scholarly journals The history of neurosurgery in Bolivia and pediatric neurosurgery in Santa Cruz de la Sierra

2013 ◽  
Vol 4 (1) ◽  
pp. 123 ◽  
Author(s):  
CarlosB Dabdoub ◽  
CarlosF Dabdoub
2020 ◽  
Vol 41 (S1) ◽  
pp. s293-s293
Author(s):  
Corinne Bergeron ◽  
Pamela Doyon-Plourde ◽  
Chantal Veronneau ◽  
Caroline Quach

Background: Neurosurgeries are at high risk of surgical site infections (SSI), a complication associated with increased morbidity, mortality, and cost. Our aim was to measure SSI incidence and risk factors following pediatric neurosurgery at CHU Sainte-Justine, the provincial center for pediatric craniofacial surgery in Québec, Canada. Methods: Retrospective cohort study of all patients with elective neurosurgery performed at CHUSJ between October 2014 and October 2018. Medical records were reviewed to compare demographics, clinical presentations, and outcomes of patients. SSIs occurring within 30 days of a procedure without implant and up to 90 days with implant, were identified. SSI incidence was measured in patient years, and risk factors were assessed using univariate logistic regressions. Results: In total, 379 patients were included with an overall SSI incidence of 3.96 patient years. We found a higher SSI incidence in 2014–2015 compared to 2016–2018 (1.82 vs 4.83 patient years). The median age was 3.90 years, and cases seemed younger than controls (1.45 vs 4.15 years). No difference between groups was found for sex, body mass index, prematurity, and length of hospitalization. The proportion of deep SSIs was greater than superficial SSIs (53.3% vs 46.7%). Cases were more likely to present with a more severe ASA score, previous history of neurosurgery, neurological conditions, and pulmonary conditions than controls: OR, 3.90 (95% CI, 1.36–11.49); OR, 2.59 (95% CI, 0.88–7.40); OR, 2.77 (95% CI, 0.98–8.41), and OR, 3.21 (95% CI, 0.86–9.94), respectively. Among patients with history of neurosurgery, a higher proportion of cases experienced a cerebrospinal fluid leak (28.6% vs 2.2%). Most patients (85.8%) received preoperative prophylactic antibiotic. Of those, 49.3% were considered appropriate based on antibiotic and timing of administration. When antibiotic dosage was also considered, the number of patients who received an appropriate antibiotic therapy decreased radically. Conclusions: Patients with comorbidities, especially neurological and pulmonary conditions, are at higher risk of SSI after neurosurgery. We are currently working on a detailed analysis to explain the increase in SSI incidence after 2016. Finally, prophylactic antibiotic therapy needs to be improved and its impact on SSI rates needs to be monitored.Funding: NoneDisclosures: None


2021 ◽  
Vol 135 (6) ◽  
pp. 1849-1856
Author(s):  
Christopher L. Taylor

The history of neurosurgery at UT Southwestern Medical Center in Dallas, Texas, is reviewed. Kemp Clark, MD, started the academic neurosurgical practice at Parkland Hospital in 1956. Clark developed a robust training program that required the resident to operate early. In 1972, the Dallas Veterans Affairs Hospital was added to the training program. Duke Samson, MD, became chair in 1988. He emphasized technical excellence and honest reporting of surgical outcomes. In 1989, Zale Lipshy University Hospital opened and became a center for neurosurgical care, and Hunt Batjer, MD, became chair in 2012. The program expanded significantly. Along with principles established by his predecessors, Batjer emphasized the need for all neurosurgeons to engage the community and to be active in policy leadership through local and national organizations. During his tenure, the pediatric neurosurgery group at Children’s Medical Center Dallas was integrated with the department, and a multidisciplinary spine service was developed. In 2014, the Peter O’Donnell Jr. Brain Institute was established, and the William P. Clements Jr. University Hospital opened. For 64 years, UT Southwestern Medical Center has been fertile ground for academic neurosurgery, with a strong emphasis on excellence in patient care.


1994 ◽  
Vol 80 (5) ◽  
pp. 935-938 ◽  
Author(s):  
Jeffrey S. Oppenheim

✓ The Mount Sinai Hospital was founded in 1852 under the name “The Jews' Hospital.” Neurosurgery at Mount Sinai Hospital can be traced to the work of Dr. Charles Elsberg. In 1932, the Department of Neurosurgery was created under the direction of Dr. Ira Cohen. The history of neurosurgery at the Mount Sinai Hospital is recounted.


2005 ◽  
Vol 14 (2) ◽  
pp. 69-73
Author(s):  
Atul H. Goel ◽  
Trimurti D. Nadkarni

Author(s):  
Henry Marsh ◽  
Eleni Marts

The history of neurosurgery falls naturally into the premodern era, where it is essentially the history of surgery to the skull and of head injuries, and the modern era, where it is the history of surgery to the brain itself, made possible by cerebral localization theory, antisepsis, and anaesthesia, all of which developed in the nineteenth century. The first known neurosurgical procedures were skull trephines, seemingly carried out on both the living and the dead. It is unclear whether these were performed for therapeutic or ritualistic reasons. There are many trepanned skulls dating back thousands of years to the Neolithic era, and perhaps to even earlier, from sites all over the world.


Author(s):  
RA Reid

Background: Neurosurgery was first practiced in Victoria, BC in the 1950’s. It has grown from 1 neurosurgeon to 6 neurosurgeons today. Methods: Research into the beginning of Neurosurgery in Victoria demonstrates that it started with one surgeon and has grown significantly over the past 60 plus years. Results: Although Neurosugery started in Victoria with humble beginnings it has now developed into a sophisticated unit with 6 neurosurgeons with various subspeciality interests including complex and minimally invasive spine, cerebrovascular and neuro-oncology. Conclusions: The Neurosurgery division in Victoria has grown over the years from a single surgeon to 6 surgeons practicing a wide scope of neurosurgical procedures.


2003 ◽  
Vol 8 (4) ◽  
pp. 678
Author(s):  
Stephen C. Sturgeon ◽  
Michael Logan

This book presents a collection of critically appraised neurosurgical papers that shed light on some of the most impactful studies in the history of neurosurgery. Papers that have shaped the practice of neurosurgery as we know it today have been selected for review. Each paper is reviewed by a panel of experts who evaluate the strengths and weaknesses of the paper as well as the impact it had on their personal practice of neurosurgery. The book is suited for residents and practicing neurosurgeons. The body of literature covered in this book has in many ways defined the gold standards of neurosurgical practice and is a must-know for every student of neurosurgery.


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