What is new in cholecystectomy today - the bread and butter of general surgery? Can a cholecystectomy be performed always laparoscopically? Probably not. Can there be no iatrogenic injuries and no mortality? Certainly not. If this is the picture you would see when you put your first port in, in a 74 years old patient in near arrest due to sepsis and respiratory failure how many of you would continue laparoscopically and when and why would you go the good old days of open surgery? Would a large inflammatory mass in the right upper quadrant, barely allowing for insertion of a trocar and certainly not living much room for other ports put you off from laparoscopic surgery? What are the mortality, morbidity and recovery with open surgery in such settings? This case: a 74 years old man on anticoagulation for atrial fibrillation, presents with acute cholecystitis and sepsis; after a brief improvement with initial conservative management with rehydration, antibiotics and cardiology review for reversal of Warfarin, 48 hours later he deteriorates rapidly and is taken to surgery for cholecystectomy.
Saint Barnabas Healthcare System Robotic Surgery at Monmouth Medical Center, West Long Branch, NJ performed its first robotic surgery on a pediatric patient. Surgeons discuss the procedure, and what it means for the hospital in terms of patient care in the future.
Researchers are working to develop the Spider Pill, a wireless endoscopic capsule robot that has legs to move around be controlled in the body. The pill could potentially replace endoscopes, providing a less-invasive option for patients.
Fluid waste control is crucial to the safety of OR patients and personnel. It also can pose a serious financial concern for the hospital, making finding a way to dispose of potentially infectious fluid waste safely and effectively of utmost importance. November 4, 2009 In any given procedure, surgical professionals must be aware of a multitude of issues.
Some time ago, I was jogging into the parking lot at The Meadowlands sports complex for a football game, and slipped on a patch of ice. I started to stand up, but immediately realized that this would not be possible -- for the next six months. Hey, that's the bottom of my foot looking up at me! What a creepy feeling in my stomach -- seeing my ankle turned inward so far that it is stuck at a 90 degree angle.
Company’s hospital-grade disinfectants deemed effective against H1N1 and Influenza A Deemed by the EPA as effective against all Influenza A viruses, including Pandemic 2009 H1N1 influenza A virus (the swine flu), hospital-grade Sporicidin Disinfectants, Contec, Inc.
Dornier MedTech introduces the Compact Delta II UIMS with highline imaging system. According to the company, features include: Improved image quality and better image detail obtained with the 1k x 1k resolution that not only provides accurate localization potentially reducing exposure and treatment time by eliminating repeat images due to compromised quality, but also enhances imaging for endourological applications.
PRNewswire The first human robot-assisted endoscopic aortic valve replacement using the daVinci® Surgical System from Intuitive Surgical to implant the ATS 3f® Aortic Bioprosthesis was recently performed by Allen Raczkowski, M.D., at Banner Baywood Health Hospital in Phoenix, AZ. “The ATS 3f Aortic Bioprosthesis is the only valve that has the flexibility necessary for small access robotic ports, and it provides hemodynamic characteristics which are important for the patient's quality of life,” said Dr.
In the case of some specialties, starting salaries for doctors who join physician-owned medical group practices are catching up to those offered by hospital and integrated delivery system-owned (IDS) practices, according to a recent survey from the Medical Group Management Association. The “Physician Placement Starting Salary Survey: 2007 Report Based on 2006 Data,” conducted in collaboration with the National Association of Physician Recruiters, found that physician-owned practices offered comparable salaries to hospital/IDS salaries for family practice without obstetrics ($130,000 vs.
Recent studies suggest that patients with early stage, non-small cell lung cancer who are not able to undergo surgery now have another option. Physicians say that option, radical stereotactic radiosurgery performed with CyberKnife, leads to a 100 percent overall survival after three years in patients with good lung function before the treatment.
The new Merck & Co. becomes the world's second-biggest drugmaker overnight, and it's boasting a fat wallet to fund future deals. That's after the maker of vaccines and cholesterol and diabetes drugs bought Schering-Plough Corp. for $41.1 billion yesterday, leapfrogging from number eight to number two in the industry by revenue.
Covidien (NYSE: COV) introduces the V-Loc™ absorbable wound closure device, the first surgical device of its kind to feature unidirectional barbed technology that enables surgeons to close dermal wounds quickly and securely without tying knots.
Ezra kindly responds to my post from Friday with a more reasoned stance than "just don't commit malpractice." His response, however, boils down to two main theses: Frivolous Lawsuits are not as common as generally thought, and Standardization can reduce the opportunity for error and thus decrease the frequency of medical malpractice suits.
Michelle R. Smith, AP Rhode Island's largest hospital was fined $150,000 and ordered to take the extraordinary step of installing video cameras in all its operating rooms after it had its fifth wrong-site surgery since 2007, state health officials said Monday. Rhode Island Hospital, the teaching hospital for Brown University's Alpert Medical School, was fined a second time for wrong-site surgeries.
Sophia Tareen, AP Serious safety issues continued to plague a southern Illinois Veterans Affairs hospital even after major surgeries were suspended two years ago because of a spike in patient deaths. Surgeons at the medical center performed procedures without proper authorization, patient deaths were not assessed adequately and miscommunication between staff members persisted, the Veterans Affairs Department's inspector general said in the report, which covers the fiscal year that recently ended.