By Michael W Mulholland, Gerard A Doherty
This quantity bargains authoritative, evidence-based innovations for combating and dealing with issues in all present normal surgical procedure techniques. the outlet sections talk about institutional chance administration matters and dangers universal to all operations, similar to wound therapeutic difficulties, an infection, surprise, and problems in immunosuppressed sufferers. next sections specialize in issues of particular approaches in thoracic, vascular, gastric, endocrine, breast, and oncologic surgical procedure, in addition to organ transplantation and pediatric surgical procedure. for every approach, the authors speak about surgical objectives, anticipated results, preoperative id of chance components, intraoperative process, and postoperative probability. various decision-making algorithms, drawings of concepts, and tables supplement the textual content.
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Additional info for Complications in Surgery, 5th edition
The remaining 23% did not, but no study demonstrated statistically significant associations in the opposite direction. The authors described wide variation in the methodologic quality of volume-outcome studies and noted the predominance of studies based on administrative data (with attendant concerns about the adequacy 36 37 of risk adjustment). 32 for risk adjustmentâ all demonstrated statistically significant lower mortality rates at high-volume hospitals. TABLE 6-1 SUMMARY OF FINDINGS OF VOLUME-OUTCOME STUDIES IN STRUCTURED LITERATURE REVIEW Number of Studies High High Volume SS NS Trend Toward High NS Trend Toward High Volume Procedure Total Better Volume Better Volume Worse SS Worse CABG 11 9 2 0 0 Coronary 6 6 0 0 0 angioplasty Elective AAA repair 9 9 0 0 0 Carotid 9 6 3 0 0 endarterectomy Pancreatic resection 8 8 0 0 0 Esophagectomy 2 2 0 0 0 All others 82 62 16 4 0 Overall 127 102 21 4 0 SS, statistically significant; NS, nonsignificant; CABG, coronary artery bypass grafting; AAA, abdominal aortic aneurysm.
Doherty, Gerard M. Title: Complications in Surgery, 1st Edition Copyright Â©2006 Lippincott Williams & Wilkins > Table of Contents > I - Institutional Issues > 5 - Surgical Credentials 5 Surgical Credentials Mary E. Klingensmith Mary E. Klingensmith: Washington University School of Medicine, Saint Louis, MO 63110 INTRODUCTION The processes leading to Board certification and hospital credentialing are often confusing to surgical trainees or those new to the American health care system. This chapter will seek to outline these two areas, pointing out where they overlap and how they relate to the requirements for residency training in surgery.
In contrast, the importance of other hospital-based services is relatively low. Most carotid endarterectomy patients do not require intensive postoperative management, and length of stay is typically just overnight. For these reasons the preeminent role of surgeon volume with this procedure has strong face validity. , bleeding, bronchial stump leak); they die from cardiac events, pneumonia, and respiratory failure. , intensive care, pain management, respiratory, and nursing care) are very important and lengths of stay are relatively long.
Complications in Surgery, 5th edition by Michael W Mulholland, Gerard A Doherty