Pre-surgical and post-surgical physical therapy for knee replacement patients lowers risk of chronic opioid use

Physical therapy appears to the lower risk of chronic opioid use among patients undergoing total knee replacement, researchers reported on Oct. 27, 2021 in Physical Medicine and Rehabilitation. The investigators reported that physical therapy within 90 days before or after total knee replacement was associated with lower risk of chronic opioid use. Furthermore, six or more sessions of physical therapy […]

External-beam radiation therapy underused for people with liver cancer awaiting transplant

First national analysis of external-beam radiation as bridging therapy finds fewer than 4% of patients prescribed this non-invasive option. People with liver cancer awaiting transplantation could benefit from non-invasive radiation treatments but are rarely given this therapy, according to a new analysis of U.S. national data. Findings will be presented today at the American Society for Radiation Oncology (ASTRO) Annual Meeting. […]

Bariatric surgeries vary in long-term benefits and risks

Of two major weight-loss surgeries, sleeve gastrectomy is safer long-term than gastric bypass, researchers reported on Oct. 6, 2021 in JAMA Surgery. But sleeve gastrectomy is associated with a higher long-term risk of need for surgical revision. “It’s really important for patients to understand the risk of significant issues like death, complications, and hospitalization after these two procedures because that […]

Spinal and general anesthesia associated with similar outcomes in hip-fracture surgery

For survival and functional recovery, spinal anesthesia for hip-fracture surgery is not superior to general anesthesia, researchers reported on Oct. 9 in the NEJM/New England Journal of Medicine. “Available evidence has not definitively addressed the question of whether spinal anesthesia is safer than general anesthesia for hip fracture surgery, an important question to clinicians, patients, and families. Our study argues […]

Hugo Robotic-Assisted Surgery System receives European CE Mark approval – Medtronic

Medtronic plc announced it has received CE (Conformité Européenne) Mark for the Hugo robotic-assisted surgery (RAS) system, authorizing the sale of the system in Europe. CE Mark approval is for urologic and gynecologic procedures, which make up about half of all robotic procedures performed today. The Hugo RAS system was designed to address the historic cost and utilization barriers that […]

Statistical model defines ketamine anesthesia’s effects on the brain

By developing the first statistical model to finely characterize how ketamine anesthesia affects the brain, a team of researchers at MIT’s Picower Institute for Learning and Memory and Massachusetts General Hospital have laid new groundwork for three advances: understanding how ketamine induces anesthesia; monitoring the unconsciousness of patients in surgery; and applying a new method of analyzing brain activity. Based […]

Study identifies a major role for immune cells called natural killer cells in organ rejection

Immune cells called natural killer cells contribute to organ rejection after transplantation because they miss “self” proteins on donor cells, according to a study appearing in an upcoming issue of JASN. A better understanding of this process may help clinicians prevent and treat organ rejection. Transplanted organs are recognized by the immune system of the recipient as foreign or non-self, which […]

After outpatient surgery, NSAIDs top codeine for pain control with less side-effects

When prescribed following outpatient surgery, nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen provide better pain control with less side-effects than the opioid codeine. Researchers reported these findings on June 14, 2021 in CMAJ/Canadian Medical Association Journal. “In all surgery types, subgroups and outcome time points, NSAIDs were equal or superior to codeine for postoperative pain,” said investigator Matthew Choi, MD, Associate […]

Versius surgical robot begins first gynaecological procedures in NHS hospital – CMR Surgical

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