Surgery

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News • New procedure

Scoliosis: fewer surgeries for kids

Scoliosis – typically defined as the curvature of the spine— affects around 3 out of every 100 people. While most cases of scoliosis are mild, some children develop spine deformities that continue to get more severe as they grow. An especially severe spinal curve can reduce the amount of space within the chest, making it difficult for the lungs to function properly.

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News • Monitors

Barco streams and displays in 4K

Healthcare imaging specialist Barco announces the availability of its 4K end-to-end solution for the operating room, comprising a 4K 31” and 58” surgical display and its OR-over-IP management platform for streaming of 4K video and data.

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Article • Procurement

Good money for good products?

Whether they are wireless pacemakers or catheter-guided heart valve implants, new, really innovative products must reach patients – somehow. Thus manufacturers need to ensure that the hospitals that buy their products will be reimbursed. New diagnostic and treatment methods are not captured by a system based on the analysis of older methods. Holger Zorn spoke with Nicole Eisenmenger, Director…

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Article • Documentation & QC

Breakthrough law to insist on video cameras

Should video cameras record surgical procedures? Athletes and sports teams review videotapes of their performance to learn how to make improvements. Could surgeons and operating theatre teams use videotapes for quality improvement and to increase patient safety and clinical outcomes by identifying and reducing errors or bad practice? Or would this be an intrusion, a distraction for a surgical…

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Article • Revolution

3-D printed muscles

With 3-D printing revolutionising manufacturing, its healthcare potential is being explored for medical devices, prosthetics, dentistry and drug development. One area under the spotlight is the creation of artificial muscles using a 3-D printing system. Dr Fergal Coulter, who has played an important role in helping develop the technique, outlined the manufacturing process, which he invented for…

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News • Arthritis

Modular partial wrist implant may help with pain

Studies are underway to determine if a new modular partial wrist replacement will allow for better movement and last longer than traditional implants for people seeking relief from painful wrist arthritis. Although current options such as total wrist replacement and wrist fusion can alleviate pain, patients are often limited in performing certain activities after surgery.

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Article • Surgery

World’s first bilateral hand transplant on a child performed

Surgeons at The Children’s Hospital of Philadelphia (CHOP) joined with colleagues from Penn Medicine recently to complete the world’s first bilateral hand transplant on a child. Earlier this month, the surgical team successfully transplanted donor hands and forearms onto eight-year-old Zion Harvey who, several years earlier, had undergone amputation of his hands and feet and a kidney…

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Article • Development

Dynamic braces for kids with scoliosis

Some six million people in the U.S. suffer from scoliosis, a sideways curvature of the spine. These include approximately 2 to 3% of adolescents who are diagnosed each year with idiopathic scoliosis, which is usually identified during puberty and progresses until skeletal maturity. One in 500 children today require treatment using spine braces and 1 in 5,000 need spinal surgery. The typical spine…

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Article • 3D printing

Techniques help surgeons carve new ears

When surgical residents need to practice a complicated procedure to fashion a new ear for children without one, they typically get a bar of soap, carrot or an apple. To treat children with a missing or under-developed ear, experienced surgeons harvest pieces of rib cartilage from the child and carve them into the framework of a new ear. They take only as much of that precious cartilage as they…

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News • Surgery

Conjoined twins successfully separated

Twin girls born joined at the pelvic and hip region are recovering after separation surgery at Nationwide Children’s Hospital. The girls are named Acen and Apio, but on Thursday they were carefully labeled “blue” and “red” to help surgeons know which monitoring equipment belonged to each sister as they carefully separated their spines, muscle and tissue.

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News • Improved blood flow

Saving Lives using new stent graft design

Vascular surgeon Pat Kelly of Sanford Health in Sioux Falls, South Dakota, knew his patients were doing better with the stent graft he designed, but he wanted a better understanding of the mechanics before testing the device more widely in a clinical trial. For that, he reached out to South Dakota State University. Associate professor Stephen Gent in mechanical engineering had done computational…

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Article • Thrombectomy

Stroke is a surgical disease!

They did it for heart attacks. Can cardiologists now lead an effort to speed up the emergency medical response for stroke? Over the past five years, the Stent for Life initiative organised by interventional cardiologists has pushed majors medical centres to assure 24/7 coverage and reduce the time to treatment for patients showing up with severe chest pain.

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Article • Clinical practice guidelines

Temperature management during heart surgery

The Society of Thoracic Surgeons, the Society of Cardiovascular Anesthesiologists, and the American Society of ExtraCorporeal Technology have released a set of clinical practice guidelines to address management of a patient's temperature during open heart surgery. The guidelines appear in the August issue of The Annals of Thoracic Surgery and were published simultaneously in two other journals.

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Article • Thoracic surgery

Stringent medical risk management

The precise number of adverse clinical events is difficult to ascertain. Several international studies estimate that medical errors happen in 3-5% of all hospital treatments and that around 30-50% of these could have been avoided. A hospital-acquired infection (HAI) is also considered a medical error. Report: Anja Behringer

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News • Optical Coherence Tomography

Removing brain tumor safer

Brain surgery is famously difficult for good reason: When removing a tumor, for example, neurosurgeons walk a tightrope as they try to take out as much of the cancer as possible while keeping crucial brain tissue intact — and visually distinguishing the two is often impossible. Now Johns Hopkins researchers report they have developed an imaging technology that could provide surgeons with a…

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Article • Infections following joint-replacement surgeries

How to optimize prevention and therapy strategies

For all the advances being made in this discipline, postoperative infections remain a great challenge for orthopaedists and trauma surgeons. More than 7,000 experts from around the globe are gathering in Prague for the 16th EFORT Congress to consult on ways to optimise prevention and therapy for these dreaded complications.

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New material for creating artificial blood vessels

Blocked blood vessels can quickly become dangerous. It is often necessary to replace a blood vessel – either by another vessel taken from the body or even by artificial vascular prostheses. Together, Vienna University of Technology and Vienna Medical University have developed artificial blood vessels made from a special elastomer material, which has excellent mechanical properties. Over time,…

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Article • OR goes digital

The entrance of PACS-Surgery

Picture Archiving and Communications systems (PACS) are well established for managing radiology images. Could this robust and mature technology now become the backbone for creating the digital operating theatre? Report: John Brosky

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