Introduction: Hem-o-lok ligation clips are widely used for the hemostatic control of major mesenteric vessels during laparoscopic colorectal resection. We report 2 rare cases of bowel obstruction and perforation requiring urgent surgical intervention after the application of Hem-o-lok clips (Weck Surgical Instruments, Teleflex Medical, Durham, NC, USA), which were used to occlude vessels and pr...

True isolated atherosclerotic aneurysm of the superficial femoral artery is a rare pathology. We report a case of ruptured superficial femoral artery aneurysms (SFAA) not associated with aortic, common femoral or popliteal artery aneurysms. An emergency surgical procedure was performed and, after endoaneurysmal branches ligation, a ePTFE graft interposition was performed. The literature review ...

Submental tracheal intubation is a simple, quick and effective alternative to oral and nasal tracheal intubation or tracheostomy in the surgical management of selected patients with craniomaxillofacial injuries. It has a low morbidity and it does not impede the surgical field, allowing for temporary maxillo-mandibular fixation (jaw wiring) intra-operatively, and nasal assessment, manipulation a...

Abstract Background Good Surgical Practice are a set of guidelines that surgeons should adhere by to ensure efficiency services, patient's quality care and safety. One the standards focuses on good medical record keeping; within this standard, it is dictated there be operative notes for every procedure, where each note include following: D date time, elective/emergency names operating surgeon a...

Ring fencing (RF) is defined as separating elective from emergency operations in parallel hospital production lines. This study examines the effects of RF of elective surgery on hospital efficiency. The analysis is performed on two levels. First, an intensive three-month study at the departmental level of three hospitals was performed. Second, a panel data analysis of the organizational populat...

To describe the factors that influence general practitioners' choice of hospital when referring patients for elective surgery in three specialties, a postal questionnaire was distributed in January 1991 to 449 doctors who had referred patients to one of six hospitals in the North Western Regional Health Authority. Responses were received from 260 general practitioners (58%). Of the respondents ...