Surgery

Latest Issue of OR Manager
July 2025

2-year outcomes of TAVR vs surgical AVR in low-risk patients

Editor's Note In this study, researchers report the 2-year outcomes for patients enrolled in the Evolut Low Risk Trial (Medtronic Evolut Transcatheter Aortic Valve Replacement in Low Risk Patients), which show that transcather aortic valve replacement (TAVR) with a supra-annular, self-expanding valve is noninferior to surgical aortic valve replacement (AVR).…

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By: Judy Mathias
March 8, 2022
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10-year outcomes of off-pump vs on-pump CABG in Department of Veterans Affairs patients

Editor's Note This multi-center, randomized, clinical trial that compares on-pump coronary artery bypass grafting (CABG) with off-pump CABG finds no advantage for off-pump CABG. A total of 2,203 veterans were randomly assigned to off-pump (1,104) or on-pump (1,099) CABG procedures at 18 VA medical centers, and the veterans were then…

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By: Judy Mathias
February 17, 2022
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The Joint Commission adds requirements, expands review process for PSCs

Editor's Note The Joint Commission announced on February 9 that it will add requirements and expand the review process to 2-days for Primary Stroke Centers (PSCs) that provide mechanical thrombectomy (MT) and are seeking advanced certification or recertification, effective July 1, 2022. The additional tracer time and requirements will help…

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By: Judy Mathias
February 10, 2022
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ASCs sue over lack of spine surgery reimbursement

Editor's Note According to the February 2 Becker’s ASC Review, two ambulatory surgery centers (ASCs) recently filed lawsuits against insurance payers over reimbursement, or lack thereof, for spinal procedures. Surgery Center of Viera, based in Melbourne, Florida, filed its lawsuit January 20 against Cigna and consulting services Strategic Enterprise Solutions…

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By: Tarsilla Moura
February 3, 2022
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Elderly male COVID-19 patients have high risk for postop complications

Editor's Note This multicenter study by researchers at the Massachusetts General Hospital, and Harvard Medical School, Boston, finds that COVID-19 patients have a significantly high risk for postoperative complications, particularly elderly males. Of 1,581 patients analyzed, more than half were males over 50 years of age, and most procedures (1,261,…

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By: Judy Mathias
February 3, 2022
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Reducing OR time for elective procedures helps address staffing shortages

Editor's Note Reducing OR time availability at UPMC Presbyterian Hospital, Pittsburgh, by 15% helped address a 30% staffing shortage caused by COVID-19, according to a study presented January 29 at the American Society of Anesthesiologists’ ADVANCE 2022, the Anesthesiology Business Event in Dallas. A five-phase approach was used, which included:…

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By: Judy Mathias
February 1, 2022
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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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Lung transplant for COVID-19-related respiratory failure

Editor's Note This study, led by researchers at the Smidt Heart Institute at Cedars-Sinai Medical Center, Los Angeles, finds that from August 2020 through September 2021, 7% of lung transplantations in the US were performed in patients with COVID-19-related respiratory failure. In this analysis of 3,039 lung transplants, 214 were…

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By: Judy Mathias
January 27, 2022
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Cardiovascular considerations before elective noncardiac surgery in COVID-19 patients

Editor's Note In this viewpoint, researchers from Stanford University School of Medicine, note that it is unclear whether cardiovascular complications associated with COVID-19 persist beyond the acute phase of illness and whether a history of COVID-19 warrants any additional preoperative cardiac assessments before having elective surgery. They review the literature…

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By: Judy Mathias
January 27, 2022
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Risk of postop complications in COVID-19 patients after major elective surgery

Editor's Note This study led by researchers at the Massachusetts General Hospital and Harvard Medical School, Boston, finds that major elective surgery performed 0 to 4 weeks after COVID-19 infection is linked to an increased risk of postoperative complications. Of 5,479 patients analyzed, those who had surgery 0 to 4…

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By: Judy Mathias
January 11, 2022
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