Surgical Tribune America


Terminally ill cancer patients far more poorly after surgery

November 9, 2016

SACRAMENTO, Calif., USA: Patients with disseminated advanced cancer who undergo surgery are far more likely to have long hospital stays, readmissions and referrals to extended care facilities and to die, researchers at the University of California Davis Medical Center in Sacramento have found. Their study highlights the dilemma physicians and surgeons face when their terminally ill cancer patients are diagnosed with a condition that may benefit from surgery, such as bowel obstruction, as well as the need for substantive discussions about the risks of surgery and implications on future quality of life.

Listening to music before surgery could reduce anxiety

November 4, 2016

CLEVELAND, USA: Collaboration between medical staff and music therapists can be beneficial in providing a safe, cost-effective means of managing patients’ anxiety and pain and reducing the need for pharmacologic intervention in the perioperative setting, according to a new study. The research, conducted by two music therapists and a nurse anesthetist at University Hospitals Seidman Cancer Center in Cleveland, examined the effect of live and recorded music on the anxiety of 207 women undergoing a biopsy for breast cancer diagnosis and treatment.

Survey: Majority of cardiothoracic surgeons satisfied with their career

October 24, 2016

CHICAGO, USA: Despite the significant challenges associated with a career in cardiothoracic surgery, heart and lung surgeons report a very high level of job satisfaction, according to a new survey conducted by the Society of Thoracic Surgeons (STS), a not-for-profit organization representing more than 7,300 surgeons, researchers and allied health care professionals worldwide.

New virtual surgical planning enables full-jaw reconstruction in a single surgery

October 12, 2016

ROCK HILL, S.C., USA: 3D Systems Healthcare, a developer of surgical planning and clinical transfer tools, has introduced a new groundbreaking reconstruction solution. Jaw in a Day allows for immediate placement of a provisional dental prosthesis during a single-stage free tissue transfer jaw reconstruction surgery. The surgical planning, along with guide and prosthetic designs, is completed using the latest CAD/CAM technology. The new treatment method spares patients months of treatment.

Synthetic heart valves could help surgeons improve surgical skills

September 5, 2016

KELOWNA, British Columbia, Canada: A new invention has made it possible for doctors to vastly improve their bypass surgery techniques without relying on animals. The polyvinyl tissue makes it possible for surgeons and medical residents to practice bypass surgery using the synthetic material as opposed to the current practice of using the arteries and veins of porcine or human cadavers.

New technology allows surgeons to locate impalpable breast tumors

August 29, 2016

HOUSTON, USA: Researchers from the University of Houston (UH) and the University College London (UCL) have developed a new diagnostic system for breast cancer surgery that eliminates exposure to radioactive materials and offers a less invasive, more flexible alternative for cancer detection. The Sentimag instrument enables surgeons to locate early-stage tumors that cannot yet be perceived by palpation. It received Food and Drug Administration approval in April and a distribution deal this month.

Minimizing OR traffic may help decrease surgical site infections

July 22, 2016

WHITE ROCK, British Columbia, Canada: Reducing traffic in and out of the operating room (OR) during total joint replacement procedures could contribute to a decrease in orthopedic surgical site infections (SSIs), according to a new study. The research was conducted in response to a survey of surgeons and nurses, who stated that entering and exiting the OR for several reasons caused harm to patients.

Implantable device reduces obstructive sleep apnea symptoms

June 16, 2016

DENVER/PHILADELPHIA, USA: A new implantable device offers promise for patients with moderate to severe obstructive sleep apnea (OSA) who cannot tolerate continuous positive airway pressure (CPAP), the most commonly used treatment for OSA. After a successful initial clinical trial in 2014, involving medical institutions in Europe and the U.S., a new case study conducted by U.S. researchers has now demonstrated that the device notably reduces the symptoms of OSA.

Medtronic announces US launch of Spine Essentials

May 30, 2016

DALLAS, USA/DUBLIN, Ireland: Global medical company Medtronic announced the U.S. launch of Spine Essentials, a new platform of spinal implants and instruments designed to make the preparation work for the most common cervical spinal fusion procedures more efficient and help hospital systems manage costs while maintaining quality. The platform was developed in collaboration with leading surgeons and administrators and launched on May 19 at the annual meeting of the Ambulatory Surgical Center Association in Dallas.

Cancer patient receives first penis transplant in US

May 20, 2016

BOSTON, USA: A team of surgeons at Massachusetts General Hospital (MGH) has performed the nation’s first genitourinary reconstructive penile transplant. The 15-hour operation, which took place earlier this month, involved surgically grafting the complex microscopic vascular and neural structures of a donor organ on to the comparable structures of the recipient. According to the Boston surgeons, the 64-year-old patient is recovering well.

Surgeons perform first osseointegration surgery on amputee in US

May 9, 2016

SAN FRANCISCO, USA: Developed as an alternative to traditional socket-based prostheses, Osseointegrated Prostheses for the Rehabilitation of Amputees (OPRA) have been applied for over 20 years to improve the treatment and quality of life of amputee patients. Until recently, the technology has mainly been used outside the U.S. Now, surgeons at the International Center for Osseointegration Research, Education and Surgery (iCORES) at the University of California, San Francisco (UCSF) have successfully performed the first such osseointegration surgery in the country.

Novel critical care program speeds up transfer of critically ill surgical patients

February 26, 2016

BALTIMORE, USA: Critical surgical illnesses are often time-sensitive and patients affected require care at specialized centers. For critically injured trauma patients, trauma systems facilitate transport to and treatment in specialized centers. However, such formal systems do not exist for nontraumatic critical illness. Based on the model of its shock trauma center, a team of surgeons at the University of Maryland Medical Center (UMMC) in the U.S. has developed a program that effectively directs critically ill nontrauma patients to an appropriate treatment location.

Fluorescence visualization could improve oral cancer recurrence rates

January 26, 2016

VANCOUVER, Canada: The prognosis for oral cancer has not improved over the past five decades, mainly owing to the late stage at diagnosis, high rates of recurrence after surgery and the difficulty in capturing all of the cancer at treatment. Researchers have now assessed the efficacy of fluorescence visualization (FV) and found that this technology, which could easily be implemented in clinical settings, facilitated detection and thus helped reduce the recurrence rate in oral cancer patients significantly.

New nanotechnology might improve treatment of bone defects

January 22, 2016

ANN ARBOR, Mich., USA: A new technology developed by researchers at the University of Michigan could help doctors improve treatment of patients with bone loss or trauma. The scientists have developed a polymer sphere that delivers a specific molecule to bone wounds that tells cells already at the injury site to repair the damage. Therefore, the nanotechnology could be applied in the treatment of osteoporosis, as well as in bone surgery and joint repair.

Bitter taste sensitivity may predict surgical outcome in sinusitis patients

January 7, 2016

PHILADELPHIA, USA: New research from the Monell Chemical Senses Center and the Perelman School of Medicine at the University of Pennsylvania in Philadelphia suggests that physicians may soon be able to use a simple taste test to predict the outcome of sinus surgery. The research team has identified a genetic biomarker—a bitter taste receptor—that forecast better postsurgical results in certain chronic rhinosinusitis patients.

Hospital safety culture critical in improving surgical results

December 18, 2015

CHICAGO, USA: To achieve better results for surgical patients, hospitals tend to focus on technical issues, such as the surgeons’ skills and operating room equipment. However, a non-technical factor, the so-called 'safety culture', may be equally important in delivering high-quality patient care, a team of researchers reported in a study published online in the Journal of the American College of Surgeons.

3-D printing helps resolve nearly fatal brain aneurysm

December 8, 2015

MINNEAPOLIS, USA/REHOVOT, Israel: Stratasys, a 3-D printing and additive manufacturing solutions company, recently announced a major advance in surgical preplanning made possible with cutting-edge 3-D-printed anatomical models. Teaming up with Stratasys, the Jacobs Institute in Buffalo in New York has developed a new approach to repairing a complex brain aneurysm. The use of a lifelike 3-D-printed replica significantly reduced risks associated with this intricate surgery and corrected a near-fatal condition.

New microscopy technology may help neurosurgeons save more lives

November 23, 2015

TUCSON, Ariz., USA: Researchers at the University of Arizona (UA) have invented a device that, for the first time, allows neurosurgeons, who use microscopes extensively while operating, to see blood flowing inside vessels and more clearly distinguish cancerous from healthy tissue under the microscope. This augmented microscopy technology will help surgeons operate with more precision without having to learn new technical skills or adapt to changes in the operating room.

Novel method to treat aortic aneurysms uses modern imaging technologies

October 29, 2015

MONTREAL, Canada: Researchers at the University of Montreal Hospital Research Centre and the university's Department of Radiology, Radiation Oncology and Nuclear Medicine have developed a novel treatment approach for patients with abdominal aortic aneurysms. The researchers’ new method, using 3-D models and virtual reality simulations, addresses the issue of problematic visualization of the area needing treatment.

US surgeons successfully separate 11-month-old conjoined twins

September 14, 2015

COLUMBUS, Ohio, USA: A team of surgeons at Nationwide Children's Hospital in Columbus has successfully separated conjoined twins in a complex surgery that involved more than 30 specialists from different disciplines. The 11-month-old twin girls Acen and Apio Akello from Uganda, who were born conjoined at the hip and spine, are recovering well after the separation surgery on Sept. 3.

New technology improves jaw and teeth alignment in face transplant patients

August 7, 2015

BALTIMORE, USA: A team of physicians and engineers at Johns Hopkins University and Walter Reed National Military Medical Center has developed a computer platform that provides rapid, real-time feedback before and during facial transplant surgery. The new technology aims to improve face-jaw-teeth alignment between donor and recipient.

US surgeons perform first multi-organ transplant including skull and scalp

July 10, 2015

HOUSTON, USA: Multi-organ transplants are very complex procedures that are still quite rare in daily clinical practice. Surgical teams from Houston Methodist Hospital and the University of Texas MD Anderson Cancer Center have successfully transplanted a scalp and skull for the first time worldwide, while at the same time performing kidney and pancreas transplants.

Zimmer completes acquisition of Biomet

July 1, 2015

WARSAW, Ind., USA: Zimmer, a worldwide leader in musculoskeletal health care, has completed the acquisition of Biomet in a cash and equity transaction currently valued at approximately $14 billion, the company recently announced. In connection with the merger, Zimmer has changed its corporate name to Zimmer Biomet Holdings. The company started trading on the New York Stock Exchange and the SIX Swiss Exchange under the ticker symbol ZBH on June 29.

Variety of human factors contribute to surgical never events

June 15, 2015

ROCHESTER, Minn., USA: Major surgical errors are called "never events" because they should not happen, but do. Mayo Clinic researchers have identified 69 such never events among 1.5 million invasive procedures performed over five years and detailed the reasons for the occurrence of each. They discovered that 628 human factors contributed to the errors overall, roughly four to nine per event.

Massive weight loss fuels surge in plastic surgery

June 4, 2015

ARLINGTON HEIGHTS, Ill., USA: An increase in the number of weight loss surgeries in the U.S. is beginning to have a ripple effect on plastic surgery, according to new data released by the American Society of Plastic Surgeons (ASPS). Procedures specifically associated with massive weight loss, including tummy tucks, thigh lifts, breast lifts and upper arm lifts, grew at their fastest rate in four years in 2014, according to the report. This follows a similar increase in the growth of weight loss surgeries.

Study finds racial disparities in health care provision for young trauma patients

April 24, 2015

BOSTON, USA: The dependent care provision of the Affordable Care Act has allowed millions of young adults to retain health care coverage through their parents' insurance plans until age 26, but racial disparities in coverage persist for young African-Americans and Hispanics requiring trauma care, a recent study has found.

Global surgical lamps market to grow significantly by 2020

April 13, 2015

NEW YORK, USA: According to a new market report published by U.S.-based company Persistence Market Research, the surgical lamps market worldwide is expected to grow at a compound annual growth rate of 4.6 percent from 2014 to 2020, to reach $728.9 million. While North America is the largest region in the surgical lamps market, Asia represents the fastest-growing region. In addition, the research found that LED lighting is the largest and fastest-growing technology in the market.

Siemens Healthcare and IMRIS join together to equip Swedish hospital

February 2, 2015

MINNEAPOLIS, USA: IMRIS, a global leader in image guided therapy solutions, has announced that a VISIUS Surgical Theatre with intra-operative MRI (iMRI) will be integrated among four hybrid operating suites Siemens Healthcare recently sold to Sahlgrenska University Hospital in an example of the growing cooperation between IMRIS and Siemens Healthcare. The VISIUS Surgical Theatre is a multifunctional surgical environment that provides unmatched intra-operative vision to clinicians to assist in decision-making and enhance precision in treatment.

Patients actively warmed during surgery still experience hypothermia

January 28, 2015

CLEVELAND, USA: Body temperature decreases during the first hour of surgery even when patients are actively warmed with forced air, a new study has reported. Furthermore, patients who experience the most hypothermia are more likely to require blood transfusions.

FDA recommends against use of certain bone graft substitutes in under 18-year-olds

January 26, 2015

SILVER SPRING, Md., USA: On 21 January, the Food and Drug Administration updated its recommendations for the use of bone graft substitutes containing recombinant proteins or synthetic peptides in patients under the age of 18. Reports of serious injuries have raised the FDA’s concerns. It thus advises against routine use of such products in this population.

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