Fitness to drive advice after elective laparoscopic cholecystectomy (ELC) – Whose responsibility is it? A survey of car insurance companies

whose responsibility is it anyway ?

Routine Testing of Liver Function Before and After Elective Laparoscopic Cholecystectomy: Is It Necessary?

BACKGROUND AND OBJECTIVES Liver function tests (LFTs) include alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamyl transpeptidase (GGT), alkaline phosphatase (ALP), and bilirubin. The role of routine testing before and after laparoscopic cholecystectomy was evaluated in this study. PATIENTS AND METHODS A total of 355 patients were retrospectively analyzed by examin...

Specimen retrieval during elective laparoscopic cholecystectomy: is it safe not to use a retrieval bag?

BACKGROUND Since the introduction of laparoscopic surgery for gallbladder disease different types of retrieval devices have been used to extract the gallbladder from the peritoneal cavity. These devises infer additional costs and may lead to associated risks and complications. We aimed to evaluate the safety of gallbladder retrieval without the use of a retrieval device. METHODS A prospective...

Breaking bad news - whose responsibility is it?

This module considers different aspects of communicating a cancer diagnosis to the patient. Using a UK study, it looks at who breaks bad news in cancer care, frameworks for breaking bad news and the role of nurses.

Health promotion: whose responsibility is it?

Oncology nurses often educate patients and encourage them to adopt a healthy lifestyle. Where does this responsibility begin and end? Another new year is upon us. Human nature encourages people to strive to do better. Consequently, each new year, millions of people resolve to make changes in their lives. This year I will . . . stop smoking, eat better, walk more, get a mammogram, reduce stress,...