Plastic Surgery / 12.08.2024

Key Takeaways:
  • Learn about the health and aesthetic benefits of tummy tucks.
  • Understand the importance of post-surgical care for optimal recovery.
  • Discover common questions related to tummy tucks and their answers.
Introduction to Tummy Tucks Tummy tucks, or abdominoplasty, are a popular cosmetic surgery option for individuals seeking a flatter and more toned abdominal area. This process includes eliminating surplus skin and fat from the stomach and firming the muscles beneath. While many people's primary motivation is aesthetic improvement, the benefits of tummy tucks can extend beyond appearance. For instance, the surgery can have several health benefits that contribute to a better quality of life overall. Understanding these benefits can help individuals decide whether this procedure is proper. (more…)
Plastic Surgery / 07.08.2024

Table of Contents

1. Understanding Tummy Tuck Surgery

2. Considerations Before Surgery

3. Choosing the Right Surgeon

4. Preoperative Preparation

5. The Surgery Day

6. Postoperative Care and Recovery

7. Managing Expectations

8. Long-Term Results and Maintenance

Understanding Tummy Tuck Surgery

Tummy tuck surgery, technically known as abdominoplasty, removes excess skin and fat from the abdomen while tightening the underlying muscles. It is generally considered by individuals who have experienced significant weight loss, pregnancy, or aging, leading to a sagging midsection. These physical changes can be challenging to reverse through diet and exercise alone, making surgical intervention a viable option for achieving a flatter, firmer abdomen.

According to the American Society of Plastic Surgeons, tummy tucks are among the top cosmetic surgical  procedures performed annually. This popularity can be attributed to the procedure's effectiveness in body contouring and the high satisfaction rates reported by patients. With modern techniques and advancements, tummy tuck surgery has become safer and more accessible, allowing more individuals to benefit from its transformative results.

Considerations Before Surgery

Critical factors must be evaluated before opting for a tummy tuck to ensure the best possible outcomes. One of the primary considerations is overall health status. Patients should be in good general health without underlying conditions that could complicate the abdominoplasty or recovery process. Additionally, weight stability is crucial. Individuals should aim to be at or near their target weight for at least six months before surgery, as significant weight fluctuations can affect the results.

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Anesthesiology, Dental Research, Surgical Research / 05.08.2024

  Medical professionals often inquire about dental crowns before surgery due to potential complications linked to anesthesia and medical equipment. Crowns can interfere with certain procedures, such as the use of airway management tools, requiring extra precautions in the operating room. Patients with dental crowns may face risks like dislodgment or damage during intubation, highlighting the need for careful planning. This ensures both the safety and effectiveness of the surgery, minimizing unexpected issues. Understanding these considerations can ease concerns and foster better communication between patient and doctor. By informing the surgical team about dental work, individuals can help ensure their procedure goes smoothly. (more…)
Plastic Surgery / 05.08.2024

  Plastic surgery has become increasingly popular, offering individuals the opportunity to enhance their appearance and, by extension, their self-esteem. However, as the demand for these procedures grows, so does the importance of understanding the safety protocols involved. Whether considering a simple cosmetic enhancement or multiple complex procedures, the priority must always be on ensuring the highest safety standards. If you're looking for trusted professionals, searching for plastic surgery near me can help you find experienced surgeons who prioritize safety and quality care. It's essential to research local options to ensure the best outcomes for your cosmetic goals.   Understanding the Risks Associated with Plastic Surgery Plastic surgery, like any surgical intervention, comes with its set of risks and complications. Common concerns include infection, adverse reactions to anesthesia, and scarring, which can vary in severity from minor to life-altering. However, these risks can escalate when multiple surgeries are performed in a single session. For instance, longer operative times increase the risk of complications such as deep vein thrombosis or excessive blood loss. Therefore, a thorough understanding of these risks is crucial not only for the patient but also for the surgical team preparing for the operation. Patients must undergo a comprehensive health assessment prior to surgery. This evaluation helps to identify any underlying conditions that could complicate the surgery or the healing process. It is also a time for the surgeon to discuss with the patient the realistic outcomes and potential risks involved in their specific case. (more…)
Plastic Surgery / 25.07.2024

These days, more and more people want to look good without looking “done.” Plastic surgeons recognize this shift and now aim to help patients achieve a natural look with popular procedures like rhinoplasty and skin tightening. According to a survey by the American Academy of Facial Plastic and Reconstructive Surgery, about 70% of people prefer subtle enhancements rather than over-the-top changes, which tells you that patients desire to maintain their original charm while enhancing their features.

Natural Rhinoplasty

When it comes to rhinoplasty, many individuals worry about getting a nose that looks fake. To address this concern, surgeons now prioritize an anatomical approach. Plastic surgeons plan to work closely with patients before the procedure to discuss how to achieve a more natural appearance. They use advanced imaging technology, such as 3D modeling, to let patients visualize potential results. This technology provides patients with clearer expectations, and helps them feel confident that their new nose will complement their face without changing their identity.
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Plastic Surgery / 23.07.2024

In today’s digital age, content marketing is an indispensable tool for healthcare professionals, particularly in the field of plastic surgery.  Not only does it serve to attract potential patients, but it’s also a great tool to  educate and engage them, to build trust and establish authority.  This discussion explores the importance of content marketing in the healthcare industry and highlight the best types of content to resonate with potential plastic surgery patients, offer strategies for creating high-quality content, and discuss how to measure the success of these efforts.

The Importance of Content Marketing in Healthcare

70% of companies believe content marketing has become more important to their organization, and content marketing is especially crucial in the healthcare industry. Content allows professionals to share their expertise, educate patients, and address common concerns. For plastic surgeons, content marketing and social media provides a platform to showcase their skills, share patient success stories, and explain complex procedures in an accessible way. This not only helps in attracting new patients but also fosters a sense of trust and reliability. (more…)
Mental Health Research, Surgical Research / 15.07.2024

Cosmetic surgery is more than a nip-and-tuck; it's a journey of self-discovery that can help people debunk the myth of inadequacy, shatter the shell of low self-esteem, and emerge stronger, bolder, and more radiant on the other side. Picture this: a transformed you, radiating confidence and self-acceptance. But can cosmetic surgery really deliver on this promise? We'll get to the bottom of the psychological advantages that make it all possible.

Enhanced Self-Esteem and Body Image

One of the most significant psychological benefits of cosmetic surgery is the enhancement of self-esteem and body image. We've all got our own physical quirks that can make us feel, well, less than confident. Whether you're looking to revitalize your facial features or refine your neck and jawline, surgical solutions like rhinoplasty, neck lifts, and facelifts can reshape your confidence from the inside out. Exploring various surgical solutions can bring profound changes, such as enhanced facial symmetry or a more defined neckline, which in turn can boost your self-esteem immensely. Think about it: when you feel good about how you look, your entire outlook changes. That's exactly what happens for many people after surgery, as the evidence clearly shows. With a stronger sense of self, social interactions become more enjoyable, professional opportunities abound, and life takes on a sunny disposition. (more…)
Ophthalmology, Surgical Research / 08.06.2024

Key Takeaways:
  • LASIK is a joint surgery that corrects vision. LASIK offers several advantages, including faster recovery and better vision.
  • Recent advancements in LASIK technology have made the procedure safer and more effective.
  • Understanding the risks and benefits of LASIK is essential for anyone considering the surgery.
An Introduction to LASIK Surgery eye-lasixAnother name for LASIK is Laser-Assisted In Situ Keratomileusis, a popular vision correction surgery that has helped millions achieve more precise vision. It involves using advanced laser technology to modify the cornea to let light reach the eye and be correctly focused onto the retina. This reshaping process significantly improves vision for those with refractive defects, including astigmatism, farsightedness, and nearsightedness. If you've been considering options like LASIK in Utah, you're part of a growing group of individuals seeking a life-changing solution to their vision problems. Initially introduced in the 1980s, LASIK surgery has undergone numerous technological improvements, making it a safer and more reliable option for vision correction. It has improved the quality of life for millions and reduced the dependency on corrective eyewear, making daily activities more convenient. (more…)
Author Interviews, Dermatology, JAMA, Surgical Research / 16.11.2023

MedicalResearch.com Interview with: Peter C. Minneci, MD Chair of Surgery at Nemours Children’s Health Delaware Valley MedicalResearch.com: What is the background for this study?  Would you briefly explain the symptoms/course of pilonidal disease?  Response: Pilonidal disease is relatively common and affects up to 1% of the population starting in adolescence and up until young adulthood. Pilonidal disease occurs when cysts or sinuses form between the buttocks. It is believed to be an inflammatory reaction to hair or debris that gets caught in the crease of the buttocks. Risk factors for the condition include a sedentary lifestyle, hygiene and obesity. Pilonidal disease can be intermittent or chronic and recurs about 33% of the time, with 80% of recurrences taking place within a year of initial treatment. These recurrences contribute to a high degree of psychosocial stress in patients, who often miss school or sports and may avoid social activities. Pilonidal cysts may become infected, in which case patients must take antibiotics or undergo surgery.   Standard treatment for pilonidal disease involves removal of hair with razors or creams, as well as recommendations such as keeping the area clean. In recent years, some practitioners have begun using laser epilation as an additional strategy to prevent recurrence by providing more durable hair removal. However, it’s important to point out that this is not covered by insurance. In addition, as a provider, I have found that my patients that do have the means to pay often don’t comply with the number of sessions needed to fully remove the hair due to many different factors including pain and discomfort during the procedure.   (more…)
Author Interviews, Breast Cancer, JAMA, OBGYNE, Surgical Research / 04.10.2023

MedicalResearch.com Interview with: Gabriele Martelli, MD Breast Unit, Surgery Fondazione IRCCS Istituto Nazionale dei Tumori Milan, Italy MedicalResearch.com: What is the background for this study? Response: Approximately 8% of breast cancer cases are associated with pathogenic germline variants of the BRCA1 or BRCA2 genes. Women with a pathogenic BRCA1 variant have lifetime risks of breast or ovarian cancer of 45% to 80% and 30% to 60%, respectively. Women with a pathogenic BRCA2 variant have lifetime risks of breast or ovarian cancer of 35% to 60% and 10% to 25%, respectively. BRCA1 breast cancer is often more aggressive than sporadic disease, while BRCA2 breast cancer is often of similar aggressivity to sporadic disease. However, few studies have investigated outcomes of breast-conserving surgery, prophylactic mastectomy, or prophylactic salpingo-oophorectomy in patients with BRCA1/2 breast cancer. We conducted a cohort study to assess outcomes of breast-conserving surgery vs mastectomy, prophylactic mastectomy vs no prophylactic mastectomy, and prophylactic salpingo-oophorectomy vs no prophylactic salpingo-oophorectomy in patients with BRCA1/2 breast cancer. (more…)
Author Interviews, Gender Differences, JAMA, Surgical Research, Vanderbilt / 30.08.2023

MedicalResearch.com Interview with: Christopher Wallis, MD, PhD Assistant Professor of Urology Department of Surgery University of Toronto and Urologic Oncologist Mount Sinai Hospital   MedicalResearch.com:  Could you give a little context - what was the question you were looking at?
  • We have been studying how the primary treating surgeons sociocultural characteristics impact the recovery of patients they are looking after.
  • Specifically, we have been studying the effect of surgeon sex on outcomes such as death, complications and readmission after common and complex surgeries. These are outcomes that are important to patients and the health system.
  • Previously, we showed that patients with a female surgeon had better short term (30 day) outcomes than similar patients having surgery with a man. This study asked the question of whether the sex of a patient’s surgeon affects patients’ longer term outcomes at 90 days and 1 year, after surgery.
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Author Interviews, Columbia, Gender Differences, JAMA, OBGYNE, Surgical Research / 24.08.2023

MedicalResearch.com Interview with: Jason D. Wright, MD, FACOG, FACS Sol Goldman Associate Professor Chief, Division of Gynecologic Oncology Vice Chair of Academic Affairs, Department of Obstetrics and Gynecology Columbia University College of Physicians and Surgeons New York, New York 10032 MedicalResearch.com: What is the background for this study? Response: There is growing recognition that gender-affirming surgery (GAS) is safe and that the procedures are associated with favorable long term outcomes. Prior work has explored the use of inpatient procedures and shown that the rates of GAS have risen, but there is little contemporaneous data to examine more recent inpatient and outpatient use of GAS. This is particularly important as changes in insurance regulations may have increased access for these procedures. We examined temporal trends in performance of inpatient and outpatient GAS and examined age-specific trends in the types of procedures performed over time. (more…)
Anesthesiology, Author Interviews, Cannabis, JAMA, Opiods, Surgical Research, University Texas / 10.07.2023

MedicalResearch.com Interview with: Paul Potnuru, MD Assistant Professor Anesthesiology, Critical Care and Pain Medicine The John P. and Kathrine G. McGovern Medical School The University of Texas Health Science Center at Houston UTHealth MedicalResearch.com: What is the background for this study? Response: The use of cannabis is on the rise in the United States, as it becomes increasingly legally accepted and is viewed as harmless. Furthermore, the potency of cannabis is steadily increasing over time. There is some evidence from previous studies that compared to non-users, cannabis users require more anesthetics, have higher pain after surgery that requires more opioids, and have an increased risk of postoperative nausea and vomiting. Given this context of increased usage and potential risks during surgery, we conducted a study to examine the impact of cannabis use on patients undergoing surgery. (more…)
Surgical Research / 23.06.2023

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Contact a qualified medical professional before engaging in any physical activity, or making any changes to your diet, medication or lifestyle,
cosmetic surgeryIndividuality is the buzzword on the current aesthetic medicine scene at a time in which the arrival of the remote working phenomenon has sparked an interest in more facial surgery and procedures delivering a more natural effect. The American Society of Plastic Surgeons (ASPS) has reported that there has been a boom in facial feature surgery such as facelifts, blepharoplasties, and rhinoplasties. What’s more, although breast augmentations, liposuctions, and buttock augmentations continue to be in high demand, the results sought are no longer driven by celebrity trends. Instead, they are firmly focused on results that are in harmony with a patient’s physique. Finally, many clients are completely giving the knife a miss and opting for non- or minimally-invasive treatments that deliver great results. Below are the top trends taking over the sector.  You may consider advice from a female plastic surgeon in Houston.
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Author Interviews, Heart Disease, JACC, Surgical Research / 22.05.2023

MedicalResearch.com Interview with: Aloke V. Finn MD Medical Director/Chief Scientific Officer CVPath Institute Inc. Gaithersburg, MD 20878   MedicalResearch.com: What is the background for this study? Response:Transcatheter left atrial appendageal closure (LAAC) has become an established therapeutic approach for prevention of stroke in subjects with non-valvular atrial fibrillation who are ineligible for long-term oral anticoagulation.  Device-related thrombus (DRT), developing after LAAO procedures occurs in a small proportion but patients receiving these devices but is associated with critical embolic events such as ischemic stroke. Thrombogenicity and delayed endothelialization of fabric play a role in the development of DRT.  Fluorinated polymers are known to have thromboresistant properties which may favorably modify blood biomaterial interactions of a LAAO device. In this study we compared the thrombogenicity and endothelial coverage (EC) after left atrial appendage occlusion (LAAO) between a novel fluoropolymer-coated Watchman (FP-WM (Watchman FLX PRO) and the conventional uncoated Watchman FLX (WM). (more…)
Surgical Research / 05.04.2023

One way to achieve natural-looking results with minimal bruising and swelling is to choose a skilled and experienced plastic surgeon who can perform the procedure with precision and care. Additionally, certain surgical techniques, such as using smaller incisions or utilizing advanced technology like lasers or ultrasound, can help reduce trauma to the skin and underlying tissues, leading to less bruising and swelling. Another approach is to follow a customized postoperative plan that includes proper aftercare, such as avoiding certain medications and activities that can increase the risk of bruising or swelling. Finally, maintaining a healthy lifestyle with a balanced diet and regular exercise can also contribute to a faster and smoother recovery process. By taking these steps, you can help ensure natural-looking results with minimal side effects. (more…)
Author Interviews, Gender Differences, JAMA, Surgical Research / 03.03.2023

MedicalResearch.com Interview with: Mario FL Gaudino, MD, PhD, MSCE, FEBCTS, FACC, FAHA Stephen and Suzanne Weiss Professor in Cardiothoracic Surgery (II) Assistant Dean for Clinical Trials Professor of Clinical Epidemiology and Health Services Research at Weill Cornell Graduate School Director of the Joint Clinical Trials Office (JCTO) Director of Translational and Clinical Research, Department of Cardiothoracic Surgery Chair Coronary Artery Task Force, European Association for Cardio-Thoracic Surgery Weill Cornell Medicine | NewYork – Presbyterian Hospital Department of Cardiothoracic Surgery MedicalResearch.com: What is the background for this study? Response: It is well-documented that women undergoing CABG have higher mortality and morbidity when compared with men. They are referred to surgery later than men, with more cardiovascular risk factors than men, and present more frequently with heart failure or in non-elective settings. However, overall CABG outcomes have improved over time, and so we sought to evaluate national trends in outcomes specifically in women. (more…)
Author Interviews, JAMA, Surgical Research / 13.01.2023

MedicalResearch.com Interview with: Casey Hribar Fourth-year medical student University of North Carolina MedicalResearch.com: What is the background for this study? Response: Several great pieces of literature already exist about patient perception of doctors wearing white coats, formal attire, business attire, and the like. But recently, scrubs are garnering favor, especially as a result of the COVID-19 pandemic. While there has been some interest in what is worn over scrubs (jackets, vests, name tags, etc.), to our knowledge, there has not been any investigation into scrub color. Scrubs are a highly variable article of clothing, from fit, to pockets, pattern, and color, and it makes sense that these variations could have their own associated perceptions. Our study served as a way to open up the conversation around scrubs and the potential impact of their color on patients. (more…)
Author Interviews, Pulmonary Disease, Surgical Research / 13.09.2022

MedicalResearch.com Interview with: Ms. Sara Buttery Research Physiotherapist at Royal Brompton & Harefield NHS Foundation Trust University of the West of England London, England, UK MedicalResearch.com: What is the background for this study? Would you describe the BVLR technique? Response: The CELEB trial is a multicentre randomised controlled trial that was carried out at five centres across the UK, with the objective of investigating if Lung volume reduction surgery (LVRS) is significantly superior to Bronchoscopic lung volume reduction (BLVR) in people who are suitable for both procedures. BLVR is a minimally invasive method of lung volume reduction whereby a fibreoptic camera is passed through the mouth, rather than by an incision in the chest wall as is the case with LVRS. The CELEB trial compared endobronchial valves (EBVs) as a type of BLVR, to LVRS. EBVs are designed to prevent airflow into the treated lobe, but allow air and mucus to exit. EBV treatment can be carried out under general anaesthetic or sedation. The primary outcome for the CELEB trial was the iBODE index score at 12 months post procedure, as a measure of disease severity. (more…)
Author Interviews, Cancer Research, COVID -19 Coronavirus, Lung Cancer, Surgical Research / 21.06.2022

MedicalResearch.com Interview with: Emanuela Taioli, MD, PhD Director, Institute for Translational Epidemiology Professor, Population Health Science and Policy Professor, Thoracic Surgery Icahn School of Medicine at Mount Sinai New York, NY MedicalResearch.com:  What is the background for this study?  Response: NYC experienced a halt on all elective care from March 22 to June 8, 2020, provoking reduced cancer screening rates, and delayed cancer care and treatment. We wanted to quantify the effect of the “pause” on cancer stage at diagnosis using lung cancer as an example of a condition where early diagnosis can dramatically modify survival. (more…)
Author Interviews, Cleveland Clinic, Diabetes, JACC, Surgical Research, Weight Research / 14.04.2022

MedicalResearch.com Interview with: Amgad Mentias, MD MS FACC FESC Assistant Professor, CCLCM Section of Clinical Cardiology, Heart and Vascular Institute. Cleveland, OH 44195Amgad Mentias, MD MS FACC FESC Assistant Professor, CCLCM Section of Clinical Cardiology, Heart and Vascular Institute. Cleveland, OH 44195  MedicalResearch.com:  What is the background for this study?    Response:  There is evidence that bariatric or weight loss surgery can decrease the risk of heart attack, stroke, and death in young and middle age patients with obesity and diabetes. However, the evidence is less clear for older patients and patients without diabetes. There is also no long-term data on outcomes of bariatric surgery in the Medicare beneficiaries. So, in our study, we aimed to report long-term outcomes of bariatric surgery from a contemporary nationwide cohort from the US, while also looking into outcomes in patients older than 65 years, and patients without type 2 diabetes specifically. (more…)
Author Interviews, Gender Differences, Heart Disease, JACC, Surgical Research / 06.04.2022

MedicalResearch.com Interview with: Mario F.L. Gaudino, M.D. PhD Attending Cardiac SurgeonDepartment of Cardiothoracic Surgery Antonino Di Franco, MD Adjunct Clinical Assistant Professor of Cardiothoracic Surgery Weill Cornell Medicine   MedicalResearch.com:  What is the background for this study?  What is the aim of this review?  Response: Biological and socio-cultural differences between men and women are complex and likely account for most of the variations in the epidemiology and treatment outcomes of coronary artery disease (CAD) between the two sexes. Despite the growing recognition of sex-specific determinants of outcomes, representation of women in clinical studies remains low, and sex-specific management strategies are generally not provided in guidelines. We summarized the current evidence on sex-related differences in patients with CAD, focusing on the differential outcomes following medical therapy, percutaneous coronary interventions, and coronary artery bypass surgery. (more…)
Author Interviews, NEJM, OBGYNE, Surgical Research / 31.03.2022

MedicalResearch.com Interview with: Professor Mohamed Abdel-Fattah, MD, FRCOG Chair in Gynaecology Consultant Gynaecologist & Sub-specialist Urogynaecologist School Medicine, Medical Sciences and Nutrition University Of Aberdeen Co-Director Aberdeen Centre For Women’s Health Research Lead – MBChB intercalated degree programme Chief Investigator – CATHETER II, FUTURE, and SIMS RCTs MedicalResearch.com:  Why was this study necessary? Response:At the time of study design, the main surgical option for treating stress urinary incontinence was the insertion of a standard mid-urethral sling, usually using a general anaesthetic. However, single incision mini-slings were introduced to clinical practice without robust assessment. They were considered promising due to several potential advantages including using less mesh more possibility to be performed under local anaesthetic. A number of small studies with short-term follow-up (i.e. low quality evidence) showed mini-slings to have similar success rates to standard mid-urethral slings, but required shorter hospital stay and was less painful immediately after surgery. Several systematic reviews at the time recommended an adequately powered robust randomised trial to compare the clinical and cost-effectiveness of mini-slings to standard mid-urethral slings with adequate term follow-up.  (more…)
Author Interviews, Education, JAMA, Surgical Research, Technology / 22.03.2022

MedicalResearch.com Interview with: Ali M. Fazlollahi, MSc, McGill Medicine Class of 2025 Neurosurgical Simulation and Artificial Intelligence Learning Centre Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital Faculty of Medicine and Health Sciences McGill University, Montreal, Canada MedicalResearch.com:  What is the background for this study?  Response: COVID-19 disrupted hands on surgical exposure of medical students and academic centres around the world had to quickly adapt to teaching technical skills remotely. At the same time, advances in artificial intelligence (AI) allowed researchers at the Neurosurgical Simulation and Artificial Intelligence Learning Centre to develop an intelligent tutoring system that evaluates performance and provides high-quality personalized feedback to students. Because this is the first AI system capable of providing surgical instructions in simulation, we sought to evaluate its effectiveness compared with learning from expert human instructors who provided coaching remotely. (more…)
Author Interviews, Brigham & Women's - Harvard, JAMA, Surgical Research / 27.10.2021

MedicalResearch.com Interview with: Joel S. Weissman, PhD Deputy Director/Chief Scientific Officer Center for Surgery and Public Health Brigham and Women's Hospital/Harvard Medical School Professor of Surgery (Health Policy) Harvard Medical School MedicalResearch.com: What is the background for this study? Response: Over time, the military health system has been shifting care for its soldiers and their families away from big military treatment facilities (MTFs), allowing soldiers and their families to get care from civilian hospitals.  But this has had an unintended consequence.  Unfortunately, it means that military surgeons are getting fewer cases, and they are worried about maintaining their skills as surgeons.  But some surgeries count more than others to help prepare the surgeon for battlefield casualties.  (more…)
Author Interviews, JAMA, Race/Ethnic Diversity, Surgical Research, Weight Research / 18.10.2021

MedicalResearch.com Interview with: Amresh D. Hanchate, PhD Professor, Department of Social Sciences and Health Policy Director, Program in Health Services Research Division of Public Health Sciences Wake Forest School of Medicine Medical Center Boulevard Winston-Salem, NC  27157-1063 MedicalResearch.com: What is the background for this study? Response: There is strong evidence of increase in access to outpatient physicians among low income individuals who gained Medicaid following changes initiated with the Affordable Care Act. But there is little evidence of whether Medicaid expansion has similarly resulted in increased use of elective inpatient procedures. Bariatric surgery is a particularly important service to study, as the number of adults with severe obesity continues to grow in the United States, and this is the most effective available treatment. Additionally, bariatric procedures are primarily performed among the age group targeted by Affordable Care Act expansions (18-64), and there is a lot of evidence that only a small fraction of eligible uninsured patients are having surgery.  (more…)
Surgical Research, Technology / 14.10.2021

Medicine is ever evolving, but it might surprise you to hear how far we’ve come even since the turn of the century. Advancements in technology have allowed for some amazing upgrades in medicine that could only be imagined in sci-fi movies before, and new developments in drugs have vastly increased the average life expectancy, from 77.74 in 2000 to a high of 81.3 in 2014. Read on to find out more about our top picks for the most influential advancements in medicine. Information technology An often overlooked but greatly impactful aspect of medicine, information technology has allowed for the smooth and faster running of hospitals. Like every other aspect of life, technology has infiltrated hospitals and GPs at a basic and far-reaching level, allowing for safer and more secure running of hospitals as well as aiding diagnosis earlier and minimally invasive procedures to create less pain and quicker healing. Rather than sifting through filing rooms for that one patient, staff can access a patient’s file on cloud storage, where it is free from other prying eyes. Remote consultations allow for neither patient or doctor to travel to do a consultation, and an encyclopedia of symptoms and treatments are available at doctors’ fingertips. Technology has taken the routine and tedious aspects of patient care out of the equation, or at least streamlined it, so that doctors can focus on their patients. Filing, record maintenance and other routine tasks, are all done quickly with the help of apps and cloud storage. Streamlining processes like no exam life insurance allows for doctors to focus on the care of their patients while you offer other evidence like family history and pre-existing conditions. Doctors are working faster, patients get seen quicker, their prescriptions are issued sooner. (more…)
Anesthesiology, Author Interviews, Brigham & Women's - Harvard, Opiods, Surgical Research / 21.09.2021

MedicalResearch.com Interview with: Andres Zorrilla Vaca, MD Resident Physician Brigham and Women’s Hospital Boston, Massachusetts  MedicalResearch.com: What is the background for this study? Response: The background for this study was Enhanced Recovery After Surgery, also known as ERAS protocols. They basically consisted of a bundle of interventions that are performed preoperatively, intraoperatively and postoperatively with the aim of enhancing patient recovery and reducing complications. This protocol in our institution started with a thorough preoperative counseling which includes, smoking cessation, pain and analgesia education, ERAS program expectations, pulmonary rehabilitation based on pulmonary function tests and incentive spirometry. On the day of surgery, prolonged fasting is avoided and a carbohydrate loading is given orally 2 hours before surgery. Our protocol also included a standardized multimodal analgesic regimen consisting of tramadol ER 300mg p.o. and gabapentin 300mg p.o., intraoperative acetaminophen 1gm i.v., posterior intercostal nerve blockade with liposomal bupivacaine 266mg prior to incision, intraoperative 30mg ketorolac upon wound closure and scheduled postoperative acetaminophen 1g p.o. q 6hrs and ketorolac 15mg i.v. q 6 hrs, as well as additonal interventions recommended by ERAS Society Guidelines. As a general rule, preoperative sedatives (midazolam) are avoided as premedication and prophylaxis against nausea and vomiting (ondansetron, dexamethasone and scopolamine) is administered. Patients are kept euvolemic by using validated goal-directed fluid therapy algorithms (stroke volume variation and cardiac output) and normothermia is maintained throughout the procedure. (more…)
Author Interviews, Cost of Health Care, JAMA, Surgical Research / 07.09.2021

MedicalResearch.com Interview with: Andrew P. Loehrer, MD, MPH Assistant Professor Department of Surgery, Division of Surgical Oncology Dartmouth-Hitchcock MedicalResearch.com: What is the background for this study? Response: Patient cost sharing represents the portion of costs covered by insurance that individuals pay out of pocket, including deductibles, co-payment, and co-insurance. Cost sharing is increasingly common and also increasingly expensive for patients with commercial health insurance across the United States. While designed to increase patient responsibility for health care spending, prior work has shown that higher cost sharing is also associated with decreased use of health care overall, both needed and discretionary. However, little work has been done as to how high cost sharing may affect common and costly conditions like acute appendicitis and acute diverticulitis.  (more…)