From a Wall Street Jouranl online article:
Dr. Makary examines the practice of performing unnecessary vascular procedures in a chapter of his new book, “The Price We Pay,” published Sept. 10. In it, he describes what seems to be the “predatory” practice of some doctors seeking out patients at health screenings in churches.
Dr. Hicks says performing unnecessary leg procedures like stenting can make vascular disease worse, creating blockage in narrow arteries or causing an artery to rupture. She says patients with early leg pain have a 1% to 2% risk of limb loss after five years. But aggressive procedures increase that risk to 5% to 10%.
Some physicians are stenting leg arteries and removing plaque at alarming rates, these doctors say. The often-avoidable procedures could put patients at risk of complications and worsening disease.
From an InterestingEngineering.com online article:
“Remote procedures have the potential to transform how we deliver care when treating the most time-sensitive illnesses such as heart attack and stroke. The success of this study paves the way for large-scale, long-distance telerobotic platforms across the globe, and its publication in Lancet’s EClinicalMedicine demonstrates the transformative nature of telerobotics,” said in a press statement Mark Toland, President and Chief Executive Officer of Corindus Vascular Robotics.
A surgeon in India has performed a series of five percutaneous coronary intervention (PCI) procedures on patients who were on operating tables 32 kilometers (20 miles) away from him. The event marks the first long-distance heart surgery.
The operation was performed in patients who have atherosclerosis, a condition where plaque builds up in the blood vessels and restricts blood flow. In this special remote procedure, a robot called the CorPath GRX robot and controlled by the surgeon inserted a small instrument called a stent in order to open blood vessels in the heart.
To read more: https://interestingengineering.com/first-long-distance-heart-surgery-performed-through-a-robot?_source=newsletter&_campaign=JerqNzW7B80q5&_uid=46dBBxnxd7&_h=0c209d493fa27bb2c39469a873cbbd733289c833&utm_source=newsletter&utm_medium=mailing&utm_campaign=Newsletter-07-09-2019
From a The Telegraph online article:
A new study (in The Lancet, Aug 16, 2019) reveals that pensioners who have an operation have a one in 14 chance of suffering a silent or “covert” stroke – an event that shows no obvious symptoms but can damage the brain.
More than 1,100 patients across the world were given MRI scans nine days after some form of major non-cardiac surgery.
They were then followed up a year later to assess their cognitive abilities.
The researchers found that not only did having a silent stroke double the chances of cognitive decline a year on, it also increased the chances of a full life-threatening stroke.
Suffering a mini-stroke increased the risk of experiencing postoperative delirium as well.
The Lancet Study: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)31795-7/fulltext?utm_campaign=clinical19&utm_content=98869259&utm_medium=social&utm_source=twitter&hss_channel=tw-27013292
To read more click on the following link: https://www.telegraph.co.uk/science/2019/08/15/silent-stroke-risk-major-surgery-revealed-new-study/
Today, 10,000 people in the U.S. turn 65 every day. The U.S. Census Bureau projects the number of older adults to grow by 55 percent from 2010 to 2050, eventually making up 21 percent of the population.1 Currently, older adults account for more than 40 percent of all inpatient operations, and 33 percent of outpatient procedures performed annually in the U.S. This number will grow as the population ages, and the need for surgical services concurrently rises
The GSV Program will help hospitals of any size prepare for the influx of older adults considering surgery with care standards that define the resources hospitals need to have in place to perform operations effectively, efficiently, and safely in this vulnerable population. The standards take into account that older adults have distinct physical and social vulnerabilities, as well as unique goals for their care, that warrant a more thorough and individualized approach to surgery.
The standards outline processes for systematically improving older adult surgical care, including, but not limited to:
- Improving communications with patients before surgical procedures to focus on outcomes that matter most to the patient
- Screening for geriatric vulnerabilities
- Better management of medications
- Providing geriatric-friendly rooms
- Ensuring proper staffing is in place
To read more click on following link: https://www.facs.org/quality-programs/geriatric-surgery
Orthopedic surgeon Dr. Daniel Thuillier looks at the options to treat severe ankle pain from nonsteroidal anti-inflammatory drugs to surgery including ankle replacement and ankle fusion.
Series: “Mini Medical School for the Public”