The impact of hospital grade, hospital-volume, and surgeon-volume on outcomes for adults undergoing appendicectomy
ConclusionPatients operated on in high-volume hospitals benefit from higher rates of laparoscopic surgery and fewer critical care admissions. No significant difference in outcome was noted in those patients operated upon by high- or low-volume surgeons or based on hospital grade. (Source: The Surgeon)
Source: The Surgeon - December 3, 2019 Category: Surgery Source Type: research
Efficacy of open reduction and internal fixation in achieving bony union of comminuted mandibular fractures caused by civilian gunshot injuries
ConclusionComparative clinical trials have proven that ORIF is superior to MMF in the management of comminuted mandibular fractures. Early primary repair and internal fixation provides predictable and cost effective results. (Source: The Surgeon)
Source: The Surgeon - December 3, 2019 Category: Surgery Source Type: research
Mechanical prophylaxis, early mobilisation and risk stratification: as effective as drugs for low risk patients undergoing primary joint replacement. Results in 13,384 patients
ConclusionOur results show that use of early mobilisation and mechanical prophylaxis within an Enhanced Recovery Programme results in comparable VTE rates to chemical prophylaxis for all, which is reflected in the literature. Our results question the need for chemical thromboprophylaxis or extended use of mechanical thromboprophylaxis in “lower risk” patients if a risk stratification policy is used in the context of modern surgical approaches. (Source: The Surgeon)
Source: The Surgeon - December 2, 2019 Category: Surgery Source Type: research
IVC filter removal after extended implantation periods
ConclusionRetrievable inferior vena cava filters are not benign and practitioners need to be aware of regulatory guidelines. Unretrieved filters can be successfully retrieved using standard and advanced methods with low morbidity and mortality. (Source: The Surgeon)
Source: The Surgeon - November 26, 2019 Category: Surgery Source Type: research
Reply to neurosurgical education in Ireland; a conference and medical student experiences
Publication date: Available online 25 November 2019Source: The SurgeonAuthor(s): Shujhat Khan (Source: The Surgeon)
Source: The Surgeon - November 26, 2019 Category: Surgery Source Type: research
List of editors
Publication date: December 2019Source: The Surgeon, Volume 17, Issue 6Author(s): (Source: The Surgeon)
Source: The Surgeon - November 15, 2019 Category: Surgery Source Type: research
Contents list
Publication date: December 2019Source: The Surgeon, Volume 17, Issue 6Author(s): (Source: The Surgeon)
Source: The Surgeon - November 15, 2019 Category: Surgery Source Type: research
Trainee experience of ‘out of hours’ surgical working in the UK: A cross-sectional analysis
ConclusionsThe participants perceived that the systems supporting delivery of safe surgical care OOH were inadequate. Hospital leaders should ensure that systems minimise risk to staff and patients. (Source: The Surgeon)
Source: The Surgeon - November 10, 2019 Category: Surgery Source Type: research
Percutaneous tibial nerve stimulation can improve symptoms and quality of life in selected patients with faecal incontinence – A single-centre 5-year clinical experience
ConclusionPercutaneous tibial nerve stimulation is one of the forms of neuromodulation available for the treatment of faecal incontinence and urgency in patients who failed conservative management. This study has shown that in carefully selected, motivated patients, the use of PTNS in conjunction with regular counseling from a specialist practitioner in pelvic floor disorders can improve both the symptoms and quality of life of patients with faecal urgency and mild faecal incontinence with improvements in symptomology maintained for up to 5 years. (Source: The Surgeon)
Source: The Surgeon - November 5, 2019 Category: Surgery Source Type: research
Surgical treatment for non-parasitic liver cysts improves quality of life
ConclusionsSurgery is a safe and effective strategy to significantly improve QoL in patients with symptomatic liver cysts. (Source: The Surgeon)
Source: The Surgeon - November 1, 2019 Category: Surgery Source Type: research
Total thyroidectomy for Graves' disease-what do our patients think? A qualitative cohort study to evaluate the surgical management of Graves' disease
ConclusionOverall, the GBI scores are positive, thereby showing an improvement in quality of life since having total thyroidectomy for Graves. Pre-operative communication was of paramount importance. It should be made clear to patients that they will require medication after surgery. The majority of patients stated they would prefer to know about “minor” post -operative side effects like weight gain or mood change post op. This highlights the importance of the consenting process- Montgomery Ruling-that clinicians explain the risks involved with surgery according to what the patient would deem a risk. In addition, they ...
Source: The Surgeon - October 19, 2019 Category: Surgery Source Type: research
Single stage immediate breast reconstruction with acellular dermal matrix and implant: Defining the risks and outcomes of post-mastectomy radiotherapy
ConclusionADM based reconstruction in patients anticipated to receive adjuvant RT is always debatable. Though there is no significant difference in the revision surgeries in our study of the 2 groups, the rate of capsular contracture as expected, was higher in the RT group. Hence, pre-operative discussion on the need for RT highlighting the risks and complications will help patients make a better-informed choice. (Source: The Surgeon)
Source: The Surgeon - October 19, 2019 Category: Surgery Source Type: research
Is repairing giant hiatal hernia in patients over 80 worth the risk?
Publication date: Available online 18 October 2019Source: The SurgeonAuthor(s): Oleksandr Khoma, Miho Mugino, Gregory L. FalkAbstractPatients with giant hiatal hernia (GHH) are often symptomatic and have significantly reduced quality of life (QoL). Advanced age is a predictor of increased morbidity and mortality in open hiatal surgery, however, outcomes of laparoscopic surgery in patients over the age of 80 are limited to case reports and small case series.Data was extracted from a prospectively maintained database. Consecutive patients over the age of 80 with GHH that have undergone surgery were included. Peri-operative m...
Source: The Surgeon - October 18, 2019 Category: Surgery Source Type: research
Impact of weekend effect on postoperative mortality in patients undergoing emergency General surgery procedures: Meta-analysis of prospectively maintained national databases across the world
ConclusionsThe weekend effect in emergency General Surgery is variable across the world. Although it seems to be significant in the USA and Europe, it does not increase the risk of postoperative mortality in the UK. Future studies should focus on differences in staffing levels and available resources at weekends in emergency General surgery settings across the world. (Source: The Surgeon)
Source: The Surgeon - October 18, 2019 Category: Surgery Source Type: research
Risk awareness for proton pump inhibition: Necessitates review of recommendations in anti-reflux disease
Publication date: Available online 11 October 2019Source: The SurgeonAuthor(s): Gregory L. Falk (Source: The Surgeon)
Source: The Surgeon - October 12, 2019 Category: Surgery Source Type: research
