Role of the pulmonologist in a thoracic surgery department

Background: the present study was under taken to determine the role of CA-125 in the diagnosis of acute appendicitis (AA), to prevent its complications and also in preventing negative appendicectomies in tertiary care hospital. Methods: The study was conducted at a tertiary care and research center between 01/03/2018 to 30/06/2019. Patients admitted to the surgery department with diagnosis of AA were considered for the study. After informed consent, a, standardized history was obtained as a case Performa. Serum samples from all the cases with clinical diagnosis of AA were obtained and stored. Only the cases with histopathologically approved AA were included in the study. Cases operated for clinical diagnosis of AA, but not histopathologically proven AA was not included in the study. CA125 levels in cases with definitive diagnosis of AA were measured. Results: In present study, ROC curve analysis revealed the sensitivity of 87.27 % and specificity of 90.91 % when the CA 125 cut-off value of > 16.8 was taken to diagnose acute appendicitis. AUC was 0.911 with a standard error of 0.0292. Conclusion: In this study we have observed that CA125 showed a positive correlation with acute appendicitis, that was statistically not significant (P>0.05). We didn’t evaluate the correlation with the disease severity. We consider that CA125 can be used as a marker in acute appendicitis cases although further research is still needed. Keywords: CA125, Acute Appendicitis, Surgery.

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Role of Thoracic Surgery for Childhood Tuberculosis

World Journal of Surgery ◽

10.1007/pl00012271 ◽

1997 ◽

Vol 21 (5) ◽

pp. 468-474 ◽

Cited By ~ 24

Author(s):

John P. Hewitson ◽

Ulrich O. Von Oppell

Keyword(s):

Thoracic Surgery ◽

Childhood Tuberculosis

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Post-Traumatic Pyothorax: Epidemiology, Management and Prognosis in the Thoracic Surgery Department of the Donka National Hospital

Open Journal of Thoracic Surgery ◽

10.4236/ojts.2021.114011 ◽

2021 ◽

Vol 11 (04) ◽

pp. 83-88

Author(s):

Camara Alpha Kabinet ◽

Camara Soriba Naby ◽

Balde Oumar Taibata ◽

Diallo Amadou Sarah ◽

Camara Mama Aissata ◽

...

Keyword(s):

Thoracic Surgery ◽

National Hospital ◽

Post Traumatic ◽

Surgery Department

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The Role of Ultrasound and Air Leak Measurement in Assessing Lung Expansion after Thoracic Surgery

Surgical Science ◽

10.4236/ss.2015.68052 ◽

2015 ◽

Vol 06 (08) ◽

pp. 352-357

Author(s):

Abraham Chavarín ◽

Laureano Molins ◽

Jose M. Mier ◽

Juan J. Fibla ◽

Cristina Izquierdo-Vidal ◽

...

Keyword(s):

Thoracic Surgery ◽

Air Leak ◽

Lung Expansion

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70th ANNIVERSARY OF THE DEPARTMENT OF PEDIATRCI SURGERY OF N. N. BURDENKO VORONEZH STATE MEDICAL UNIVERISTY

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care ◽

10.30946/2219-4061-2018-8-4-97-104 ◽

2019 ◽

Vol 8 (4) ◽

pp. 97-104

Author(s):

V. A. Vecherkin ◽

S. N. Gisak ◽

V. A. Ptitsyn ◽

N. V. Glagolev ◽

D. A. Baranov ◽

...

Keyword(s):

Pediatric Surgery ◽

Research Work ◽

Gold Medal ◽

Practical Work ◽

70Th Anniversary ◽

History Of ◽

Surgery Department ◽

Medical University

The article considers the history of the pediatric surgery department of N. N. Burdenko Voronezh State Medical University. The department was founded in 1947. Based on the results of the research undertaken by associates of the department by now, 3 manuals for doctors and students and 12 collections of scientifc papers were issued and 12 investor’s certifcates were obtained. The role of the Student’s scientifc circle was noted: the students struck 5 gold medals during the last fve years. During the last 8 years, the scientifc circle was considered the best and was awarded a gold medal and frstclass honours degree. A close interrelation between the research work of associates of the pediatric surgery department and practical work of pediatric surgeons from the Central Black Earth region was underlined.

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Endoscopic Retrograde Cholangiopancreatography in General Surgery: How Much are We Outsourcing?

The American Surgeon ◽

10.1177/000313480907501104 ◽

2009 ◽

Vol 75 (11) ◽

pp. 1050-1053

Author(s):

Wesley B. Jones ◽

Richard H. Roettger ◽

William S. Cobb ◽

Alfredo M. Carbonell

Keyword(s):

Endoscopic Retrograde Cholangiopancreatography ◽

Tertiary Care ◽

Patient Characteristics ◽

Surgical Patients ◽

Time Interval ◽

Endoscopic Retrograde ◽

Care Surgery ◽

Surgery Department ◽

Nonsurgical Patients

Although surgeons can safely perform endoscopic retrograde cholangiopancreatography (ERCP), it has fallen within the domain of gastroenterologists. We sought to quantify the role of ERCP in a tertiary-care surgery department. The hospital discharge database was queried for all ERCPs performed from January 2007 to December 2007. Gastroenterologists performed all ERCPs in our query. Surgical patients were admitted and/or under the care of a surgeon; whereas nonsurgical patients had no surgeon involvement. Patient characteristics and diagnoses were compared between groups. ERCP procedural details were recorded. Surgical patients comprised 48 per cent (n = 151) of the total 311 ERCPs performed. The mean time interval from a surgeon's request for ERCP to actual procedure was 2.43 days (standard deviation [SD] 2.55; range, 0-13 days). The surgical group had significantly different diagnoses and underwent less diagnostic (22% vs 56%) and more therapeutic ERCPs (72% vs 38%). Surgical patients were more likely inpatients (82.1% vs 16.8%) with a longer length of stay (6.7 vs 3.9 days; P = 0.0029) compared with nonsurgical patients. We found surgical patients requiring ERCP differ significantly from nonsurgical patients, with a significant number of technical interventions being outsourced. Given the benefits of a surgical ERCP program and the potential volume of these unique patients, this procedure should be performed by appropriately trained surgeons.

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Using Lean Six Sigma to improve rates of day of surgery admission in a national thoracic surgery department

International Journal for Quality in Health Care ◽

10.1093/intqhc/mzz083 ◽

2019 ◽

Vol 31 (Supplement_1) ◽

pp. 14-21 ◽

Cited By ~ 3

Author(s):

Rachel Brown ◽

Petra Grehan ◽

Marie Brennan ◽

Denise Carter ◽

Aoife Brady ◽

...

Keyword(s):

Thoracic Surgery ◽

Six Sigma ◽

Performance Indicator ◽

Enhanced Recovery ◽

Lean Six Sigma ◽

Process Efficiency ◽

Secondary Outcome ◽

Operational Process ◽

Day Of Surgery Admission ◽

Surgery Department

Abstract Objective The aim of this study is to improve rates of day of surgery admission (DOSA) for all suitable elective thoracic surgery patients. Design Lean Six Sigma (LSS) methods were used to enable improvements to both the operational process and the organizational working of the department over a period of 19 months. Setting A national thoracic surgery department in a large teaching hospital in Ireland. Participants Thoracic surgery staff, patients and quality improvement staff at the hospital. Intervention(s) LSS methods were employed to identify and remove the non-value-add in the patient’s journey and achieve higher levels of DOSA. A pre-surgery checklist and Thoracic Planning Meeting were introduced to support a multidisciplinary approach to enhanced recovery after surgery (ERAS), reduce rework, improve list efficiency and optimize bed management. Main Outcome Measure(s) To achieve DOSA for all suitable elective thoracic surgery patients in line with the National Key Performance Indicator of 75%. A secondary outcome would be to further decrease overall length of stay by 1 day. Results Over a 19 month period, DOSA has increased from 10 to 75%. Duplication of preoperative tests reduced from 83 to <2%. Staff and patient surveys show increased satisfaction and improved understanding of ERAS. Conclusions Using LSS methods to improve both operational process efficiency and organizational clinical processes led to the successful achievement of increasing rates of DOSA in line with national targets.

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