objective: the purpose of this study was to investigate the incidence, type, location, and risk factors of accidental fetal lacerations during caesarean delivery. material and methods: total deliveries, caesarean deliveries, and neonatal records for documented accidental fetal lacerations were reviewed retrospectively in four university hospital. thegestational age, the presenting part of the f...

background: the stapled hemorrhoidopexy (sh) is a procedure for prolapse and hemorrhoids . at first sh seemed to be a good alternative for the milligan morgan (mm) hemorrhoidectomy and preliminary results in early 2000 confirmed it. however, further studies and evaluation of long-term results showed poorer outcomes. objectives: this study aimed to evaluate and compare the results of these 2 sur...

introduction cerebral haemorrhage could complicate post operative course after cardiac surgery, especially after multiple mechanical valves replacement needing for anticoagulation. the interruption of vitamin k antagonists in this cases, to avoid the enhancement of the cerebral haemorrhage, can be performed with reasonable safety. case presentation we report the case of a patient who underwent ...

Surgical safety during vacation periods may be influenced by the interplay of several factors, including workers' leave, hospital activity, climate, and the variety of patient cases. This study aimed to highlight an annually recurring peak of surgical mortality during summer in France and explore its main predictors. We selected all elective of open surgical procedures performed in French hospi...

The objective of this quasi-experimental study was to evaluate the impact of telephone confirmation of attendance on the reduction of absenteeism of patients scheduled for elective surgery. The study was conducted at the Surgical Department of the Botucatu School of Medicine for 30 days and included 89 patients. Results showed the effectiveness of the intervention, which reduced absenteeism by ...

 Understand how the body reacts to injury and surgery;  Insights to stressors in surgical care;  Have knowledge about how metabolic changes in surgery are related to surgical complications;  Have knowledge about insulin resistance in surgery;  Have knowledge about ways to reduce the catabolic response to elective surgery and how this affects recovery;  Have knowledge about treatments that...

OBJECTIVE To draw up a document in which patients can note down their residential treatment and determine its usefulness. The level of compliance and assessment of the document can be quantified by the healthcare personnel. METHOD Initially the medical prescription process was analysed in the preoperative stage. Its usefulness was later evaluated, analysing the percentage of patients who coul...

BACKGROUND The cancellation of planned surgery harms patients, increases waiting times and wastes scarce health resources. Previous studies have evaluated interventions to reduce cancellations from medical and management perspectives; these have focused on cost, length of stay, improved efficiency, and reduced post-operative complications. In our case a hospital had experienced high cancellatio...

Older people have much to gain from surgery, but pose a significant challenge not only in emergency surgery but also in elective surgery. Despite significant progress in the care of older surgical patients, they remain more likely to 'fail' pre-assessment and have higher rates of post-operative complications than younger people. The evidence suggests that this is a consequence of age-related in...