Laparoscopic Surgery

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November 2024
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Effectiveness of alcohol flush, drying cycles of AERs

Editor's Note This study, led by researchers at the University of Pittsburgh School of Medicine, finds that air flush cycles used in automated endoscope reprocessors (AERs) may not adequately dry endoscope channels, particularly narrow air/water channels. Endoscopes were reprocessed per protocol with a 3-minute or 10-minute air flush following reprocessing.…

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By: Judy Mathias
April 24, 2023
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Single-use items contribute two-thirds of carbon footprint in the OR

Editor's Note In this study from the UK, researchers find that two-thirds of carbon contributions in the OR can be attributed to single-use items and one-third to reusable products used in five common surgical procedures. The mean average carbon footprint includes: 85.5 kg CO2e (carbon dioxide equivalents) for knee arthroplasty…

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By: Judy Mathias
April 18, 2023
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The Joint Commission issues Quick Safety on preventing light source-related burns during surgical procedures

Editor's Note The Joint Commission, on April 10, released a new Quick Safety advisory on preventing patient burns from light sources used during laparoscopic or arthroscopic procedures. Burns from these light sources can go unnoticed because they typically do not produce smoke or charring, even of surgical drapes, The Joint…

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By: Judy Mathias
April 11, 2023
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Nonoperative vs operative management of acute appendicitis in older adults

Editor's Note This study from the University of Texas Southwestern, Dallas, finds that nonoperative management of acute appendicitis was associated with reduced complications in older but not younger patients. Included in the analysis was data from the Agency for Healthcare Research and Quality’s National Inpatient Sample on 474,845 patients with…

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By: Judy Mathias
April 6, 2023
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Endoscope manufacturer Olympus Medical receives third warning from FDA

Editor's Note The FDA on March 15 issued its third warning letter to endoscope manufacturer Olympus Medical, following a manufacturing site inspection and 160 complaints of device failure, as reported by Beckers. The warning letter comes after a Tokyo, Japan facility inspection, where the Single-Use Distal Covers for Duodenoscopes and…

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By: Lindsay Botts
March 24, 2023
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Study: Race, income, insurance associated with delayed appendicitis diagnosis, long hospital stays

Editor's Note A study led by researchers at Feinberg School of Medicine, Northwestern University in Chicago finds non-Hispanic Black, low income, and publicly insured patients received higher rates of delayed appendicitis diagnoses and long postoperative hospital stays. The cohort study included 80,312 patients who underwent open or laparoscopic appendectomy in…

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By: Lindsay Botts
March 9, 2023
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FDA issues warning letters to endoscope manufacturer

Editor's Note The Food and Drug Administration (FDA) on January 10 announced that it had recently issued two warning letters to Olympus Medical Systems Corporation and one of its subsidiaries, Aizu Olympus Co, Ltd, after facility inspections. The letters addressed violations related to medical device reporting (MDR) requirements and quality…

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By: Judy Mathias
January 12, 2023
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Johns Hopkins robot performs first laparoscopic intestinal anastomosis without human help

Editor's Note The Smart Tissue Autonomous Robot (STAR), designed by a team of researchers at Johns Hopkins University, has performed laparoscopic intestinal anastomoses in four experiments on pig tissue without human help. The robot outperformed surgeons using manual-laparoscopic and robot-assisted surgical techniques in the consistency of suture spacing and bite…

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By: Judy Mathias
January 31, 2022
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Most appendicitis patients can have antibiotics as their first treatment

Editor's Note About half of patients with appendicitis do not need an appendectomy for up to 4 years after receiving antibiotics, finds this study presented October 25 at the American College of Surgeons virtual Clinical Congress 2021. The study was conducted at 25 US medical centers in 1,552 adults with…

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By: Judy Mathias
October 28, 2021
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Surgical patients find postop virtual visits more convenient without loss of satisfaction

Editor's Note In this study by researchers at Atrium Health Carolinas Medical Center, Charlotte, North Carolina, surgical patients find virtual follow-up care more convenient than traditional in-person appointments without loss of quality or efficiency, which are important components of patient satisfaction. The analysis included 289 patients having laparoscopic appendectomy or…

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By: Judy Mathias
September 9, 2021
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