HYPOTHESIS Enterotomy or unplanned bowel resection (EBR) may occur during elective incisional hernia repair (IHR) and significantly affects surgical outcomes and hospital resource use. DESIGN Retrospective review of patients undergoing IHR between January 1998 and December 2002. SETTING Sixteen tertiary care Veterans Affairs medical centers. PATIENTS A total of 1124 elective incisional he...

OBJECTIVE To determine mortality risk factors in surgical patients. MATERIAL AND METHOD A cross-sectional study was carried out on all surgical patients who died while in hospital, over a period of three years (2004-2006). Pre, intra and postoperative variables were analysed. Comparisons were made between patients operated on as emergencies and elective surgery patients. Multivariate analysis...

BACKGROUND Maxillectomy defects require complex 3-dimensional reconstructions often best suited to microvascular free tissue transfer. Postoperative airway management during this procedure has little discussion in the literature and is often dictated by surgical dogma. The purpose of this article was to review our experience in order to evaluate the effect of airway management on perioperative ...

BACKGROUND Allocation of the correct amount of operating room (OR) "block time" can provide surgeons with access to sufficient OR time to complete their elective cases while optimally matching staffing with the elective case workload (to maximize labor productivity). To evaluate how to predict accurately total hours of elective cases performed by a surgical group using data from surgical servic...

Colonic diverticulosis is a common condition in the Western world and its incidence increases substantially with age. It was estimated that in patients older than age 60 years, 50% have diverticulosis [1,2]. Surgeons’ interest for this disease is related to the treatment of the complications of diverticulitis (perforation, occlusion, bleeding). About 25% of patients hospitalized for diverticuli...

background: to evaluate the present status of blood utilization and develop practice guidelines in teaching hospitals in northern iran. methods: we retrospectively analyzed the amount of blood prepared and used preoperatively for 11 elective procedures, from march 2010 to march 2011 in teaching hospitals in northern iran. study variables included the crossmatch transfusion ratio, the transfusio...

Critical closing pressures have been measured in the hand vessels of anaesthetized patients undergoing elective surgery by a method as close as possible to that used in previous studies on conscious subjects. The critical closing pressure has been found to vary considerably during anaesthesia. In general, the variations are parallel to those of the systolic blood pressure. No correlation has be...

Improvements in the diagnosis and treatment of congenital disorders have resulted in a change in surgical practice. Many conditions that formerly required corrective surgery immediately after birth are no longer surgical emergencies. Most babies with congenital anomalies that can be corrected by surgery are now stabilized and optimized before the procedure. This article focused on the more comm...