Little research has been performed in regards to the morbidity and outcomes associated with elective general surgery performed on patients with end stage renal disease (ESRD). With minimal data about the severity of disease in these patients, we sought to quantify the differences in the ESRD patient undergoing elective surgical procedures compared with matched controls. A review of all ESRD pat...

OBJECTIVE To assess the cost effectiveness of drug eluting stents (DES) compared with conventional stents for treatment of symptomatic coronary artery disease in the UK. DESIGN Cost-utility analysis of audit based patient subgroups by means of a simple economic model. SETTING Tertiary care. PARTICIPANTS 12 month audit data for 2884 patients receiving percutaneous coronary intervention wit...

Late cancellations of scheduled elective surgery limit the ability of the surgical care service to achieve its goals. Attributes of these cancellations differ between hospitals and regions. The rate of late cancellations of elective surgery conducted in Hamad General Hospital, Doha, Qatar was found to be 13.14% which is similar to rates reported in hospitals elsewhere in the world; although ele...

BACKGROUND Poor physical health and fitness increases the risk of death and complications after major elective surgery. Pre-admission interventions to improve patients' health and fitness (referred to as prehabilitation) may reduce postoperative complications, decrease the length of hospital stay and facilitate the patient's recovery. We will conduct a systematic review of RCTs to examine the e...

BACKGROUND Coronary angiography (CA), an invasive and expensive procedure, is still recommended in most patients referred for elective valve surgery. Multislice computed tomography (MSCT) is a promising alternative technique to rule out significant coronary artery lesions. AIM To evaluate MSCT in detecting significant coronary artery lesions in patients referred for elective valve surgery. ...

Elective paediatric surgery essentially stopped during the initial COVID-19 lockdown,resulting in significant treatment delays. As of December 2020, 210 000 children were awaiting elective surgery, with 66 waiting >6 months.1 To facilitate safe and efficient recovery children’s national guidance was developed.2 This child-focussed accounts for lower prevalence inability to isolate from househol...

The prospective clinical examination of 80 patients with the verified carcinoma of the colon and rectum was performed at the Clinic of General and Vascular Surgery of the M.M.A. in the period 1989-1990 with the aim to evaluate efficacy and justified use of antibiotic prophylaxis or prophylaxis and antibiotic therapy after elective surgical intervention. The preoperative mechanical preparation w...

It could be expected that such results would best be achieved only at specialist multidisciplinary centres. A recent editorial concludes there is ‘remarkably consistent evidence that the more experienced doctors or health care systems have with the procedure, the better the results’. In regard to cancer, the authors claim that this provides ‘striking examples of markedly better outcomes with hi...

BACKGROUND We compared the effectiveness and safety of endotracheal intubation using the GlideScope (GS) video laryngoscope, CTrach laryngeal mask airway (LMA), or Shikani optical stylet rigid laryngoscope (SOS) during elective cervical surgery. METHODS Forty-five patients undergoing elective cervical surgery were randomly and equally assigned to endotracheal intubation via GS, LMA, or SOS ai...