We instituted a multidisciplinary educational and operational quality improvement initiative to assess the effect of process interventions on reducing OR door openings and, by extension, surgical site infections. From 2009 to 2012, we conducted an initial trial to gather information and identify reasons for door openings followed by a three-phase investigation that evaluated a total of 102 orth...

Incisional ventral hernias (IHs) are a common complication across all surgical specialities requiring access to the abdomen, pelvis, and retroperitoneum. This public health issue continues be widely ignored, resulting in appreciable morbidity expenses. In this critical review, is explored by an interdisciplinary group. A group of European surgeons encompassing representatives from abdominal wal...

a prolonged illness. The first five operations were performed according to Macnamara's method, as fully detailed in his ophthalmic work ; hut, as four of those eyes were lost, and the fifth regained only partial vision after long attendance, I was only too glad to abandon a method which in my hands did not promise to be very successful. Macnamara's triangular-bladed knife does not readily enter...

Dr. Fisher: The first issue would be to find out what size she wants to be. One rule of thumb is that the larger the implant, the less lift is required. If you look at her side view, her nipple is almost at her inframammary fold. I think she has adequate tissue for me to consider subglandular placement of gel implants, using a periareolar incision. Once the implant is inserted, I could determin...

Instruments designed primarily for vitreous surgery were used in 74 anterior segment operations. In each case the instrument was introduced into the eye through a limbal incision. This preliminary report shows that this new approach offers several advantages over conventional methods in selected cases. It is of particular value in the management of presenile and complicated cataracts and in the...

The triumphs achieved by abdominal surgery of late years lend a special interest to cases in which operations involving the opening of the abdomen were performed by the older surgeons. The case I am going to relate appears to be one of the first in which a surgeon ventured to make an incision into the abdomen for the purpose of removing the remains of an extra-uterine gestation; and it is the m...

BACKGROUND Gynecologists have long used a vaginal incision for surgical treatment of pelvic pathology. More recently, however, laparoscopy has allowed gynecologists and other specialists to replace laparotomy with minimally invasive surgical techniques. The combination of laparoscopic and vaginal approaches has increased the surgical armamentarium of both the gynecologist and the urologist. C...