BACKGROUND: There are scant data on patient safety and the national diffusion of surgical innovations. Laparoscopic partial nephrectomy (LPN) provides an apt model for population-based analyses of patient safety and the propagation of complex surgical innovations.. METHODS: In the nationwide inpatient sample, we identified patients undergoing partial nephrectomy for renal tumors from 1998 to 2009 and utilized patient safety indicators (PSI) to measure preventable adverse outcomes.. RESULTS: Of the cases, 68,713 (87 %) were OPN and 9,842 (13 %) were LPN. The prevalence of LPN increased more than threefold from 2006 to 2009. Compared to open partial nephrectomy (OPN), LPN patients were more likely to be younger (p = 0.022), have lower Charlson comorbidity scores (p = 0.002), and undergo surgery at urban (p , 0.001) and teaching (p = 0.02) hospitals. On multivariate analysis, LPN was associated with a 28 % decreased probability of any PSI (adjusted odds ratio [ORadj] 0.72, 95 % confidence interval ...

Objective: To review the history of the innovation of damage control (DC) for management of trauma patients. Background: DC is an important development in trauma care that provides a valuable case study in surgical innovation. Methods: We searched bibliographic databases (1950-2015), conference abstracts (2009-2013), Web sites, textbooks, and bibliographies for articles relating to trauma DC. The innovation of DC was then classified according to the Innovation, Development, Exploration, Assessment, and Long-term study model of surgical innovation. Results: The innovation of DC originated from the use of therapeutic liver packing, a practice that had previously been abandoned after World War II because of adverse events. It then developed into abbreviated laparotomy using rapid conservative operative techniques. Subsequent exploration resulted in the application of DC to increasingly complex abdominal injuries and thoracic, peripheral vascular, and orthopedic injuries. Increasing use of DC

Eight finalists, representing outstanding pediatric medical device innovations, have been selected to pitch their device concept for a chance to receive one of two $50,000 awards at the Third Annual Pediatric Surgical Innovation Symposium hosted by the Sheikh Zayed Institute for Pediatric Surgical Innovation at Children’s National Health System on Friday, Oct. 23, 2015.

Surgery is the standard treatment for pancreatic cancer. Unfortunately 1/3 of patients are inoperable due to vascular invasion. Here at The Pancreas Center, neoadjuvant chemotherapy has become a valued tool in treating inoperable patients, thereby increasing the surgical option for the 35% of patients with locally inoperable disease. Neoadjuvant Chemotherapy Patients with advanced pancreatic cancer deemed to be surgically unresectable are often able to undergo a regimen of neoadjuvant chemotherapy and radiation therapy that reduces their disease to operable levels.

Surgery and other invasive therapies are complex interventions, the assessment of which is challenged by factors that depend on operator, team, and setting, such as learning curves, quality variations, and perception of equipoise. We propose recommendations for the assessment of surgery based on a five-stage description of the surgical development process. We also encourage the widespread use of prospective databases and registries. Reports of new techniques should be registered as a professional duty, anonymously if necessary when outcomes are adverse. Case series studies should be replaced by prospective development studies for early technical modifications and by prospective research databases for later pre-trial evaluation. Protocols for these studies should be registered publicly. Statistical process control techniques can be useful in both early and late assessment. Randomised trials should be used whenever possible to investigate efficacy, but adequate pre-trial data are essential to allow power

Stopping curvature of the spine in kids usually requires a series of painful operations to implant rods and screws to adjust the spine. Even then, the results are often less than perfect. However, a medical team at UCSF has developed a technique using magnets that promises to do away with so many surgeries. ...

A single event stood out in everyones mind when Ophthalmology Times asked experts to think back on the year in glaucoma surgery: the July 29 approval by the U.S. Food and Drug Administration (FDA) of the CyPass Micro-Stent.

This is a promise we have pursued in surgery since 1896. With this claim in mind, we develop and market medical technology solutions, such as implant systems, sterilization containers, and surgical instruments as well as Individual Patient Solutions. In many cases, we have set new benchmarks.. More about us ...

This is a promise we have pursued in surgery since 1896. With this claim in mind, we develop and market medical technology solutions, such as implant systems, sterilization containers, and surgical instruments as well as Individual Patient Solutions. In many cases, we have set new benchmarks.. More about us ...

At the 2013 Annual Meeting of the American Academy of Ophthalmology (AAO) in New Orleans, Carl Zeiss Meditec, the Medical Technology division of ZEISS, announces the US introduction of FORUM Glaucoma Workplace for the clinical assessment of glaucoma. The company presents ZEISS Cataract Suite for enhanced surgical precision and efficiency. FORUM GO a workflow and review solution for small practices is being introduced. ZEISS expands its Basic Diagnostic portfolio with two new instruments. ZEISS also receives FDA approval for the expansion of the US VisuMax clinical trial for new minimally invasive, all-femto laser vision correction procedure, ReLEx smile.. US Introduction of FORUM Glaucoma Workplace from ZEISS. With FORUM and the new FORUM Glaucoma Workplace, ZEISS provides doctors with an integrated solution that allows them to see glaucoma in a completely different light by bringing together in new ways the structural and functional data and analyses from gold standard diagnostic devices, ...

Dr. Quint is from the Department of Obstetrics and Gynecology; and Dr. Park is from the Department of Urology at the University of Michigan Medical School, Ann Arbor, Michigan; e-mail: [email protected] and [email protected].. Financial Disclosure The authors did not report any potential conflicts of interest.. ...

For the first time in North America , pediatric surgeons, physicians, and scientists from across the world are gathering in the nations capital for the World Congress of the World

When confronted with difficult wounds, reach for the DermaClose continuous external tissue expander from Synovis MCA, a subsidiary of Baxter International

Read more Engaged from the operating room tables side-rail, it enables the deployment of the Phantom ML Articulating Arm and rotate its position to the patients surgical site. ...

Provide safer, effective primary and secondary peripheral nerve repair and reconstruction with the GEM Neurotube from Synovis MCA. Its a single-use, absor

The Holmed Swivel Port System and full line of Spine Instruments, marketed and distributed globally by Spine Surgical Innovation, are designed for ease of use, high quality and high value.. Elegant in its simplicity, intuitive in its design, the patented Swivel Port System and associated instruments for minimally invasive surgery provides simple, safe and easy tools that compliments your existing surgical technique. Offering the Minimum Incision, Maximum Sight Approach, with maximum sight and visualization, the Swivel Port unique design fends off disruptive and time consuming muscle creep so common with tubular retractor systems. This comprehensive system has grown to six different sets of working ports configured and sized for both posterior and lateral lumbar approaches, including two new systems designed for posterior cervical procedures.. For over two decades our designs are surgeon driven, our rich history and culture is focused on making surgical instruments and systems safe, easy to ...

The CT Surgery Online Buyers Guide is the database dedicated to cardiothoracic surgeons, helping them find the products & services they need.Transonic Systems Inc,B. Braun Interventional Systems,Cardiom Medical,Jubilant DraxImage Inc.,Synovis Surgical Innovations,

Online continuing education for surgeons on surgical innovations (minimally invasive surgery, laparoscopy): videos, illustrated operative techniques, instrumentation, expert opinions. ...

A/ Prof Shamira Perera is Co-Head for Bioengineering and Devices at SERI and a Glaucoma Surgeon at SNEC. He was chosen to drive MedTech through being the deputy director for the Med Tech Office for SingHealth and Director of Clinical and Surgical Innovation at SNEC. He has published over 100 papers, 4 book chapters, [...] ...

The US hospital that houses the Sheikh Zayed Institute for Pediatric Surgical Innovation has been ranked among the top children’s units in the country.

When monitoring a patients wound and how well its healing, nurses often have to poke the wound itself to manually measure how deep it is. Not only is that painful, the process is just plain inconsistent, said Dr. Peter Kim, vice president of the Sheikh Zayed Institute for Pediatric Surgical Innovation at Childrens National Health System. Thats why researchers at Childrens recently developed an app to take out the guesswork. ...

Researchers at Washingtons Institute for Pediatric Surgical Innovation are developing a computer program that detects Down syndrome immediately after birth

IOPs unyielding commitment to the eye surgeon is obvious in their continual development of new surgical innovations - and their ongoing support of surgeon

IOPs unyielding commitment to the eye surgeon is obvious in their continual development of new surgical innovations - and their ongoing support of surgeon education and training.. ...

We offer women comprehensive care supported by surgical innovation, research and clinical trials in all types and stages of gynecologic cancer, including cervical, endometrial, ovarian, uterine, vaginal, and vulvar.

DERMAL FILLER NON SURGICAL RHINOPLASTY Recent press has talked about non-surgical rhinoplasties. Using the same dermal fillers, Dr. Verret can mask some nasal imperfections wtihout surgery. The most common imperfection treated with non-surgical rhinoplasty are dorsal nasal humps. Though the effects are temporary, the procedure is non-surgical and requires no recovery time. D.J. Verret, MD, FACS Double Board Certified Facial Plastic ...

The fourth annual meeting of the committee - at the Sheikh Zayed Campus for Advanced Children'sMedicine in Washington, D.C. - - ZAWYA MENA Edition

Baxter International Inc. (NYSE:BAX), a global medical products company, and Tel Aviv University (TAU), through Ramot, its Business Engagement Center,

INTRODUCTION: Innovation is a hallmark of surgical practice. It is generally accepted that a new procedure will undergo technical changes during its evolution; however, quantitative accounts of the process are limited. METHODS: Multiple groups, including our own, have recently described a minimally-invasive approach to conventional kidney transplantation (KT) operation. Unique to our experience is a structured development of the technique within the confines of a safe surgical innovation framework - the IDEAL framework (idea, development, exploration, assessment, long-term monitoring; stages 0-4). We here provide a first-hand narrative of the progress of robotic KT operation from preclinical trial to clinical application. RESULTS: Overall, 54 patients underwent robotic KT with regional hypothermia successfully. Major technical changes including selection of optimal patient position (flank vs. lithotomy), robotic instrumentation, vascular occlusion method (bulldog vs. tourniquet) and suture material

Intuitive Surgical (NSDQ:ISRG) said the FDA expanded the 510(k) clearance for its FireFly fluorescence imaging system to use during gallbladder surgery using its da Vinci robotic surgery device.. The device uses a video camera and fluorescent dye to show blood flow in vessels and tissue, by causing blood to appear green and bloodless tissue as gray, according to a press release.. The expanded clearance adds real-time imaging of the cystic, common bile and common ducts, according to the release. Sunnyvale, Calif.-based Intuitive said the device is designed to help surgeons distinguish between the common bile duct and the cystic duct.. As a surgeon, real time and precise images during surgery are enormously helpful in achieving good patient outcomes, chief medical advisor Dr. Myriam Curet said in prepared remarks. Intuitive Surgical has been committed to surgical innovation for more than a decade, providing surgeons with not only improved surgical dexterity, but enhanced visualization during ...

Washington, DC - A new study finds that propofol, a well-known anesthesia medication, has a low occurrence of adverse events for children undergoing research-driven imaging studies. The study, led by a pediatric anesthesiologist now at Childrens National Medical Center, showed a low incidence of adverse events and no long term complications when propofol was used to sedate children for imaging studies that require them to be still for long periods of time.. Lead author Zena Quezado, MD, director of the Pain Neurobiology Laboratory at the Sheikh Zayed Institute for Pediatric Surgical Innovation, also found, however, that propofol, a commonly used anesthetic, does show an increased risk for respiratory, cardiovascular, and other side effects if anesthesia is administered over a long period of time or if the child has other complicating factors, including some systemic disease or an airway abnormality. It is also the first imaging study to show an increase in risk to the child with each 30 minute ...

The invention, nicknamed SUDS for self-cleaning unit for the decontamination of small instruments, has already been shown to initially disinfect noncritical equipment better than manual cleaning, they report in the Annals of Surgical Innovation and Research online July 30.. Study senior author and surgeon Bolanle Asiyanbola, M.D., says the four-year SUDS project was initially sparked by the rapid rise in use of expensive disposable items, a trend linked to efforts to prevent bacterial infections among and between patients in hospitals.. Drawing on her experience in the operating room, where many batches of surgical clamps, retractors and scalpels have been sterilized, decontaminated and safely re-used for decades, Asiyanbola put together a team to end what she calls the wasteful and unnecessary practice of wiping down a lot of heavily used items with disinfectants and applying a lot of elbow grease. If we can safely re-use equipment in the operating room, then we can do it elsewhere in the ...

The reverse sural artery flap is a generally accepted means of soft tissue reconstruction for defects of the distal third of the legs. The routine sacrifice of the sural nerve with its consequential temporary loss of sensation on the lateral aspect of the foot can be of concern to early rehabilitation of some patients. This is a case report of a 24 years old male who had Gustillo and Anderson type IIIB injury involving the upper part of the distal 3rd and the middle 3rd of tibia. A reverse sural artery flap was raised without transecting the sural nerve to cover the distal part of the defect. The distal part of the exposed bone was covered with the reverse sural artery flap without loss of sensation at anytime to the lateral part of the foot. The reverse sural artery flap can be raised to cover the upper portion of the distal leg without severing the sural nerve.

In 1984, while still in medical school, Dr. Wieselthaler became involved in the Ventricular Assist Device (VAD) Program at the University of Vienna and began working in the Biomedical Laboratory on the development of the driving unit for the New Vienna Total Artificial Heart (TAH). After graduation, Dr. Wieselthaler became aware of the advantages of rotary blood pumps and organized the world´s the first International Workshop(s) on Rotary Blood Pumps in the years 1988 and 1991 in Austria. Out of these meetings, the International Society for Rotary Blood Pumps was founded in 1992 with Dr. Wieselthaler acting as Secretary General for the organization for many years.. Dr. Wieselthaler and colleague Dr. Heinrich Schima, a biomedical engineer, then investigated and developed miniaturized centrifugal pumps over15 years in the Biomedical Laboratories of the University of Vienna. Dr. Wieselthaler thereafter became primary surgeon at the Medical University of Vienna where implanted various types of ...

Find the latest information from the globally recognized leader in digestive diseases, diagnosis, treatments & surgical innovations from Cleveland Clinic.

Subanesthetic ketamine for pain management in hospitalized children, adolescents, and young adults: a single-center cohort study Kathy A Sheehy,1,* Caroline Lippold,1,* Amy L Rice,1 Raissa Nobrega,1 Julia C Finkel,1 Zenaide MN Quezado1,2 1Division of Anesthesiology, Pain, and Perioperative Medicine, The Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s Research Institute, Children’s National Health System, George Washington University School of Medicine and Health Sciences, 2Center for Neuroscience Research, Children’s Research Institute, Children’s National Health System, Washington, DC, USA *These authors contributed equally to this work Background: Subanesthetic doses of ketamine, an N-methyl-D-aspartate receptor antagonist used as an adjuvant to opioid for the treatment of pain in adults with acute and chronic pain, have been shown, in some instances, to improve pain intensity and to decrease opioid intake. However, less is known about the role of ketamine

PDF Deerfield, Ill. - March 19, 2018 Baxter International Inc. (NYSE: BAX), a global medical products company, is committed to advancing surgical innovation and today announced it has completed its previously announced acquisition of two hemostat and sealant products from Mallinckrodt plc. RECOTHROM Thrombin topical (Recombinant) is the first and only stand-alone recombinant thrombin and PREVELEAK Surgical Sealant is used in vascular reconstruction.. Both products complement and broaden Baxters existing surgical portfolio of hemostats and sealants. With RECOTHROM, Baxter can now provide surgeons with additional options of innovative hemostatic products to handle different severities of bleeding, while PREVELEAK complements its existing portfolio of advanced surgical sealants.. We are excited to add both RECOTHROM and PREVELEAK to our portfolio of hemostats and sealants to offer surgeons additional options that address different situations when intraoperative bleeding can occur, said Wil ...

As Edwards described the case to me, it became clear that he loves treating trauma patients. Although many people (me included) would be unable to stomach the prospect of cleaning dirt and bone fragments from a childs injured brain, our conversation helped me realize why top neurosurgeons like Edwards might relish these cases.. First, theres the adrenaline rush: A kid arrives at the hospital in the middle of the night, badly in need of help. The wound looks awful (Edwards, who has seen plenty of trauma, said it was pretty nasty - I cant describe it) and yet theres a good chance that, with the right care, this kid will be OK. (The location of Spencers wound meant that he had better long-term prospects than many traumatic brain injury patients. Edwards said he was very, very lucky - by a matter of inches.) In the OR, the team uses lots of painstaking work plus nifty surgical innovations (instead of implanting a metal plate in his skull, Spencers larger bone fragments were soaked in ...

TY - JOUR. T1 - Ontogeny of a surgical technique. T2 - Robotic kidney transplantation with regional hypothermia. AU - Sood, Akshay. AU - McCulloch, Peter. AU - Dahm, Philipp. AU - Ahlawat, Rajesh. AU - Jeong, Wooju. AU - Bhandari, Mahendra. AU - Menon, Mani. N1 - Publisher Copyright: © 2015 IJS Publishing Group Limited. Copyright: Copyright 2017 Elsevier B.V., All rights reserved.. PY - 2016/1/1. Y1 - 2016/1/1. N2 - Introduction: Innovation is a hallmark of surgical practice. It is generally accepted that a new procedure will undergo technical changes during its evolution; however, quantitative accounts of the process are limited. Methods: Multiple groups, including our own, have recently described a minimally-invasive approach to conventional kidney transplantation (KT) operation. Unique to our experience is a structured development of the technique within the confines of a safe surgical innovation framework - the IDEAL framework (idea, development, exploration, assessment, long-term ...

Symple Surgical Inc., (SSI) is a developer of novel ablation technologies using controlled Microwave Energy. Symple Surgical innovation is for the treatment of resistant hypertension via renal sympathetic denervation. The DirectAblate Catheter delivers microwave energy to the depth-specific location of the sympathetic nerves while minimizing thermal exposure to non-targeted areas. Offices located in Northern California and Flagstaff, AZ.

Ohio State veterinary surgeons are now practicing their most complex surgeries days before actually conducting them.. The OSU College of Veterinary Medicine is the first veterinary college in the country to use 3-D printers, implementing them into research, education and surgical procedures, according to Dr. Tatiana Motta, an assistant professor at the college.. Some of our client animals go through difficult orthopedic procedures involving major bone deformities, Motta said. They are very unique and reconstructive surgeries are very challenging.. With the input of a CT scan from an animal, the 3-D printer prints a replica plastic bone within about four hours, giving the surgeon time to rehearse prior to the clients appointment.. Our experience has been a happy marriage of technology, outreach and surgical innovation to improve patient outcomes, veterinarian surgeon Dr. Jonathan Dyce said. As a surgeon, innovation is valuable if my patients walk sounder and stronger as a result.. The ...

PROGRAM DESCRIPTION. Overview: The Fellowship in Head and Neck Surgical Oncology and Microvascular Reconstruction within the Department of Otolaryngology at Washington University is a longstanding feature of the educational curriculum offered within this academic medical center. Since 1984, 36 fellows have continuously occupied this position. Prior to this, the Department offered a Head and Neck Surgery fellowship, which concentrated mainly upon resectional techniques, under the direction of Dr. Joseph Ogura. Our intention is to carry on this strong legacy of surgical innovation within the multidisciplinary context of modern head and neck cancer care. The large majority of fellows have graduated from this program to faculty positions in other academic institutions, where they practice and teach the techniques they have learned. The fellowship takes place primarily at Barnes-Jewish Hospital. Rotations at the John Cochran V.A. Hospital are also possible, and provide the fellow with graduated ...

Despite surgical innovation, the sensory and motor outcome after peripheral nerve injury is incomplete. In this thesis, the biological pathways potentially responsible for the poor functional recoveries were investigated in both the distal nerve stump/target organ, spinal motoneurons and dorsal root ganglia (DRG). The effect of delayed nerve repair was determined in a rat sciatic nerve transection model. There was a dramatic decline in the number of regenerating motoneurons and myelinated axons found in the distal nerve stumps of animals undergoing nerve repair after a delay of 3 and 6 months. RT-PCR of the distal nerve stumps showed a decline in expression of Schwann cells (SC) markers, with a progressive increase in fibrotic and proteoglycan scar markers, with increased delayed repair time. Furthermore, the yield of SC which could be isolated from the distal nerve segments progressively fell with increased delay in repair time. Consistent with the impaired distal nerve stumps the target medial ...

This statistic shows the most common major ambulatory surgeries performed in hospital-owned facilities in the United States in 2016.

We provide resources to help prospective and current patients learn more about ASC quality, safety, and commitment to patient-centered care ...

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At Proliance Orthopedic Associates we are capable of treating many ambulatory surgical needs in our Ambulatory Surgery Center. At our Ambulatory Surgery Ce

To determine the incidence, the reasons, and the predictive factors for unanticipated admission after ambulatory surgery. Preoperative, intraoperative, and postoperative data were collected prospectiv

Learn the ICD-10-CM coding intricacies related to Ambulatory Surgery Center in this informative 60-minute audio conference from expert Brenda Chidester-Palmer.

Utilization of Online Patient Registration and Pre-admissions for Ambulatory Surgery is helping improve patient satisfaction and streamline process.