Surgical treatments and procedures Archive

Elevated LDL cholesterol contributes to cardiovascular disease. Taking statin drugs can substantially lower this risk. But what if a person's LDL level remains too high on their maximally tolerated dose? An expert consensus report lays out a clear path for next steps.

A 2022 study found that physical therapy works as well as surgery for degenerative meniscal tears in the knee, an injury related to tissue aging that can lead to osteoarthritis. This approach offers an alternative for people concerned about surgery's costs and possible complications.

Groundbreaking cancer treatments continuously emerge from labs and research trials. Three Harvard oncologists share what stands out in their respective fields of prostate, lung, and colon cancer, the most common cancers among men. Examples include greater roles for immunotherapy, targeted therapy, and intensive hormonal treatments.

In recent years, treatment options for inflammatory bowel disease have expanded rapidly, with new types of drugs, new medications within existing classes, and new combinations of treatments for some patients.

Weight-loss surgery is now viewed as a way to both prevent and treat health problems linked to extreme obesity, such as diabetes, heart disease, and sleep apnea. Annually, more than 250,000 Americans undergo bariatric procedures, which can help extend their lives. Weight-loss procedures include sleeve gastrectomy, gastric bypass, and gastric banding, which reduce stomach size and change the way the body absorbs food. The surgery adds to other weight-loss measures such as diet, exercise, and medications.

Certain medications are safer and more effective than others for treating spine pain in older adults, according to a recent study. Among these are the over-the-counter drugs acetaminophen (Tylenol) and ibuprofen (Advil) and some nerve pain drugs, muscle relaxants, and antidepressants.

Everyone experiences acute (short-term) diarrhea at some time. The unpleasant experience often resolves on its own in a few days, but there are situations that require medical attention. Examples include bloody diarrhea, severe abdominal pain, a high fever, and episodes that continue for a week or longer. A medical consultation can help determine if diarrhea is related to a specific bacterium or parasite, a medication side effect, a food intolerance, or an inflammatory bowel disease.

Men often have a hard time coping with incontinence (urine leakage). It can leave them feeling depressed or socially isolated. Types of leakage problems in men include urge, stress, and overflow incontinence. Treatment depends on the type of incontinence a man is experiencing. For example, overflow incontinence may get better with a procedure to reduce the size of the prostate; medications, injections in the bladder muscle, and pelvic floor exercises can help with urge incontinence.

After surgery unrelated to the heart, a diagnosis of atrial fibrillation (afib) may be more common than previously thought. These cases, which may constitute 13% of new afib diagnoses, appear to be undertreated.

Vascular dementia, which arises from longstanding, cumulative damage to small blood vessels in the brain, may cause or contribute to up to half of cases of dementia. The vessels may thicken or become blocked by blood clots, causing tiny strokes that damage specific parts of the brain important for various thinking abilities. Keeping blood pressure in the recommended range of 120/80 or lower is the best way to prevent vascular dementia.