Surgery

Latest Issue of OR Manager
May 2024

Laparoscopic cholecystectomy could benefit patients with normal ejection fraction

Editor's Note Patients with biliary symptoms can benefit from laparoscopic cholecystectomy even with a normal ejection fraction (greater than 35%), according to a study published November 30 in the American Journal of Surgery. Although previous data have shown the surgery to improve biliary symptoms (such as abdominal pain) in patients…

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By: Matt Danford
April 3, 2024
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Magnetic device controls nanorobots used in surgery

Editor's Note Scientists have found a new way to more precisely control tiny robots used in surgeries using an oscillating magnet. The findings were published in the journal npj Robotics (part of the Nature Portfolio) on March 28.  Nanorobots capable of transporting drugs, performing surgical procedures, or taking tissue measurements…

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By: Brita Belli
April 3, 2024
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Study deems EHR manipulation “elephant in the room” for OR scheduling accuracy

Editor's Note Reducing surgeon manipulation of electronic health record (EHR) OR scheduling systems can improve efficiency, save resources, and enhance service to patients, according to data published in the March/April issue of the Journal of Healthcare Management. Although predictive models using EHR and machine learning improve accuracy compared to traditional…

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By: Matt Danford
April 2, 2024
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Study recommends against polyhexanide wound irrigation during open abdominal surgery

Editor's Note Although intraoperative wound irrigation is a common practice worldwide for preventing surgical site infections, a recent study suggests irrigation with polyhexanide solution should not be recommended as standard clinical practice in open clean-contaminated surgical procedures. Published February 21 in Jama Surgery, the study cautions that additional trials are…

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By: Matt Danford
March 28, 2024
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Study: Postoperative hospital readmissions higher for older Americans

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Editor's Note Older Americans are at heightened risk for both short-term and long-term hospital readmission following major surgery, according to a study from Yale University published February 28 in Jama Network Open.   Readmission places a major financial strain on health systems, researchers write, pointing out that the total cost…

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By: Brita Belli
March 27, 2024
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Surgical robot specializes in head, neck tumor resection

Editor's Note A team of Johns Hopkins researchers has designed a robot capable of performing the most complex, delicate procedures—including head and neck tumor resection—with accuracy greater than many human surgeons. As reported by the institution on March 18, ASTR: the Autonomous System for Tumor Resection is an autonomous, dual-arm,…

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By: Matt Danford
March 26, 2024
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Study makes case against preoperative urine culture for most surgical procedures

JAMA (healthcare publication) Network logo

Editor's Note Findings published March 4 in Jama Network show that preoperative urine culture is a low-value intervention for most surgical patients and should be de-implemented. Despite guidelines to the contrary from Infectious Diseases Society of America and the American College of Physicians, preoperative urine testing and antibiotic treatment persists…

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By: Matt Danford
March 25, 2024
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Study: Weight loss drugs could increase risk of surgical complications

Editor's Note Popular weight-loss drugs like Ozempic and Mounjaro could lead to complications in surgical procedures, according to study published March 6 in the journal JAMA Surgery.  The study focused on drugs known as glucagon-like peptide-1 receptor agonists (GLP-1 RAs) which are used to treat diabetes and obesity. The drugs, which…

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By: Brita Belli
March 22, 2024
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Surgical scrub evolution and the future of smart medical attire

For surgeons and other medical professionals, what to wear to work is more than just an afterthought. Over the decades, surgical scrubs have undergone a significant transformation, evolving from simple, functional garments to sophisticated attire that prioritizes both comfort and infection control. They are not merely clothing but a vital…

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By: Steven John Cumper, B.App.Sc. (Osteo), M.Ost.
March 22, 2024
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How gamification improves OR training, outcomes

Takeaways From mobile phone apps to immersive virtual reality surgery experiences, digital tools make healthcare training more interactive, more engaging, and more fun for everyone from nurses to surgeons. Modern procedures—including minimally invasive techniques and robotic surgery—require 50 to 100 cases for a surgeon to reach a safe proficiency level…

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By: Brita Belli
March 22, 2024
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