Surgical Procedures, Operative: Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.)Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Surgical Procedures, Minor: Surgery restricted to the management of minor problems and injuries; surgical procedures of relatively slight extent and not in itself hazardous to life. (Dorland, 28th ed & Stedman, 25th ed)Operative Time: The duration of a surgical procedure in hours and minutes.Vascular Surgical Procedures: Operative procedures for the treatment of vascular disorders.Surgical Procedures, Minimally Invasive: Procedures that avoid use of open, invasive surgery in favor of closed or local surgery. These generally involve use of laparoscopic devices and remote-control manipulation of instruments with indirect observation of the surgical field through an endoscope or similar device.Laparoscopy: A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.Ambulatory Surgical Procedures: Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.Cardiac Surgical Procedures: Surgery performed on the heart.Surgical Procedures, Elective: Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Gynecologic Surgical Procedures: Surgery performed on the female genitalia.Reconstructive Surgical Procedures: Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Digestive System Surgical Procedures: Surgery performed on the digestive system or its parts.Oral Surgical Procedures: Surgical procedures used to treat disease, injuries, and defects of the oral and maxillofacial region.Humulus: A plant genus in the CANNABACEAE family. Best known for the buds of Humulus lupulus L. used in BEER.Reoperation: A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.Urologic Surgical Procedures: Surgery performed on the urinary tract or its parts in the male or female. For surgery of the male genitalia, UROLOGIC SURGICAL PROCEDURES, MALE is available.Preoperative Care: Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)General Surgery: A specialty in which manual or operative procedures are used in the treatment of disease, injuries, or deformities.Otorhinolaryngologic Surgical Procedures: Surgery performed on the ear and its parts, the nose and nasal cavity, or the throat, including surgery of the adenoids, tonsils, pharynx, and trachea.Thoracic Surgical Procedures: Surgery performed on the thoracic organs, most commonly the lungs and the heart.Cardiovascular Surgical Procedures: Surgery performed on the heart or blood vessels.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Length of Stay: The period of confinement of a patient to a hospital or other health facility.Orthopedic Procedures: Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.Obstetric Surgical Procedures: Surgery performed on the pregnant woman for conditions associated with pregnancy, labor, or the puerperium. It does not include surgery of the newborn infant.Ophthalmologic Surgical Procedures: Surgery performed on the eye or any of its parts.Postoperative Care: The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)Surgical Wound Infection: Infection occurring at the site of a surgical incision.Neurosurgical Procedures: Surgery performed on the nervous system or its parts.Operating Rooms: Facilities equipped for performing surgery.Human Rights Abuses: Deliberate maltreatment of groups of humans beings including violations of generally-accepted fundamental rights as stated by the Universal Declaration of Human Rights, adopted and proclaimed by the United Nations General Assembly resolution 217 A (III) of 10 December 1948.Blood Loss, Surgical: Loss of blood during a surgical procedure.Tomography, X-Ray Computed: Tomography using x-ray transmission and a computer algorithm to reconstruct the image.Anastomosis, Surgical: Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.Cholecystectomy: Surgical removal of the GALLBLADDER.Postoperative Period: The period following a surgical operation.Suture Techniques: Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).Dermatologic Surgical Procedures: Operative procedures performed on the SKIN.Intraoperative Period: The period during a surgical operation.Methods: A series of steps taken in order to conduct research.Surgical Instruments: Hand-held tools or implements used by health professionals for the performance of surgical tasks.Endoscopy: Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body.Thoracotomy: Surgical incision into the chest wall.Surgery Department, Hospital: Hospital department which administers all departmental functions and the provision of surgical diagnostic and therapeutic services.Microsurgery: The performance of surgical procedures with the aid of a microscope.Dentistry, Operative: That phase of clinical dentistry concerned with the restoration of parts of existing teeth that are defective through disease, trauma, or abnormal development, to the state of normal function, health, and esthetics, including preventive, diagnostic, biological, mechanical, and therapeutic techniques, as well as material and instrument science and application. (Jablonski's Dictionary of Dentistry, 2d ed, p237)Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Anesthesia: A state characterized by loss of feeling or sensation. This depression of nerve function is usually the result of pharmacologic action and is induced to allow performance of surgery or other painful procedures.Surgical Equipment: Nonexpendable apparatus used during surgical procedures. They are differentiated from SURGICAL INSTRUMENTS, usually hand-held and used in the immediate operative field.Monitoring, Intraoperative: The constant checking on the state or condition of a patient during the course of a surgical operation (e.g., checking of vital signs).Surgical Flaps: Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.Oral Surgical Procedures, Preprosthetic: Surgery necessary for a denture to rest on a firm base, free from marked osseous protuberances or undercuts, and devoid of interfering muscle attachments, excess mucoperiosteum, hyperplasias, and fibrous or papillary growths.Oncogene Protein v-cbl: An oncoprotein from the Cas NS-1 murine retrovirus that induces pre- B-CELL LYMPHOMA and MYELOID LEUKEMIAS. v-cbl protein is a tyrosine-phosphorylated, truncated form of its cellular homologue, PROTO-ONCOGENE PROTEIN C-CBL.Cholecystectomy, Laparoscopic: Excision of the gallbladder through an abdominal incision using a laparoscope.Drainage: The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.Robotics: The application of electronic, computerized control systems to mechanical devices designed to perform human functions. Formerly restricted to industry, but nowadays applied to artificial organs controlled by bionic (bioelectronic) devices, like automated insulin pumps and other prostheses.Decompression, Surgical: A surgical operation for the relief of pressure in a body compartment or on a body part. (From Dorland, 28th ed)Pain, Postoperative: Pain during the period after surgery.Colectomy: Excision of a portion of the colon or of the whole colon. (Dorland, 28th ed)Anesthesia, General: Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Hysterectomy: Excision of the uterus.Surgery, Computer-Assisted: Surgical procedures conducted with the aid of computers. This is most frequently used in orthopedic and laparoscopic surgery for implant placement and instrument guidance. Image-guided surgery interactively combines prior CT scans or MRI images with real-time video.Ultrasonic Surgical Procedures: The use of HIGH-ENERGY SHOCK WAVES, in the frequency range of 20-60 kHz, to cut through or remove tissue. The tissue fragmentation by ultrasonic surgical instruments is caused by mechanical effects not heat as with HIGH-INTENSITY FOCUSED ULTRASOUND ABLATION.Equipment Design: Methods of creating machines and devices.Surgery, Plastic: The branch of surgery concerned with restoration, reconstruction, or improvement of defective, damaged, or missing structures.Postoperative Hemorrhage: Hemorrhage following any surgical procedure. It may be immediate or delayed and is not restricted to the surgical wound.Osteotomy: The surgical cutting of a bone. (Dorland, 28th ed)Recurrence: The return of a sign, symptom, or disease after a remission.Pulmonary Surgical Procedures: Surgery performed on the lung.Hepatectomy: Excision of all or part of the liver. (Dorland, 28th ed)Laparoscopes: ENDOSCOPES for examining the abdominal and pelvic organs in the peritoneal cavity.Perioperative Care: Interventions to provide care prior to, during, and immediately after surgery.Fracture Fixation, Internal: The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment.Anesthesia, Local: A blocking of nerve conduction to a specific area by an injection of an anesthetic agent.Blood Vessel Prosthesis Implantation: Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.Aortic Aneurysm, Abdominal: An abnormal balloon- or sac-like dilatation in the wall of the ABDOMINAL AORTA which gives rise to the visceral, the parietal, and the terminal (iliac) branches below the aortic hiatus at the diaphragm.Spinal Fusion: Operative immobilization or ankylosis of two or more vertebrae by fusion of the vertebral bodies with a short bone graft or often with diskectomy or laminectomy. (From Blauvelt & Nelson, A Manual of Orthopaedic Terminology, 5th ed, p236; Dorland, 28th ed)Gastrectomy: Excision of the whole (total gastrectomy) or part (subtotal gastrectomy, partial gastrectomy, gastric resection) of the stomach. (Dorland, 28th ed)Hemostasis, Surgical: Control of bleeding during or after surgery.Feasibility Studies: Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.Otologic Surgical Procedures: Surgery performed on the external, middle, or internal ear.Debridement: The removal of foreign material and devitalized or contaminated tissue from or adjacent to a traumatic or infected lesion until surrounding healthy tissue is exposed. (Dorland, 27th ed)Specialties, Surgical: Various branches of surgical practice limited to specialized areas.Surgical Stapling: A technique of closing incisions and wounds, or of joining and connecting tissues, in which staples are used as sutures.Pancreaticoduodenectomy: The excision of the head of the pancreas and the encircling loop of the duodenum to which it is connected.Prostheses and Implants: Artificial substitutes for body parts, and materials inserted into tissue for functional, cosmetic, or therapeutic purposes. Prostheses can be functional, as in the case of artificial arms and legs, or cosmetic, as in the case of an artificial eye. Implants, all surgically inserted or grafted into the body, tend to be used therapeutically. IMPLANTS, EXPERIMENTAL is available for those used experimentally.Thoracoscopy: Endoscopic examination, therapy or surgery of the pleural cavity.Papio hamadryas: A species of baboon in the family CERCOPITHECIDAE, which has a well-studied trilevel social structure consisting of troops, bands, and clans.Patient Selection: Criteria and standards used for the determination of the appropriateness of the inclusion of patients with specific conditions in proposed treatment plans and the criteria used for the inclusion of subjects in various clinical trials and other research protocols.Intestinal Obstruction: Any impairment, arrest, or reversal of the normal flow of INTESTINAL CONTENTS toward the ANAL CANAL.Pancreatectomy: Surgical removal of the pancreas. (Dorland, 28th ed)Electrocoagulation: Procedures using an electrically heated wire or scalpel to treat hemorrhage (e.g., bleeding ulcers) and to ablate tumors, mucosal lesions, and refractory arrhythmias. It is different from ELECTROSURGERY which is used more for cutting tissue than destroying and in which the patient is part of the electric circuit.Survival Rate: The proportion of survivors in a group, e.g., of patients, studied and followed over a period, or the proportion of persons in a specified group alive at the beginning of a time interval who survive to the end of the interval. It is often studied using life table methods.Laminectomy: A surgical procedure that entails removing all (laminectomy) or part (laminotomy) of selected vertebral lamina to relieve pressure on the SPINAL CORD and/or SPINAL NERVE ROOTS. Vertebral lamina is the thin flattened posterior wall of vertebral arch that forms the vertebral foramen through which pass the spinal cord and nerve roots.Pneumonectomy: The excision of lung tissue including partial or total lung lobectomy.Antennapedia Homeodomain Protein: Antennapedia homeodomain protein is a homeobox protein involved in limb patterning in ARTHROPODS. Mutations in the gene for the antennapedia homeodomain protein are associated with the conversion of antenna to leg or leg to antenna DROSOPHILA.Sutures: Materials used in closing a surgical or traumatic wound. (From Dorland, 28th ed)Thoracic Surgery, Video-Assisted: Endoscopic surgery of the pleural cavity performed with visualization via video transmission.Surgery, Oral: A dental specialty concerned with the diagnosis and surgical treatment of disease, injuries, and defects of the human oral and maxillofacial region.Coronary Artery Bypass: Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.Iatrogenic Disease: Any adverse condition in a patient occurring as the result of treatment by a physician, surgeon, or other health professional, especially infections acquired by a patient during the course of treatment.Gloves, Surgical: Gloves, usually rubber, worn by surgeons, examining physicians, dentists, and other health personnel for the mutual protection of personnel and patient.Chi-Square Distribution: A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.Surgery, Veterinary: A board-certified specialty of VETERINARY MEDICINE, requiring at least four years of special education, training, and practice of veterinary surgery after graduation from veterinary school. In the written, oral, and practical examinations candidates may choose either large or small animal surgery. (From AVMA Directory, 43d ed, p278)Thoracic Surgery: A surgical specialty concerned with diagnosis and treatment of disorders of the heart, lungs, and esophagus. Two major types of thoracic surgery are classified as pulmonary and cardiovascular.Obesity, Morbid: The condition of weighing two, three, or more times the ideal weight, so called because it is associated with many serious and life-threatening disorders. In the BODY MASS INDEX, morbid obesity is defined as having a BMI greater than 40.0 kg/m2.Laser Therapy: The use of photothermal effects of LASERS to coagulate, incise, vaporize, resect, dissect, or resurface tissue.Urogenital Surgical Procedures: Surgery performed on the urinary tract or its organs and on the male or female genitalia.Urologic Surgical Procedures, Male: Surgery performed on the male genitalia.Endarterectomy: Surgical excision, performed under general anesthesia, of the atheromatous tunica intima of an artery. When reconstruction of an artery is performed as an endovascular procedure through a catheter, it is called ATHERECTOMY.Heart Valve Prosthesis Implantation: Surgical insertion of synthetic material to repair injured or diseased heart valves.Herniorrhaphy: Surgical procedures undertaken to repair abnormal openings through which tissue or parts of organs can protrude or are already protruding.Orthopedics: A surgical specialty which utilizes medical, surgical, and physical methods to treat and correct deformities, diseases, and injuries to the skeletal system, its articulations, and associated structures.Blood Vessel Prosthesis: Device constructed of either synthetic or biological material that is used for the repair of injured or diseased blood vessels.Catheterization: Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.Colostomy: The surgical construction of an opening between the colon and the surface of the body.Surgical Mesh: Any woven or knit material of open texture used in surgery for the repair, reconstruction, or substitution of tissue. The mesh is usually a synthetic fabric made of various polymers. It is occasionally made of metal.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Lumbar Vertebrae: VERTEBRAE in the region of the lower BACK below the THORACIC VERTEBRAE and above the SACRAL VERTEBRAE.Biliary Tract Surgical Procedures: Any surgical procedure performed on the biliary tract.Bone Screws: Specialized devices used in ORTHOPEDIC SURGERY to repair bone fractures.Video-Assisted Surgery: Endoscopic surgical procedures performed with visualization via video transmission. When real-time video is combined interactively with prior CT scans or MRI images, this is called image-guided surgery (see SURGERY, COMPUTER-ASSISTED).Angiography: Radiography of blood vessels after injection of a contrast medium.Radiography, Interventional: Diagnostic and therapeutic procedures that are invasive or surgical in nature, and require the expertise of a specially trained radiologist. In general, they are more invasive than diagnostic imaging but less invasive than major surgery. They often involve catheterization, fluoroscopy, or computed tomography. Some examples include percutaneous transhepatic cholangiography, percutaneous transthoracic biopsy, balloon angioplasty, and arterial embolization.Appendectomy: Surgical removal of the vermiform appendix. (Dorland, 28th ed)Perioperative Period: The time periods immediately before, during and following a surgical operation.Sternum: A long, narrow, and flat bone commonly known as BREASTBONE occurring in the midsection of the anterior thoracic segment or chest region, which stabilizes the rib cage and serves as the point of origin for several muscles that move the arms, head, and neck.Operating Room Information Systems: Information systems, usually computer-assisted, designed to store, manipulate, and retrieve information for planning, organizing, directing, and controlling administrative activities associated with the provision and utilization of operating room services and facilities.Craniotomy: Any operation on the cranium or incision into the cranium. (Dorland, 28th ed)Reproducibility of Results: The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.Bone Transplantation: The grafting of bone from a donor site to a recipient site.Stents: Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.Hernia, Inguinal: An abdominal hernia with an external bulge in the GROIN region. It can be classified by the location of herniation. Indirect inguinal hernias occur through the internal inguinal ring. Direct inguinal hernias occur through defects in the ABDOMINAL WALL (transversalis fascia) in Hesselbach's triangle. The former type is commonly seen in children and young adults; the latter in adults.Anesthesia, Conduction: Injection of an anesthetic into the nerves to inhibit nerve transmission in a specific part of the body.Luria-Nebraska Neuropsychological Battery: A series of tests designed to assess neuropsychological function. The battery is used to diagnose specific cerebral dysfunction and also to determine lateralization.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Tooth Extraction: The surgical removal of a tooth. (Dorland, 28th ed)Bone Plates: Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999)Emergencies: Situations or conditions requiring immediate intervention to avoid serious adverse results.Esophagectomy: Excision of part (partial) or all (total) of the esophagus. (Dorland, 28th ed)Evaluation Studies as Topic: Studies determining the effectiveness or value of processes, personnel, and equipment, or the material on conducting such studies. For drugs and devices, CLINICAL TRIALS AS TOPIC; DRUG EVALUATION; and DRUG EVALUATION, PRECLINICAL are available.Range of Motion, Articular: The distance and direction to which a bone joint can be extended. Range of motion is a function of the condition of the joints, muscles, and connective tissues involved. Joint flexibility can be improved through appropriate MUSCLE STRETCHING EXERCISES.Prosthesis Design: The plan and delineation of prostheses in general or a specific prosthesis.Pain Measurement: Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.Dianhydrogalactitol: One of the cytotoxic dihalohexitols that may have alkylating antineoplastic activity. It causes bone marrow toxicity. The active form is thought to be the diepoxide.United StatesEndoscopes: Instruments for the visual examination of interior structures of the body. There are rigid endoscopes and flexible fiberoptic endoscopes for various types of viewing in ENDOSCOPY.Diskectomy: Excision, in part or whole, of an INTERVERTEBRAL DISC. The most common indication is disk displacement or herniation. In addition to standard surgical removal, it can be performed by percutaneous diskectomy (DISKECTOMY, PERCUTANEOUS) or by laparoscopic diskectomy, the former being the more common.Prognosis: A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.Orthognathic Surgical Procedures: Surgery performed to repair or correct the skeletal anomalies of the jaw and its associated dental and facial structures (e.g. CLEFT PALATE).Abdomen: That portion of the body that lies between the THORAX and the PELVIS.Device Removal: Removal of an implanted therapeutic or prosthetic device.Clinical Competence: The capability to perform acceptably those duties directly related to patient care.Surgical Wound Dehiscence: Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound.Sensitivity and Specificity: Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)Anesthesiology: A specialty concerned with the study of anesthetics and anesthesia.Fluoroscopy: Production of an image when x-rays strike a fluorescent screen.Fracture Fixation: The use of metallic devices inserted into or through bone to hold a fracture in a set position and alignment while it heals.Cadaver: A dead body, usually a human body.Sulfate Adenylyltransferase: An enzyme that catalyzes the activation of sulfate ions by ATP to form adenosine-5'-phosphosulfate and pyrophosphate. This reaction constitutes the first enzymatic step in sulfate utilization following the uptake of sulfate. EC 188.8.131.52.Tissue Adhesions: Pathological processes consisting of the union of the opposing surfaces of a wound.Endocrine Surgical Procedures: Surgery performed on any endocrine gland.Umbilicus: The pit in the center of the ABDOMINAL WALL marking the point where the UMBILICAL CORD entered in the FETUS.Cardiopulmonary Bypass: Diversion of the flow of blood from the entrance of the right atrium directly to the aorta (or femoral artery) via an oxygenator thus bypassing both the heart and lungs.Infant, Newborn: An infant during the first month after birth.Arthroplasty, Replacement, Hip: Replacement of the hip joint.Internal Fixators: Internal devices used in osteosynthesis to hold the position of the fracture in proper alignment. By applying the principles of biomedical engineering, the surgeon uses metal plates, nails, rods, etc., for the correction of skeletal defects.Splenorenal Shunt, Surgical: Anastomosis of splenic vein to renal vein to relieve portal hypertension.Aortic Aneurysm: An abnormal balloon- or sac-like dilatation in the wall of AORTA.Endovascular Procedures: Minimally invasive procedures, diagnostic or therapeutic, performed within the BLOOD VESSELS. They may be perfomed via ANGIOSCOPY; INTERVENTIONAL MAGNETIC RESONANCE IMAGING; INTERVENTIONAL RADIOGRAPHY; or INTERVENTIONAL ULTRASONOGRAPHY.Replantation: Restoration of an organ or other structure to its original site.Recovery of Function: A partial or complete return to the normal or proper physiologic activity of an organ or part following disease or trauma.Arterial Occlusive Diseases: Pathological processes which result in the partial or complete obstruction of ARTERIES. They are characterized by greatly reduced or absence of blood flow through these vessels. They are also known as arterial insufficiency.Hospitals, Teaching: Hospitals engaged in educational and research programs, as well as providing medical care to the patients.Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Arthroplasty: Surgical reconstruction of a joint to relieve pain or restore motion.Suction: The removal of secretions, gas or fluid from hollow or tubular organs or cavities by means of a tube and a device that acts on negative pressure.Clavicle: A bone on the ventral side of the shoulder girdle, which in humans is commonly called the collar bone.Patient Positioning: Moving a patient into a specific position or POSTURE to facilitate examination, surgery, or for therapeutic purposes.Equipment Failure: Failure of equipment to perform to standard. The failure may be due to defects or improper use.Trigeminal Neuralgia: A syndrome characterized by recurrent episodes of excruciating pain lasting several seconds or longer in the sensory distribution of the TRIGEMINAL NERVE. Pain may be initiated by stimulation of trigger points on the face, lips, or gums or by movement of facial muscles or chewing. Associated conditions include MULTIPLE SCLEROSIS, vascular anomalies, ANEURYSMS, and neoplasms. (Adams et al., Principles of Neurology, 6th ed, p187)Otorhinolaryngologic Diseases: Pathological processes of the ear, the nose, and the throat, also known as the ENT diseases.Extraction, Obstetrical: Extraction of the fetus by means of obstetrical instruments.Aortic Valve: The valve between the left ventricle and the ascending aorta which prevents backflow into the left ventricle.Fascia: Layers of connective tissue of variable thickness. The superficial fascia is found immediately below the skin; the deep fascia invests MUSCLES, nerves, and other organs.Nephrectomy: Excision of kidney.Bariatric Surgery: Surgical procedures aimed at affecting metabolism and producing major WEIGHT REDUCTION in patients with MORBID OBESITY.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Survival Analysis: A class of statistical procedures for estimating the survival function (function of time, starting with a population 100% well at a given time and providing the percentage of the population still well at later times). The survival analysis is then used for making inferences about the effects of treatments, prognostic factors, exposures, and other covariates on the function.Retinoblastoma-Binding Protein 1: A ubiquitously expressed regulatory protein that contains a retinoblastoma protein binding domain and an AT-rich interactive domain. The protein may play a role in recruiting HISTONE DEACETYLASES to the site of RETINOBLASTOMA PROTEIN-containing transcriptional repressor complexes.Cervical Vertebrae: The first seven VERTEBRAE of the SPINAL COLUMN, which correspond to the VERTEBRAE of the NECK.Isotachophoresis: A nonlinear electrophoretic technique used to separate a variety of ionic compounds, ranging from small metal ions to large molecules like proteins. Unlike "linear" zone electrophoresis in which separating solute bands continually spread by diffusion or dispersion, isotachophoresis forms self-sharpening, adjacent zones of substantially pure solute whose concentrations often exceed several mgs/ml. In isotachophoresis a multianalyte sample is introduced between the leading electrolyte and the terminating electrolyte where the sample ions have lower electrophoretic mobilities than the leading ion but larger than the terminating ion. (From "Isotachophoresis" on the AES Web Site [Internet]. Madison, WI: The American Electrophoresis Society; c2000-2008 [cited 2009 Aug 20]. Available from http://www.aesociety.org/areas/isotachophoresis.php)Gastroplasty: Surgical procedures involving the STOMACH and sometimes the lower ESOPHAGUS to correct anatomical defects, or to treat MORBID OBESITY by reducing the size of the stomach. There are several subtypes of bariatric gastroplasty, such as vertical banded gastroplasty, silicone ring vertical gastroplasty, and horizontal banded gastroplasty.Aorta, Abdominal: The aorta from the DIAPHRAGM to the bifurcation into the right and left common iliac arteries.Dissection: The separation and isolation of tissues for surgical purposes, or for the analysis or study of their structures.
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Dr. Steven Thackeray, MD - Murray, UT - Obstetrics & Gynecology | Healthgrades.comIncontinence Sling Procedure. *Intrauterine Device (IUD) Placement. *Laparoscopic Surgical Procedure. *Operative Hysteroscopy ...
Shane Dowling, PA-C - Renton, WA - Surgical Assistance & Orthopedic Surgery | Healthgrades.comProcedures Performed. Check to see that this provider performs the procedure that you need. ...
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Pacific Medical, Inc.: Private Company Information - Bloomberg... and ankle surgical procedures; orthotics and prosthetics services; and durable medical equipment services. It serves customers ... Its products include bone growth stimulation products; operative allograft solutions; bone and soft tissue allografts; and ... and ankle surgical procedures; orthotics and prosthetics services; and durable medical equipment services. It serves customers ... and products for arthroscopic and minimally invasive orthopedic surgical procedures. The company also provides training ...
Gossypiboma: Retained Surgical Sponge after a Gynecologic ProcedureFigure 1: Operative view of the conglomerated mass after removal.. Figure 2: The view of the mass extending into ileum. ... Gossypiboma: Retained Surgical Sponge after a Gynecologic Procedure. Aziz Sümer, M. Ali Çarparlar, Ömer Uslukaya, Vedat Bayrak ... H.-S. Sun, S.-L. Chen, C.-C. Kuo, S.-C. Wang, and Y.-L. Kao, "Gossypiboma-retained surgical sponge," Journal of the Chinese ... However, surgical sponges without radiopaque markers are still used in many institutions, and this type of sponge is very ...
Complete congenital third branchial fistula: does the theoretical course apply?Surgical Procedures, Operative / methods. Tomography, X-Ray Computed. Treatment Outcome. Chemical. Reg. No./Substance: 0/ ...
Program Members > Yale Cancer Center | Yale School of...Behavioral Disciplines and Activities; Environment and Public Health; Surgical Procedures, Operative; Therapeutics ... Surgical Oncology. Daniel J. Boffa, MD. Associate Professor of Surgery (Thoracic Surgery) ...
Tramadol Versus Fentanyl for Post-Operative Analgesia in Newborn Infants - Full Text View - ClinicalTrials.govTime between surgical procedure and successful extubation [ Time Frame: Hospital stay ]. *Time between surgical procedure and ... Death or hospital discharge until 72 hours after surgical procedure. *New surgery until 72 hours after the studied surgical ... Pain assessment wuth CRIES and NFCS pain scales during the first 72 hours after surgical procedure [ Time Frame: Every 2-4h ... Infant 0-28 days of life with indication of large or medium surgical procedure (definition according to the American College of ...
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Revised Cardiac Risk IndexPrimary Health Care and Resource Centre: The Primary Health Care and Resource Center (PHCRC) is in the rural village of Chapagaun, Lalitpur in Nepal. Chapagaun is in the wider Kathmandu Valley.Journal of Minimal Access Surgery: Journal of Minimal Access Surgery (ISSN: Print - 0972-9941, Online - 1998-3921) is peer-reviewed open access journal published on behalf of the Indian Association of Gastrointestinal Endo Surgeons. The journal publishes articles on the subject of Laparoscopic and thoracoscopic surgery, laparoscopic urology and gastrointestinal endoscopy.The Society of Elite Laparoscopic Surgeons: The Society of Elite Laparoscopic Surgeons is a non-profit organization based in Chandler, AZ, existing for the purpose of promoting access to minimally invasive surgery in the United States, and to lobby and promote the transition of the US medical system to adopt minimally invasive hysterectomy as standard of care.Society of Elite Laparoscopic Surgeons The organization is made up of member gynecologic surgeons, and holds annual meetings in various locales.PinnacleHealth System: $1 billion (2013)Hybrid cardiac surgery: A hybrid cardiac surgical procedure in a narrow sense is defined as a procedure that combines a conventional surgical part (including a skin incision) with an interventional part, using some sort of catheter-based procedure guided by fluoroscopy (or other, e.g.Temporal analysis of products: Temporal Analysis of Products (TAP), (TAP-2), (TAP-3) is an experimental technique for studyingColpocleisis: Colpocleisis is a procedure involving closure of the vagina.Z-plastyList of eponymous surgical procedures: Eponymous surgical procedures are generally named after the surgeon or surgeons who performed or reported them first. In some instances they are named after the surgeon who popularised them or refined existing procedures, and occasionally are named after the patient who first underwent the procedure.IsoxanthohumolRevision using distal inflow: Revision Using Distal Inflow (RUDI) is a surgical treatment for Dialysis-associated Steal Syndrome.Charles George DrakeEuropean Association of Cardiothoracic Surgery: The European Association of Cardiothoracic Surgery (EACTS) is a learned society devoted to the practice of cardiothoracic surgery. The main objects of the association are to advance education in the field of cardiovascular and thoracic surgery and to promote research in thoracic physiology, pathology, and therapy as well as to correlate and disseminate results.Optimax: Optimax is a UK-based laser eye treatment specialist which has 38 locations nationwide. Optimax was established as one of the first private clinics to offer laser eye surgery.Mayo HospitalHuman rights abuses in the Vietnamese cashew industry: Vietnam is known as the world's largest cashew nut exporter with 37 per cent sharehttp://business.timesonline.Dense artery sign: In medicine, the dense artery sign or hyperdense artery sign is a radiologic sign seen on computer tomography (CT) scans suggestive of early ischemic stroke. In earlier studies of medical imaging in patients with strokes, it was the earliest sign of ischemic stroke in a significant minority of cases.Circular knittingIntraoperative radiation therapySurgical scissors: Surgical scissors are surgical instruments usually used for cutting. They include bandage scissors, dissecting scissors, iris scissors, operating scissors, stitch scissors, tenotomy scissors, Metzenbaum scissors, plastic surgery scissors, and Mayo scissors.Endoscopy unit: An endoscopy unit refers to a dedicated area where medical procedures are performed with endoscopes, which are cameras used to visualize structures within the body, such as the digestive tract and genitourinary system. Endoscopy units may be located within a hospital, incorporated within other medical care centres, or may be stand-alone in nature.Resuscitative thoracotomy: A resuscitative thoracotomy (sometimes referred to as an emergency department thoracotomy or, colloquially, as "cracking the chest") is a thoracotomy typically done in order to resuscitate a person who has been severely injured after sustaining a severe trauma involving the thoracic cavity. For most persons with thoracic trauma the procedure is not necessary; only 15% of those with thoracic injury require the procedure.Chen Zhongwei: Chen Zhongwei (Chinese:陈中伟, 1929–2004) was an expert of orthopedic surgery and microsurgery, one of the pioneers of the process of reattaching severed limbs.Mexican ironwood carvings: Mexican ironwood carvings is a handcraft that began with the Seri indigenous people of the state of Sonora. The wood comes from Olneya tesota, a Sonora Desert tree commonly called ironwood (palo fierro in Spanish).QRISK: QRISK2 (the most recent version of QRISK) is a prediction algorithm for cardiovascular disease (CVD) that uses traditional risk factors (age, systolic blood pressure, smoking status and ratio of total serum cholesterol to high-density lipoprotein cholesterol) together with body mass index, ethnicity, measures of deprivation, family history, chronic kidney disease, rheumatoid arthritis, atrial fibrillation, diabetes mellitus, and antihypertensive treatment.Anesthesia cart: Anesthesia carts are hospital devices used to store tools that are necessary for aid during procedures that require administration of anesthesia. Anesthesia refers to the use of drugs to subdue a patient's mind and prevent him or her from feeling any pain during a surgical operation.Tuttlingen: Tuttlingen is a town in Baden-Württemberg, capital of the district Tuttlingen. Nendingen, Möhringen and Eßlingen are three former municipalities that belong to Tuttlingen. The district (Kreis) includes several surrounding towns including Trossingen, Spaichingen, and Mühlheim an der Donau.Rotation flap: A rotation flap is a semicircular skin flap that is rotated into the defect on a fulcrum point. Rotation flaps provide the ability to mobilize large areas of tissue with a wide vascular base for reconstruction.Drainage system (agriculture): An agricultural drainage system is a system by which the water level on or in the soil is controlled to enhance agricultural crop production.Da Vinci Surgical System: The Da Vinci Surgical System is a robotic surgical system made by the American company Intuitive Surgical. Approved by the Food and Drug Administration (FDA) in 2000, it is designed to facilitate complex surgery using a minimally invasive approach, and is controlled by a surgeon from a console.Spinal decompression: Spinal decompression is the relief of pressure on one or many pinched nerves (neural impingement) of the spinal column.ColectomyGeneral anaesthesia: General anaesthesia (or general anesthesia) is a medically induced coma and loss of protective reflexes resulting from the administration of one or more general anaesthetic agents. A variety of medications may be administered, with the overall aim of ensuring unconsciousness, amnesia, analgesia, relaxation of skeletal muscles, and loss of control of reflexes of the autonomic nervous system.Global Risks Report: The Global Risks Report is an annual study published by the World Economic Forum ahead of the Forum’s Annual Meeting in Davos, Switzerland. Based on the work of the Global Risk Network, the report describes changes occurring in the global risks landscape from year to year and identifies the global risks that could play a critical role in the upcoming year.Hysterectomy Educational Resources and Services (HERS) FoundationImage-guided surgery: Today, doctors are using computerized technologies that are familiar to people in the consumer world to help fight cancer in the operating room. An important example of that application is image guided surgery (IGS) and it helps surgeons perform safer and less invasive procedures and remove brain tumors that were once considered inoperable due to their size and/or location.Standard monomial theory: In algebraic geometry, standard monomial theory describes the sections of a line bundle over a generalized flag variety or Schubert variety of a reductive algebraic group by giving an explicit basis of elements called standard monomials. Many of the results have been extended to Kac–Moody algebras and their groups.Beta encoder: A beta encoder is an analog to digital conversion (A/D) system in which a real number in the unit interval is represented by a finite representation of a sequence in base beta, with beta being a real number between 1 and 2. Beta encoders are an alternative to traditional approaches to pulse code modulation.Aesthetic Surgery Journal: Aesthetic Surgery Journal is a peer-reviewed medical journal that covers the field of plastic surgery. The journal's editor-in-chief is Foad Nahai (Emory University School of Medicine).OsteotomyPfannenstiel incisionInternal fixationAbdominal aortic aneurysmInterbody fusion cage: An interbody fusion cage (colloquially known as a "spine cage") is a prosthesis used in spinal fusion procedures to maintain foraminal height and decompression. They are cylindrical or square-shaped devices, and usually threaded.GastrectomyFeasibility Study (The Outer Limits): "Feasibility Study" is an episode of The Outer Limits television show. It was first broadcast on 11 July 1997, during the third season.Translabyrinthine approach: The translabyrinthine approach is a surgical approach to the cerebellopontine angle, or CPA. It is used in the surgical extirpation of lesions of the cerebellopontine angle, including acoustic neuroma.Debridement (dental)PancreaticoduodenectomyStrictureplasty: Strictureplasty (also spelled Stricturoplasty) is a surgical procedure performed in response to scar tissue that has built up in the intestinal wall from inflammatory bowel conditions such as Crohn's disease. The scar tissue accumulates as a result of repeated damage and healing, with the scarring causing a stricture (a narrowing of the lumen of the bowel).PancreatectomyElectrocoagulation: Electrocoagulation (EC), aka radio frequency diathermy or short wave electrolysis, is a technique used for wash water treatment, wastewater treatment, industrial processed water, and medical treatment. Electrocoagulation has become a rapidly growing area of wastewater treatment due to its ability to remove contaminants that are generally more difficult to remove by filtration or chemical treatment systems, such as emulsified oil, total petroleum hydrocarbons, refractory organics, suspended solids, and heavy metals.Cancer survival rates: Cancer survival rates vary by the type of cancer, stage at diagnosis, treatment given and many other factors, including country. In general survival rates are improving, although more so for some cancers than others.Laminectomy
(1/1709) Effects of soybean oil emulsion and eicosapentaenoic acid on stress response and immune function after a severely stressful operation.
OBJECTIVE: To investigate the effects of soybean oil emulsion and oral or enteral administration of eicosapentaenoic acid (EPA) on stress response, cytokine production, protein metabolism, and immune function after surgery for esophageal cancer. SUMMARY BACKGROUND DATA: It has been reported that safflower oil, rich in n-6 polyunsaturated fatty acid (n-6 PUFA), affects the survival rate of septic animals and decreases the immune function. It has also been reported that the administration of fish oil, in contrast, reduces these stress responses and stress-induced immunosuppression. In humans, the effects of soybean oil emulsion and the administration of EPA on stress response and immune function after surgery have not been established. METHODS: Patients who underwent esophagectomy with thoracotomy were divided into three groups. Seven patients were fed by total parenteral nutrition (TPN) with soybean oil emulsion, which accounted for 20% of total calories. Seven patients were given oral or enteral administration of 1.8 g/day EPA, in addition to TPN with soybean oil emulsion. Nine patients served as the control group; these patients received fat-free TPN. Serum interleukin-6 (IL-6), C-reactive protein, concanavalin A (con A)- or phytohemagglutinin (PHA)-stimulated lymphocyte proliferation, natural killer cell activity, and stress hormones were measured. RESULTS: The postoperative level of serum IL-6 was significantly higher in the group receiving soybean oil emulsion than in the fat-free group. Oral or enteral supplementation of EPA with soybean oil emulsion significantly reduced the level of serum IL-6 compared with the patients receiving soybean oil emulsion. Con A- or PHA-stimulated lymphocyte proliferation decreased significantly on postoperative day 7 in all groups of patients. The supplementation of EPA with soybean oil emulsion significantly improved the lymphocyte proliferation and natural killer cell activity on postoperative day 21 compared with the group receiving soybean oil emulsion. CONCLUSIONS: Soybean oil emulsion amplifies, and the supplementation of EPA reduces, the stress response and stress-induced immunosuppression. (+info)
(2/1709) Evidence of improving survival of patients with rectal cancer in france: a population based study.
BACKGROUND: Over the past 20 years there have been many changes in the management of rectal cancer. Their impact on the overall population is not well known. AIMS: To determine trends in management and prognosis of rectal cancer in two French regions. SUBJECTS: 1978 patients with a rectal carcinoma diagnosed between 1978 and 1993. METHODS: Time trends in treatment, stage at diagnosis, operative mortality, and survival were studied on a four year basis. A non-conditional logistic regression was performed to obtain an odds ratio for each period adjusted for the other variables. To estimate the independent effect of the period a multivariate relative survival analysis was performed. RESULTS: Over the 16 year period resection rates increased from 66.0% to 80.1%; the increase was particularly noticeable for sphincter saving procedures (+30.6% per four years, p=0.03). The percentage of patients receiving adjuvant radiotherapy increased from 24.0% to 40.0% (p=0.02). The proportion of patients with Dukes' type A cancer increased from 17. 7% to 30.6% with a corresponding decrease in those with more advanced disease. Operative mortality decreased by 31.1% per four years (p=0.03). All these improvements have resulted in a dramatic increase in relative survival (from 35.4% for the 1978-1981 period to 57.0% for the 1985-1989 period). CONCLUSIONS: Substantial advances in the management of rectal cancer have been achieved, but there is evidence that further improvements can be made in order to increase survival. (+info)
(3/1709) Double gallbladder originating from left hepatic duct: a case report and review of literature.
BACKGROUND: Double gallbladder is a rare anomaly of the biliary tract. Double gallbladder arising from the left hepatic duct was previously reported only once in the literature. CASE REPORT: A case of symptomatic cholelithiasis in a double gallbladder, diagnosed on preoperative ultrasound, computed tomography (CT) and endoscopic retrograde cholangiopancreatogram (ERCP) is reported. At laparoscopic cholangiography via the accessory gallbladder no accessory cystic duct was visualized. After conversion to open cholecystectomy, the duplicated gallbladder was found to arise directly from the left hepatic duct; it was resected and the duct repaired. CONCLUSIONS: We emphasize that a careful intraoperative cholangiographic evaluation of the accessory gallbladder is mandatory in order to prevent inadvertent injury to bile ducts, since a large variety of ductal abnormality may exist. (+info)
(4/1709) Surgical options in the management of groin hernias.
Inguinal and femoral hernias are the most common conditions for which primary care physicians refer patients for surgical management. Hernias usually present as swelling accompanied by pain or a dragging sensation in the groin. Most hernias can be diagnosed based on the history and clinical examination, but ultrasonography may be useful in differentiating a hernia from other causes of groin swelling. Surgical repair is usually advised because of the danger of incarceration and strangulation, particularly with femoral hernias. Three major types of open repair are currently used, and laparoscopic techniques are also employed. The choice of technique depends on several factors, including the type of hernia, anesthetic considerations, cost, period of postoperative disability and the surgeon's expertise. Following initial herniorrhaphy, complication and recurrence rates are generally low. Laparoscopic techniques make it possible for patients to return to normal activities more quickly, but they are more costly than open procedures. In addition, they require general anesthesia, and the long-term hernia recurrence rate with these procedures is unknown. (+info)
(5/1709) Comparison of Payne and Scott operations for morbid obesity.
One hundred five patients were operated upon for morbid obesity using accepted criteria for operation. Forty-five patients with the Payne operation (35 cm of jejunum anastomosed end-to-side to 10 cm of ileum) were compared with 45 patients having the Scott operation (30 cm of jejunum anatomosed end-to-end to 15 cm of ileum with the proximal cut end of ileum vented into the transverse colon). The weight loss in the first two years was similar, although the Scott procedure patients lost slightly more weight. Comparison of the two groups by a new grading system also showed little difference in the two procedures. The Scott procedure takes longer and subjects the patient to an additional anastomosis. Study of a smaller group of patients having the Scott operation with varying lengths of jejunum and ileum indicates that there should not be less than 30 cm of jejunum nor more than 15 cm of ileum left in continuity. The length of jejunum is particularly important in the production of weight loss, and accurate intraoperative measurement of intestinal length is crucial. In the postoperative period the length of functional jejunum and ileum can be determined by upper gastrointestinal barium roentgenograms. (+info)
(6/1709) Patients' experience of surgical accidents.
OBJECTIVE: To examine the psychological impact of surgical accidents and assess the adequacy of explanations given to the patients involved. DESIGN: Postal questionnaire survey. SETTING: Subjects were selected from files held Action for Victims of Medical Accidents. PATIENTS: 154 surgical patients who had been injured by their treatment, who considered that their treatment had fallen below acceptable standards. MAIN MEASURES: Adequacy of explanations given to patients and responses to standard questionnaires assessing pain, distress, psychiatric morbidity, and psychosocial adjustment (general health questionnaire, impact of events scale, McGill pain questionnaire, and psychosocial adjustment to illness scale). RESULTS: 101 patients completed the questionnaires (69 women, 32 men; mean age 44 (median 41.5) years. Mean scores on the questionnaires indicated that these injured patients were more distressed than people who had suffered serious accidents or bereavements; their levels of pain were comparable, over a year after surgery, to untreated postoperative pain; and their psychosocial adjustment was considerably worse than in patients with serious illnesses. They were extremely unsatisfied with the explanations given about their accident, which they perceived as lacking in information, unclear, inaccurate, and given unsympathetically. Poor explanations were associated with higher levels of disturbing memories and poorer adjustment. CONCLUSIONS: Surgical accidents have a major adverse psychological impact on patients, and poor communication after the accident may increase patients' distress. IMPLICATIONS: Communication skills in dealing with such patients should be improved to ensure the clear and comprehensive explanations that they need. Many patients will also require psychological treatment to help their recovery. (+info)
(7/1709) Measuring patient satisfaction: a test of construct validity.
OBJECTIVE: To establish the validity of two patient satisfaction questionnaires (surgery satisfaction questionnaire (SSQ) and consultation satisfaction questionnaire (CSQ)) developed for use in general practice. DESIGN: Prospective study of performance of SSQ and CSQ in patients selected for their predicted levels of satisfaction. SETTING: Avon Family Health Services Authority (FHSA); general practices in Bristol (practice A) and in Cheltenham (practice B). PATIENTS: 400 patients selected by Avon FHSA who had changed practices but not their home address and whose original practice had not changed its services (group 1); 869 randomly selected patients (221 from practice A, 648 from practice B) (group 2). MAIN MEASURES: Median difference in satisfaction scores for each questionnaire between groups 1 and 2 and between subgroups of group 2 patients according to assessed level in continuity of care (< 50%, > or = 50%) in the past 12 consultations. RESULTS: 272 (68.0%) patients in group 1 completed the SSQ and CSQ. 711 (81.2%) patients in group 2 (178/221 (80.5%) in practice A, 533/648(82.3%) in practice B) completed the SSQ and 374(88/106(83.0%), 286/335(85.4%)) completed the CSQ. Both questionnaires classified patients in groups 1 and 2 according to the construct of satisfaction; thus the difference in median scores for every component of satisfaction in each questionnaire was significant and occurred in the direction predicted by the construct. Each questionnaire also discriminated between patients grouped according to their assessed level of continuity of care. CONCLUSION: SSQ and CSQ are valid measures of satisfaction for these types of patients. IMPLICATIONS: Valid measures of patient satisfaction can be developed; untested instruments should no longer be used. (+info)
(8/1709) An approach to an index of hospital performance.
Two indexes are described, based on measures of administrative effectiveness and patient care effectiveness. The measures used were selected and ranked by a Delphi panel from a list of 30 measures drawn from the literature. Weights were assigned by the panel to 19 selected measures. The resulting indexes did well in a test on data collected from 32 Texas hospitals. (+info)
- In particular, Methicillin-resistant Staphylococcus aureus (MRSA), which has been found in many healthcare settings, can be a serious post-operative complication. (elsevier.com)
- Very often, resolution of diabetes occurs in the early post-operative period prior to the development of significant weight loss. (clinicaltrials.gov)
- Biopsy confirmation to corroborate the suspected diagnosis of a primary brain tumor is critical, whether before surgery by needle biopsy or at the time of surgical resection. (cancer.gov)
- There was a decrease in operative time and an increase in the proportion of laparoscopic appendectomies in the Trauma period. (bepress.com)
- In newborn infants submitted to surgical procedures, tramadol may provide an effective analgesia and decrease the time on mechanical ventilation support and the time to achieve full enteral feeding. (clinicaltrials.gov)
- Management of Acute Appendicitis by an Acute Care Surgery Service: Is Operative Intervention Timely? (bepress.com)
- Comparison of operative notes with real-time observation of adhesiolysis-related complications during surgery. (biomedsearch.com)
- METHODS: The incidence of adhesions and adhesiolysis-induced injury were scored from the reports by a researcher blinded to operative findings obtained prospectively by direct observation. (biomedsearch.com)
- Trauma services can effectively incorporate emergency surgical coverage of procedures, such as appendectomies, without compromising timely intervention. (bepress.com)
- Operative view of the conglomerated mass after removal. (hindawi.com)
- The investigators expect to reduce operative time and blood loss with ultrasonic coagulating shears. (clinicaltrials.gov)
- Effort should be put into teaching timely, meaningful, structured and accurate reporting of surgical procedures. (biomedsearch.com)
- Comparison of Pulse Hemoglobin and Pleth Variability Index to Standard Methods of Guiding Intraoperative Fluid and Transfusion Management During Major Surgical Procedures. (clinicaltrials.gov)
- In comparing two periods with and without the trauma service coverage of surgical emergencies, no difference was found in emergency department to OR time, perforation rates, or negative appendectomy rates in the management of acute appendicitis. (bepress.com)
- Surgical management of spinal tuberculosis in adults. (biomedsearch.com)
- Recent studies demonstrate that operative reports are unstructured and lack vital components. (biomedsearch.com)
- The aim of this study was to analyse the accuracy of operative reports by comparing notes with intraoperative observer-derived findings regarding adhesions and adhesiolysis-related complications. (biomedsearch.com)
- RESULTS: A total of 755 consecutive operative reports were analysed. (biomedsearch.com)
- CONCLUSION: The sensitivity and specificity of operative reports noting adhesions and adhesiolysis were low. (biomedsearch.com)
- The report contained small number of subjects and surgical procedures were different from the investigators. (clinicaltrials.gov)
- The study population will be adults more than 18 years old that are scheduled for a major surgical procedure. (clinicaltrials.gov)
- During this period, the trauma service covered most surgical emergencies. (bepress.com)
- BACKGROUND: The operative report contains critical information for patient care, serves an educational purpose and is an important source for surgical research. (biomedsearch.com)
- The retention of surgical sponges in body cavities is a preventable condition that has not been very frequently reported due to possible medicolegal concerns [ 2 ]. (hindawi.com)
- We herein report a gossypiboma resulting from 3 retained surgical swabs that had been left in peritoneum for 23 years after a caesarean operation. (hindawi.com)
- In addition, factors influencing correct reporting were analysed, including sex, surgical experience, delay in dictation, and the gradual introduction of a new report template with a focus on describing operative findings rather than actions taken. (biomedsearch.com)
- Philadelphia, April 9, 2007 - Drug-resistant bacteria can complicate treatment after many surgical procedures. (elsevier.com)
- The patient is awaiting further surgical treatment. (elsevier.com)
- The authors cite the case of a male nurse who underwent an 'uneventful' bilateral LASIK procedure that resulted in 20/20 (right eye) and 20/70 (left eye) visual acuity. (elsevier.com)