scholarly journals The Role of Mınımally Invasive Surgery in Management of Chest Trauma

2021 ◽  
Author(s):  
Tuba Apaydin

The role of minimal invasive surgery in management of chest trauma should not be underestimated. The amount of data for video-assisted thoracoscopic surgery (VATS) management in chest-trauma patient is rare. Nevertheless the on-going acceptance and use of VATS for major thoracic resections has led to advanced techniques for management of major bleedings in the elective-surgery-patient. VATS as a procedure for pleural space management in the non-critical, non-massive-transfusion patients can be of great assistance. Its value in persistent non-major-vessel-bleeding hemothorax in terms of pleural space debridement is unchallenged. In some cases VATS is considered to be related to lower ARDS-rates in comparison to open thoracotomy patients, whereby an obvious bias for the non-massive-injury-patients exist. Jin et al. could prove a significant advantage for stable thoracic trauma patients treated through VATS in a randomised trial vs. open thoracotomy.

2020 ◽  
Vol 5 (2) ◽  
pp. 13-18
Author(s):  
Ayu Puspa Yunita ◽  
I.B.K. Bayangkara

ABSTRACT,This study aims to determine,the role of, management audits in assessing the effectiveness and, efficiency of service to patients  in the surgical,  departement Rumkital Dr. Ramelan Surabaya. This research is  a  case  study  with qualitative, descriptive method, throught interview, observation and questionnaire. The effectiveness and, efficiency, of,services to patients is analyzed and,evaluated by comparing the, criteria, causes, effects and providing recommendations. Based on the result of, the research, it can be conclude that the activity    or service activity, in Departement of Surgery has been run  efficiently  but not  yet effective because the, waiting time of elective surgery  of spine  surgery  patient not yet in accordane with predefined, time standard.  


1994 ◽  
Vol 15 (Supplement) ◽  
pp. 193-195
Author(s):  
Tadasu Kohno ◽  
Toshiya Ohtsuka ◽  
Jun Nakajima ◽  
Kuniyoshi Yagyu ◽  
Akira Furuse

1995 ◽  
Vol 23 (5) ◽  
pp. 591-596 ◽  
Author(s):  
R. Kerridge ◽  
A. Lee ◽  
E. Latchford ◽  
S. J. Beehan ◽  
K. M. Hillman

A Perioperative Service has recently been introduced at Liverpool Hospital, a 460-bed university teaching hospital. This provides a co-ordinated system for managing all elective surgical patients from the time an admission is booked until hospital discharge. This paper describes the patient assessment, structure and staff requirements, benefits of and problems encountered with this service. The patient's preoperative preparation occurs before hospital admission. Where possible, patients are admitted on the day of procedure, either as a day-only patient, or a day-of-surgery patient. Patients are initially admitted to a specifically designed Perioperative Unit, adjacent to the Operating Theatre Suite. Patients do not enter the surgical wards until after their operation. Planning of the hospital discharge process commences at the time of booking for operation. Introduction of the Perioperative Service was staged process commencing in mid-1992. The hospital admits approximately 6,400 elective surgery cases each year. From July 1992 to December 1994, day-only patients were approximately 45% of these cases. Day-of-surgery admission patients increased from 6% to 35% of all cases over the same period. Appproximately 22% of elective surgical cases were seen in the Perioperative Clinic. As the Perioerative Service became fully operational, the average length of stay for elective surgical procedures fell. There has been a reduction in the areas of cancellations due to unavailablity of beds, inappropriate preparation of patients, and non-attendance of patients for booked procedures. Patient acceptance is high. The existence of a perioperative system facilitates the planning and management of elective surgery with maximum quality and efficiency.


2010 ◽  
Vol 57 (2) ◽  
pp. 223-232 ◽  
Author(s):  
Roman Heuer ◽  
Inderbir S. Gill ◽  
Giorgio Guazzoni ◽  
Ziya Kirkali ◽  
Michael Marberger ◽  
...  

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