Surgery/Specialties
Machine learning shows potential to prevent costly, ineffective back surgery
Editor's Note Although lumbar disc herniation surgery can alleviate symptoms of back pain and even prevent disability, the costs exceed the benefits for a sizeable minority of patients, researchers write in a study published February 7 in Jama Network. To address this concern, they investigated whether machine learning algorithms that…
Study: Intravascular imaging for stent guidance improves outcomes for heart disease patients
Editor's Note Using intravascular imaging to guide stent implantation during percutaneous coronary intervention (PCI) provides significantly better outcomes than angiography, according to findings published February 21 in The Lancet. In a study of 15,964 patients undergoing PCI from 22 trials in hundreds of centers from March 2010 to August 2023,…
Study questions use of fusion surgery for treating sacroiliac joint pain
Editor's Note A recent double-blind, randomized controlled trial could not prove that minimally invasive sacroiliac joint fusion was any more effective than sham surgery in treating severe sacroiliac joint pain. “With these findings, there should be discussion in the medical community whether an irreversible surgical procedure with related risks and…
Study: Intrathecal morphine reduces post-op opioid need in open prostate, kidney surgeries
Editor's Note A recent study suggests a single dose of intrathecal morphine provides long-lasting analgesia and reduces the need for postoperative systemic administration of opioids after painful open urological procedures. The Journal of PeriAnesthesia Nursing published the data January 31. Intrathecal opioid administration is an attractive technique in these surgeries…
Breaking down the surgical gown: Disposable versus reusable, latest innovations
There is movement happening in the world of surgical gowns. It is driven in part by the COVID-19 pandemic, which brought new focus to the need for adequate stockpiles of personal protective equipment (PPE)—and for PPE that works as intended. Staff need to know their gowns incorporate the latest technology…
Stryker unveils ortho robotic technologies, updates at AAOS meeting
Editor's Note Stryker Corp announced its plans to showcase new joint-replacement technologies and updates to its Mako surgical robotic platform at the American Academy of Orthopaedic Surgeons (AAOS) meeting in San Francisco, according to a February 16 article in The Robot Report. The announcement includes the introduction of myMako and…
Data suggest BMI cutoffs for hernia surgery could be unnecessary
Editor's Note The impact of body mass index (BMI) on hernia recurrence is likely overstated, and symptomatic patients should not be denied abdominal wall reconstruction procedures due to an arbitrary BMI cutoff of 35 kg/m2. This is the conclusion of a study published February 1 in the journal Surgery by…
Robot could clear stroke-related blockage faster than traditional methods
Editor's Note A magnetically operated robot developed by the Multi-Scale Robotics Lab in Zurich along with several hospitals in Switzerland could be used to treat people in the critical moments following a stroke to remove blockage and resume blood flow. The findings were published February 14 in the journal Science…
Transcatheter therapy system becomes first to earn FDA approval for treating tricuspid regurgitation
Editor's Note Patients with severe cases of tricuspid regurgitation (in which a critical heart valve fails to close properly) now have a new treatment option thanks to the recent US Food and Drug Administration (FDA) approval of the ENVOQUE tricuspid valve replacement system, according to a February 2 press release…
Iodine povacrylex outperforms chlorhexidine in skin antisepsis alcohol solution study
Editor's Note A recent study shows show skin antisepsis with iodine povacrylex in alcohol could result in fewer surgical-site infections among patients with closed extremity fractures than antisepsis with chlorhexidine gluconate in alcohol. Published February 1 in the New England Journal of Medicine, the study shows similar results between the…
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