311 Quality of surgery

1995 ◽  
Vol 31 ◽  
pp. S67-S68
Author(s):  
C. McArdle
Keyword(s):  
Quality Of Surgery

scholarly journals Marginal mandibular nerve — a wandering enigma and ways to tackle it

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Adarsh Kudva ◽  
Kiruthika Babu ◽  
Mehul Saha ◽  
Smriti Puri ◽  
Lakshmi Pandey ◽  
...  
Keyword(s):  
Head And Neck ◽  
Neck Surgery ◽  
Mandibular Nerve ◽  
Surgical Approaches ◽  
Main Body ◽  
Branching Pattern ◽  
Marginal Mandibular Nerve ◽  
Critical Measure ◽  
Quality Of Surgery

Abstract Background This study aims to propose surgical approaches intended to localize and preserve the marginal mandibular nerve (MMN) during routinely performed head and neck surgical procedures. Main body of abstract Preservation of the functional integrity of the MMN is a critical measure in the success of orofacial surgeries involving the submandibular triangle. This study systematically reviews the anatomical description of the nerve including origin, course relative to fascial planes, relation to the parotid gland and facial pedicle, branching pattern and anastomosis of nerve and consolidate the findings of several significant studies to determine the “surgically safe” approaches to avoid iatrogenic injury to MMN. Short conclusion The systematic approaches described in this study have helped the authors precisely determine which particular MMN preserving approach to be adopted for each aspect of head and neck surgery. This has definitely enhanced the quality of surgery performed and the postoperative satisfaction of the patients.

scholarly journals D3 LYMPHADENECTOMY IN RIGHT COLONIC RESECTION

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 109-113
Author(s):  
Arshad Ahmed Baba ◽  
Zahid Kaleem ◽  
Fazl Qadir Parray ◽  
Nisar Ahmad Chowdri ◽  
Rouf Ahmad Wani ◽  
...  
Keyword(s):  
Lymph Node ◽  
Lymph Nodes ◽  
Lymph Node Dissection ◽  
Node Dissection ◽  
D3 Lymphadenectomy ◽  
Quality Of Surgery ◽  
Staining Techniques ◽  
Node Metastases ◽  
The Individual

Lymph node dissection in colon cancer is without a doubt necessary, it is just the extent of that dissection that is still under debate. As the individual steps of an oncologic operation cannot be separated from each other, analysis of the significance of lymph node dissection alone is difficult. It has been proven that the T category is directly related to the number and central spread of lymph node metastases. Micrometastases and isolated tumor cells may be detected in lymph nodes by using special staining techniques; their presence may worsen prognosis significantly and approximate it to UICC stage III. The numbers of dissected lymph nodes and the ratio of involved versus dissected lymph nodes have been used as markers for quality of surgery and histopathological evaluation. JMS 2018: 21 (2):109-113

scholarly journals Endometriosis: advances and controversies in classification, pathogenesis, diagnosis, and treatment

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 529 ◽  
Author(s):  
Edgardo Rolla
Keyword(s):  
Special Reference ◽  
Alternative Therapies ◽  
Diagnosis And Treatment ◽  
Deep Infiltrating Endometriosis ◽  
Peritoneal Disease ◽  
Quality Of Surgery ◽  
Diagnosis And Classification ◽  
Ovarian Endometriomas ◽  
Infiltrating Endometriosis

Endometriosis is an enigmatic disease that could start at birth. Its pathogenesis is supported by different theories. Accumulating facts relate it to a multigenic disorder. In this review of recent publications, the principal symptoms of the disease, pain and infertility, as well as its pathogenesis, diagnosis, and classification will be addressed. Endometriosis presents three main variants: superficial peritoneal disease, deep infiltrating endometriosis, and ovarian endometriomas. The management of the disease, surgery, and medical and alternative therapies will be discussed. Special reference will be made to the quality of surgery and how to understand patients with endometriosis and endometriosis.

scholarly journals A case study: Applying quality improvement methods to reduce pre-operative length of stay in a resource-constrained setting in Rwanda

2015 ◽  
Vol 5 (1) ◽  
pp. 41 ◽  
Author(s):  
Ssebuufu Robinson ◽  
Victor Pawelzik ◽  
Abraham Megentta ◽  
Oswald Benimana ◽  
Damascene Mazimpaka ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Problem Solving ◽  
Length Of Stay ◽  
Work Group ◽  
Surgical Patients ◽  
P Value ◽  
Post Intervention ◽  
Quality Of Surgery ◽  
The Impact

Objective: While several studies have focused on improving the quality of surgery, less attention has been paid to reducing pre-operative delays in care. We undertook a hospital quality improvement (QI) effort to reduce pre-operative delays in a teaching hospital in Rwanda. Without a coordinated admission schedule, many surgical patients arriving at the hospital for admissions were turned away because of unavailable beds. For those admitted for surgery, the pre-operative waits were long.Methods: A pre- and post-intervention study was conducted to examine the impact of a QI effort on two metrics: 1) pre-operative length-of-stay (LOS) for elective surgical patients, and 2) the number of elective surgical patients who were turned away on the scheduled admission date. Intervention: A multi-disciplinary work group utilized a Strategic Problem Solving Approach and implemented a centralized patient wait list and new schedule process utilizing the existing resources available at the hospital.Results: The percentage of elective surgical patients with a pre-operative LOS of more than two days was significantly lower in the post-intervention compared with the pre-intervention period (80% versus 26.8%, p-value < .001). The percentage of scheduled patients who were turned away due unavailable inpatient beds significantly decreased from 63.4% to 5.3%, p-value < .001.Conclusions: By following a methodical strategic problem solving approach, the pre-operative LOS was reduced, elective surgical patients turned away due to unavailable beds was decreased at very low financial cost.

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