BACKGROUND Documentation of pregnancy status (PS) is an integral component of the assessment of women of reproductive age when admitted to hospital. Our aim was to determine how accurately PS was documented in a multicentre audit of female admissions to general surgery. METHODS A prospective multicentre audit of elective and emergency admissions was performed in 18 Scottish centres between 08...

Background: Preoperative anxiety is crucial for the surgery outcome, the post operative recovery and the hospitalization cost. Aims: To determine the prevalence of preoperative anxiety and its predictors among elective surgery patients in Sousse, Tunisia. Methods: Cross sectional study was conducted in the 2 tertiary care hospitals of the region of Sousse, Tunisia during March 2016. All patient...

STUDY DESIGN A prospective clinical study. PURPOSE Our objective in the present study was twofold. First, we sought to evaluate the relationship between postoperative venous thromboembolism (VTE) development and concentration of D-dimer to determine the cutoff value in patients who underwent elective spinal surgery. Second, we identified the predictive risk factors for postoperative VTE. OV...

N;WAK ,4Q¶~'and "the team" with 2 { :. ..-Jer t.Cit;& 859° whom I was to be workJersyC.t',> . :,singfor the next eight Airpor weeks. Half an hour 2x ffi , ',_ ---: later I was in operating room B (the OR for short) trying to manipulate a fibreoptic bronchoscope into the right main bronchus of my first p,atient and hoping At[antic desperately that the City l s w!3___ ----_ trousers of my extra|_...

Menstruation is a physiological phenomenon of cyclic endometrial exfoliation caused by changes in the level of sex hormones (estrogens and progesterone), under the system of mutual feedback between the gonads, the anterior pituitary gland, and the hypothalamus. Amongst surgeons, there is belief that menstruation is a contraindication to elective surgery. This is attributed to the functional imp...

BACKGROUND An ageing population and higher rates of chronic disease increase the demand on health services. The Australian Institute of Health and Welfare reports a 3.6% per year increase in total elective surgery admissions over the past four years.1 The newly introduced National Elective Surgery Target (NEST) stresses the need for efficiency and necessitates the development of improved planni...

Objective Patient experience is one of the three pillars of quality in healthcare; improving it must be a key aim if we are to make the overall quality of the healthcare we provide better. Methods We devised a quality improvement project to improve the patient experience of elective surgery. We conducted surveys of patients and assessed their experience by using semistructured interviews and pa...

BACKGROUND appendicovesical fistula is a rare complication of advanced acute appendicitis and represents a rare type of enterovesical fistula. Its symptoms are vague and imprecise and its diagnosis is difficult, requiring a high level of suspicion. Exploratory laparotomy has been the key for diagnosis and definitive treatment for many years, but recently the laparoscopic approach is standing ou...

BACKGROUND Traumatic hand injuries represent approximately 20% of emergency department visits; yet, access to emergency care remains inadequate. Recent surveys from several states report a wider availability of hand specialists providing elective care than emergency care. The authors aim to examine this phenomenon in the state of New Jersey and whether there is a national trend toward dispropor...