377 results match your criteria Patient Safety in Surgery [Journal]


Preoperative anxiety among adult patients undergoing elective surgery: a prospective survey at a general hospital in Ethiopia.

Patient Saf Surg 2019 8;13:18. Epub 2019 Apr 8.

Hawassa University, College of medicine and health sciences, School of Nursing, Hawassa, SNNPR Ethiopia.

Background: Major life changes are among factors that cause anxiety, and one of these changes is surgery. Hospitalization, regardless of disease, is known to provoke anxiety in the patient admitted for surgery. Anxiety is an unpleasant disturbing experience that involves way of thinking of tension, apprehension, uneasiness and high autonomic activity. Read More

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http://dx.doi.org/10.1186/s13037-019-0198-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454677PMC

Surgical management of intramuscular hemangioma of the foot: a case report.

Patient Saf Surg 2019 26;13:17. Epub 2019 Mar 26.

Department of Trauma and Orthopedic Surgery A, Hassan II Teaching Hospital, Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah University, Atlas, Avenue Hassan II, 1835 Fès, BP 30000 Morocco.

Background: Hemangiomas are benign tumors usually found in the lower extremity yet their surgical management on the location in the foot is rarely documented.

Case Presentation: We report a case of a plantar intramuscular hemangioma in 25-year-old patient with a history of percutaneous therapy. Patient had undergone intralesional sclerotherapy 3 years prior to his admission with persistent pain on weight bearing activities. Read More

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http://dx.doi.org/10.1186/s13037-019-0197-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434622PMC

Outcomes after surgical treatment of acetabular fractures: a review.

Patient Saf Surg 2019 16;13:16. Epub 2019 Mar 16.

3The Steadman Clinic, 181 West Meadow Drive Suite 400, Vail, Colorado 81657 USA.

Acetabular fractures are fractures that extend into the hip joint and pose a challenge for orthopaedic trauma surgeons. The first known descriptions of surgical fixation of acetabular fractures were case reports in 1943. In 1964, Robert Judet, Jean Judet, and Émile Letournel published a landmark article describing a classification system and surgical approaches to treat acetabular fractures. Read More

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http://dx.doi.org/10.1186/s13037-019-0196-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6420740PMC
March 2019
1 Read

Breast cancer involvement of the nipple-areola complex and implications for nipple-sparing mastectomies: a retrospective observational study in 137 patients.

Patient Saf Surg 2019 16;13:15. Epub 2019 Mar 16.

1Surgical Oncology Unit, Department of Surgery, Faculty of Medicine, Suez Canal University Hospital, Circular Road, Ismailia, 411522 Egypt.

Introduction: Nipple-sparing mastectomy (NSM) has gained much attention by enhancing the aesthetic outcome in breast carcinoma patients. The aim of this study was to assess the prevalence of malignant affection of the nipple-areola complex (NAC) in breast carcinoma patients and its correlation with prognostic factors for breast cancer.

Patients And Methods: This study included 137 female patients diagnosed with breast carcinoma at different disease stages who were admitted to our surgical oncology unit at Suez Canal University Hospital from June 15, 2014 to January 25, 2017. Read More

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http://dx.doi.org/10.1186/s13037-019-0191-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6420758PMC

Adherence to the WHO surgical safety checklist: an observational study in a Swiss academic center.

Patient Saf Surg 2019 12;13:14. Epub 2019 Mar 12.

4Department of Surgery, University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland.

Background: The World Health Organization (WHO) Surgical Safety Checklist is used globally to ensure patient safety during surgery. Two years after its implementation in the University Hospital Basel's operating rooms, adherence to the protocol was evaluated.

Methods: This mixed method observational study took place in the surgical department of the University Hospital of Basel, Switzerland from April to August 2017. Read More

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http://dx.doi.org/10.1186/s13037-019-0194-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419440PMC

Correlation of radiographic variables to guide safe implant positioning during acetabular surgery and hip replacement: a retrospective observational study.

Patient Saf Surg 2019 12;13:13. Epub 2019 Mar 12.

1Department for Trauma, University Hospital Zurich, Raemistrasse 100, 8091 Zurich, Switzerland.

Background: Knowledge of periacetabular anatomy is crucial for prosthetic cup placement in total hip arthroplasty and for screw placement in anterior fixation with acetabular fractures. It is known that degree of hip dysplasia correlates with medial bone stock and that medial bone stock shows a weak correlation to Lequesne's acetabular index (AI). Aim of this study was to investigate a possible correlation between AI and the newly proposed medial safe zone. Read More

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http://dx.doi.org/10.1186/s13037-019-0192-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419400PMC
March 2019
1 Read

Inter-observer reliability of alternative diagnostic methods for proximal humerus fractures: a comparison between attending surgeons and orthopedic residents in training.

Patient Saf Surg 2019 11;13:12. Epub 2019 Mar 11.

1Department of Orthopedics and Traumatology, (DOT/UNIFESP)- Escola Paulista de Medicina, Universidade Federal de São Paulo, Rua Napoleão de Barros, 715, 01 andar, São Paulo, SP CEP 04024-002 Brazil.

Background: Proximal humerus fractures are frequent, and several studies show low diagnostic agreement among the observers, as well as an inaccurate classification of these lesions. The divergences are generally correlated with the experience of the surgeons as well as the diagnostic methods used. This paper challenges these problems including alternative diagnostic methods such as 3D models and augmented reality (holography) and including the observers' period of medical experience as a factor. Read More

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http://dx.doi.org/10.1186/s13037-019-0195-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410505PMC
March 2019
1 Read

Adherence to preoperative hand hygiene and sterile gowning technique among consultant surgeons, surgical residents, and nurses: a pilot study at an academic medical center in Indonesia.

Patient Saf Surg 2019 11;13:11. Epub 2019 Mar 11.

Digestive Surgery Division, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Jl. Kesehatan No. 1, Yogyakarta, 55281 Indonesia.

Background: Healthcare-associated infections (HAI) is a major problem for patient safety and surgical site infection (SSI) is a type of HAI and the most common form of infection related to surgical health care. Transmission of microorganisms can be minimized by aseptic procedures. The main objective of this study is to compare adherence to preoperative sterile gowning and hand hygiene technique among consultant surgeons, surgical residents, and nurses. Read More

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http://dx.doi.org/10.1186/s13037-019-0193-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410512PMC

Incidence, root causes, and outcomes of surgical site infections in a tertiary care hospital in Rwanda: a prospective observational cohort study.

Patient Saf Surg 2019 18;13:10. Epub 2019 Feb 18.

1Infection Control Unit, Kigali University Teaching Hospital, Kigali, Rwanda.

Background: Surgical Site Infections (SSI) are the most reported health acquired infection and common surgical complication in both developed and developing countries. In developing countries such as Rwanda, there is a paucity of published reports on the pattern of SSI, therefore this study aimed at assessing the incidence, risk factors and the antibiotic profile of pathogens responsible of SSI.

Methods: This prospective study included 294 patients admitted between October 10, 2017 and February 12, 2018 to the surgical department of the University Teaching Hospital of Kigali. Read More

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https://pssjournal.biomedcentral.com/articles/10.1186/s13037
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http://dx.doi.org/10.1186/s13037-019-0190-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378727PMC
February 2019
7 Reads

Unusual anatomic variant of the axillary nerve challenging the deltopectoral approach to the shoulder: a case report.

Patient Saf Surg 2019 14;13. Epub 2019 Feb 14.

1Division of Orthopaedic Trauma & Complex Adult Reconstruction, Department of Orthopaedic Surgery, Jersey City Medical Center - RWJBarnabas Health, 377 Jersey Ave, Suite 280A, Jersey City, NJ 07302 USA.

Background: The deltopectoral approach is a well-described surgical approach to the proximal humerus and glenohumeral joint. One of the structures at risk during this approach is the axillary nerve. Typically, the axillary nerve arises off the posterior cord of the brachial plexus and courses lateral to the proximal humerus and inferior to the glenohumeral joint, exiting the axilla through the quadrangular space. Read More

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http://dx.doi.org/10.1186/s13037-019-0189-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376685PMC
February 2019
1 Read

Does the time of day in orthopedic trauma surgery affect mortality and complication rates?

Patient Saf Surg 2019 5;13. Epub 2019 Feb 5.

Department of Trauma, University Hospital Zurich, University of Zurich, Rämistrasse 100, CH-8091 Zurich, ZH Switzerland.

Background: Orthopedic trauma surgery has multiple, both patient-based and surgeon-based risk factors. Evaluating and modifying certain patient safety factors could mitigate some of these risks. This study investigates the influence that the time of day of surgery has on mortality and complication rates. Read More

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http://dx.doi.org/10.1186/s13037-019-0186-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362600PMC
February 2019

Risk factors for complications and adverse outcomes in polytrauma patients with associated upper extremity injuries.

Patient Saf Surg 2019 4;13. Epub 2019 Feb 4.

1Department of Trauma, Universitaetsspital, University of Zurich, Raemistr.100, 8091 Zurich, Switzerland.

Background: In terms of upper extremity fractures by patients with multiple injuires, a lot of studies have assessed the functional outcome following trauma to have less favorable outcomes in regards to functional recovery. We tested the hypothesis that differences in clinical outcome occur between shaft and articular injuries of the upper extremity, when patients that sustained neurologic deficits (e.g. Read More

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https://pssjournal.biomedcentral.com/articles/10.1186/s13037
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http://dx.doi.org/10.1186/s13037-019-0187-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360674PMC
February 2019
4 Reads

Artificial intelligence systems for complex decision-making in acute care medicine: a review.

Authors:
Lawrence A Lynn

Patient Saf Surg 2019 1;13. Epub 2019 Feb 1.

The Sleep and Breathing Research Institute, 1251 Dublin Rd, Columbus, OH 43215 USA.

The integration of artificial intelligence (AI) into acute care brings a new source of intellectual thought to the bedside. This offers great potential for synergy between AI systems and the human intellect already delivering care. This much needed help should be embraced, if proven effective. Read More

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http://dx.doi.org/10.1186/s13037-019-0188-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357484PMC
February 2019
1 Read

Lessons learned for postoperative wound healing: respect the past and embrace the future.

Patient Saf Surg 2019 24;13. Epub 2019 Jan 24.

2Rocky Vista University, College of Osteopathic Medicine, Parker, CO 80134 USA.

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https://pssjournal.biomedcentral.com/articles/10.1186/s13037
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http://dx.doi.org/10.1186/s13037-019-0185-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346540PMC
January 2019
8 Reads

Cognition errors in the treatment course of patients with anastomotic failure after colorectal resection.

Authors:
P Vogel D H V Vogel

Patient Saf Surg 2019 23;13. Epub 2019 Jan 23.

3Uniklinik Köln, Klinik und Poliklinik für Psychiatrie und Psychotherapie, Kerpener Straße 62, 50937 Köln, Germany.

Background: Cognitive errors have a considerable effect on procedural outcome. They play a major role in situational judgement and decision making, especially during cognitively demanding tasks. As such they need to be considered an important factor in medical and surgical procedures. Read More

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http://dx.doi.org/10.1186/s13037-019-0184-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343256PMC
January 2019
1 Read

Variability in pelvic packing practices for hemodynamically unstable pelvic fractures at US level 1 trauma centers.

Patient Saf Surg 2019 16;13. Epub 2019 Jan 16.

4Swedish Medical Center, 501 E Hampden Ave, Englewood, CO 80113 USA.

Background: Mortality from hemodynamically unstable pelvic fractures remains high. Guidelines offer varying care approaches including the use of pelvic packing (PP), which was recently adopted for potential control of bleeding for this condition. However, the implementation of PP is uncertain as the debate on the optimal resuscitation strategy, angioembolization or PP continues. Read More

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https://pssjournal.biomedcentral.com/articles/10.1186/s13037
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http://dx.doi.org/10.1186/s13037-019-0183-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334446PMC
January 2019
11 Reads

The role of indocyanine green fluoroscopy for intraoperative bile duct visualization during laparoscopic cholecystectomy: an observational cohort study in 70 patients.

Patient Saf Surg 2019 12;13. Epub 2019 Jan 12.

1Department of Visceral, Minimally Invasive and Oncologic Surgery, Marien Hospital Düsseldorf, Rochusstr. 2, 40479, Düsseldorf, Germany.

Background: Bile duct injury is the most feared complication during laparoscopic cholecystectomy. Real-time intraoperative imaging using indocyanine green (ICG) might reduce the risk of bile duct injury by improving visualization of the biliary tree during laparoscopic cholecystectomy. We compared the outcomes of laparoscopic cholecystectomy in patients with and without real-time ICG. Read More

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https://pssjournal.biomedcentral.com/articles/10.1186/s13037
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http://dx.doi.org/10.1186/s13037-019-0182-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330420PMC
January 2019
7 Reads

Low-grade infections as a possible cause of arthrofibrosis after total knee arthroplasty.

Patient Saf Surg 2019 10;13. Epub 2019 Jan 10.

Orthopaedic Professorship of the University Hospital Jena, Orthopaedic Department of the Waldkliniken Eisenberg, Eisenberg, Germany.

Purpose: Arthrofibrosis after total knee arthroplasty represents a considerable burden for the patient and a therapeutic challenge for the practitioner. One possible cause discussed in the literature is a low-grade infection. This hypothesis should be examined within the scope of this retrospective study. Read More

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https://pssjournal.biomedcentral.com/articles/10.1186/s13037
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http://dx.doi.org/10.1186/s13037-018-0181-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327456PMC
January 2019
2 Reads

Does time of surgery influence the rate of false-negative appendectomies? A retrospective observational study of 274 patients.

Patient Saf Surg 2018 14;12:33. Epub 2018 Dec 14.

1Department of General Surgery, Ninewells Hospital, NHS Tayside, Dundee, UK.

Background: Multiple disciplines have described an "after-hours effect" relating to worsened mortality and morbidity outside regular working hours. This retrospective observational study aimed to evaluate whether diagnostic accuracy of a common surgical condition worsened after regular hours.

Methods: Electronic operative records for all non-infant patients (age > 4 years) operated on at a single centre for presumed acute appendicitis were retrospectively reviewed over a 56-month period (06/17/2012-02/01/2017). Read More

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http://dx.doi.org/10.1186/s13037-018-0180-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293631PMC
December 2018

Safety of selective nonoperative management for blunt splenic trauma: the impact of concomitant injuries.

Patient Saf Surg 2018 27;12:32. Epub 2018 Nov 27.

1Department of Trauma, University Medical Centre Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands.

Background: Nonoperative management for blunt splenic injury is the preferred treatment. To improve the outcome of selective nonoperative therapy, the current challenge is to identify factors that predict failure. Little is known about the impact of concomitant injury on outcome. Read More

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http://dx.doi.org/10.1186/s13037-018-0179-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260576PMC
November 2018
11 Reads

Safety and efficacy of a two-screw cephalomedullary nail for intertrochanteric femur fracture fixation: a retrospective case series in 264 patients.

Patient Saf Surg 2018 6;12:31. Epub 2018 Nov 6.

3Department of Orthopaedics, Florida Orthopedic Institute, Tampa, FL 33606 USA.

Introduction: Recent advances have led to the design of a new cephalomedullary nail, which aims to decrease the risk of failures in patients with intertrochanteric hip fractures by allowing for insertion of two interdigitating screws into the head segment. The goal of this study is to evaluate the safety and efficacy of this two-screw cephalomedullary nailing system.

Patients/participants: Patients 18 years of age and older who underwent intramedullary nailing of their intertrochanteric femoral fracture using the InterTAN nailing system (Smith and Nephew, Memphis, TN) from 2012 to 2016 were included in this retrospective study which was performed at two urban certified level-1 trauma centers and one urban certified level-3 trauma center. Read More

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https://pssjournal.biomedcentral.com/articles/10.1186/s13037
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http://dx.doi.org/10.1186/s13037-018-0177-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218954PMC
November 2018
20 Reads

Dexamethasone and postoperative hyperglycemia in diabetics undergoing elective hip or knee arthroplasty: a case control study in 238 patients.

Patient Saf Surg 2018 5;12:30. Epub 2018 Nov 5.

5Department of Orthopaedic Surgery, Virginia Commonwealth University, P.O. Box 980153, Richmond, Virginia 23298 USA.

Background: Dexamethasone has been routinely used in the pre-operative setting to enhance analgesia and decrease the incidence of nausea and vomiting in patients undergoing primary arthroplasty. However, dexamethasone has the potential to increase blood glucose levels postoperatively, which is a known risk factor for complications after total joint arthroplasty. The aim of this study was to analyze the effect of dexamethasone administration on post-operative blood glucose levels in diabetic patients after primary hip and knee arthroplasty. Read More

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https://pssjournal.biomedcentral.com/articles/10.1186/s13037
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http://dx.doi.org/10.1186/s13037-018-0178-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6217772PMC
November 2018
16 Reads

Predictors of femoral shortening for pediatric developmental hip dysplasia surgery: an observational study in 435 patients.

Authors:
Nabil Alassaf

Patient Saf Surg 2018 19;12:29. Epub 2018 Oct 19.

Department of orthopaedic surgery, King Fahad Medical City, P.O.BOX 59046, Riyadh, 11525 Kingdom of Saudi Arabia.

Background: Open reduction of the congenitally dislocated hip may not be possible without femoral shortening. The goal of this study is to develop a prognostic prediction model for the need of femoral shortening in children undergoing anterior open reduction for the treatment of developmental dysplasia of the hip (DDH). The secondary objective was to determine if femoral shortening influences the risk of adverse events. Read More

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https://pssjournal.biomedcentral.com/articles/10.1186/s13037
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http://dx.doi.org/10.1186/s13037-018-0176-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194737PMC
October 2018
3 Reads

Neuroschistosomiasis mimicking lower back pain: case report of a rare differential diagnosis in a pediatric patient.

Patient Saf Surg 2018 6;12:28. Epub 2018 Oct 6.

Neurosurgery Department, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Khobar City, Eastern Province 31952 Saudi Arabia.

Background: Spinal myelitis is an infrequent manifestation of spinal cord infection. It is caused by the species, which are endemic in South America, part of the Middle East, and Africa.

Case Presentation: We report the case of a 13-year-old male adolescent complaining of progressive lower back pain and weakness of the lower extremities for 3 days. Read More

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http://dx.doi.org/10.1186/s13037-018-0175-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6173919PMC
October 2018

Intraoperative angioedema induced by angiotensin II receptor blocker: a case report.

Patient Saf Surg 2018 20;12:27. Epub 2018 Sep 20.

2Faculty of Medicine, Jordan University of Science and Technology, P.O.Box: 953, Irbid, 21110 Jordan.

Background: Angiotensin II receptor blockers are a class of antihypertensive agent that is developed to exclude the adverse effects of angiotensin converting enzyme inhibitors. However, as angiotensin II receptor blockers have begun to be more widely prescribed, cases of angiotensin II receptor blocker-induced angioedema have been reported. Rare cases of angioedema following surgery in patients using angiotensin converting enzyme inhibitors have been published. Read More

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http://dx.doi.org/10.1186/s13037-018-0174-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6146661PMC
September 2018
2 Reads

Complications of pelvic and acetabular fractures in 1331 morbidly obese patients (BMI ≥ 40): a retrospective observational study from the National Trauma Data Bank.

Patient Saf Surg 2018 29;12:26. Epub 2018 Aug 29.

4Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, 601 N Caroline St, Fl 5, Baltimore, MD 21205 USA.

Background: There have been no large-scale epidemiological studies of outcomes and perioperative complications in morbidly obese trauma patients who have sustained closed pelvic ring or acetabular fractures. We examined this population and compared their rate of inpatient complications with that of control patients.

Methods: We retrospectively reviewed the records of patients treated for closed pelvic ring or acetabular fracture, aged 16-85 years, with Injury Severity Scores ≤15 from the National Trauma Data Bank Research Dataset for the years 2007 through 2010. Read More

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http://dx.doi.org/10.1186/s13037-018-0172-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6114733PMC
August 2018
4 Reads

Preserving the marginal mandibular branch of the facial nerve during submandibular region surgery: a cadaveric safety study.

Patient Saf Surg 2018 23;12:23. Epub 2018 Aug 23.

Department of Anatomy, Faculty of Medicine, University of Colombo, Kynsey Road, Colombo 08, Sri Lanka.

Background: The marginal mandibular branch of the facial nerve is vulnerable to iatrogenic injuries during surgeries involving the submandibular region. This leads to significant post-operative morbidity. Studies assessing accurate anatomical landmarks of the marginal mandibular branch are sparse in South Asian countries. Read More

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http://dx.doi.org/10.1186/s13037-018-0170-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6106836PMC
August 2018
14 Reads

Incidence and causes of cancellations of elective operation on the intended day of surgery at a tertiary referral academic medical center in Ethiopia.

Patient Saf Surg 2018 27;12:25. Epub 2018 Aug 27.

3College of Medicine and Health Sciences, Lecturer and Senior Anesthetist, Hawassa University, Hawassa, Ethiopia.

Background: Elective surgical case cancellation refers to any elective surgical case that is the list on the day prior to surgery but not operated upon as scheduled. Case cancellation has a major cause of psychological trauma to patients and their families. Despite little is known in Ethiopia. Read More

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http://dx.doi.org/10.1186/s13037-018-0171-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109985PMC
August 2018
23 Reads

Intraoperative real-time fluorescence angiography with indocyanine green for evaluation of intestinal viability during surgery for an incarcerated obturator hernia: a case report.

Patient Saf Surg 2018 24;12:24. Epub 2018 Aug 24.

1Department of Visceral, Minimal-Invasive and Oncological Surgery, Marien Hospital Düsseldorf, Rochusstraße 2, 40479 Düsseldorf, Germany.

Background: Bowel incarceration represents a dreaded complication amongst patients with hernias. The intraoperative evaluation of the bowel perfusion following hernia reduction with regard to the need for resection of ischaemic bowel can be challenging. In this case report we discuss intraoperative fluorescence angiography with indocyanine green (ICG) as an objective means of accessing bowel perfusion following hernia reduction. Read More

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http://dx.doi.org/10.1186/s13037-018-0173-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6108096PMC
August 2018
3 Reads

Transmigration of a retained surgical sponge: a case report.

Patient Saf Surg 2018 11;12:21. Epub 2018 Aug 11.

Department of Radiation Therapy, Rajiv Gandhi Cancer Hospital and Research Centre, New Delhi, India.

Background: A retained surgical sponge remains a dreaded complication of modern surgery. Despite the increasing focus on patient safety instances of "a sponge being left in the abdomen", are all too common in popular media. In this article we report the rare phenomenon of transmigration of a retained surgical sponge in a patient who underwent laparoscopic sterilization. Read More

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http://dx.doi.org/10.1186/s13037-018-0168-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6087538PMC
August 2018
16 Reads

Safety and efficacy of a new thromboprophylaxis regiment for total knee and total hip replacement: a retrospective cohort study in 265 patients.

Patient Saf Surg 2018 14;12:22. Epub 2018 Aug 14.

3Pharmacy Department, Chelsea and Westminster Hospital (CWH), London, UK.

Background: Venous thromboembolism (VTE) remains a significant complication following knee and hip arthroplasty. National and international guidelines recommend pharmacological and mechanical thromboprophylaxis following surgery, unless contraindicated, to reduce the risk of VTE. This study aimed to explore the safety and efficacy profile of an adapted thromboprophylaxis regimen consisting of sequential enoxaparin and rivaroxaban for thromboprophylaxis following knee or hip arthroplasty at a London teaching hospital. Read More

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http://dx.doi.org/10.1186/s13037-018-0169-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6090615PMC
August 2018
3 Reads

Retained surgical sponges: a descriptive study of 319 occurrences and contributing factors from 2012 to 2017.

Patient Saf Surg 2018 29;12:20. Epub 2018 Jun 29.

3The University of Iowa Carver College of Medicine, 451 Newton Road, Iowa City, IA 52242 USA.

Background: Unintended retention of foreign bodies remain the most frequently reported sentinel events. Surgical sponges account for the majority of these retained items. The purpose of this study was to describe reports of unintentionally retained surgical sponges (RSS): the types of sponges, anatomic locations, accuracy of sponge counts, contributing factors, and harm, in order to make recommendations to improve perioperative safety. Read More

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http://dx.doi.org/10.1186/s13037-018-0166-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6027759PMC
June 2018
1 Read

Comparison of flow pressures in different 3-way infusion devices: an in-vitro study.

Patient Saf Surg 2018 29;12:19. Epub 2018 Jun 29.

Department of Anaesthesia, Nepean Hospital, Kingswood, NSW 2747 Australia.

Background: The use of multiple infusions through one cannula is an increasingly common practice in anaesthesia. High pressures in the line often lead to occlusion alarms and pump disconnection. In this study, we aim to determine the pressures generated in common 3-way infusion devices, using simple low-cost equipment available and currently in use in the operating theatre environment. Read More

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http://dx.doi.org/10.1186/s13037-018-0165-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6025835PMC

An improved technical trick for identification of the thoracodorsal nerve during axillary clearance surgery: a cadaveric dissection study.

Patient Saf Surg 2018 26;12:18. Epub 2018 Jun 26.

Department of Anatomy, Faculty of Medicine, University of Colombo, Kynsey Road, Colombo, 00800 Sri Lanka.

Background: Accurate anatomical landmarks to locate the thoracodorsal nerve are important in axillary clearance surgery.

Methods: Twenty axillary dissections were carried out on ten preserved Sri Lankan cadavers. Cadavers were positioned dorsal decubitus with upper limbs abducted to 90. Read More

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http://dx.doi.org/10.1186/s13037-018-0164-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6020335PMC
June 2018
6 Reads

Development of an emergency general surgery process improvement program.

Patient Saf Surg 2018 20;12:17. Epub 2018 Jun 20.

1Department of Surgery, Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 USA.

Background: The Joint Trauma System has demonstrated improved outcomes through coordinated research and process improvement programs. With fewer combat trauma patients, our military American College of Surgeons level 2 trauma center's ability to maintain a strong trauma Process Improvement (PI) program has become difficult. As emergency general surgery (EGS) patients are similar to trauma patients, our Trauma and Acute Care Surgery (TACS) service developed an EGS PI program analogous to what is done in trauma. Read More

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http://dx.doi.org/10.1186/s13037-018-0167-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6011594PMC
June 2018
11 Reads

The grass is not always greener: a multi-institutional pilot study of marijuana use and acute pain management following traumatic injury.

Patient Saf Surg 2018 19;12:16. Epub 2018 Jun 19.

1Trauma Research Department, Swedish Medical Center, 501 E. Hampden Ave, Englewood, CO 80113 USA.

Background: Widespread legislative efforts to legalize marijuana have increased the prevalence of marijuana use and abuse. The effects of marijuana on pain tolerance and analgesic pain management in the acute pain setting have not been reported. Although marijuana has been shown to have antinociceptive effects and is approved for medical use to treat chronic pain, anecdotal evidence suggests marijuana users admitted with traumatic injuries experience poorer pain control than patients who do not use marijuana. Read More

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http://dx.doi.org/10.1186/s13037-018-0163-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6007004PMC
June 2018
7 Reads

Incidence of early postoperative complications requiring surgical revision for recurrent lumbar disc herniation after spinal surgery: a retrospective observational study of 9,310 patients from the German Spine Register.

Patient Saf Surg 2018 21;12. Epub 2018 May 21.

University Clinic Evangelical Hospital Oldenburg, Oldenburg, Germany.

Background: The recurrence rate in lumbar disc herniations (LDH) has been reported between 5 and 25%. There are only few data about this phenomenon that occurs within days of the initial operation. We analyse early recurrent LDH by analysis of data from the German Spine register. Read More

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http://dx.doi.org/10.1186/s13037-018-0157-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961485PMC
May 2018
18 Reads

Use of reprocessed external fixators in orthopaedic surgery: a survey of 243 orthopaedic trauma surgeons.

Patient Saf Surg 2018 7;12:10. Epub 2018 Jun 7.

1Department of Orthopaedic Surgery, The Johns Hopkins University/Johns Hopkins Bayview Medical Center, 4940 Eastern Ave., Baltimore, MD 21224 USA.

Background: The increasing financial burden of orthopaedic implants on our health care system has prompted cost-control measures, such as implant reprocessing. The purpose of this study was to describe the current usage by orthopaedic trauma surgeons of reprocessed external fixators (EFs) for treatment of complex fractures.

Methods: A 16-question survey about use and perceptions of reprocessed EFs was distributed to 894 Orthopaedic Trauma Association members between August 2016 and June 2017 using a web-based survey system. Read More

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http://dx.doi.org/10.1186/s13037-018-0156-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991444PMC

Intra-articular injection of the anti-inflammatory compound LMWF-5A in adults with severe osteoarthritis: a double-blind prospective randomized controlled multi-center safety and efficacy trial.

Patient Saf Surg 2018 18;12:11. Epub 2018 Jun 18.

1Trauma Research Department, Swedish Medical Center, 501 E. Hampden Ave Rm 4-454, Englewood, CO 80113 USA.

Background: There are limited efficacious treatment options for severe osteoarthritis of the knee (OAK). The Low Molecular Weight Fraction of 5% human serum Albumin (LMWF-5A) is in development to treat severe OAK. This study evaluated the safety and efficacy of LMWF-5A for the signs and symptoms of OAK. Read More

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http://dx.doi.org/10.1186/s13037-018-0158-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5985594PMC
June 2018
1 Read

The diagnostic value of 99m-Tc GSA scintigraphy for liver function and remnant liver volume in hepatic surgery: a retrospective observational cohort study in 27 patients.

Patient Saf Surg 2018 4;12:15. Epub 2018 Jun 4.

Department of Digestive and Transplantation Surgery, Tokyo Medical University Hachioji Medical Center, 1163 Tatemachi, Hachioji, Tokyo 193-0998 Japan.

Background: The aim was to analyze hepatic hypertrophy after portal vein embolization (PVE) and Associating Liver Partition with Portal vein ligation for Staged hepatectomy (ALPPS) to determine whether clinical circumstances associated with major hepatic resections correlated with remnant growth.

Methods: Data was abstracted from a retrospectively maintained database on 27 patients undergoing hepatic resection followed by PVE and the ALPPS procedure between October 1, 2007 and December 31, 2016. The increasing rate of liver volume and remnant liver LU15 was defined as the percentage-point difference between the liver volume and remnant liver LU15 before and after the intervention or surgery. Read More

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http://dx.doi.org/10.1186/s13037-018-0161-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5985586PMC
June 2018
1 Read

Incidence of total knee replacement subsequent to intra-articular injection of the anti-inflammatory compound LMWF-5A versus saline: a long-term follow-up study to a randomized controlled trial.

Patient Saf Surg 2018 4;12:14. Epub 2018 Jun 4.

2Trauma Research Department, Swedish Medical Center, 501 E. Hampden Ave Rm 4-454, Englewood, CO 80113 USA.

Background: The disease modifying potential of osteoarthritis therapies are of increasing interest, including their effects on delaying total knee replacement (TKR). To date, there have been no studies to determine the effect of LMWF-5A, a novel anti-inflammatory compound derived from human serum albumin, on delaying TKR.

Methods: We evaluated time to TKR three years after patients participated in a randomized trial of three intra-articular injections of LMWF-5A or saline. Read More

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http://dx.doi.org/10.1186/s13037-018-0162-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5985578PMC
June 2018
6 Reads

Assessment of attitudes towards future implementation of the "Surgical Risk Preoperative Assessment System" (SURPAS) tool: a pilot survey among patients, surgeons, and hospital administrators.

Patient Saf Surg 2018 4;12:12. Epub 2018 Jun 4.

1Surgical Outcomes and Applied Research program, University of Colorado School of Medicine, Aurora, CO USA.

Background: Risk assessment in surgery is essential to guide treatment decisions but is highly variable in practice. Providing formal preoperative risk assessment to surgical teams and patients may optimize understanding of risk. Implementation of the Surgical Risk Preoperative Assessment System (SURPAS), an innovative real time, universal, preoperative tool providing individualized risk assessment, may enhance informed consent and reduce adverse outcomes. Read More

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http://dx.doi.org/10.1186/s13037-018-0159-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5985584PMC
June 2018
3 Reads

Predictors of hydrocephalus as a complication of non-traumatic subarachnoid hemorrhage: a retrospective observational cohort study in 107 patients.

Patient Saf Surg 2018 22;12:13. Epub 2018 May 22.

Department of neurosurgery, University clinic Evangelical Hospital Oldenburg, Oldenburg, Germany.

Background: The predictors of shunt dependency such as amount of subarachnoid blood, acute hydrocephalus (HC), mode of aneurysm repair, clinical grade at admission and cerebro spinal fluid (CSF) drainage in excess of 1500 ml during the 1st week after the subarachnoid hemorrhage (SAH) have been identified as predictors of shunt dependency. Therefore our main objective is to identify predictors of CSF shunt dependency following non-traumatic subarachnoid hemorrhage.

Methods: We performed a retrospective study including patients from January 1st 2012 to September 30th 2014 between 16 and 89 years old and had a non-traumatic subarachnoid hemorrhage in cranial computed tomography (CCT). Read More

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http://dx.doi.org/10.1186/s13037-018-0160-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5964876PMC
May 2018
12 Reads

A novel technique of harmonic tissue dissection reduces seroma formation after modified radical mastectomy compared to conventional electrocautery: a single-blind randomized controlled trial.

Patient Saf Surg 2018 17;12. Epub 2018 May 17.

Surgical Oncology Unit, Department Of Surgery, Faculty of Medicine, Suez Canal University, Circular Road, Ismailia, 411522 Egypt.

Background: Seroma is the most frequent postoperative complication following breast cancer surgery. Our aim was to evaluate the effect of the harmonic focus scalpel versus electrocautery in reducing seroma formation post-mastectomy and axillary clearance.

Methods: A prospective randomized controlled trial study was conducted at the Department of Surgery of Suez Canal University Hospital from April 26th 2014 to 30th June 2016. Read More

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http://dx.doi.org/10.1186/s13037-018-0155-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5956966PMC
May 2018
1 Read

Mechanical failure of a femoral lengthening nail: a case report.

Patient Saf Surg 2018 3;12. Epub 2018 May 3.

34800 Bob Wilson Drive, San Diego, CA 92134 USA.

Background: This case report describes the mechanical failure of a femoral lengthening nail in order to allow early recognition and prevent its occurrence.

Case Presentation: A femoral lengthening nail was used to achieve goal distraction length over eight weeks and sustained a mechanical failure during progressive weightbearing. Re-distraction was attempted with subsequent non-weight-bearing status. Read More

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http://dx.doi.org/10.1186/s13037-018-0154-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932753PMC
May 2018
1 Read

Self-assessment of surgical ward crisis management using video replay augmented with stress biofeedback.

Patient Saf Surg 2018 19;12. Epub 2018 Apr 19.

1Imperial Vascular Unit, Imperial College NHS Healthcare Trust, London, UK.

Background: We aimed to explore the feasibility and attitudes towards using video replay augmented with real time stress quantification for the self-assessment of clinical skills during simulated surgical ward crisis management.

Methods: Twenty two clinicians participated in 3 different simulated ward based scenarios of deteriorating post-operative patients. Continuous ECG recordings were made for all participants to monitor stress levels using heart rate variability (HRV) indices. Read More

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https://pssjournal.biomedcentral.com/articles/10.1186/s13037
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http://dx.doi.org/10.1186/s13037-018-0153-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5907372PMC
April 2018
10 Reads

Assessment of postoperative complications using E-PASS and APACHE II in patients undergoing oral and maxillofacial surgery.

Patient Saf Surg 2018 5;12. Epub 2018 Apr 5.

1Department of Oral and Maxillofacial Surgery, Field of Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences, 8-35-1 Sakuragaoka, Kagoshima, 890-8544 Japan.

Background: The prediction of postoperative complications is important for oral and maxillofacial surgeons. We herein aimed to evaluate the efficacy of the Estimation of Physiologic Ability and Surgical Stress (E-PASS) and Acute Physiology, Age, and Chronic Health Evaluation (APACHE) II scoring systems to predict postoperative complications in patients undergoing oral and maxillofacial surgery.

Methods: Thirty patients (22 males, 8 females; mean age: 65. Read More

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http://dx.doi.org/10.1186/s13037-018-0152-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885352PMC
April 2018
4 Reads

Quality of life after antegrade intramedullary nail fixation of humeral fractures: a survey in a selected cohort of Brazilian patients.

Patient Saf Surg 2018 12;12. Epub 2018 Mar 12.

Department of Orthopedics and Traumatology, (DOT/UNIFESP)-Escola Paulista de Medicina, Universidade Federal de São Paulo, Rua Borges Lagoa, 778, São Paulo, SP CEP 04024-002 Brazil.

Background: The treatment of humeral fractures remains controversial. Systematic reviews demonstrate similar results between dynamic compression plating and locked intramedullary nailing in the surgical treatment of these fractures. However, it appears that antegrade intramedullary nailing causes higher residual pain in the shoulder. Read More

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http://dx.doi.org/10.1186/s13037-018-0150-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5848578PMC
March 2018
6 Reads

Non-retrieval of inferior vena cava filters as a patient safety concern: evaluation of a new process improvement project to increase retrieval rates in a vascular and interventional radiology clinic.

Patient Saf Surg 2018 20;12. Epub 2018 Mar 20.

3Department of Radiology, Division of Vascular and Interventional Radiology, University of Kentucky College of Medicine, Lexington, KY USA.

Background: Retrieval of inferior vena cava filters (IVCFs) is important to decrease the long-term risk of complications associated with indwelling devices. Our hospital experienced low retrieval rates and implemented a low-cost intervention and evaluation for quality improvement. The working hypothesis was that a simple, mailed letter intervention could increase retrieval rates by increasing patient and primary care provider knowledge of the need for retrieval. Read More

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http://dx.doi.org/10.1186/s13037-018-0151-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5859390PMC
March 2018
7 Reads

Incidence and root causes of delays in emergency orthopaedic procedures: a single-centre experience of 36,017 consecutive cases over seven years.

Patient Saf Surg 2018 11;12. Epub 2018 Jan 11.

2Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg Sweden, Gothenburg, Sweden.

Background: Emergency surgery is unplanned by definition and patients are scheduled for surgery with minimal preparation. Some patients who have sustained emergency orthopaedic trauma or other conditions must be operated on immediately or within a few hours, while others can wait until the hospital's resources permit and/or the patients' health status has been optimised as needed. This may affect the prioritisation procedures for both emergency and elective surgery and might result in waiting lists, not only for planned procedures but also for emergencies. Read More

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http://dx.doi.org/10.1186/s13037-018-0149-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5763611PMC
January 2018
12 Reads