MIS Outcomes Beat Open Surgery Stats
|
By HospiMedica International staff writers Posted on 12 Jul 2017 |
|
Image: According to a new study, MIS shows better outcomes in most surgical procedures (Photo courtesy of Alamy).
Minimally invasive surgery (MIS) leads to more favorable 30-day postoperative outcomes when compared to traditional open surgery, according to a new study.
Researchers at Henry Ford Hospital (Detroit, MI, USA) and Brigham and Women’s Hospital (Boston, MA, USA) conducted a study of 532,287 patients who underwent appendectomy, colectomy, inguinal hernia repair, hysterectomy, and prostatectomy, as identified in the American College of Surgeons (ACS) National Surgical Quality Improvement Program database. The researchers examined associations between surgery and 30-day postoperative outcomes, including complications, unplanned readmissions, hospital stay, and mortality.
The results revealed that 53.8% of the patients underwent MIS for the five common surgical procedures. Within procedure-specific matched pairs, MIS was associated with significantly lower odds of Clavien–Dindo grade I–II, III, and IV complications, unplanned readmissions, and reduced hospital stay in four of the five procedures studied, with the exception of inguinal hernia repair. Odds of death were lower in patients undergoing MIS colectomy, hysterectomy, and appendectomy. The study was published on June 20, 2017, in BJS.
“We expected some of the results, but the extent and consistency of the benefits associated with minimally-invasive surgery across four of the five studied procedures surprised us,” said lead author Akshay Sood, MD, of Henry Ford Hospital. “The findings also suggest that from an economic perspective, MIS may be more cost-effective than traditional open surgery, because complications and unplanned readmissions represent the major drivers of treatment costs.”
MIS, which can be performed on both inpatient and outpatient basis, appeals to patients as it involves less blood loss, smaller surgical scars, shorter hospital stays, and less need for analgesics. A typical procedure is performed through several small incisions, using a range specialized surgical instruments, miniature cameras and fiber-optic light sources, and high definition (HD) monitors. In most cases, the incisions are up to 10 cm in length, instead of the 15-20 cm incision required by traditional surgery.
Related Links:
Henry Ford Hospital
Brigham and Women’s Hospital
Researchers at Henry Ford Hospital (Detroit, MI, USA) and Brigham and Women’s Hospital (Boston, MA, USA) conducted a study of 532,287 patients who underwent appendectomy, colectomy, inguinal hernia repair, hysterectomy, and prostatectomy, as identified in the American College of Surgeons (ACS) National Surgical Quality Improvement Program database. The researchers examined associations between surgery and 30-day postoperative outcomes, including complications, unplanned readmissions, hospital stay, and mortality.
The results revealed that 53.8% of the patients underwent MIS for the five common surgical procedures. Within procedure-specific matched pairs, MIS was associated with significantly lower odds of Clavien–Dindo grade I–II, III, and IV complications, unplanned readmissions, and reduced hospital stay in four of the five procedures studied, with the exception of inguinal hernia repair. Odds of death were lower in patients undergoing MIS colectomy, hysterectomy, and appendectomy. The study was published on June 20, 2017, in BJS.
“We expected some of the results, but the extent and consistency of the benefits associated with minimally-invasive surgery across four of the five studied procedures surprised us,” said lead author Akshay Sood, MD, of Henry Ford Hospital. “The findings also suggest that from an economic perspective, MIS may be more cost-effective than traditional open surgery, because complications and unplanned readmissions represent the major drivers of treatment costs.”
MIS, which can be performed on both inpatient and outpatient basis, appeals to patients as it involves less blood loss, smaller surgical scars, shorter hospital stays, and less need for analgesics. A typical procedure is performed through several small incisions, using a range specialized surgical instruments, miniature cameras and fiber-optic light sources, and high definition (HD) monitors. In most cases, the incisions are up to 10 cm in length, instead of the 15-20 cm incision required by traditional surgery.
Related Links:
Henry Ford Hospital
Brigham and Women’s Hospital
Gold Member
Handheld Blood Glucose Analyzer
STAT-Site
Gas Analyzer
GE SAM
Patient Preoperative Skin Preparation
BD ChloraPrep
Latest Surgical Techniques News
- Transcatheter Repair System Gains FDA Approval for Severe Tricuspid Regurgitation
- Half-Matched Family Donors Could Expand Transplant Access for Severe Aplastic Anemia
- Dual-Imaging Catheter Completes Initial Human Evaluation of Coronary Plaque
- Shape-Changing Hydrogels Show Promise for Tissue Engineering and Wound Healing
- Combined Wound Healing Approach Pairs Synthetic Scaffold With Negative Pressure Therapy
- 3D Printing Method Could Enable More Flexible Cardiovascular Implants
- Augmented Reality Helps Locate Hidden Tumors During Liver Surgery
- FDA Approves Bioabsorbable Patch Technology for Large-Bore Vascular Closure
- New Ultrasonic Surgical Platform Adds Control for Bone and Soft Tissue Removal
- Targeted Radiotherapy Before Surgery Improves Control of Kidney Cancer Thrombus
- Robotic Approach Enables Minimally Invasive Repair of Hard-to-Reach Abdominal Hernias
- New Surgical Technique Enlarges Aortic Root for Larger Valve Implantation
- FDA Approval Expands Bridging Stent Use in Complex Aortic Aneurysm Repair
- New Beam Measurement Approach Could Support More Precise Ion Therapy
- Tiny Robots Could Speed Targeted Drug Delivery to Heart Infections
- Contact Radiotherapy Offers New Organ-Preserving Approach for Rectal Cancer
Channels
Artificial Intelligence
view channel
AI Tool Predicts Cancer Survival and Biological Age from Single Facial Photo
Assessing frailty and physiologic reserve remains challenging when clinicians consider intensive cancer treatment. Chronological age alone may not reflect how well a patient can tolerate radiation, surgery,... Read more
AI Tool Improves Smartphone Detection of Abnormal Pediatric Lung Sounds
Respiratory disease in children remains a major clinical concern worldwide. Abnormal lung sounds can indicate pediatric respiratory illness, but standard auscultation usually requires an in-person examination... Read more
Critical Care
view channel
Noninvasive Brain-Computer Interface Enables Responses in Some Unresponsive ICU Patients
Cognitive motor dissociation occurs when patients retain signs of consciousness but cannot move or speak to communicate. In the ICU, this hidden consciousness can be difficult to distinguish from coma... Read more
Real-Time Data Platform Supports Precision Care in Polycystic Kidney Disease
Autosomal dominant polycystic kidney disease, the most common genetic kidney disorder, affects more than 7 million people worldwide. Although hospitals generate extensive clinical data on these patients,... Read more
Smart Medical Adhesive Patch Uses Heat to Enable Gentle Removal
Medical adhesive-related skin injury (MARSI) is a persistent concern for neonates, older adults, critically ill patients, and others requiring repeated monitoring. Strong adhesives keep sensors securely... Read more
Smart Pulse Oximetry Supports Earlier Recognition of Arrhythmias and Respiratory Risk
On general care floors, respiratory compromise and arrhythmias can develop between routine checks. Atrial fibrillation often goes undiagnosed in older adults, while opioid-induced respiratory depression... Read morePatient Care
view channel
Total-Body PET/CT Scanner Enables One-Minute Diagnostic-Quality Cancer Imaging
Positron emission tomography/computed tomography (PET/CT) combines radiotracer-based functional imaging with anatomical detail to diagnose, stage, and monitor cancer. Conventional scanners image the body... Read more
AI Platform Personalizes Support Between Visits for Cancer Survivors
Cancer survivors often manage persistent side effects after treatment, including fatigue, anxiety, uncertainty, symptoms, stress, and questions between appointments. Clinical teams need ways to maintain... Read more
At-Home Neuromodulation Shows Promise in Selected Patients With Hypertension
High blood pressure is a major risk factor for cardiovascular disease, including heart attack and stroke. Many patients receiving treatment for hypertension still remain above recommended blood pressure... Read more
EHR Model Flags High-Risk Periods in Patients with Metastatic Breast Cancer
Determining when patients with metastatic breast cancer are nearing the end of life remains difficult, often leading to intensive interventions with limited benefit. Prognostic uncertainty can delay goals-of-care... Read moreMedical Imaging
view channel
Routine CT Body Composition Tool Helps Identify Early Pancreatic Cancer Risk
Pancreatic ductal adenocarcinoma (PDAC), the most common type of pancreatic cancer, often goes undetected until it has spread. Surveillance programs primarily target people with inherited genetic risk... Read more
AI Tool Improves Fetal MRI for Brain Abnormality Diagnosis
Fetal brain abnormalities can be difficult to diagnose before birth when fetal motion reduces imaging quality. Routine ultrasound may flag a possible abnormality, prompting follow-up fetal MRI, but head... Read more
AI Model Detects Hidden Disease Signals in Routine CT Scans
Computed tomography (CT) scans are often performed to answer a specific diagnostic question, which can leave other potentially important findings outside the immediate clinical focus. As a result, opportunities... Read more
Targeted PET/CT Predicts Early Treatment Response in HER2-Positive Breast Cancer
HER2-positive breast cancer is an aggressive subtype that accounts for a substantial proportion of breast cancer cases. Patients often receive neoadjuvant therapy before surgery to shrink tumors, but assessing... Read moreHealth IT
view channel
Clinical Decision Support Tool Automates CKD Risk Assessment in Primary Care
Chronic kidney disease (CKD) requires timely diagnosis, risk assessment, and coordinated treatment in primary care. Delayed recognition can affect decisions about testing, blood pressure control, cardiovascular... Read more
EHR Alerts Support Dosing, Sedation, and Shock Recognition in Cardiac Care
Electronic health record alerts can add to clinician workload when they are poorly targeted. In critical cardiac care, however, delayed decisions can affect treatment timing, sedation exposure, and escalation... Read more
Point of Care
view channel
Continuous Glucose Monitoring Identifies Cardiometabolic Risk in Adults Without Diabetes
Dysglycemia—abnormal blood glucose regulation—can fluctuate throughout the day and often escape conventional screening. Clinicians typically rely on fasting plasma glucose and hemoglobin A1c, which offer... Read more
Microneedle Patch Enables At-Home Monitoring of Acute Kidney Injury
Kidney disease is often silent in its early stages, making timely detection difficult outside clinical settings. Early biomarkers such as neutrophil gelatinase–associated lipocalin can require blood draws... Read more
Business
view channel
Steris to Expand Surgical Safety Portfolio With $2.1 Billion Xodus Medical Deal
Steris has signed a definitive agreement to acquire Xodus Medical, a specialty surgical products business based in Pennsylvania, for $2.1 billion at closing. The acquisition will expand Steris’s healthcare... Read more
Stryker Enters Soft-Tissue Robotics Through Strategic Alliance With CMR Surgical
Stryker (Portage, MI, USA) and CMR Surgical (Cambridge, UK) have announced a strategic alliance centered on the Versius Surgical Robotic portfolio. The agreement includes an approximately USD 400 million... Read more
Terumo Neuro Acquisition Advances Liquid Embolic Technology for Chronic Subdural Hematoma
Terumo Neuro (Aliso Viejo, CA, USA) signed an agreement to acquire Arsenal Medical Inc. (Waltham, MA, USA), a privately held, clinical-stage biomaterials company. The proposed acquisition would add NeoCast,... Read more