Injured nerves are known to sometime repair themselves, and in certain situations autografts can be performed to bridge gaps in their signal path. Self repair is limited to short distances, while autografts have a number of side effects and limitations. Perhaps that's about to change.
For patients with ST-segment-elevation MI (STEMI), percutaneous coronary intervention (PCI) is the treatment of choice, as long as it can be done in time, according to a new guideline. Balloon angioplasty and stenting is preferred when patients have had STEMI symptoms for less than 12 hours, though the strategy can also be applied to those having symptoms for up to 24 hours, according to Patrick O'Gara, MD, of Brigham and Women's Hospital in Boston, and colleagues.
Studies have found that approximately one-third of doctors don't even have a personal physician, who might be on the lookout for deteriorating hearing, vision or motor coordination, or the cognitive impairment that precedes dementia.
Requiring that antiseptic skin preparation products be sterile -- a standard not currently mandated by the FDA -- is unnecessary and wouldn't produce a dramatic drop in infections, manufacturers, clinicians, and policy analysts told the FDA Wednesday.
Targeted prostate biopsy with magnetic resonance imaging (MRI) tripled the cancer yield compared with conventional systematic biopsies, investigators reported. MRI-targeted lesions contained biopsy-proven prostate cancer 21% of the time, whereas systematic biopsy detected cancer just 7% of the time.
Long-term results suggest that after resection of locally recurrent breast cancer, patients should also undergo adjuvant chemotherapy, researchers found. After 5 years, 69% of 85 women who had chemotherapy achieved disease-free survival compared with 57% of 77 women who did not have chemotherapy
MRI produces a much clearer image than X-rays and ultrasound, and is recommended for detecting early tumors in women at increased risk for breast cancer. But routinely using the technology once any woman is diagnosed with a tumor may lead to more radical surgery without any benefits.
A California hospital has been fined $50,000 – its fifth administrative penalty from the State since 2009 – for performing the wrong procedure on a 6-year-old boy. The boy was supposed to receive a tongue lesion resection, but instead a tongue tie release was performed.
Drug-refractory epilepsy patients who are poor candidates for conventional surgical therapies may benefit from new laser-based approaches, researchers said. Several case series presented at the American Epilepsy Society's annual meeting indicated that MRI-guided laser surgeries effectively decreased seizure frequencies, with shorter recovery periods and possibly less cost than would be expected with standard craniotomy.
As Hurricane Sandy headed toward the East Coast, New York City Mayor Mike Bloomberg said Sunday, he was assured that hospitals were ready. "The teams from the City Health Department are at these facilities making sure that the emergency generators are working and that they have back-up fuel supplies," he said at a news conference before the storm. In spite of this confidence, the generators at some hospitals did not work as expected.
After a diagnostic catheterization reveals a coronary blockage, many physicians and patients prefer immediate stenting, and a new consensus document outlines protocols for this controversial "ad hoc" procedure.
Most breast cancer patients who undergo contralateral prophylactic mastectomy based the decision on fear, not science, according to a survey of more than 2,000 patients. Approximately 80% of women who underwent the preventive surgery did not have clinical indications that would classify them as high risk for recurrence.
After years of gently prodding hospitals to make sure discharged patients do not need to return, the federal government is now using its financial muscle to discourage readmissions. Spurred by new financial penalties that Medicare started imposing on places with too many readmissions, hospitals are doing more outreach to make sure patients are following their discharge program.
Heftier patients take a little longer in the operating room for lung cancer resection, although with an effect that appears limited to costs rather than outcomes, researchers found. Duration of the procedure from room entry to exit rose by 7.2 minutes with every 10 kg/m2 higher body mass index (BMI, P<0.0001).
Despite early advantages, endovascular repair of abdominal aortic aneurysm (AAA) doesn't reduce mortality compared with open surgery long term, a randomized trial showed. The lower perioperative mortality risk seen with the less invasive method persisted at 3 years, with a 28% reduced risk of all-cause mortality.