Ring-fencing of elective orthopaedic beds has been shown to significantly reduce surgical site infection (SSI) rates. There are fewer studies in general surgical practice. Comparison of overall surgical workload in 2007 and 2011 was performed. Data pertaining to SSI were collected and analysis of this prospectively maintained database was performed on all SSI diagnosed in 2007 and 2011. There w...

AIM To explore the knowledge, past experience, perceptions and opinions of nurses working in surgical units at a local hospital with regard to pre-operative fasting times. METHOD A qualitative research design, using a grounded theory approach, was adopted. Semi-structured interviews were undertaken with a sample of 15 staff nurses employed within five surgical units in one hospital. FINDING...

Late cancellations of scheduled elective surgery limit the ability of the surgical care service to achieve its goals. Attributes of these cancellations differ between hospitals and regions. The rate of late cancellations of elective surgery conducted in Hamad General Hospital, Doha, Qatar was found to be 13.14% which is similar to rates reported in hospitals elsewhere in the world; although ele...

Patients due to undergo elective surgery who are not considered to be medically fit, may have their operation postponed or even cancelled. Not only will this result in significant anxiety for the person, but it will also have financial implications for the hospital, in terms of lost theatre time. In an attempt to prevent postponing or cancelling scheduled surgery, pre-operative assessment is es...

Backgsround: Infective endocarditis (IE) of prosthetic valves is a dire complication cardiac valve replacement surgery and associated with high rates morbidity mortality. Case Summary: A 72-year-old woman multiple comorbidities underwent surgical the aortic mechanical after recurrent IE. After 10 years, IE recurred was surgically replaced bioprosthetic valve. Ten years later, severe heart failu...

Abstract Management of surgical patients on anti-coagulation and anti-platelet medication can be challenging. Balance between discontinuation, with thrombotic risk, continuation or early re-initiation risk bleeding should considered. In emergency setting are managed depending clinical situation. Aim To review the management anticoagulant antiplatelet therapy in acute elective patients. Methods ...

BACKGROUND Two alternative surgical techniques for elective laparoscopic cholecystectomy (LC), low-pressure insufflation of the peritoneal cavity and abdominal wall lifting (AWL), have been developed over time to minimize the disadvantages associated with CO2-elicited pneumoperitoneum. To the best of our knowledge, the 2 methods have seldom been compared as regards their relative advantages and...

MORE THAN 25 years ago, C.P. Bailey performed the first successful left ventricular aneurysmectomy in a human being.' Since then, with cardiopulmonary bypass and improved surgical techniques, aneurysmectomy has become an established procedure available to patients with ventricular aneurysms and severe symptoms. In this paper we review the available literature concerned with elective left ventri...