The HCPLive surgery page is a resource for medical news and expert insights on invasive medicine. This page features expert-led coverage, articles, videos and research on the therapies and development of treatments for surgery, and more.
November 17th 2024
An IV infusion of exenatide during cardiac surgeries involving bypass did not significantly benefit mortality or organ injury compared with placebo.
September 27th 2024
Bariatric Surgery: Bypass, Band, or Sleeve at 2 Years
November 4th 2014As the number of bariatric surgeries increase, clinicians require more and better data about its long-term outcomes. As we know, as more people take a medication or undergo a surgical procedure, the better the quality of the collective data. It's the strength in numbers concept. In the case of bariatric surgery, many clinicians have questions about treatment failure rates and they suspect that reports of sustained weight loss may be overly optimistic.
CT Results May Predict Treatment Effectiveness in Patients with Small-bowel Obstruction
According to a recent study published in Radiology, computed tomographic (CT) findings may be able to predict the efficacy of nonsurgical treatment in patients afflicted with adhesive small-bowl obstruction.
Why Does This Patient Have a Hyperlucent Right Lung and Rib Deformities?
October 31st 2014This is a 23-year-old female admitted for the first time who provides the history of congenital right chest wall deformity, right hypoplastic breast and absent right pectoralis muscles (1). Preliminary upright PA, lateral and right posterior oblique radiographs were obtained to evaluate the osseous and soft tissues of the thorax prior to cosmetic surgery and repair. No past history was made available.
Next Up: Fast Track Bariatric Surgery
October 29th 2014Laparoscopic Roux-en-Y gastric bypass (LRYGB) is frequently the go-to procedure for patients with complex or morbid obesity who need or want to reduce their weights. Laparoscopic procedures are attractive to surgeons, insurers and patients because in addition to being as effective as other procedures, they shorten hospital stay and allow patients to heal more quickly compared to other bariatric surgeries.
Laparoscopic Surgery Safe, Effective for Rectal Cancer
October 29th 2014Laparoscopic interventions for rectal cancer are controversial. Oncologists have concerns about high conversion rates and long operating times associated with laparoscopic total mesorectal excision (TME), and they worry that laparoscopic TME violates the principle of sharp mesorectal dissection.
Pros and Cons of Echocardiography Technologies in Diagnosing Stress Cardiomyopathy
Stress cardiomyopathy is a unique cardiac syndrome in which transient left ventricular (LV) systolic dysfunction mimics acute myocardial infarction (AMI). It is usually brought on by acute emotional or physical stress (or both) and has 3 distinctive features: acute LV wall dysfunction, absence of significant obstructive coronary artery disease, and rapid improvement of LV systolic function within days or weeks.
Perfusion Devices Raise Transplant Hopes
Could portable perfusion devices be a game-changer for organ transplants? The machines keep organs "alive" for days at warm temperatures. That prolongs cell life, slowing the race against the damage that can set in within hours when donor organs are kept on ice in coolers. Manufacturer TransMedics, based in Andover, MA, makes devices for the lung, heart, and liver Researchers and clinicians express growing excitement-along with some skepticism-at the prospect that these medical devices could dramatically increase the viability of donor organs.
New Guidelines to Prevent Atrial Fibrillation
The American Association for Thoracic Surgery (AATS) has released new guidelines designed to prevent the occurrence of atrial fibrillation (AF) in thousands of patients who undergo lung surgery in the United States each year.
Age and Deep Brain Stimulation: Advancing Age as a Concern
October 15th 2014Deep brain simulation (DBS) -- surgically-implanted brain pacemakers that reversibly change brain activity and improve quality of life for many patients -- have been available since 1997 for essential tremor and approved for Parkinson's disease since 2002.
Non-Cardiac Surgery in Adult Congenital Heart Disease: Not Child's Play
October 8th 2014Study results show that the majority of adult patients with congenital heart disease and their clinicians ignore American College of Cardiology and American Heart Association recommendations that any non-cardiac surgery for these patients should be performed in regionalized centers of expertise.
Making Bariatric Surgery Available to More Patients and Identifying Those Likely to Benefit the Most
October 8th 2014Researchers compared outcomes from bariatric surgery with those achieved through medical weight management in patients with diabetes to determine the effectiveness of bariatric surgery in patients with BMI less than 35. They also evaluated a potential biomarker for identifying patients likely to experience the best surgical outcomes.
Patient Participation in the Electronic Health Record Process
As more practices and hospitals enter the digital age with Electronic Health Records (EHR) and other health information technology tools, a recent article points out that all those efforts are only half the battle.
The Pelvic Examination: To Do or Not to Do...?
September 26th 2014"Beauty is in the eyes of the beholder" and "seeing the same glass as being half-empty or half-full" are two commonly cited adages and nowhere is their meaning more evident than in the ongoing debate of whether a pelvic examination should be part of the routine check-up of a female patient.
Hot Debate on Organ Distribution Proposal
Organ supply and demand varies sharply by geography in the US. "The status quo is intolerable-there is too much geographic disparity," said Michael Charlton, MD, speaking at a Sept. 16 meeting in Chicago where transplant surgeons and others debated a controversial proposal to consolidate the nation's current regional organ distribution districts. The forum was convened by the United Network for Organ Sharing (UNOS), a non-profit organization that under a contract with the federal Organ Procurement and Transplantation Network (OPTN) runs the current system of deciding which donor organs go where.