Search Our Scientific Publications & Authors

Publications
find publications by category +
Translate page:

Solve study: a study to capture global variations in practices concerning laparoscopic cholecystectomy.

Authors:
Matta Kuzman Khalid Munir Bhatti Islam Omar Hany Khalil Wah Yang Prem Thambi Nader Helmy Amir Botros Thomas Kidd Siobhan McKay Altaf Awan Mark Taylor Kamal Mahawar

Surg Endosc 2022 Jun 9. Epub 2022 Jun 9.

South Tyneside and Sunderland NHS Foundation Trust, Sunderland, UK.

Background: There is a lack of published data on variations in practices concerning laparoscopic cholecystectomy. The purpose of this study was to capture variations in practices on a range of preoperative, perioperative, and postoperative aspects of this procedure.

Methods: A 45-item electronic survey was designed to capture global variations in practices concerning laparoscopic cholecystectomy, and disseminated through professional surgical and training organisations and social media.

Results: 638 surgeons from 70 countries completed the survey. Pre-operatively only 5.6% routinely perform an endoscopy to rule out peptic ulcer disease. In the presence of preoperatively diagnosed common bile duct (CBD) stones, 85.4% (n = 545) of the surgeons would recommend an Endoscopic Retrograde Cholangio-Pancreatography (ERCP) before surgery, while only 10.8% (n = 69) of the surgeons would perform a CBD exploration with cholecystectomy. In patients presenting with gallstone pancreatitis, 61.2% (n = 389) of the surgeons perform cholecystectomy during the same admission once pancreatitis has settled down. Approximately, 57% (n = 363) would always administer prophylactic antibiotics and 70% (n = 444) do not routinely use pharmacological DVT prophylaxis preoperatively. Open juxta umbilical is the preferred method of pneumoperitoneum for most patients used by 64.6% of surgeons (n = 410) but in patients with advanced obesity (BMI > 35 kg/m, only 42% (n = 268) would use this technique and only 32% (n = 203) would use this technique if the patient has had a previous laparotomy. Most surgeons (57.7%; n = 369) prefer blunt ports. Liga clips and Hem-o-loks® were used by 66% (n = 419) and 30% (n = 186) surgeons respectively for controlling cystic duct and (n = 477) 75% and (n = 125) 20% respectively for controlling cystic artery. Almost all (97.4%) surgeons felt it was important or very important to remove stones from Hartmann's pouch if the surgeon is unable to perform a total cholecystectomy.

Conclusions: This study highlights significant variations in practices concerning various aspects of laparoscopic cholecystectomy.

Download full-text PDF

 Source
http://dx.doi.org/10.1007/s00464-022-09367-8DOI Listing
June 2022

Publication Analysis

Top Keywords

variations practices
20
laparoscopic cholecystectomy
16
practices concerning
16
concerning laparoscopic
12
surgeons
8
controlling cystic
8
global variations
8
study capture
8
capture global
8
surgeons perform
8
cholecystectomy
6
variations
5
practices
5
patients presenting
4
exploration cholecystectomy
4
cholecystectomy patients
4
cbd exploration
4
perform cbd
4
n = 419 30%
4
aspects laparoscopic
4

Keyword Occurance

Similar Publications

SARS-CoV-2 testing and detection during peripartum hospitalizations among a multi-center cohort of pregnant persons, March 2020-February 2021.

Authors:
Miranda J Delahoy Flor Munoz De Kun Li Carmen Sofia Arriola Nanette Lee Bond Michael Daugherty Jeannette Ferber Nickolas Ferguson Louise Hadden Jillian T Henderson Stephanie A Irving Mary Juergens Venkatesh Kancharla Mara Greenberg Roxana Odouli Gabriella Newes-Adeyi Erin G Nicholson Lawrence Reichle Momodou Sanyang Margaret Snead Fatimah S Dawood Allison L Naleway

Clin Infect Dis 2022 Aug 12. Epub 2022 Aug 12.

Center for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.

Background: Identifying SARS-CoV-2 infections during peripartum hospitalizations is important to guide care, implement prevention measures, and understand infection burden.

Methods: This cross-sectional analysis used electronic health record data from hospitalizations during which pregnancies ended (peripartum hospitalizations) among a cohort of pregnant persons at 3 U.S. Read More

View Article and Full-Text PDF
August 2022
Similar Publications

Developmental trajectories of health and long-term care systems: The transitions of solidarity in four Asian countries.

Authors:
Ming-Jui Yeh

Arch Gerontol Geriatr 2022 Aug 3;103:104785. Epub 2022 Aug 3.

Institute of Health Policy and Management, College of Public Health, National Taiwan University, 17 Xuzhou Road, Taipei 10055, Taiwan. Electronic address:

Purpose: Different from the development of health sector, there are significant variations in the underpinnings and formation timings of solidarity-based long-term care (LTC) systems. This paper compares the historical developmental trajectories and identifies factors of the transitions of the actual practices of solidarity - the scope of community, the scope of interdependence, and the costs of joint action - in the health and LTC sectors in four East Asian countries: Japan, South Korea, Taiwan, and Singapore.

Methods: Comparative policy analysis. Read More

View Article and Full-Text PDF
August 2022
Similar Publications

Space-time monitoring of groundwater fluctuations with passive seismic interferometry.

Authors:
Shujuan Mao Albanne Lecointre Robert D van der Hilst Michel Campillo

Nat Commun 2022 Aug 8;13(1):4643. Epub 2022 Aug 8.

Massachusetts Institute of Technology, Cambridge, USA.

Historic levels of drought, globally, call for sustainable freshwater management. Under pressing demand is a refined understanding of the structures and dynamics of groundwater systems. Here we present an unconventional, cost-effective approach to aquifer monitoring using seismograph arrays. Read More

View Article and Full-Text PDF
August 2022
Similar Publications

Benchmark dose modeling of transcriptional data: a systematic approach to identify best practices for study designs used in radiation research.

Authors:
Robert Stainforth Ngoc Vuong Nadine Adam Byron Kuo Ruth C Wilkins Carole Yauk Afshin Beheshti Vinita Chauhan

Int J Radiat Biol 2022 Aug 8:1-37. Epub 2022 Aug 8.

Consumer and Clinical Radiation Protection Bureau, Health Canada, Ottawa, Canada.

Purpose: Benchmark dose (BMD) modeling is a method commonly used in chemical toxicology to identify the point of departure (POD) from a dose-response curve linked to a health-related outcome. Recently, it is being explored on transcriptional data and in adverse outcome pathways (AOPs). As AOPs are informed by diverse data types, it is important to understand the impact of study parameters such as dose selection, number of replicates and dose range on BMD outputs for radiation induced genes and pathways. Read More

View Article and Full-Text PDF
August 2022
Similar Publications

Sailing through the COVID-19 Pandemic and Beyond: An Evidence-Based Analysis for Dental Healthcare and Practice.

Authors:
Harpreet Singh Shabina Sachdeva Dhirendra Srivastava Pranav Kapoor Poonam Sharma Raj Kumar Maurya Pinaki Roy

Front Dent 2022 7;19:14. Epub 2022 Mar 7.

Department of Orthodontics and Dentofacial Orthopedics, Dr. R. Ahmed Dental College and Hospital, Kolkata, India.

This integrative review aims to provide a consolidated evidence-based appraisal of the most up-to-date guidelines and recommendations of international public and professional health regulatory bodies in relation to preparedness framework for restructuring safe delivery of dental services amid and beyond the coronavirus disease-2019 (COVID-19) pandemic. Most recent updated guidelines for dental professionals from major international health regulatory bodies were reviewed. PubMed, Google Scholar, Cochrane Central Register of Controlled Trials, WHO COVID-19 and LILACS databases, along with relevant preprints were searched, and citations were checked up to January 23, 2021. Read More

View Article and Full-Text PDF
March 2022
Similar Publications
}