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Combined epidural-general anesthesia was associated with lower risk of postoperative complications in patients undergoing open abdominal surgery for pheochromocytoma: A retrospective cohort study

Background Current evidences show that regional anesthesia is associated with decreased risk of complications after major surgery. However, the effects of combined regional-general anesthesia remain ... transfusion after surgery [12]. However, whether combined regional-general anesthesia has advantage over simple general anesthesia remains controversial. We hypothesized that, for patients who planned to

Emergency General Surgery: evolution of a subspecialty by stealth

Background Emergency surgical patients account for around half of all NHS surgical workload and 80 % of surgical deaths. Few trainees opt to CCT in General Surgery, and there is no recognised

Surgery and quantum physics

novel data on endocrine surgery, esophago-gastrointestinal surgery, colorectal surgery, hepato-bilio-pancreatico-digestive disease management, and treatment of infectious disorders of the skin. Again, it

Current status of international experiences in general surgery residency programs in the United States

Background The aim of this study is to identify, quantify, and characterize the international experiences available for general surgery residents in the general surgery residency programs in the

Obesity – a risk factor for postoperative complications in general surgery?

complications and long-term survival after surgery. Methods A single-centre prospective analysis of postoperative complications in 4293 patients undergoing general surgery was conducted, with a median follow-up ... for underweight patients. Our findings suggest that a tendency to regard obesity as a major risk factor in general surgery is not justified. It is the underweight patient who is most at risk of major

Perioperative Complications are Associated With Adverse Long-Term Prognosis and Affect the Cause of Death After General Surgery

describes long-term mortality rates and causes of death in a general surgical population. Furthermore, we explore the effect of postoperative complications on mortality. Methods A single-centre analysis of ... surgery requiring hospitalization or day-case surgery was also collected. Finally, we documented the type of anaesthesia, divided into general and/or regional. Validation of the database using a random

General Personnel Issues

complying with the FLSA is not an onerous burden as a general rule. Likewise, paying equal pay for men and women to perform the same work without differentiation based upon sex should come as a matter of ... open heart surgery in February, March or April of 1989, the value of the cost for those health insurance benefits is taxable. Section 89 will also add new non-discrimination requirements with respect to

Proactive care of older people undergoing surgery

The number of older patients undergoing surgery is increasing due to changing demographics, surgical and anaesthetic advances and shifts in patient expectations of healthcare. The benefits of surgery ... expectancy. However, older surgical patients present not only with the index pathology requiring surgery but with concurrent age related physiological decline, multimorbidity and geriatric syndromes. These

Evaluating displacement of lamina cribrosa following glaucoma surgery

patients underwent glaucoma surgery. Sixteen patients underwent trabeculectomy, and 14 patients undertook NPDS. Serial horizontal B-scan images of optic nerve head (ONH) were obtained using SD-OCT ... significant postoperatively. Multivariate analysis for all patients including age, magnitude of IOP reduction, baseline glaucomatous LC displacement, magnitude of LC displacement, and the type of surgery

Survival After Emergency General Surgery: What can We Learn from Enhanced Recovery Programmes?

Enhanced recovery after surgery (ERAS) has been adopted by many centres and across whole healthcare systems. The results have shown significant reductions in length of stay and postoperative

A Systematic Review of Patient-reported Outcomes in Randomized Controlled Trials of Unplanned General Surgery

Unplanned general surgery represents a major workload and requires comprehensive evaluation with appropriate outcomes. This study aimed to summarize current reporting of patient-reported outcomes

The Society of European Robotic Gynaecological Surgery (SERGS) Pilot Curriculum for robot assisted gynecological surgery

general applicable guideline for systematic training in robot-assisted surgery, a definite curriculum should have a more definite timeline and implementation of a structured assessment of performance. ... Surgery Institute (ORSI) cvba , Melle , Belgium 5 Department of Obstetrics and Gynecology, Universitat da Barcelona , Barcelona , Spain 6 Department of Obstetrics and Gynecology, Skane University Hospital

Erratum to: Obesity – a risk factor for postoperative complications in general surgery?

SBJC, Valentijn TM, Hoofwijk AGM, Stolker RJ 2 Department of surgery , Orbis 3 Department of anesthesiology, Erasmus University Medical Centre , Room initials for each author. The corrected author list

Damage control operations in non-trauma patients: defining criteria for the staged rapid source control laparotomy in emergency general surgery

Background The staged laparotomy in the operative management of emergency general surgery (EGS) patients is an extension of trauma surgeons operating on this population. Indications for its

Cadaveric surgery in core gynaecology training: a feasibility study

increase in surgical self-confidence and efficacy. This will form the basis of a larger study and needs to be explored in more depth with a larger population. Cadaveric surgery; Laparoscopy training ... ; Gynaecological surgery; Surgical confidence Background It is now an expectation that an integral part of surgical training should include meaningful simulation prior to live patient operating wherever possible

Advances in stereotactic navigation for pelvic surgery

Background Stereotactic navigation could improve the quality of surgery for rectal cancer. Critical challenges related to soft tissue stereotactic pelvic navigation include the potential difference ... , Amsterdam , The Netherlands 2 IRCAD/ EITS, Department of General, Digestive and Endocrine Surgery, Nouvel Hôpital Civil, University Hospital of Strasbourg , Strasbourg , France 3 A. R. Wijsmuller 4 IHU

Risk Prediction Model for Severe Postoperative Complication in Bariatric Surgery

Background Factors associated with risk for adverse outcome are important considerations in the preoperative assessment of patients for bariatric surgery. As yet, prediction models based on ... , Sweden 2 Department of Surgery, Faculty of Medicine and Health, Örebro University , Örebro , Sweden 3 Erik Stenberg 4 Division of Surgery, Department of Clinical Sciences, Danderyd Hospital, Karolinska

Practice of Surgery—Decision, Precision, Incision

& Safdarjung Hospital , New Delhi , India 1 Lady Hardinge Medical College , New Delhi , India 2 Chintamani Department of General and Laparoscopic Surgery, Ganga Ram Institute of Postgraduate Medical Education ... and Research (GRIPMER) , New Delhi , India BHappy is he who has no serious consequences of his erroneous diagnosis to regret^ Fredrick H Marsh Safe practice of surgery and safety in surgery have always

Minimally Invasive Spine Surgery

those with certain medical comorbidities will remain more appropriate candidates for inpatient surgery such that appropriate perioperative medical care may be provided. However, as a general rule, the ... such as urologic and general surgery. Technological advances allow robotically assisted minimally invasive surgery in which the surgeon either controls the robotic instruments through a direct

Interior renovation of a general practitioner office leads to a perceptual bias on patient experience for over one year

Introduction Measuring patient experience is key when assessing quality of care but can be biased: A perceptual bias occurs when renovations of the interior design of a general practitioner (GP ... Spitalzentrum Biel , Biel, Switzerland, 2 General Practice Office, Grenchen , Switzerland , 3 Institute of Primary Health Care (BIHAM), University of Bern , Bern , Switzerland 1 Editor: Kimon Bekelis, Dartmouth