Although preoperative autologous blood donation is employed in elective surgery, this is declining because of the increasingly safe allogeneic blood supply. However, it continues to be used because of the public's perception of allogeneic blood risks and increasing blood shortages. Patients may donate a unit of blood (450 +/- 45 ml) as often as twice weekly, up to 72 hours before surgery. Preop...

OBJECTIVE To examine the postoperative complications and death rate of major elective vascular surgery procedures in patients with end-stage renal disease (ESRD). BACKGROUND DATA Patients with ESRD undergoing elective major vascular surgical procedures are thought to have a high rate of postoperative complications and death. METHODS The American College of Surgeons-National Surgical Quality...

This paper addresses the problem of operating room (OR) scheduling at the tactical level of hospital planning and control. Hospitals repetitively construct operating room schedules, which is a time consuming, tedious and complex task. The stochasticity of the durations of surgical procedures complicates the construction of operating room schedules. In addition, unbalanced scheduling of the oper...

BackgroundAnxiety is common in surgical patients during the preoperative period. High levels of preoperative anxiety have unfavorable effects on induction and maintenance of anaesthesia as well as on the recovery from anaesthesia and surgery. The incidence of preoperative anxiety for surgical patients in the Niger Delta region is not known, ObjectiveTo determine the factors responsible for preo...

Objective: To compare the efficacy of two prophylactic antibiotic regimens in preventing surgical site infection. Setting: Tertiary level hospital in India. Methods: We enrolled 104 consecutive patients undergoing elective implant surgery around the hip and randomized them into two groups. Group A (53) received a single dose of injectable cefazolin prior to skin incision, while group B (51) rec...

AIM To evaluate the development of diagnostic tools, indications for surgery and treatment modalities concerning diverticular disease (DD) in The Netherlands. METHODS Data were collected from 100 patients who underwent surgery for DD in three Dutch hospitals. All hospitals used the same standardized database. The collected data included patient demographics, patient history, type of surgery a...