Surgery

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Article • 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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Sponsored • 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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Sponsored • 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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Sponsored • 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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Article • 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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Article • 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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Sponsored • 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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Sponsored • 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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Article • 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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Sponsored • 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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News • 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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News • 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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Video • 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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News • 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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News • Mysterious blackout

What happens when we lose consciousness during anaesthesia?

The first successful surgery under anaesthesia occurred in the 1840s. Since then, people have been developing theories about what might be going on in the brain while a person is unconscious. Even after thousands of surgeries, researchers still don’t understand exactly which specific areas of the brain are responsible for transitioning into unconsciousness and back.

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News • 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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News • Tech from Taiwan

Augmented reality is the future of surgery

Physicians have been performing surgery with the assistance of x-ray technology for almost half a century. While this technology has been progressing steadily, its limitations continue to be a major challenge. Thus, many professionals agree: it's time for our method to be changed. Taiwan Main Orthopaedics Biotechnology introduced the worldwide first smart surgical glasses.

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News • Profession in crisis

Burn-out and heavy drinking in surgeons: Is there a way out?

Burn-out, depression, heavy drinking: Surgeon's seem to be in deep trouble, according to an editorial published in the Journal of ISAKOS (JISAKOS). It is high time for the profession to fix this problem itself before the government steps in, urges leading surgeon Professor Niek van Dijk of the Academic Medical Center in Amsterdam, citing various published studies - and offers solutions on how to…

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News • Surgical implant for damaged eyes

FDA approves first artificial iris

The U.S. Food and Drug Administration approved the first stand-alone prosthetic iris in the United States, a surgically implanted device to treat adults and children whose iris is completely missing or damaged due to a congenital condition called aniridia or other damage to the eye. The iris is made of thin, foldable medical-grade silicone and is custom-sized and colored for each individual…

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