BACKGROUND Increased scrutiny and the need to institute a truly patient centered approach to surgical care has motivated the growing interest in measuring the quality of surgical care through comparative surgical audit. This study aimed to assess the validity of the POSSUM (Physiological and Operative Severity Score for enumeration of Mortality and Morbidity) and P-POSSUM (Portsmouth-POSSUM) sc...

Since the first operation for patent ductus arteriosus performed by Gross in 1938, many papers have been published, Gross himself reporting more than 600 patients treated until 1953. Wide indications for operative treatment are now generally accepted in view of the low operative mortality and the risks that are present without surgery. As to the operation itself, discussion still continues beca...

BACKGROUND Percutaneous aortic valve replacement (PAVR) for aortic stenosis is an attractive alternative to operative valve replacement. Several devices are evaluated, but their efficacy and safety are critically discussed. An interdisciplinary approach with collaboration of cardiac surgeons and cardiologists is widely requested. We analyzed how cardiologists and cardiac surgeons assess the pos...

PURPOSE To examine the cognitive risks of temporal lobe surgery in patients aged 50 years and older. METHODS We analysed data from 55 patients who underwent temporal lobe surgery (26 left-sided:29 right sided) from 1988 to 2012 at our centre. Pre-surgical and one year post-operative memory and naming capacity were compared to data obtained from two younger cohorts; 185 aged 18-30 and 220 aged...

BACKGROUND AND PURPOSE Reliable data on the risk of carotid endarterectomy (CEA) in relation to timing of surgery are necessary to plan CEA most effectively, to adjust risks for case-mix, and to understand the mechanisms of operative stroke. METHODS We performed a systematic review of all studies published from 1980 to 2008 inclusive that reported the risk of stroke and death due to CEA in re...

in this paper, we discuss the present situation of laparoscopy in gynecology. there is no doubt that hospital stay, postoperative pain and convalescence are less when it is possible to treat gynecologic disease via laparoscopy. however, for reaching the final conclusion about the other effects of this kind of surgery, e.g., adhesion formation after operation, pregnancy rate, etc., a series of p...

Acetylsalicylic acid has long been the only nonsteroidal anti-inflammatory drug recommended for the treatment and prevention of thromboembolic diseases. More recently, new compounds have been used in patients with vascular diseases. However, these drugs are often associated with longer bleeding times and greater operative risk. In most surgical specialties, the question always arises as to whet...

Abstract Aim Accurate reduction of the hip joint and SPICA application for treatment developmental dysplasia (DDH) is crucial long term success – those undergoing surgical intervention, or closed only. In Alder Hey Children’s Hospital we compared two methods confirming patients DDH. Those receiving either post-operative departmental computed tomography (CT) an intra-operative CT. Specific outco...

Operative vaginal delivery is used to achieve or expedite safe vaginal delivery for maternal or fetal indications. Examples include maternal exhaustion and an inability to push effectively; medical indications such as maternal cardiac disease and a need to avoid pushing in the second stage of labor; prolonged second stage of labor, arrest of descent, or rotation of the fetal head; and nonreassu...