scholarly journals Technique and outcome of day case laparoscopic hiatus hernia surgery for small and large hernias: a five-year retrospective review from a high-volume UK centre

2020 ◽  
Vol 102 (8) ◽  
pp. 611-615
Author(s):  
D Mayo ◽  
A Darbyshire ◽  
S Mercer ◽  
N Carter ◽  
S Toh ◽  
...  
Keyword(s):  
Hiatus Hernia ◽  
Retrospective Review ◽  
High Volume ◽  
Day Case ◽  
Hernia Surgery

scholarly journals Building a model for day case hiatal surgery - Lessons learnt over a 10 year period in a high volume unit: A case series

2018 ◽  
Vol 54 ◽  
pp. 82-85 ◽  
Author(s):  
Pritesh Mistry ◽  
Shafquat Zaman ◽  
Iestyn Shapey ◽  
Markos Daskalakis ◽  
Rajwinder Nijjar ◽  
...  
Keyword(s):  
Case Series ◽  
High Volume ◽  
Day Case ◽  
Lessons Learnt ◽  
Volume Unit

Risk of Distant Metastasis in Parathyroid Carcinoma and Its Effect on Survival: A Retrospective Review from a High-Volume Center

2019 ◽  
Vol 26 (11) ◽  
pp. 3593-3599 ◽  
Author(s):  
Elliot A. Asare ◽  
Angelica Silva-Figueroa ◽  
Kenneth R. Hess ◽  
Naifa Busaidy ◽  
Paul H. Graham ◽  
...  
Keyword(s):  
Distant Metastasis ◽  
Retrospective Review ◽  
Parathyroid Carcinoma ◽  
High Volume ◽  
High Volume Center

scholarly journals ‘True Day Case’ Laparoscopic Cholecystectomy in a High-Volume Specialist Unit and Review of Factors Contributing to Unexpected Overnight Stay

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
A. Solodkyy ◽  
A. R. Hakeem ◽  
N. Oswald ◽  
F. Di Franco ◽  
S. Gergely ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Preoperative Assessment ◽  
High Volume ◽  
District General Hospital ◽  
Day Case ◽  
Day Case Surgery ◽  
Overnight Stay ◽  
Same Day Discharge ◽  
Case Surgery ◽  
Overnight Stays

Introduction. Laparoscopic cholecystectomy (LC) is the gold standard treatment for gallstones. British Association of Day Case Surgery recommends at least 60% of LCs be performed as day cases. The aim of this study was to assess our rate of true day case LCs and review factors preventing same-day discharge. Methods. We prospectively collected data of all elective LCs performed in a district general hospital over 32 months. Results. 500 patients underwent LC during this period; 438 (88.2%) patients were planned day cases and 59 patients (11.8%) planned overnight stays. Of the planned day cases, 75.8% (n=332) were discharged on the same day and 106 (24.2%) had unexpected overnight stay (UOS). Most patients with BMI >35 and ASA3 planned day case patients were successfully discharged. Drain insertion, longer operations, and late recovery departure were the main reasons for UOS. There were more complications in this group compared to day cases. Conclusions. This unit has a high ‘true day case’ rate of 75.8%. High BMI and ASA3 should not be absolute contraindications to day case surgery. The majority of unexpected overnight stays are unavoidable but may be reduced by patient selection, stringent preoperative assessment, operation scheduling, and reduction in unnecessary drain insertion.

scholarly journals Antibiotics Using Pattern in Surgery Department of a Maternity and Children Hospital

2021 ◽  
pp. 395-400
Author(s):  
Nehad J. Ahmed ◽  
Abdulrahman G. Alharbi
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Retrospective Review ◽  
Fusidic Acid ◽  
Critical Care Unit ◽  
Continuous Monitoring ◽  
Educational Programs ◽  
Day Case ◽  
Surgery Department ◽  
Inpatient Department

Aim: This study aimed to identify antibiotics using pattern in surgery department of a maternity and children hospital in Alkharj. Methodology: This is a retrospective review of the drugs that were prescribed in maternity and children hospital in Alkharj from January 2018 to August 2020. Results: The most prescribed antibiotics by emergency department for surgery patients were metronidazole (45.59%) and ceftriaxone (42.65%). Metronidazole IV was the most commonly prescribed antibiotic (38.73%) by inpatient department for surgery patients followed by ceftriaxone (38.73%). Vancomycin vial (43.75%) was the most commonly prescribed antibiotic by critical care unit for surgery patients. The most commonly prescribed antibiotic outpatient department and day case unit for surgery patients by was fusidic acid ointment (35.00%). Conclusion: The study showed that the most commonly prescribed antibiotics for surgery patients were metronidazole and ceftriaxone. Continuous monitoring for antibiotics prescribing is vital to increase the judicious use of these medications and more educational programs and awareness workshops for surgeons are needed.

scholarly journals Complications after Single Anastomosis Duodeno-ileal Bypass with Sleeve Gastrectomy (SADI-S) a Retrospective Review of Cases in a High-volume European Center

2021 ◽  
Vol 233 (5) ◽  
pp. e1-e2
Author(s):  
Arturo Cirera ◽  
Ramon Vilallonga ◽  
Amador Garcia Ruiz de Gordejuela ◽  
Oscar Gonzalez ◽  
Enric Caubet ◽  
...  
Keyword(s):  
Sleeve Gastrectomy ◽  
Retrospective Review ◽  
High Volume ◽  
Single Anastomosis ◽  
Ileal Bypass

Impact of implementing structured note templates on data capture for hernia surgery

2021 ◽  
pp. 183335832110015
Author(s):  
Christopher David Vetter ◽  
John H Kim
Keyword(s):  
Quality Improvement ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Clinical Setting ◽  
Retrospective Review ◽  
Data Capture ◽  
Data Availability ◽  
Hernia Surgery ◽  
Data Completeness ◽  
Clinical Notes

Background: Electronic medical record notes have been determined to be lacking in quality, accessibility and content. Structured note templates could provide a way to improve these aspects, particularly with regard to data availability for research and quality improvement. Objective: To determine whether the implementation of a standardised template for hernia documentation can improve data completeness and timeliness. Method: Retrospective review of clinic notes of 30 patients, 15 prior to implementation of a standardised note template and 15 after implementation of the template. The number of the 21 Americas Hernia Society Quality Collaborative (AHSQC) variables which were present in the notes was recorded, as was the time that the consultation ended and the time that the note was submitted. Results: Mean number of variables collected prior to implementation of the template was 5.9 ± 1.6 vs. 20 ± 0.4 after implementation ( p < 0.001). In the pre-implementation group, 20% of the notes were completed after the day of the visit, while all of the notes in the post-implementation group were completed on the same day as the visit ( p = 0.367). Conclusion: Implementation of a structured note template resulted in significantly improved capture of specific database variables within clinical notes. Structured note templates are an effective tool to improve data capture from the clinical setting for research and quality improvement.

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