Keyword: surgery

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Orthopedic surgery

The knee – correlations of MRI and arthroscopy

Magnetic resonance imaging (MRI) exams of the knee are essential to orthopedic surgeons for diagnosing the cause of symptoms in patients with knee pain and planning arthroscopic treatment. Yet the surgeons who treat patients based on knee MRIs and the radiologists who interpret those knee MRIs often work in their own silos of specialization, rarely communicating and sharing information, according…

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Blood thinners

Experts' plea for anticoagulant dosage guidelines

Rutgers researchers have found a way to reduce bleeding in patients following bariatric surgery. The study, which appeared in the journal Surgery for Obesity and Related Disorders, was conducted by Luigi Brunetti and Leonid Kagan at the Rutgers Ernest Mario School of Pharmacy in collaboration with Ragui Sadek at Advanced Surgical and Bariatrics of New Jersey. More than 30 percent of adults in the…

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Working environment

UK female surgeons report discrimination

More than half of female surgeons in the UK have faced or witnessed discrimination in the workplace, suggest the results of a confidential online poll, published in the online journal BMJ Open. Orthopaedics was seen as the most sexist of all the surgical specialties, the responses showed.

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Innovation

Taiwan at Medica 2018: virtual solutions for real problems

Jhy-Wey Shieh sees the link between Taiwan and Germany as obvious: ‘The word “trade” – of central importance for Medica – starts with “t” for Taiwan and contains “de” for Germany – there is no better way to put it.’ Even though the Taiwanese ambassador’s linguistic journey was not to be taken too seriously, this year’s presentation from the Taiwan External Trade…

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Brain health after surgery

Post-operative cognitive decline: mostly a myth, says study

Patients who undergo heart surgery do not experience major memory changes—either better or worse—when compared with those who have a much less invasive, catheter-based procedure, according to a study published online in The Annals of Thoracic Surgery. “It was comforting to see that the differences in cognitive decline between the two heart procedures are small, even though one involves…

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Immune-boosting substance

This gel could help the body after cancer surgery

Many people who are diagnosed with cancer will undergo some type of surgery to treat their disease — almost 95 percent of people with early-diagnosed breast cancer will require surgery and it’s often the first line of treatment for people with brain tumors, for example. But despite improvements in surgical techniques over the past decade, the cancer often comes back after the procedure. Now,…

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Kidney cancer

Brain metastases: Multidisciplinary care improves outcomes

New data reveals the life expectancy of patients with kidney cancer that’s traveled to the brain has now stretched from months to years. UT Southwestern Kidney Cancer Program investigators report survival rates beyond 2.5 years for some patients with specialized multidisciplinary care. Historically, patients whose kidney cancer had spread to the brain were believed to have only about six months…

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Teamwork <3

7-Tesla: Multidisciplinary care is key to cardiac disease management

New 7-Tesla MR methods could potentially shed light on cardiomyopathies’ principles, according to a leading French radiologist who also stresses the importance of teamwork between radiologists, cardiologists, surgeons and anaesthesiologists. Morphologic and dynamic information of the myocardium is achieved with millimetric resolution (0.9x0.9 square mm). Strong intensity variations…

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Coagulation

‘Sensational’ innovations for radio surgery

Back in 1987 Meyer-Haake GmbH introduced the first high-frequency surgical device with an output power in the megahertz range. Due to the high-frequency it was possible to conduct surgery with minimal heat development, resulting in less thermal damage and tissue shrinkage. Thus, the firm’s devices were quickly bought. For its latest models – radioSURG 2200 ‘PT’ and ‘PTA’ –…

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Wound closure

Gluing outdoes stitching

Results after suturing are not always aesthetic. Wound treatment with tissue adhesives offer a quick healing process, good tolerance and low scarring. Among these, EPIGLU is an especially fast polymerising product, an Ethyl-2-cyanoacrylate with good closure properties even for injuries that are under tension, Meyer-Haake GmbH Medical Innovations reports: ‘The product, which has been on the…

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Neurosurgical operating theatre

Neurosurgery taught via Virtual Reality

Virtual Reality (VR) technology is aiding trainee surgeons to practise complex procedures in a simulated setting, rather than learning skills on real patients. VR is also helping to demystify neurosurgery in that it enables medical students and patients to ‘enter’ and experience a neurosurgical operating theatre. Alex Alamri, a trainee neurosurgeon at Barts Health NHS Trust in London, UK,…

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Illumination

LED lamp distributes shadow-less light

STARLED5 NX, surgical lamp with LED technology boasts an excellent light quality, the specialist manufacturer ACEM reports. ‘The special optics of its LEDs generates a shadow-less, clear and homogeneous light assuring visual comfort and best working conditions for surgeons and medical staff.’ The lamp, under every condition, generates an IR-free light, excellent colour temperature and a…

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Japanese and German surgeons seek answers

Smiles solidify a surgical team

Surgeons are growing older and the lack of junior surgeons is widespread – a situation acknowledged by most experts at the annual congress of the German Society of Surgery (DGCH) in Berlin, who debated whether the need is greater to increase specialists or, on the other hand, generalists. Both sides produced convincing arguments, but a third group took an entirely different tack. In the session…

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Illumination

Focus on lighting

Yet again the lighting manufacturer ACEM, based in Bologna, Italy, has produced a new and valued medical lighting system – the focusable ACEMSO15F – aimed for use in diagnostics, minor surgery, intensive care and more. Physically, the round, functional, wall, ceiling or trolley mounted ACEMSO15F is easy to grip and move and, for sterilisation, the handle is removable. The optional ABPS…

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Mobile data transfer

5G makes tele-surgery fit for the future

A 4G symbol next to the signal strength bar on a smartphone assures fast data transmission. 5G, the next generation of technology, is already waiting in the wings and could herald a new era for tele-surgery, PD Dr. Michael Kranzfelder is convinced. However, there are a few obstacles to overcome first. Whilst 4G has data transfer speeds of up to 100 Mbit/s, 5G will increase this to 10Gbit/s, i.e.…

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Equipment

New medical cameras and displays

Designing medical imaging systems for surgical, ophthalmology and microscope-mounting applications, Ikegami Tsushinki Co. Ltd, from Tokyo, Japan, is showing the latest additions to its range of medical cameras and medical-grade displays. ‘The new MKC-X800 is a progressive-scan camera with an ultra-high-sensitivity 4K-native CMOS imager,’ Ikegami reports. ‘Measuring just 34 x 40 x 40 mm, the…

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Surgical interventions

Technology and team spirit to ensure future talent

The number of surgical interventions in Germany over the last ten years has increased by around 30%, but it would be wrong to talk of a heyday – mainly due to a lack of young talent, says Prof. Dr. Jörg Fuchs. The president of the German Society of Surgery (DGCH) and director of the Clinic and Polyclinic for Paediatric Surgery and Paediatric Urology at Tübingen University Hospital talks about…

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Lighting

Illuminating medical care

Cold light, long life and low energy consumption – these assets are offered by the Starled3 NX lamp from Italian firm ACEM, for many uses including surgery. The homogeneous and shadow-less light is due to special LED optics created by the firm, which directs light beams according to need. ‘The visual area is perfectly illuminated assuring both excellent visual comfort and working…

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Infections

No chance for bacteria on implants

Hip and dental implant operations are routine. But not entirely risk-free. They may result in infection that is difficult to control with oral or intravenous antibiotics. In such cases, the implant will probably need to be replaced. Fraunhofer researchers can now apply a precisely matched drug directly to the replacement implant while significantly increasing the effectiveness of the antibiotic…

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Bacterial infection

Laser-activated silk sealants outperform sutures for tissue repair

Researchers have developed laser-activated nanomaterials that integrate with wounded tissues to form seals that are superior to sutures for containing body fluids and preventing bacterial infection. Tissue repair following injury or during surgery is conventionally performed with sutures and staples, which can cause tissue damage and complications, including infection. Glues and adhesives have…

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Gene editing

The future of CRISPR in plastic and reconstructive surgery

The CRISPR genome editing technique promises to be a "transformative leap" in genetic engineering and therapy, affecting almost every area of medicine. That includes plastic surgery, with potential advances ranging from prevention of craniofacial malformations, to therapeutic skin grafts, to new types of rejection-free transplants, according to a paper in the November issue of Plastic…

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ANESTHESIOLOGY 2018

Virtual reality reduces children’s anxiety and pain

Innovative virtual reality (VR) technologies hold promise in reducing children’s anxiety and pain before and after medical procedures and surgery, suggest two studies that were presented at the Anesthesiology 2018 annual meeting. The first study found virtual reality hypnosis (VRH) reduced anxiety, total postoperative opioid consumption and vomiting in children after scoliosis surgery.…

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Mysterious blackout

What happens when we lose consciousness during anaesthesia?

The first successful surgery under anaesthesia occurred in the 1840s. Since then—more than 170 years later—people have been developing theories about what might be going on in the brain while a person is unconscious. And many mysteries remain. Despite thousands of surgeries taking place each day in the United States, researchers still don’t understand exactly which specific areas of the…

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Prostate cancer

Magnetic surgery takes promising first steps

Magnets may play a central role in the future of surgery. This summer, US surgeon Dr. Jeffrey Cadeddu performed the first of several magnet-assisted prostate cancer surgeries he has now done. “Every hole you create in a patient has a risk associated with it. Every incision means increased pain, increased risk of hitting a blood vessel,” days Dr. Cadeddu. The new magnetic approach might prove…

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