• Kidney disease patients experience low complication rates after weight-loss surgery. • Maintaining weight loss is challenging for kidney disease patients, and obesity can limit their eligibility for kidney transplants. • Long-term studies are needed to determine whether the potential benefits of weight-loss surgery outweigh risks for kidney disease patients.
Robotic surgery conducted through patients’ mouths provides excellent results in removing squamous cell carcinoma at the back of the throat, especially in patients with HPV, a Mayo Clinic study published in the March issue of Mayo Clinic Proceedings found.
An educational program for surgeons can reduce unnecessary hardware "explantations" during spinal surgery, reports a study in the March 1 issue of Spine. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.
An article reporting ten-year survival rates of BHR from an independent centre in Australia.
More than 80 percent of anesthesiologists have been involved in a catastrophic event involving death or injury to a patient during surgery, suggests a survey study in the March issue of Anesthesia & Analgesia, official journal of the International Anesthesia Research Society (IARS).
Worldwide changes in catheter system design are urgently needed to prevent serious complications caused by accidental injection of drugs into the wrong location, according to a special editoral in the March issue of Anesthesia & Analgesia, official journal of the International Anesthesia Research Society (IARS).
In a Canadian first, thoracic surgeons at Toronto General Hospital, University Health Network used a robotic surgical system to treat early-stage lung cancer by removing the cancer, along with a lobe of the lung. The use of this system improves outcomes after surgery and will expand the numbers of patients who can benefit from this type of minimally invasive surgical treatment.
A new service at the University of Michigan Comprehensive Cancer Center drastically cuts the number of repeat breast cancer surgeries by having pathologists on-site in the operating suite to assess tumors and lymph nodes immediately after they are removed.
Heart transplant patients who receive new organs before the age of 55 and get them at hospitals that perform at least nine heart transplants a year are significantly more likely than other people to survive at least 10 years after their operations, new Johns Hopkins research suggests.
New approaches to electrical stimulation—using an implanted device with three columns of electrodes—may increase the effectiveness of spinal cord stimulation (SCS) for severe back pain, suggests a study in the March 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.
Newest device (cTAG) offers more flexibility and additional ranges in device diameter, with recent FDA approval for traumatic pseudoaneurysms.
Taking advantage of another breakthrough in robotic surgery, a surgeon at Porter Adventist Hospital is among the first in the country and is the first in the Rocky Mountain Region to perform a robotically-assisted removal of the gallbladder through a single small incision.
A study published in the March issue of Anesthesiology found that elderly patients with mild cognitive impairment (MCI), as well as normal elderly undergoing surgery experienced increased levels of brain atrophy beyond what is expected from normal aging.
New approaches to aortic valve replacement are allowing patients like Michael Baker to not only live longer, but live better. Doctors at the University of Michigan CardiovascularCenter performed a transcatheter aortic valve replacement, or TAVR, to replace his diseased aortic valve without heart bypass or open heart surgery.
A simple, 10-minute bedside assessment conducted prior to surgery appears to be the best method yet for predicting which kidney transplant patients will do well with their new organs, new Johns Hopkins research suggests.
A Loyola University Medical Center patient has become the final link in the world's longest living-donor kidney transplant chain. The chain involved 30 donors, 30 recipients and 17 hospitals nationwide. Loyola is the only Illinois hospital in the chain.
Deep brain stimulation (DBS) has become a common treatment for patients with chronic pain or movement disorders. Now a unique set of experiments shows that electrical stimulation in some of the same brain areas can also affect respiratory function, according to a study in the February 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.
After he failed to heed the first big warning about his heart, John Magri was lucky to survive the second. Magri’s first heart attack at age 46 didn’t faze him much. He didn’t follow his doctor’s orders to start to eat a healthier and to quit smoking. Moreover, the South Jersey-man took his medication, a blood thinner necessary to prevent the coronary stent he got after the first heart attack from becoming blocked, only sporadically. A second heart attack in January – just a year and a half after the first – got Magri’s attention. He is lucky to be alive and knows it.
Breast augmentations are the most common form of plastic surgery nationwide, according to the American Society of Plastic Surgeons. Loyola University Health System plastic surgeons are seeing similar trends in their practice. The number of women who are getting breast implants also is up from last year. In 2011, 307,180 women nationwide underwent a breast augmentation procedure while 296, 203 women had the same surgery in 2010.
Patients and health care professionals can learn about the commitment to world-class care and operational transparency in the Department of Orthopaedic Surgery’s recently published “2012 Quality and Outcomes Report.”
Researchers at the Rothman Institute at Jefferson have shown that local anesthesia delivered through a catheter in the joint, intraarticularly, may be more beneficial than traditional opioids such as morphine and Oxycontin for pain management following total knee replacement surgery.
Brain surgery is getting much easier for many patients. Neurosurgeons are using catheters rather than open surgery to repair aneurysms and other defects. Patients recover in a few days, with less chance of cognitive deficits.
A three-year follow-up study has shown that an alternate treatment for obstructed arteries in the leg may be warranted. The results are from a clinical trial comparing primary nitinol stent implantation with balloon angioplasty. This examination of the study provides a long-term assessment of the two procedures, which is favorable for the primary stent.
In their search for new, better ways to diagnose periprosthetic joint infection, Rothman Institute at Jefferson researchers have shown that the accepted method of diagnosis, measuring a patients’ serum white blood cell count (WBC) and the percentage of neutrophils (PMN%) in the synovial fluid, has a minimal role in the determination of PJI.
A study by Hospital for Special Surgery researchers has provided the first comprehensive look at just how metal-on-metal total hip replacements are failing in patients around the country.
A new study has demonstrated that a procedure wherein healthy cartilage is transplanted to fix an area of damaged cartilage is superior to the standard of care for repairing cartilage defects.
(PHILADELPHIA) – Researchers at the Rothman Institute at Jefferson examined data on patients being treated for lumbar stenosis and the degenerative spine condition spondylolisthesis and found that patients who received epidural steroid injections (ESI) had a higher rate of crossover to surgery and fared worse in physical health and bodily pain versus those who did not receive ESI, dispelling their pre-study hypothesis.
Rothman Institute at Jefferson joint researchers continue to seek better ways to diagnose and subsequently treat periprosthetic joint infection (PJI) in patients following total joint arthroplasty. Their latest research shows leukocyte esterase reagent (LE) strips, common in diagnosing urinary tract infections, can also have a role in rapid diagnosis of PJI.
Patients who have their anterior cruciate ligament (ACL) reconstructed by surgeons who have performed less than 60 surgeries are roughly four to five times more likely to undergo a subsequent ACL reconstruction.
When William Murphy works with some of the most powerful tools in biology, he thinks about making tools that can fit together. These constructions sound a bit like socket wrenches, which can be assembled to turn a half-inch nut in tight quarters, or to loosen a rusted-tight one-inch bolt using a very persuasive lever.
It may sound like something from a TV medical drama, but the incidence of surgeons leaving something behind in the body is very real at hospitals across the country. But the University of Michigan Health System has created a new system using state-of-the-art technologies to insure that no foreign objects are left behind during surgery.
A new comparison of the procedures to help prevent strokes by removing or relieving blockages in the arteries of the neck concludes they are equally effective at halting repeat blockage.
Experiments in brain-injured rats show that stem cells injected via the carotid artery travel directly to the brain, where they greatly enhance functional recovery, reports a study in the February 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.
Contrary to earlier findings, surgical breast biopsies may not be as overused as previously thought, according to a study in the February issue of the Journal of the American College of Radiology. Surgical breast biopsies are more invasive than needle biopsies, requiring an incision and the use of general anesthesia.
Physicians at three transplant centers have found in a pilot study that a majority of children who receive liver tissue from a parent can eventually stop using immunosuppression (anti-rejection) medications safely. These drugs, which tamp down natural immune function, have been linked to a bevy of complications, including cancer, diabetes, hypertension and kidney failure.
Nearly one in four women who undergo a partial mastectomy for treatment of breast cancer have another surgery to remove additional tissue (reexcision), and there is substantial surgeon and institutional variation in the rate of reexcisions that cannot be explained by patients' clinical characteristics, according to a study in the February 1 issue of JAMA.
In patients undergoing hip replacement surgery, using a special wound catheter to infuse local anesthetic directly into the hip joint provides significant and lasting improvements in postoperative pain control, reports a study in the February issue of Anesthesia & Analgesia, official journal of the International Anesthesia Research Society (IARS).
For patients undergoing a minimally invasive treatment for liver cancer, the risk of recurrent cancer appears lower with general anesthesia compared to regional (epidural) anesthesia, reports a study in the February issue of Anesthesia & Analgesia, official journal of the International Anesthesia Research Society (IARS).
The use of bone morphogenetic protein (BMP) for spinal fusion surgery has risen sharply over the past decade, increasing costs with no evidence of improved outcomes, reports study in the February 1 issue of Spine. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.
Doctors at Nationwide Children’s Hospital who perform weight loss surgery (bariatric surgery) on adolescents took a look at their patient population in a retrospective study published in the January 2012 print edition of Pediatric Blood & Cancer. They found that their patients had experienced a significant loss of excess body weight and showed improvement in many obesity-related diseases within the first one to two years following surgery.
For breast cancer patients who have undergone radiation therapy, a new technique consisting of fat injection followed by implant placement may provide a much-needed alternative for breast reconstruction, reports a study in the February issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).
For disabling hand contractures caused by Dupuytren's disease, patients prefer a percutaneous needle fasciotomy procedure despite the higher contracture recurrence rate when compared to conventional surgery. These findings are the results of a clinical trial report in the February issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).
The Vanderbilt Center for Surgical Weight Loss is developing an online education seminar for prospective patients to take in the privacy of their own homes. Just as it was difficult a few years back for doctors to talk to their patients about the dangers of smoking, discussing a patient’s weight can be equally difficult, according to Ronald Clements, M.D., director of the Vanderbilt Center for Surgical Weight Loss and professor of Surgery. The interactive seminar opens the door to that conversation, while providing a means for the surgeons to assess each patient’s general understanding of obesity and its treatments even before their first appointment.
Highlights: 1) Patients who quickly stop taking the immunosuppressant prednisone after receiving a kidney transplant avoid experiencing serious prednisone-related side effects. 2) This rapid discontinuation of prednisone does not jeopardize the long-term survival of patients and their new organs. 3) Approximately 16,500 patients receive kidney transplants each year in the United States and must take prednisone and/or other immunosuppressive drugs.
The UCSF Benioff Children’s Hospital has the best overall survival rates in the nation for bone marrow transplants, according to a recent independent review of 156 programs nationwide.
People who donate a portion of their livers for transplant to a relative or friend whose liver is failing can generally expect to live long, healthy lives and recover safely from the donation surgery, Johns Hopkins researchers have found.
Congestive heart failure (CHF) is a highly prevalent comorbidity among patients with symptomatic peripheral arterial disease. The effect of CHF on the procedural success of endovascular treatment, however, remains unknown.
Patients have higher survival, patency and limb salvage rates.
Each year, thousands of Americans lose fingers and/or thumbs in accidents. Many are do-it-yourselfers. Hand surgeons are having better results reattaching digits, due to better techniques, surgical instruments and microscopes.
Extracorporeal membrane oxygenation (ECMO) support in awake, non-intubated patients may be an effective strategy for bridging patients to lung transplantation, according to a new study from Germany.
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