Annually more than 300 million patients (about 5% of the world population) undergo major surgery worldwide. Nearly 85% operations are noncardiac surgical procedures. Proper preoperative evaluation is important to reduce cardiovascular morbidity and mortality in undergoing surgery. Cardiac risk determined by two main factors: patient-related risk. Timing (Immediate, Urgent, time-sensitive, elect...

OBJECTIVE To identify intensive care patients dying within 2 years of discharge from hospital and assess whether the cause of death was related to the diagnosis at hospital discharge. DESIGN, SETTING AND PARTICIPANTS A retrospective cohort study of all patients admitted to the intensive care unit at Wellington Hospital, New Zealand, between 1 July 2001 and 30 June 2003, using data from the IC...

BACKGROUND Health care providers need solid evidence based data on cost differences between alternative surgical procedures for common surgical disorders. We aimed to compare small-incision open cholecystectomy (SIOC) and laparoscopic cholecystectomy (LC) concerning costs and health-related quality of life using data from an expertise-based randomised controlled trial. METHODS Patients schedu...

©2004 British Editorial Society of Bone and Joint Surgery doi:10.1302/0301-620X.86B1.14864 $2.00 J Bone Joint Surg [Br] 2004;86-B:13-9. Total hip replacement is the second most common elective surgical procedure performed in the UK. It is estimated that by 2010 Europe will have more people over 60 years of age than under 20 years. The number of total hip replacements will therefore continue to ...

BACKGROUND Surgical site infections (SSIs) are the second most common form of nosocomial infection. Colorectal resections have high rates of SSIs secondary to the inherently contaminated intraluminal environment. Negative pressure wound therapy dressings have been used on primarily closed incisions to reduce surgical site infections in other surgical disciplines. No randomized control trials ex...

BACKGROUND Preoperative blood ordering is frequently in elective colon surgery, even for procedures that rarely require blood transfusion. Most often this procedure is performed without proper analysis of the real needs. The aim of this study was to evaluate the patients who receive transfusion and determining their associated factors. METHODS Retrospective study of all consecutive patients s...

PURPOSE Rising health care costs in the United States have led to government regulation of services via a Certificate of Need (CON) law in many states. Such regulation may decrease access to elective surgical procedures. This study describes the impact of CON laws on elective surgical care. METHODS This retrospective cohort trial used data from the Health Care Utilization Project, a publicly ...

BACKGROUND Medical institutions are under increased economic pressure to schedule elective surgeries efficiently to contain the costs of surgical services. Surgical scheduling is complicated by variability inherent in the duration of surgical procedures. Modeling that variability, in turn, provides a mechanism to generate accurate time estimates. Accurate time estimates are important operationa...

Appendix is a vestigial organ which can get inflamed to cause appendicitis. It is the bread and butter of a surgeon who encounters this problem regularly. Appendicectomy is the surgery which is performed to remove the inflamed appendix. It can be achieved either by conventional open surgery or laparoscopic surgery. In this study an effort was made to compare the complications involved between c...