Surgery

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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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Article • Cardiology III

Restrictive ruling on cardiac procedure

In the future, TAVIs can only be carried out in German hospitals with cardiac surgery departments and cardiac wards, as decided by the German Government’s Expert Panel on Health (G-BA) last January. An interim arrangement in force until 2016 is anticipated for Heart Centres that currently carry out the TAVI procedure without cardiac surgery departments on site. The Federal Ministry of Health is…

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Sponsored • New platform

The beginning of a new era in surgical visualization

NDS Surgical Imaging (NDSsi) designed a revolutionary visualization platform for operating rooms and minimally invasive suites to help surgeons see more, know more, and ultimately do more for their patients. The company released its highly anticipated 27" Radiance® Ultra, a next-generation surgical visualization platform boasting the brightest LED backlight in its class*. The ultra-high…

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Article • Education in surgery

Suffering permanent stress

‘There are still only 24 hours in a day – even for surgeons,’ said Professor Vogt MD during our interview. The Director of the clinic for plastic, hand and reconstructive surgery at Hanover Medical School and President of the DGCH (German Society of Surgery) is calling for solutions to the dilemma trainee surgeons face: undergoing high-quality specialist medical training while completing…

News • Study

British lung transplant patients fare better than Americans

Publicly insured Americans who undergo lung transplantation for cystic fibrosis fare markedly worse in the long run than both publicly insured patients in the United Kingdom and privately insured Americans, according to the results of a study conducted by researchers from Johns Hopkins in Baltimore and U.K. colleagues working in that nation’s government-funded National Health Service.

News • Surgery

Sedatives for patients receiving general anesthesia questioned

Although sedatives are often administered before surgery, a randomized trial finds that among patients undergoing elective surgery under general anesthesia, receiving the sedative lorazepam before surgery, compared with placebo or no premedication, did not improve the self-reported patient experience the day after surgery, but was associated with longer time till removal off a breathing tube…

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Article • Profession

Imager or doctor: that is the question

Delegates were asked an increasingly vital question during ECR 2015: do they rather want to be imagers or doctors? “This will probably be one of the most interesting sessions of this meeting and, after this congress, maybe even your career,” said Jim Reekers, professor of interventional radiology at the University of Amsterdam, the Netherlands, as he kick started the eponymous Professional…

News • Study examines

Link between quality improvement program and complications

David A. Etzioni, M.D., M.S.H.S., of Mayo Clinic Arizona, Phoenix, and colleagues compared rates of any complications, serious complications, and death during a hospitalization for elective general/vascular surgery at hospitals that did vs did not participate in the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP).

News • Organ Transplantation

First successful organ donation from newborn carried out in UK

The very first successful organ donation from a newborn to be carried out in the UK is reported in the Fetal & Neonatal Edition of Archives of Disease in Childhood. The donor was a girl born at term after an emergency caesarean section in the neonatal unit of Hammersmith Hospital, London. The donation involved the kidneys, which were transplanted into a patient with renal failure, and liver…

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Article • Surgery

Recycling blood lost during major surgery

Sucking up blood spilt during a major surgical procedure, or drained from a heart-lung machine after surgery, the Hemosep cell concentration system has a blood bag that uses a chemical sponge technology and mechanical agitator to filter red and white blood cells and platelets through a plastic membrane so that they can then be returned to the patient by intravenous transfusion. Report: Mark…

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Article • Technology

Virtual assistance during procedures

The adage ‘practice makes perfect’ is applicable to every profession – but even more so for pilots and surgeons. Flight simulation technology has been used for decades to hone aviators’ skills, and this technology is now being used by neurosurgeons to plan as well as practise surgical procedures and for real-time virtual assistance in operating theatre. Report: Cynthia E Keen

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