BACKGROUND It has been suggested that inadequate lymph node harvest may result in pathologically understaged or indeterminate staging of patients with colorectal cancer (CRC). We compared the adequacy of nodal staging in patients undergoing emergency surgery compared with elective surgery for CRC. METHODS Using a prospectively collected CRC surgery database at a tertiary care centre, we perfo...

this review provides an overview of the present knowledge on the aspects of preoperative fasting with the assessment of the evidence quality. a systematic research was conducted in electronic databases in order to identify trials published between 1990 and 2014 concerning preoperative fasting, early resumption of oral intake and the effects of oral carbohydrate mixtures on gastric emptying and ...

In May 1995 the author was appointed as the first laparoscopic nurse practitioner (NP) in the UK. The role was to provide a seamless service for patients undergoing laparoscopic general surgery. Three factors influenced the development of this role: □ The reduction in junior doctors' hours ( NHSME 1991 ) □ The Calman Report ( 1993 ) which redefined surgical training □ The NHS Executive Report (...

National Health Service (NHS) statistics in the United Kingdom demonstrate an increase in clinical negligence claims over the past 30 years. Reasons for this include elements of a cultural shift in attitudes toward the medical profession and the growth of the legal services industry. This issue affects medical and surgical health providers worldwide.The authors analyzed 2117 NHS Litigation Auth...

In the 1990's there were concerns that methotrexate might increase the risk of post operative complications following elective orthopaedic surgery; as a result many Units initiated policies to discontinue methotrexate prior to elective orthopaedic surgery. In 2001 we carried out a controlled study of complications after elective surgery in rheumatoid arthritis (RA) patients who either continued...

Demand for healthcare services is growing rapidly in Australia and across the world, and rising healthcare expenditure is increasing pressure on sustainability of government-funded healthcare systems. In Australia, elective surgery waiting lists are growing and hospitals are struggling with a capacity shortage. To keep up with the rising demand, we need to be more efficient in delivering surgic...

Preoperative pulmonary evaluation is important in the management of patients with lung disease who are undergoing elective cardiothoracic or noncardiothoracic surgery. In some instances, preoperative pulmonary evaluations may also contribute to the management of patients being considered for urgent surgery. The incidence of postoperative pulmonary complications (PPCs) is high and is associated ...

AIMS AND OBJECTIVES To explore the factors that affect patient decision-making for an elective surgery. BACKGROUND Cerebral cavernous malformations are lesions found in the brain and spinal cord comprised of abnormal blood vessels, which bleed sporadically causing serious neurological deficits. Course of treatment for cerebral cavernous malformation is often ultimately left up to the patient,...