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Comparing Efficacy of Weight-Loss Procedures

When compared with laparoscopic bypass procedures, Roux-en-Y gastric bypass (RYGB) surgery appears to have similar rates of overall complications and lower rates of reoperations when these operations are performed in high-volume centers by expert surgeons, according to a University of California, San Francisco study. Excess weight loss (36% vs 64%), resolution of diabetes (50% vs 76%), and quality-of-life measures were better in the RYGB group in the analysis, conferring a better risk-benefit profile than laparoscopic bypass procedures. [xyz_lbx_custom_shortcode id=3] [xyz_lbx_custom_shortcode...
Laparoscopy: Surgeons Suffer Occupational Injuries

Laparoscopy: Surgeons Suffer Occupational Injuries

Compared to open surgical techniques, there is no doubt that laparoscopy provides patients with improved safety, quicker recovery, shorter hospital stays, and cosmetic advantages — but at what cost to the surgeons? New research has found that surgeons who perform laparoscopic surgery appear to experience greater physical stress and mental strain compared to open surgery. And the toll may be much greater than what was previously assumed. A recent study by Adrian E. Park, MD, published in the Journal of the American College of Surgeons, sought to confirm the prevalence of minimally invasive surgery-related operator symptoms and discomforts within a broad population of laparoscopic surgeons. Of more than  300 laparoscopic surgeons who completed a comprehensive survey, nearly 87% reported experiencing physical discomfort or symptoms they attributed to performing minimally invasive surgery — a staggering statistic that extends far beyond previous estimated rates of discomfort, which ranged between 20% and 30%. “Focus is always on the tip of the spear — where it will affect and interact with the patient,” Dr. Park explains to Physician’s Weekly. “More focus should be directed at the other end of the spear, where it’s being manipulated. Our survey results serve not only as a contribution to the scientific literature but a clarion call to all who have a stake in the quality and safety of surgical care.” For more results from the survey, read the full article, Laparoscopy: Patients Benefit, But Do Surgeons...

Laparoscopy: Patients Benefit, But Do Surgeons Suffer?

When compared with open surgical techniques, the benefits of minimally invasive surgery have been well documented in medical literature, including increased safety, quicker recovery, shorter hospital stays, and cosmetic advantages. Nonetheless, surgeons who perform a majority of their cases laparoscopically appear to encounter physical stress and mental strain beyond what they experience when performing open surgery. New survey findings suggest that surgeon burden may be greater than previously assumed. “Surgeon injuries appear to be a significant problem that not only affects surgeons but also all stakeholders in the delivery of healthcare, particularly surgical care,” says Adrian E. Park, MD. “Any type of surgery, particularly minimally invasive surgery, takes a physical and mental toll on surgeons. They continuously adapt to ensure the best outcome for patients, often dipping hugely into their own health reserve. We’re not going to serve our patients, the public, or the healthcare system well if we have prematurely shortened careers because of the physical tolls and cognitive ravages of what we do.” Scant literature is available on the extent to which strain during laparoscopy affects surgeons’ bodies when compared with open surgery. In a study in the March 2010 Journal of the American College of Surgeons, Dr. Park and colleagues published a study that sought to confirm the prevalence of minimally invasive surgery-related operator symptoms and discomforts within a broad population of laparoscopic surgeons. Since previous surveys, the adoption rate of minimally invasive procedures has steadily grown, and more surgeons are now performing these surgeries than ever before. According to findings from the study, a fairly astounding number of injuries or symptoms were related to occupation...
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