surgery

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False appendicitis alarm

Study reveals many unnecessary appendix surgeries in children

Surgery for appendicitis is the most common emergency operation in children. A new study has found that the UK has the highest reported national rate of ‘normal appendicectomy,’ where children undergo surgery for suspected appendicitis but laboratory examination of the removed appendix finds it to be normal. Although most children who are misdiagnosed as having appendicitis improve without…

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Assistance in lymphedema treatment

New microsurgery robot shows promise

Supermicrosurgery – operations on vessels ranging from 0.3 to 0.8 millimeters – is limited by the dexterity of the surgeon’s hands. To bypass this limitation, robots can assist in the surgical process. One such robot is MUSA – the world’s first robotic platform for supermicrosurgery, which was co-developed by researchers from Eindhoven University of Technology (TU/e) and the TU/e…

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Finding the right hospital

Colon cancer surgery: why experience pays off

Patients with colorectal cancer have a greater chance of survival if they are operated in hospitals with a high case load. This is because complications that can occur after surgery can be better managed there. Tumours of the colon, so-called colorectal carcinomas, are the second to third most frequent tumours in women and men in Germany. The surgical removal of the tumours is a central component…

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Reference center reports

A new era in minimally invasive robotic surgery

The Protestant Hospital Wesel (EVK Wesel) is one of two reference centres in Germany and one of 25 worldwide for the Senhance Surgical Robotic System from Transenterix. ‘We wanted to be the first in the Lower Rhine region to go to market with a robotic system as we believe that this type of digital surgical assistance represents the future,’ explains Rainer Rabsahl, CEO of the 356-bed…

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Healthcare in a conflict zone

Wound care in wars

War wounds sustained by frontline soldiers or civilians usually need urgent, specialist, trauma surgery. Over the last two decades much has been learned from injuries sustained during conflicts in, for example, Afghanistan and Iraq. In early June, during a Catastrophe and War Wound key session at the European Wound Management Association conference in Gothenburg, specific remedial approaches to…

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Cesarean consequences

C-section increases obesity risk? False alarm, says new study

Women who have C-sections are no more likely to have children who develop obesity than women who give birth naturally, according to a large study by researchers at Karolinska Institutet in Sweden published in the journal PLOS Medicine. The findings contradict several smaller studies that did find an association between C-section deliveries and offspring obesity but did not consider the numerous…

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'ScoliBot' offers superhuman precision

New robots improve spinal straightening

ScoliBot, a new robotic system, could perform spinal surgery to a higher degree of accuracy than human counterparts. Devised by a team from Nottingham Trent University (NTU), the system has two robotic arms that semi-autonomously drill holes in individual vertebrae in procedures to straighten the spines of patients with conditions such as scoliosis or kyphosis. Leading the project, Professor…

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Raising the bar

A new ultra-compact microscopy camera

The MKC-X800 ultra-compact camera is a new addition to Ikegami’s range of medical imaging equipment, which, the firm reports, sets higher than ever standards of imaging quality to capture the precise colour and image detail of surgical operations. Measuring just 28x28x52mm WHD and weighing 100g, it can be mounted on a surgical microscope, lightweight support stand or boom. With its 4K-native…

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A focusable LED exam and minor surgery lamp

Lighting the way forward

ACEMSO15F is a new focusable and flexible LED examination light designed by the Italian firm ACEM. The touch panel controls all lamp functions, including light intensity adjustment and beam focusing. The result is a uniform, homogeneous and shadow-less light.

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NICO Myriad NOVUS resection tool

Xenon lighting for neurosurgery

NICO Corporation, a company based in Indianapolis, Indiana, is releasing its new Myriad Novus resection tool. The FDA cleared product combines xenon illumination with NICO’s proven Myriad neural tissue removal technology. Xenon lights reproduce the visible spectrum of daylight much better than most other bulbs – although LED contenders are now available – and so are often the optimal choice…

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Workflow automation

Loop-X: Imaging robot for spinal surgery

Brainlab recently unveiled its flagship Loop-X mobile intraoperative imaging robot that is specifically designed for spinal surgical procedures. Developed by medPhoton, an Austrian company, the device is now the core of Brainlab’s imaging offerings. The Loop-X robotic architecture introduces a new standard in flexibility, adding additional degrees of freedom to any surgical procedure: By…

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Robotic assistance for middle and inner ear procedures

Cochlear implant microsurgery progresses

Unlike other surgical specialties, ear nose and throat (ENT) has been poorly served by the introduction of robotic platforms to enhance procedures. Since the da Vinci system first gained FDA approval in 2000, robot-assisted surgery has become commonplace in many specialties, including neurology, urology, etc. with numerous other general surgical applications. However, existing systems including…

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Open surgery or TAVI?

New ways to treat severe aortic stenosis

New research at the University of Leicester, funded by the British Heart Foundation (BHF), could change the way people living with a debilitating heart condition are treated. The £2.7m clinical trial aims to identify the best time to operate on people living with severe aortic stenosis (AS). AS is a common condition that causes a narrowing of the heart valve, restricting blood flow out of the…

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Multi-component procedure

SULEEI: extending the functional lives of biological heart valve prostheses

For decades now, the Fraunhofer Institute for Organic Electronics, Electron Beam and Plasma Technology FEP has been developing processes and systems for cleaning, sterilization, and surface modification. The newly in-house developed process, called SULEEI, makes it possible to sterilize (S) and preserve decellularized pericardial tissue by means of photo-initiated ultraviolet (U) crosslinking…

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Vascular surgery

New lease of life thanks to new aorta

Patients with the rare Loeys-Dietz syndrome suffer from aortic enlargement which may result in sudden over-expansion and a fatal aortic tear. In order to prevent this from happening, an aortic prosthesis must be implanted. A team of vascular surgeons at the University Hospital of Zurich was one of the first in the world to risk undertaking this life-saving operation on a child as an emergency…

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Stopping the seizures

Epilepsy surgery: the earlier the better, study shows

A person with drug resistant epilepsy who gets an early surgical intervention has a better chance of becoming seizure free. This is shown in a systematic review and meta-analysis in which Sahlgrenska Academy researchers, in collaboration with the Swedish Council for Assessment of Health Technology and Social Services (SBU), analysed results from a range of previous studies. They concluded that…

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Drug delivery, microsurgery

Microbots show promise in tumor treatment

Targeting medical treatment to an ailing body part is a practice as old as medicine itself. A Band-Aid is placed on a skinned knee. Drops go into itchy eyes. A broken arm goes into a cast. But often what ails us is inside the body and is not so easy to reach. In such cases, a treatment like surgery or chemotherapy might be called for. A pair of researchers in Caltech's Division of Engineering and…

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Obesity and Type 1 diabetes

Robotic pancreas transplant offers hope

For patients with Type 1 diabetes who don’t respond well to insulin or have other serious medical complications caused by their disease, pancreas transplantation offers hope for a cure. But obese candidates who need a pancreas transplant often are denied the procedure because of poor outcomes, including high rates of incision infections, which are linked to an increased risk for failure and…

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