Results 11 to 20 of about 51,416 (159)

Impact of surgical infrastructure and personnel on volume and availability of essential surgical procedures in Liberia

BJS Open, Volume 4, Issue 6, Page 1246-1255, December 2020., 2020
The availability of essential surgical procedures in Liberia is extremely low. Quantifying surgical infrastructure, surgical personnel and essential surgical procedures can guide resource allocation and highlight rational investment areas. Surgical needs clearly identified Background Essential surgical procedures rank among the most cost‐effective of ...
H. A. Adde, A. J. van Duinen, M. D. Oghogho, N. K. Dunbar, L. G. Tehmeh, T. C. Hampaye, Ø. Salvesen, T. G. Weiser, H. A. Bolkan   +8 more
wiley   +1 more source

Research quality and transparency, outcome measurement and evidence for safety and effectiveness in robot‐assisted surgery: systematic review

BJS Open, Volume 4, Issue 6, Page 1084-1099, December 2020., 2020
Robot‐assisted surgery is expanding rapidly, but the evidence base is poor. This article demonstrates the heavy weighting to research in certain specialties, no clear safety or efficacy benefit, inconsistent choice of outcome measures, and poor research governance. These factors significantly increase the risk associated with adopting these potentially
P. Garfjeld Roberts, J. C. Glasbey, S. Abram, D. Osei‐Bordom, S. P. Bach, D. J. Beard   +5 more
wiley   +1 more source

Shortening surgical training through robotics: randomized clinical trial of laparoscopic versus robotic surgical learning curves

BJS Open, Volume 4, Issue 6, Page 1100-1108, December 2020., 2020
Medical students and surgical trainees were randomized to robotic or laparoscopic simulator training followed by cadaveric surgical tasks. The robotic groups had a shorter learning curve with better task performance. Another advantage for robotic surgery Background Minimally invasive surgery is the standard technique for many operations.
T. M. H. Gall, W. Alrawashdeh, N. Soomro, S. White, L. R. Jiao   +4 more
wiley   +1 more source

Outcome selection, measurement and reporting for new surgical procedures and devices: a systematic review of IDEAL/IDEAL‐D studies to inform development of a core outcome set

BJS Open, Volume 4, Issue 6, Page 1072-1083, December 2020., 2020
This review of IDEAL/IDEAL‐D studies examined outcome selection, measurement and reporting to examine current practice and identify outcome domains unique to evaluating innovation. The findings have informed the development of a core set of outcome domains to measure and report in all early studies of innovative surgical procedures/devices to promote ...
R. C. Macefield, N. Wilson, C. Hoffmann, J. M. Blazeby, A. G. K. McNair, K. N. L. Avery, S. Potter   +6 more
wiley   +1 more source

Breast cancer surgery in older women: outcomes of the Bridging Age Gap in Breast Cancer study

BJS (British Journal of Surgery), Volume 107, Issue 11, Page 1468-1479, October 2020., 2020
Age, ill health and frailty all influence surgical decision‐making for breast cancer. Breast cancer surgery is safe, with serious adverse events being rare and no mortality. However, surgery has a negative impact on quality of life and independence, which must be considered when counselling patients about choices.
J. L. Morgan, J. George, G. Holmes, C. Martin, M. W. R. Reed, S. Ward, S. J. Walters, K. Leung Cheung, R. A. Audisio, L. Wyld, Bridging the Age Gap Trial Management Team   +10 more
wiley   +1 more source

Decrease in primary but not in secondary abdominal surgery for Crohn's disease: nationwide cohort study, 1990–2014

BJS (British Journal of Surgery), Volume 107, Issue 11, Page 1529-1538, October 2020., 2020
In a Swedish population‐based database, the cumulative incidence of a first abdominal surgical procedure after a diagnosis of Crohn's disease has decreased by two‐thirds over the past 25 years. The risk of repeat abdominal surgery has not decreased since the introduction of biologicals. Ileocaecal resection remained the most common procedure during the
T. D. Kalman, Å. H. Everhov, C. Nordenvall, M. C. Sachs, J. Halfvarson, A. Ekbom, J. F. Ludvigsson, P. Myrelid, O. Olén   +8 more
wiley   +1 more source

Achieving good‐quality consent: review of literature, case law and guidance

BJS Open, Volume 4, Issue 5, Page 757-763, October 2020., 2020
This review aimed to identify processes and measures that warrant consideration when engaging in consent‐based discussions with competent patients undergoing elective procedures. A strategy for shared decision‐making Background Informed consent is an integral part of clinical practice.
P. Normahani, V. Sounderajah, W. Harrop‐Griffiths, A. Chukwuemeka, N. S. Peters, N. J. Standfield, M. Collins, U. Jaffer   +7 more
wiley   +1 more source

Locoregional recurrences after transanal total mesorectal excision of rectal cancer during implementation

BJS (British Journal of Surgery), Volume 107, Issue 9, Page 1211-1220, August 2020., 2020
During the learning curve, the transanal total mesorectal excision procedure is associated with a high multifocal local recurrence rate, which appears to be related to suboptimal execution rather than the technique, and necessitates prolonged proctoring, optimization of the technique avoiding spillage, participation in controlled clinical trials with ...
S. E. van Oostendorp, H. J. Belgers, B. T. Bootsma, J. C. Hol, E. J. T. H. Belt, W. Bleeker, F. C. Den Boer, A. Demirkiran, M. S. Dunker, H. F. J. Fabry, E. J. R. Graaf, J. J. Knol, S. J. Oosterling, G. D. Slooter, D. J. A. Sonneveld, A. K. Talsma, H. L. Van Westreenen, M. Kusters, R. Hompes, H. J. Bonjer, C. Sietses, J. B. Tuynman   +21 more
wiley   +1 more source

Reintervention or mortality within 90 days of bariatric surgery: population‐based cohort study

BJS (British Journal of Surgery), Volume 107, Issue 9, Page 1221-1230, August 2020., 2020
This population‐based study in five Nordic countries, including 49 977 patients, showed that older age and co‐morbidity increased the risk of reintervention or death within 90 days after bariatric surgery. Sex, surgical approach and hospital volume did not appear to influence this risk, but female sex and laparoscopic approach were associated with ...
J. H. Kauppila, G. Santoni, W. Tao, E. Lynge, V. Koivukangas, L. Tryggvadóttir, E. Ness‐Jensen, P. Romundstad, E. Pukkala, M. von Euler‐Chelpin, J. Lagergren   +10 more
wiley   +1 more source

Variation in training requirements within general surgery: comparison of 23 countries

BJS Open, Volume 4, Issue 4, Page 714-723, August 2020., 2020
Many differences exist worldwide in postgraduate surgical training programmes. Countries have specific and often differing requirements of their medical profession. Equivalence in training is granted on political agreements, not healthcare needs or competencies acquired during training. Wide variation between countries Background Many differences exist
H. Whewell, C. Brown, V. J. Gokani, R. L. Harries, the Global Surgical Training Requirements Project Collaborators, M. L. Aguilera, H. Ahrend, A. Al Qallaf, J. Ansell, A. Beamish, B. Borraez‐Segura, F. Di Candido, D. Chan, T. Govender, F. Grass, A. K. Gupta, Y. Dae Han, K.K. Jensen, M. Kusters, K. Wing Lam, M. Machila, C. Marquardt, I. Moore, S. Ovaere, H. Park, C. Premaratne, I. Sarantitis, H. Sethi, R. Singh, J. Yonkus   +29 more
wiley   +1 more source