Khanna Connections’ Post

Intravenous steroids significantly improve quality of recovery after surgery: Benefits can be seen across all QoR dimensions, with largest effect on physical comfort - finds this meta-analysis of randomized controlled trials. 🔗https://lnkd.in/e4dV38qB

Laparoscopic surgery has revolutionized modern medicine, offering minimally invasive solutions for various medical conditions. This advanced technique uses small incisions and specialized instruments, resulting in less pain, reduced scarring, and faster recovery for patients. Commonly used for procedures involving the abdomen, pelvis, and other areas, it provides a clearer view for surgeons, enhancing precision and outcomes. Patients benefit from shorter hospital stays and a quicker return to daily activities, making it a preferred choice for many. As technology continues to evolve, laparoscopic surgery remains at the forefront of innovative healthcare, transforming the way surgeries are performed and improving patient care. Visit: https://lnkd.in/g9cevUHf #health #healthlifestyle #hospital

Safe Definitive Surgery in Polytrauma patients - a comprehensive summary for stable patients responding to resuscitation

There are many factors that impact how long someone typically takes to recover after surgery. Learn more about post-operation recovery and how our therapeutic devices can help reduce recovery time. https://ow.ly/AaKi50SMyyL #GladiatorTherapeutics #SurgicalProcedure #SurgicalRecovery #PostOp #PostOperationRecovery #WoundHealing

Endoscopic combined intrarenal surgery in Galdakao-modified supine Valdivia position: a new standard for percutaneous nephrolithotomy? Scoffone et al. https://lnkd.in/g4YnGNyc This is the article that coins the name of "Endoscopic Combined Intrarenal Surgery (ECIRS)" for performing RIRS during PCNL. We will talk about it in the later posts.

🔍 Back pain persisting? Tried conservative treatment options like physical therapy or lifestyle modifications? Discover why an ultra-minimally invasive method called bi-portal endoscopic spine surgery is a worthwhile alternative for you. In a recent article, Samuel Cho, MD, Chief of Spine Surgery, Mount Sinai West, shares insights on the benefits of minimally invasive techniques. From quicker recovery times to less pain, these advancements are transforming patient care. 💬 Curious to learn more? Read how these innovative procedures make a difference in spine health. https://bit.ly/3LYlSt8 #MountSinai #MountSinaiWest #WeFindAWay #NYC #Hospital #SpineHealth #SpineSurgery #MinimallyInvasive #minimallyinvasivespinesurgery #spine #spinesurgeon #backpain #PatientCare

I recently encountered some concerning cases related to the use of axillary bypasses in vascular surgery. Despite the availability of advanced endovascular tools and techniques, I have come across instances where patients were offered axillary bypass as their only option, even as frontline treatment for younger patients. At one California healthcare system, it's considered frontline treatment because "It lasts longer than a TPA" followed by thrombectomy, according to their top surgeon. But what happens when that fails? What are the options for a 50+ woman who only forgot to take her anticoagulants for 2 days and has fresh occlusive clot? Ultimately, we helped her get a second opinion and the TPA/thrombectomy worked, but because the surgeon left her sitting in the hospital for five days to come into agreement with him about the only option he provided her (axillary), she ended up with a terrible infected bed sore on her buttocks and lasting nerve pain in her leg and foot from lack of blood flow for so long. In another instance, a patient was led to believe that axillary bypass was a quick and easy alternative to thoracic bypass without being fully informed about the associated mortality rate and limited options in case of failure. This lack of transparency led to misconceptions about the procedure and its potential short and long-term implications for the patient. She walked out of the procedure thinking the axillary is a permanent long-term solution until she read the study I attached below and came to us asking about it. The third patient died within the month following the axillary, which was performed despite a 70% axillary stenosis distal of the graft. Her cardiologist said the graft was already stressing the heart within days following the procedure and asked why they didn't try endovascular first. He told the daughter, endo would've been less strenuous for a patient with a lower EJF. But the surgeon said they didn't know how and neither did anyone else on the team. Key questions: What are the appropriate indications for performing axillary bypass, and how should its patency rate and potential failure be discussed with the patient? In cases where axillary bypass is considered the only option, how can we ensure that patients are fully aware of its limitations and the importance of close monitoring? What role should less invasive endovascular techniques play in the decision-making process? Yes, the axillary may have greater durability than a TPA and thrombectomy that follows, but does the risk outweigh the benefits when endovascular is an option? These are questions we are planning to address in an upcoming "What's Up Doc" Tuesday Talk session with a panel of doctors. So, please comment or DM me to participate. Even if you can't participate, I welcome your insights and experiences on this as we strive to provide the best possible support for our patients. Feel free to comment here or reach out to me personally to discuss your POV.

This study reviewed a case series of patients undergoing Immediate Sequential Bilateral Cataract Surgery (ISBCS) with the implantation of an affected batch of EyeCee One intraocular lens (EC1IOL) causing high intraocular pressure (IOP) as reported by the The Medicine and Healthcare products Regulatory Agency (MHRA). They found a greater rate EC1IOL related IOP spikes (IOP ≥30 mmHg at a post op visit) than the MRHA reports. There was a trend towards less visual gain post operatively in patients who had a spike. Please read the full article below- Authors: Emily N. Stedman, Stephanie J. Chiu, Haoyu Wang, Jennifer H.Y. Tan Raised intraocular pressure after immediate sequential bilateral cataract surgery with EyeCee one intraocular lens, AJO International, Volume 1, Issue 2, 2024, 100027, ISSN 2950-2535 https://lnkd.in/gaaawX2N

The benefits of Intracapsular tonsillectomy. A total of 12,275 patients were included in this study. The overall post-tonsillectomy bleed rate was 3.3 %, with 0.65 % requiring return to theatre. ICT had a significantly lower bleed rate of 1.7 % compared to 4.1 % for ECT (p < 0.001). The rate of return to theatre was markedly lower for ICT (0.08 %) compared to ECT (0.93 %, p < 0.001). Median day of bleeding was not different between the techniques. Patients undergoing surgery for recurrent tonsillitis had the highest rate of postoperative haemorrhage (15 %), while those with sleep-disordered breathing alone had the lowest (3 %, p < 0.001).

✨ Advancing Minimally Invasive Spine Surgery: Ambulatory Endoscopic Spine Surgery: Faster Recovery, Better Outcomes ✨ At Taipei Medical University Hospital, we are redefining spine surgery with ultra-minimally invasive endoscopic techniques, combining cutting-edge technology with compassionate care to improve patients' lives. 🔹 1 cm incision, 1-hour surgery: Our innovative procedure allows complex spine surgeries to be completed with incisions smaller than 1 cm, significantly reducing recovery time. Most patients can walk the same day and even return home without hospitalization, addressing the current shortage of hospital beds and healthcare staff. 🔹 Awake and responsive during surgery: Patients stay awake throughout the procedure, enabling real-time feedback to help surgeons avoid nerve damage and reduce the risk of complications like paralysis. Anesthesiologists ensure comfort with pain management and local anesthesia, while our team uses friendly conversation or the patient’s favorite music to ease nerves. Our efforts have earned us national recognition, including the National Quality Award and the National Innovation Award. We are redefining what's possible in healthcare. Stay connected for more updates on our journey! 北醫脊椎內視鏡團隊致力於以人為本的醫療技術，全力提供民眾最佳醫療照顧品質 https://lnkd.in/eTaah-X8 https://lnkd.in/eDkhZJpu