BACKGROUND Oral or enteral dietary supplementation with arginine, omega 3 fatty acids and nucleotides (known as immunonutrition) significantly improve outcomes in patients undergoing elective surgery. The objective of the study was to determine the impact on hospital costs of immunonutrition formulas used in patients undergoing elective surgery for gastrointestinal cancer. METHODS US hospital...

Elective Rotation This elective rotation in Plastic and Reconstructive Surgery (PRS) is a two (2) week experience in basic surgical technique, wound closure techniques, principles of wound healing, exposure to emergent and elective reconstructive surgery as well as aesthetic surgery. The student may be required to travel to the clinic, outpatient surgery center and/or hospital facility during h...

BACKGROUND Diverticulitis is a common condition. Practice guidelines from many organizations recommend bowel resection after two attacks. The evidence for such a recommendation is reviewed. METHODS A Medline literature search was performed to locate English language articles on surgery for diverticular disease. Further articles were obtained from the references cited in the literature initial...

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

OBJECTIVE To ascertain the preoperative anxiety level and different factors responsible in patients admitted for an elective surgical procedure in a tertiary care public hospital. METHODS Anxiety levels were measured in admitted patients of the Civil Hospital, Karachi, Pakistan awaiting elective surgery from October to January 2006. In the afternoon preceding surgery, patients were asked to c...

IMPORTANCE Patients undergoing surgery for a hip fracture have a higher risk of mortality and major complications compared with patients undergoing an elective total hip replacement (THR) operation. The effect of older age and comorbidities associated with hip fracture on this increased perioperative risk is unknown. OBJECTIVE To determine if there was a difference in hospital mortality among...

This paper describes a stochastic model for Operating Room (OR) planning with two types of demand for surgery: elective surgery and emergency surgery. Elective cases can be planned ahead and have a patient-related cost depending on the surgery date. Emergency cases arrive randomly and have to be performed on the day of arrival. The planning problem consists in assigning elective cases to differ...