Surgery

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News • Implants

Screws that fit the body’s notches

Complex bone fractures are often set with titanium or steel screws and plates. However, if these remain in the body for some time, they can cause health problems. A new bioceramic screw nail has the capacity of replacing the currently used metal components. It can be easily introduced into bone and does not have to be removed.

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News • Connected to Heart

Fetal surgery successfully removes life-threatening tumor

For the first time, fetal medicine experts have performed prenatal heart surgery to remove a life-threatening tumor, called intrapericardial teratoma. The patient, who underwent the operation at 24 weeks of gestation while in his mother’s womb, is now a healthy three-year-old preschooler. “We have shown that we can accurately diagnose and provide a prognosis for this rare condition in utero,…

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News • 3D Printing

Promising biomaterial to build better bones

A Northwestern University research team has developed a 3D printable ink that produces a synthetic bone implant that rapidly induces bone regeneration and growth. This hyperelastic “bone” material, whose shape can be easily customized, one day could be especially useful for the treatment of bone defects in children.

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Article • Microsurgery

Lower limb trauma – reconstruction or amputation?

‘Amputation v. reconstruction’ – a vital issue – was debated by two leading surgeons during the Microsurgical Lower Limb Reconstruction session at the Advances and Controversies in Reconstructive Microsurgery (ACRM) 2016 conference, held in the United Kingdom this May. Consultant Plastic Surgeon Umraz Khan, from North Bristol NHS Trust presented a plastic surgeon’s view, while Ben…

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News • Noninvasive

Tremor: scalpel-free surgery proves effective

A study published in the prestigious New England Journal of Medicine offers the most in-depth assessment yet of the safety and effectiveness of a high-tech alternative to brain surgery to treat the uncontrollable shaking caused by the most common movement disorder. And the news is very good.

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Article • Controversy

TAVI is approved for lower risk patients

The Medtronic CoreValve Evolut R System received its CE Mark of approval this August to treat aortic stenosis in patients with an intermediate risk for undergoing conventional surgery for a valve replacement. This is a controversial indication for transcatheter aortic valve implantations (TAVI) – one that has been eagerly sought by some clinicians but resisted by others. Younger patients will…

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Article • Surgery

Transplants – a much neglected topic

A small report in the press prompted examination of a much neglected topic. The report read ‘Heart Centre at University Hospital no longer carries out transplants’, and referred to the University Hospital Frankfurt, one of the 22 Heart Centres that perform these transplantations.

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Article • Predicting plaques

Exposing the secrets of the heart

Coronary interventions often rely more on art than science as the decision to treat a patient tends to be based on what clinicians can see, a subjective interpretation of cardiac imaging. Two new techniques have emerged for cardiovascular diagnostics that are enabling software to help surgeons and cardiologists measure, and thereby better manage cardiac disease.

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Article • Finances

Operating theatres efficiency impacts on quality care

Given mounting financial pressure, a hospital needs greater efficiency in medical service structures. Staff and materials for operating theatres (OTs) account for about a third of the overall expenditure. Working closely with all other hospital departments, OT efficiency can affect a hospital’s overall efficiency and costs.

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Interview • Management

Digitized OR: accessible data without media discontinuity

Defined processes and competencies are essential in the operating room along with the allocation of staff. Yet the OR-Barometer 2015 that is published every other year by the Frankfurt University of Applied Sciences, reveals that only 47 percent of the surveyed nursing staff in the fields of surgery and anesthesiology are satisfied with the level of organization in operating rooms. In this…

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News • Neurosurgery

Microscope imaging system integrates virtual reality technology

Joshua Bederson, MD, Professor and System Chair for the Department of Neurosurgery at Mount Sinai Health System, is the first neurosurgeon to use CaptiView – a microscope image injection system from Leica Microsystems that overlays critical virtual reality imaging directly onto the brain when viewed through the eyepiece, known as the ocular, during surgery.

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Article • Reconstructive Surgery

Robots hold a steadying role in microsurgery

Embracing robotic technology in the realms of microsurgery will have significant benefits for patients, clinicians and hospitals. Leading hand and peripheral nerve specialist Professor Philippe Liverneaux believes using robots will not only enhance patient outcomes and improve cosmetic appearance but also bring significant cost benefits to health systems.

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Article • Brahms or Beyonce?

Music in the operating theatre - the great debate

A debate has flared up across the United Kingdom over which genre of music should be played in the operating theatre during surgery. Amid claims that loud music can be distracting to some surgical personnel, questions have also been posed as to who should choose the music – the head surgeon or nurse? How loud it should be played, or should music is permissible in the operating theatre (OT) at…

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Article • STAR

Robot outperforms standard surgery techniques

Intelligent robots supervised by surgeons could help remove human error from the operating room. Dr. Peter C. Kim, Vice President and Associate Surgeon-in-Chief at Sheikh Zayed Institute for Pediatric Surgical Innovation at Children's National Health System (CNSH) in Washington, D.C., and his colleagues designed and programmed “Smart Tissue Autonomous Robot”, or simply STAR, to successfully…

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Article • Neurosurgery

Their parts are simply too big

‘An autonomously working robot in the operating theatre will continue to be a vision of the future for a long time to come,’ according to Professor Uwe Spetzger, Clinical Director and Neurosurgery Specialist at Karlsruhe City Hospital. At the same time, he is calling for political support for the development and promotion of these innovative technologies and asking funding bodies to rethink…

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