researchers found that ureteroscopy resulted in fewer repeat treatments.
• Simulation models predict that a newly approved kidney allocation policy will lead to an average 7.0% increase in median patient life-years per transplant and an average 2.8% increase in median allograft years of life. • The policy may also improve access to transplantation for highly sensitized candidates but reduce access for older patients.
This study is the largest, based on high-quality imaging and reading of scans, to understand the role of PET-CT in selecting the best colorectal cancer candidates whose cancer has spread to the liver for surgery.
For the first time, a minimally invasive transcatheter valve – tested by Baylor Research Institute in Dallas (BRI) – has been shown to save more lives than open-heart surgery, according to new research revealed at the American College of Cardiology’s 2014 Scientific Sessions and published in The New England Journal of Medicine.
Surgery patients covered by Medicaid come into their operations with worse health, do worse afterward, stay in the hospital longer and find themselves back in the hospital more often than those covered by private insurance, a new analysis shows.
Patients whose own red blood cells are recycled and given back to them during heart surgery have healthier blood cells better able to carry oxygen where it is most needed compared to those who get transfusions of blood stored in a blood bank, according to results of a small study at Johns Hopkins.
Researchers in the department of surgery at the University of Michigan have found that expanding access to Medicaid in New York State increased beneficiaries’ use of subspecialty surgical services.
Tom Guynes considers himself a living miracle. He’s been treated for a typically fatal form of fast-spreading cancer, congestive heart failure, and a hernia all in the past two years.So when he suffered a stroke the morning of Nov. 24, 2013, both he and his wife Nan feared the worst.
Fluorescence allows surgeons to safely visualize structures of bile duct, according to study in Surgical Innovation.
In an effort to avoid serious side effects suffered after surgery to repair retinal detachment, vision scientists have developed a new product to help stabilize the eye while it heals. The research is being presented at the 2014 Annual Meeting of the Association for Research in Vision and Ophthalmology (ARVO) this week in Orlando, Fla.
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