What's new in midwifery - 30th January 2019
Lots of things you may need to know about, this week!Care Quality CommissionMaternity services survey 2018NICE and other guidanceNICEIPG639 -Laparoscopic cerclage for cervical incompetence toprevent late miscarriage or preterm birth, SIGNChildren and young people exposed prenatally to alcohol - StatisticsBreastfeeding at 6 to 8 weeks after birth (Public Health England) ResearchIndicators for monitoring maternal and neonatal qualitycare: a systematic reviewPremature babies have fewer complications if a lowerplatelet count is accepted (NIHR Signal)Review of research published in the New England Journal of...
Source: Browsing - January 30, 2019 Category: Databases & Libraries Tags: midwifery Source Type: blogs
TransEnterix Wins FDA Clearance for Senhance Ultrasonic Instruments
TransEnterix, maker of minimally invasive robotic surgery systems, received FDA clearance for its Senhance Ultrasonic Instrument System. The instruments are used on the TransEnterix Senhance robitically assisted surgical system. The technology allows for haptic remote control of laparoscopic tools that let surgeons feel what they’re working with, as well as offers 3D visualization of the internal anatomy thanks to a pair of glasses and a matching 3D capable monitor.
The new ultrasonic devices are used to cut or close-off different tissues, with minimal thermal effects on other nearby tissues. “The addition of ult...
Source: Medgadget - January 15, 2019 Category: Medical Devices Authors: Editors Tags: Ob/Gyn Surgery Urology Source Type: blogs
Surgery for appendicitis? Antibiotics alone may be enough
I remember when my best friend in fifth grade couldn’t make our much-anticipated end-of-the-school-year camping trip because he had just undergone surgery for appendicitis. Now I prevent kids from participating in their school activities for four to six weeks after I remove their appendix. But what is the appendix, why do we have an organ that causes so many problems, and do you need surgery for appendicitis?
Role of the appendix is unclear
The appendix is a fingerlike tube, about three to four inches long, that comes off of the first portion of the colon. It is normally located in the lower right abdomen, just after the...
Source: Harvard Health Blog - January 9, 2019 Category: Consumer Health News Authors: Christopher J. Burns, MD Tags: Drugs and Supplements Health Surgery Source Type: blogs
Excellent surgeons are those who are quick to recognize their mistakes
“Dr. Rahman, this is the nurse in OR 12, Dr. H is doing a robotic/laparoscopic hysterectomy. He thinks he’s injured the ureter and is requesting help. Are you available?” I knew what came next was going to be complex — challenging surgically, disruptive to my schedule and potentially risky. I told the nurse that I […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 27, 2018 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/naeem-rahman" rel="tag" > Naeem Rahman, MD < /a > < /span > Tags: Conditions Surgery Source Type: blogs
Excellent surgeons those who are quick to recognize their mistakes
“Dr. Rahman, this is the nurse in OR 12, Dr. H is doing a robotic/laparoscopic hysterectomy. He thinks he’s injured the ureter and is requesting help. Are you available?” I knew what came next was going to be complex — challenging surgically, disruptive to my schedule and potentially risky. I told the nurse that I […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 27, 2018 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/naeem-rahman" rel="tag" > Naeem Rahman, MD < /a > < /span > Tags: Conditions Surgery Source Type: blogs
The Future of Medical Education Looks a lot like Netflix: Interview with Brian Conyer, CEO of GIBLIB
GIBLIB, named after Dr. John Heysham Gibbon, the revolutionary surgeon that invented the heart-lung machine, is an online streaming platform that provides medical professionals with access to high-fidelity, immersive 360-degree virtual reality (VR) video content of current medical topics and surgical procedures. The videos closely emulate the operating room environment, including camera angles from the surgeon’s point of view, and feature expert physicians at leading academic medical centers.
The company’s content provides students and medical professionals around the world with access to a wide variety of med...
Source: Medgadget - December 12, 2018 Category: Medical Devices Authors: Mark O'Reilly Tags: Education Exclusive Medicine Surgery Telemedicine Source Type: blogs
The heartbreak of an infertile patient
I am still not able to cope up with negative pregnancy test. I just wished that the test still comes positive. My good looking embryos do not like to settle in my good looking endometrium lining. I wish that I could know what these beautiful embryos wants more from me? Why all these medicines,efforts, patience, care, precautions and prayers for having a baby is not paying off. What else can we do to fulfill our dream to have a baby ?Crying is also not helping. After getting result, I spent entire day in reading positive ivf stories on internet I know that in this journey nobody get success immediately, every couple have th...
Source: Dr.Malpani's Blog - November 13, 2018 Category: Reproduction Medicine Source Type: blogs
Tiny New Pacemaker Small Enough for Infants
Researchers at Children’s National Health System, working with engineers from Medtronic, have created a pacemaker appropriately tiny enough to implant into infants. Measuring only one cubic centimeter, about the size of a large pill, it allows the device to be implanted inside the child in a minimally invasive fashion.
Currently, because of their size, pacemakers implanted into very small children either remain outside the body or require open surgery with large incision. The new pacemaker is so small that a one centimeter incision is all that’s necessary to place it under the ribcage.
The incision is used not onl...
Source: Medgadget - November 12, 2018 Category: Medical Devices Authors: Editors Tags: Cardiac Surgery Cardiology Pediatrics Source Type: blogs
Grander Lessons from a Failure of Robotic Surgery
This week on my podcast, I deviated briefly from cardiology to discuss a shocking and sad study highlighting the vital nature of doing randomized controlled trials in the practice of medicine.
The reason I mentioned a trial comparing 2 types of hysterectomy (removal of the uterus) in women with early stage cervical cancer was not to opine on matters of cancer, but because the tragic story shows the harm doctors can do if we incorporate therapies without proper testing.
The New England Journal of Medicine published a trial in which women with early cervical cancer were randomized to two types of hysterectomy:
One was the...
Source: Dr John M - November 4, 2018 Category: Cardiology Authors: Dr John Source Type: blogs
Magnetically Operated Surgical Tool Cleared for Weight Loss Operations
Levita Magnetics, a Silicon Valley firm, won FDA clearance to introduce its Levita Magnetic Surgical System for use in bariatric procedures. Previously, the magnetically controlled surgical device has only had clearance in the U.S. for performing cholecystectomies (gallbladder removal).
The system consists of a small metallic clasping tool that is placed within the treatment area via a laparoscopy port, which was already created for another instrument used during the procedure. It is delivered using a traditional shaft and made to grasp onto soft tissue. Once positioned, the shaft is removed and from there the device can b...
Source: Medgadget - October 22, 2018 Category: Medical Devices Authors: Editors Tags: Ob/Gyn Surgery Urology Source Type: blogs
TransEnterix Gets EU Green Light for Senhance Ultrasonic Instruments for Its Robots
TransEnterix, one of the new competitors in the minimally invasive robotic surgery market, received European CE Mark approval for its Senhance Ultrasonic Instrument System. The instruments are used on the TransEnterix Senhance robitically assisted surgical system, that features haptic remote control of laparoscopic tools that let the surgeon feel what the instruments are coming in contact with, as well as 3D visualization of the internal anatomy thanks to a pair of glasses and a matching 3D capable monitor.
The ultrasonic devices are used to cut or close off different tissues, with minimal thermal effects on other tissues ...
Source: Medgadget - October 1, 2018 Category: Medical Devices Authors: Editors Tags: Ob/Gyn Surgery Urology Vascular Surgery Source Type: blogs
Why do infertile couples waste money on repeated IUI cycles ?
One of the commonest treatment options for infertile patients is IUI or intrauterine insemination.Now this is not because it's the right treatment option, but often this is the only treatment which a lot of gynecologists can offer , because all gynecologists now call themselves infertility specialists as well.After doing a laparoscopy, this is the only treatment option which they can do, because they have nothing else to offer. Part of the problem is that they don't want to lose their patients by referring them to an IVF specialist , even though they know that IVF is the right treatment for them.As a result , the...
Source: Dr.Malpani's Blog - September 25, 2018 Category: Reproduction Medicine Source Type: blogs
FlexDex Intuitive Laparoscopic Instruments Going on Sale in U.S.
Robotic surgical systems, such as those from Intuitive Surgical and TransEnterix, can be prohibitively expensive for many, if not most, hospitals. FlexDex, a company based outside of Detroit, Michigan, offers a much more affordable alternative for performing many minimally invasive procedures. Unlike existing laparoscopic devices, FlexDex’s technology relies on a so called “virtual center” to transfer the movement of the wrist to the tip of the instrument in an intuitive fashion. This allows the user to move the wrist in the same direction as the intended movement of the instrument’s tip and therefo...
Source: Medgadget - August 24, 2018 Category: Medical Devices Authors: Editors Tags: Ob/Gyn Surgery Urology Source Type: blogs
Endometriosis , infertility, laparoscopic surgery and IVF.
Endometriosis is a very common finding in infertile women and is one of the most controversial topics. This is true for multiple reasons. For example, lots of patients with endometriosis have no symptoms at all, and this is an incidental finding either on a vaginal ultrasound scan, which picks up a chocolate cyst, or on a diagnostic laparoscopy done for checking infertility. Now, on an ultrasound scan or a laparoscopy, once the diagnosis is made, then doctors usually get itchy fingers and want to treat it. The treatment is usually doing an operative laparoscopy to remove the lesion, but whether this actually helps the pati...
Source: Dr.Malpani's Blog - August 23, 2018 Category: Reproduction Medicine Source Type: blogs
Why do doctors waste the patient ’s money by doing a laparoscopy for infertile couples ?
Because infertility treatment can be so expensive, patients end up spending a lot of money on this.Part of the problem is because you're never sure whether the treatment is going to result in a baby or not, patients need to be very frugal. They will spend a lot of time searching for a doctor who does laparoscopies for infertility treatment for the least amount of money.The reality is you should not be doing a laparoscopy for infertility. Part of the problem is that laparoscopy has become “routine” , which means this has become a very over used, abused, and misused procedure.Most gynecologists do it routinely,...
Source: Dr.Malpani's Blog - August 5, 2018 Category: Reproduction Medicine Source Type: blogs
