scholarly journals Facing the faceless patients – the emerging challenges of identity fraud in general surgery: A case series

2018 ◽  
Vol 53 ◽  
pp. 403-405
Author(s):  
Jason Cui ◽  
Rasika Hendahewa
2011 ◽  
Vol 93 (6) ◽  
pp. 437-440 ◽  
Author(s):  
N Greaves ◽  
J Nicholson

Single incision laparoscopic surgery (SILS) is a rapidly developing field that may represent the future of laparoscopic surgery. The major advantage of SILS over standard laparoscopic surgery is in cosmesis, with surgery becoming essentially scarless if the incision is hidden within the umbilicus. Only one incision is required so the risk of potential complications like port site hernias, haematomas and wound infection is reduced. The trade-off for this is a technically more challenging procedure with different underlying principles to that of traditional laparoscopic surgery. A wide variety of new equipment has been developed to support SILS and the range of procedures that are amenable to the technique is increasing. To date most of the published data relating to SILS are in the form of case series, with the first large randomised controlled trials due to be completed by the end of 2012. The existing evidence suggests that SILS is similar to standard laparoscopic surgery in terms of complication rates, completion rates and post-operative pain scores. However, the duration of SILS is longer than equivalent laparoscopic procedures. This article discusses SILS with regard to its applications in general surgery and reviews the evidence currently available.


2020 ◽  
Vol 9 (4) ◽  
pp. CRC22
Author(s):  
Mahdi Alemrajabi ◽  
Mohammad Moradi ◽  
Esmail Amiri ◽  
Masoud Vahdani

After the outbreak of COVID-19, several issues in the field of general surgery have remained unknown. Here we present two consecutive patients operated on in a coronavirus center in February 2020, during the outbreak in Tehran, Iran. Moreover, we highlight some challenges surgeons face in the management of these patients during the outbreak. We suggest surgeons to perform the safest technique with the least risk. In borderline conditions, it is suggested to prefer stoma over anastomosis. This lessens the course of hospitalization and probable complication rates. We suggest establishing clean centers and prepare guidelines for the general surgery team members to lessen the risk for patients and healthcare providers.


2020 ◽  
Vol 75 ◽  
pp. 55-59 ◽  
Author(s):  
Yuanbing Yao ◽  
Yong Liu ◽  
Zheng Li ◽  
Bo Yi ◽  
Guohui Wang ◽  
...  

2018 ◽  
Vol 28 (1) ◽  
pp. 28944
Author(s):  
Fernanda Maria F. do Carmo Lemos ◽  
Igor de Sousa Lemos Fernandes ◽  
Itágores Hoffman I Lopes S. Coutinho ◽  
Pedro Manuel Gonzalez Cuellar

AIMS: To observe the acquisition of skills in videolaparoscopic surgery in a group of residents of general surgery, after training in a high fidelity simulator.METHODS: Case series with a qualitative, descriptive and applied approach. The participants were residents of general surgery who had already completed the surgical techniques module and accomplished the training in a high-fidelity simulator of videolaparoscopy. Data were collected through a semi-structured questionnaire applied to the residents after the training and interviews with the preceptors surgeons, recorded between one year and a year and a half after the training, when the residents were already performing the procedure in real patients.RESULTS: According to the inclusion criteria, the responses of seven general surgery residents were analyzed. After simulator training, they reported to have acquired skills in videolaparoscopic procedures. Two among the interviewed residents mentioned that they have had difficulties in performing the tasks due to the high sensitivity required by the simulator in some procedures. The "Six-Steps" methodology used during simulator training was well accepted by the residents. The importance of the presence of a tutor during the use of the simulator was pointed out. The videolaparoscopic surgery preceptors reported that skills acquired by the residents after training in the high-fidelity simulator were transferred to the same procedure in real patients.CONCLUSIONS: The present study allows to conclude that, according to the technical perception and criticals of residents and preceptors of the medical residency program in general surgery, the standardized training using the high-fidelity videolaparoscopic surgery simulator has proved to be effective for skills acquisition by this group of residents, including future surgical procedures in real patients.


2020 ◽  
Vol 10 (4) ◽  
Author(s):  
Vinh Hung Tran

Objectives: Since November 2016 the Robotic surgery has been initially applied on adult patients for the first time in Vietnam. The aim of the study was to evaluate the outcomes of application of the da Vinci SiTM robot in General Surgery and Urology at Binh Dan Hospital in over 03 years. Materials and Methods: From November 2016 to July 2020, the prospective case-series study for 1030 cases including: 324 cases in General Surgery + Thoracic Surgery cases and 706 cases in Urology are operated by the da Vinci SiTM robot system. We evaluated the short-term outcomes. Results: In 324 cases of General Surgery: 134 rectal cancer cases, 92 colon cancer cases, 50 hepatobiliary surgery cases, 34 gastric cancer cases, 09 thoracic surgery cases, 04 esophageal surgery cases, 01 hiatus hernia case. In 706 cases of Urology: 264 cases of prostate cancer, 214 cases of adrenal and kidney tumors, 160 cases of bladder tumor, 30 cases of ureteropelvic junction obstruction cases, 20 cases of upper tract transitional cell tumor, 09 cases of genital prolapse, 05 cases of retroperitoneal tumor, 02 cases of tumors beside the seminal vesicles, 01 case of patent urachus cancer, 01 case of urethra cancer. Conclusions: Robotic surgery, with many advantages than conventional laparoscopic surgery thanks to technological innovations (3D-HD monitor and optical system, the robotic arms with wrists, the comfortable console table, precise surgical…) has helped the surgeons to perform the sophisticated procedures in the narrow space easily with shorter learning curves. Our initial series of 1030 cases operated by this system have achieved encouraging outcomes.


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