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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

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

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

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

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

Is Bariatric Surgery a Prophylaxis for Pelvic Floor Disorders?

Introduction Obesity is one of the well-documented risk factors of pelvic floor disorders (PFDs). The PFDs include urinary and fecal incontinence (UI, FI) and pelvic organ prolapse (POP). Surgery

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

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

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

Laparoscopic surgery for locally advanced T4 colon cancer: the long-term outcomes and prognostic factors

-term outcomes and to identify the prognostic factors in laparoscopic surgery for pT4 colon cancer. Methods The study group included 130 patients who underwent laparoscopic radical resection for pT4 colon ... is a general lack of evidence-based literature concerning laparoscopic surgery for locally advanced colon cancer. Indeed, cases of clinical T4 (cT4) tumor, perforated tumor, and acute bowel obstruction

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

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

General theory of skin reinforcement

composite skin/sWAT as a bilayer system. In a general case, the composite skin/sWAT will be further described as a multilayered system with different layers i having the thicknesses di, Young's moduli Ei ... stiffer skin layer followed by production of cracks and wrinkles in the skin. From the general theory of cracking of layered materials, we appreciate that under stress, the mechanical stability of the

Virtual reality simulation for surgery: from video games to transanal total mesorectal excision

(DTI), allowing simulation of neurosurgical interventions preoperatively [ 4, 5 ]. The field of general surgery is lagging behind other surgical specialties with regard to VR. Up to now, only pilot ... studies have been published about the use of VR in general surgery. These studies have shown that VR training tools improve the laparoscopic skills of both inexperienced and experienced surgeons [ 1

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

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

Use of methylene blue and near-infrared fluorescence in thyroid and parathyroid surgery

Purpose Intraoperative localisation and preservation of parathyroid glands improves outcomes following thyroid and parathyroid surgery. This can be facilitated by fluorescent imaging and methylene ... undergoing thyroid resection (hemithyroidectomy/total thyroidectomy). At thyroid and/or parathyroid surgery under general anaesthesia, the intervention was paused after exposure of the thyroid gland and at

Advancing Global Surgery: Moving Beyond Identifying Problems to Finding Solutions

of North Carolina at Chapel Hill , Chapel Hill, NC , USA 2 & Anthony G. Charles - Over the past two decades, global surgery has evolved into a well-recognized surgical discipline. This has come about ... for several reasons beyond the moral imperative. With the emphasis in global health shifting from communicable to non-communicable diseases, global surgery is now uniquely positioned to expand and take

Inter-center comparison of EasyTube and endotracheal tube during general anesthesia in minor elective surgery

and safety parameters during general anesthesia with the EzT. Methods 400 patients with ASA physical status I-II undergoing general anesthesia for elective surgery in four medical centers (EzT group (n ... ±2 during general anesthesia undergoing minor elective surgery. Background The EasyTube1 (EzT, Well Lead Medical Co., Guangzhou, Panyu, China) is a supraglottic airway device (SAD) that enables

Safety in the operating room during orthopedic trauma surgery—incidence of adverse events related to technical equipment and logistics

Background Safety in the operating room is widely debated. Adverse events during surgery are potentially dangerous for the patient and staff. The incidence of adverse events during orthopedic trauma ... , Sevdalis N ( 2015 ) The impact of intra-operative interruptions on surgeons' perceived workload: an observational study in elective general and orthopedic surgery . Surg Endosc 29 ( 1 ): 145 - 153 4