Novel app may predict hernia risk after abdominal surgery

Researchers have created an app that may predict the likelihood of developing an incisional hernia following an abdominal surgery, using Big Data analytics to potentially help address a problem effects one out of every 8 of these surgical patients.

The team developed the app utilising electronic health records (EHR) to identify the most common risk factors for patients, as well as which surgeries most commonly result in incisional hernias across multiple specialties.

Our tool presents the risk for each case at the point of care, giving surgeons and patients the chance to consider this outcome ahead of time and incorporate data into the decision-making process, said the co-author of the study.

Incisional hernias occur after abdominal surgery at the site of the surgical wound when the contents of the abdomen can push through the muscle.

For the study, the team analysed the EHRs of 29,730 patients undergoing intra-abdominal urological or gynecological surgery between Jan. 2005 and June 2016.

They found more than 1,100 of these patients ended up requiring a second surgery following the primary operation to repair the incision hernias.

Colorectal surgeries were the most common specialty associated with incision hernias, followed by vascular, bariatric and transplant.

The analysis also identified risk factors that made a patient more likely to develop an incisional hernia.

The most common was a history of abdominal surgery, which increased the likelihood in 87.5% of cases. That was followed by a history of smoking and a recent infection 75 % for both. Obesity was also a significant risk, though it was weighted less than other risk factors.

 

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Researchers have created an app that may predict the likelihood of developing an incisional hernia following an abdominal surgery, using Big Data analytics to potentially help address a problem effects one out of every eight of these surgical patients. The team developed the app utilising electronic health records (EHR) to identify the most common risk factors for patients, as well as which surgeries most commonly result in incisional hernias across multiple specialties.

https://www.thehansindia.com/tech/novel-app-may-predict-hernia-risk-after-abdominal-surgery-520910

Researchers have created an app that may predict the likelihood of developing an incisional hernia following an abdominal surgery, using Big Data analytics to potentially help address a problem effects one out of every eight of these surgical patients. The team developed the app utilising electronic health records (EHR) to identify the most common risk factors for patients, as well as which surgeries most commonly result in incisional hernias across multiple specialties.

https://www.thehansindia.com/tech/novel-app-may-predict-hernia-risk-after-abdominal-surgery-520910

Giving birth 10 times lowers mom's cancer risk- but that doesn't mean we've to increase the world's population

Amazingly, women who give birth to 10 or more children are at a reduced risk of developing cancer, a new study has claimed.

Researchers examined cancer risk in nearly 5,000 Finish women who gave birth at least 10 times before 2010.

Over a three-decade period, there were 656 cases of cancer in these women, about 200 fewer cases than would be expected based on cancer rates in the general Finnish population, researchers said.

The rate of new cancer cases was 24 per cent lower among women who delivered 10 or more babies compared to those in the general population, they said.

The rate of new cancer cases for breast cancer and gynecological cancers, including ovarian and endometrial cancer (cancer of the uterus lining), was about 50 per cent lower in women with 10 or more deliveries, compared to the general population.

In the study, women who had 10 or more babies were about five years younger when they gave birth to their first child, compared to average Finnish women, said study researcher Dr Juha Tapanainen, of the Department of Obstetrics and Gynecology at Helsinki University Central Hospital.

It's known that becoming pregnant at a young age helps protect against breast cancer, Tapanainen said.

Many women in the new study who had 10 or more children were members of the Laestadian movement, which is part of the Lutheran Church in Finland, researchers said.

Women in this group are similar to average Finnish women in terms of their lifestyle, but their religion prohibits the use of contraceptives, 'LiveScience' reported.

Studies on the effect of hormonal contraceptives on cancer risk have been inconclusive, but some studies suggest that the contraceptives reduce the risk of ovarian and endometrial cancer.

Thus, it's possible that if Laestadian women in the study also took contraceptives, and still had multiple pregnancies, it would even further reduce their risk of these cancers, Tapanainen said.

The study also linked having 10 babies with a reduced risk of basal cell skin cancer, and an increased risk of thyroid cancer. The reason for this link could not be determined.

ps- this is only for information, always consult you physician before having any particular food/ medication/exercise/other remedies.

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What is laparoscopy, uses and advantages

Laparoscopy is a boon for surgeons and patients alike, as very small cuts are made on the belly, to insert a thin, lighted tube to look at the internal organs.

Gastrointestinal surgery
Removal of the gall bladder and appendix by laparoscopy is now a common occurrence. In advanced centres even the most complicated surgeries can be performed with ease, so a patient with severe pain due to a burst appendix or a gall bladder full of pus can have laparoscopic surgery with early recovery. Huge progress is now being made in surgeries of other conditions like hernias, the small and large intestine, liver and spleen. In fact, laparoscopy is the best way to repair hernias with the least risk of recurrence.

Emergency situations
An important application in emergency situations, especially accidents and severe pain of unknown origin, laparoscopy has been shown to play a crucial role in the management of almost every abdominal emergency offering an initial tool to evaluate the need for surgery as compared with the open surgery. It is a valid alternative in the treatment of the cause of severe pain in abdomen, where surgery can be avoided in many cases and many cases can be managed with laparoscopy leading to almost no pain and early recovery.

Cancers
Cancers, which are surgically resectable can be removed by carefully following all the principles, thus significantly reducing the treatment time and allowing vigorous treatments to be given.

Obesity
Another important application is in the field of obesity surgery. Operating on obese patients is a big challenge and bigger incisions lead to severe pain. However, laparoscopy takes away all these disadvantages and makes it possible to perform weight-loss surgery with lesser complications.

Gynecology and infertility
Another important application of laparoscopy is in the field of gynecology and infertility. It is now possible to treat disorders like endometriosis, which is a common cause of infertility and also to document any other causes of infertility. Removal of the uterus and ovaries is also done by this technique along with surgery for ectopic pregnancy (condition in which pregnancy takes place in a place other than the uterine cavity).

Use of laparoscopy for the diagnosis of acute pain during pregnancy is safe and effective. In fact, one in 500 pregnant women will require surgery for conditions like gallstones, acute appendicitis or other surgical conditions and many studies have proved that laparoscopy improves maternal and fetal outcome.

Laparoscopy involves creating small holes in the abdomen after filling it up with CO2 and inserting the camera through one of these holes, instruments through other holes and operating while visualising on the monitor. The two major advantages as opposed to open surgery are illumination and magnification.

Advantages of laparoscopy
-Smaller incisions-as small as 5 mm
-Minimal blood loss
-Reduction of infection
-Negligible postoperative pain, patients are can walk 2 hours after the surgery
-Speedy recovery, much faster than open surgery
-Early return to normal activity. Patients go back to their office in around 1 week, they can drive and take the stairs
-Minimum respiratory and digestive complications, as breathing and eating is not restricted because of the pain

The wonders of technology when applied to surgery continue to surprise the patients and doctors alike, but here they are all pleasant ones. The biggest reward for a surgeon is when a patient remains pain free and returns back to routine life as fast as a patient without any surgery.

ps- this is only for information, always consult you physician before having any particular food/ medication/exercise/other remedies.

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What is Gynaecological cancer?- Uterine, Vaginal, Vulva, Ovarian, Cervical cancers

Gynaecological cancer is group of cancers that affects a woman's reproductive organs, namely the cervix, uterus, ovaries, fallopian tubes, vagina and vulva. 

Common symptoms of gynaecology cancer
A women suffering with gynaecology cancer, usually shows following symptoms initially. After noticing these symptoms, women should consult a gynaecological oncologist at its earliest.

-Unusual vaginal bleeding or discharge
-Vaginal bleeding during, after sexual intercourse or inter-menstrual bleeding
-White discharge in vagina
-Enlarged lymph nodes in the pelvic area
-Persistent abdominal swelling or bloating

Types of gynaecology cancer

1: Cervical cancer
Cervical cancer is caused by the presence and persistence of the Human Papiloma Virus (HPV), a very common sexually transmitted disease. Cervical cancer usually develops very slowly. It starts as a precancerous condition called dysplasia. This precancerous condition can be detected by a pap smear test. That is why it is so important for women to get regular Pap smears. Most women who are diagnosed with cervical cancer today have not had regular Pap smears or they have not followed up on abnormal Pap smear results.

2: Ovarian cancer
Ovarian cancer is cancer that starts in the ovaries. The ovaries are the female reproductive organs that produce eggs.

Most ovarian cancers are either ovarian epithelial carcinomas (cancer that begins in the cells on the surface of the ovary) or malignant germ cell tumours (cancer that begins in egg cells). Ovarian cancer is hard to detect early. Many times, women with ovarian cancer have no symptoms or just mild symptoms until the disease is in an advanced stage and hard to treat.

 3: Uterine cancer
The two common forms of uterine cancer are cervical (from the neck of the uterus) and endometrial (from the lining of the corpus or body of the uterus). The earliest stage of uterine cancer is called carcinoma in situ (cancer confined to its original site). If not detected and treated properly, cancer cells penetrate into deeper layers of the uterus, then spread to neighbouring organs such as the vagina, bladder or rectum and eventually metastasise to other parts of the body. At higher risk of cervical are women who have unusual bleeding or vaginal discharge between periods, had frequent sex before age of 20 or sex with many partners, and women with poor genital hygiene. The Pap test is highly accurate in detecting cervical cancer at an early stage. It can also show cell changes that could develop into cancer. The Pap test takes but a few minutes, it is completely painless, and can be done in the physicians' office.

 4: Vaginal cancer
Cancer of the vagina is a rare kind of cancer in women. In vaginal cancer, (malignant) cancer cells are found in the tissues of the vagina. There are many different types of cancer of the vagina squamous cell cancer (squamous carcinoma), adenocarcinoma, malignant mela-nomas and sarcomas.

 5: Vulva cancer
Vulva cancer is a rare type of cancer. It forms in a woman's external genitals called the vulva. The vulva includes the inner and outer lips of the vagina, the clitoris (sensitive tissue between the lips), and the opening of the vagina and its glands.



ps- this is only for information, always consult you physician before having any particular food/ medication/exercise/other remedies.
ps- those interested in recipes are free to view my blog-

http://gseasyrecipes.blogspot.com/

for info about knee replacement, you can view my blog-

http://Knee replacement-stick club.blogspot.com/

for crochet designs

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I've not given details about designs, but those interested are free to mail me for the same.