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At least 649 records · Page 36Linked to original sources
PubMed1979

Vitrectomy instrumentation for surgical evacuation of total anterior chamber hyphema and control of recurrent anterior chamber hemorrhage.

A patient with recurrent bleeding during hyphema extraction with the O'Malley ocutome was treated by elevation of the intraocular pressure to 50 mm Hg for 5 minutes with fluid from the infusing needle. When intraocular pressure was returned to normal, there was cessation of bleeding and postoperatively the anterior chamber remained free of blood. Elevation of intraocular pressure is offered as an initial alternative to air injection or cyclodiathermy for control of bleeding during hyphema extraction.

Child↗
PubMed1993

[Prospective hospital documentation as an instrument of surgical quality assurance].

UNLABELLED: In this study expenditure and benefits of a differentiated internal hospital documentation were analyzed. We particularly wanted to find out whether an independent prospective documentation of all postoperative complications has a reducing effect on the frequency of these events and therefore can be used as a means of control. METHOD: In the time between May 1989 and September 1992 the data of 8682 patients of our hospital were documented. Scientific assistants who regularly visited every ward registered every course of treatment. All data were coded and simultaneously checked. RESULTS: We found the risk of postoperative pneumonia (3.6%) especially high in units for vascular surgery and in the intensive care unit. Wound infections (5.2%) were mostly seen after transplantations and vascular surgery. Specific complications after operations showed an accumulation in certain wards. If we look at the progress since 1979 we can perceive a significant regression in the rate of wound infections and pneumonia and a constant rate of clinical lethality. In elective bowel-resections a significant reduction of wound infections and leakages could be recorded. Concerning the patient's characteristics we saw apart from a general increase in the number of operations a clear increase of endoscopic performances. CONCLUSION: Hospital documentation can uncover internal correlations and thus takes part in clinical quality assurance. Helpful are evaluations of each specific ward and the specific operations. Basis for this is the selection of suitable data and their independent evaluation. Measures of external quality assurance have not yet solved these problems convincingly.

Adolescent↗
PubMed2001

Instrument repair often misunderstood.

Hospitals throw away--literally--millions of dollars worth of surgical instruments each year, for no other reason than ignorance of their actual value. Meanwhile, the cost of repairing others exceeds their actual value. That's the assessment of one industry veteran, and he may well be right, considering the reaction of a group of materials managers who met with him recently.

Cost Savings↗
PubMed2004

[Medical museology the exhibition: The history of Rome medical faculty through images and documents].

The Museum and Library of History of Medicine celebrated the 700th anniversary of the foundation of the University of Rome "La Sapienza" with an exhibition of images and documents recalling the history of the medical faculty. Dissecting tools and surgical instruments testify to the long history of anatomical and surgical studies and to the great worth of the teachers at Rome University. Documents, archival papers, books and pictures document the historical inheritance of the Medical School in Rome.

Exhibitions as Topic↗
PubMed1999

Preperitoneal hernioplasty performed with needlescopic instruments (microlaparoscopy).

We treated a series of 30 patients who had a Nyhus type II, III, or IV inguinal hernia without associated pathology by laparoscopic surgery using 2-mm surgical instruments and a modified preperitoneal Dulucq technique. A 30 degrees optic was used, and the repair was reinforced by an accordion-folded, polypropylene mesh introduced through a 10-mm optic needleport. There were no postoperative complications, and all patients were discharged 24 hours after operation. At 6 months there has been no recurrence of hernia. It was evident that the 2-mm procedure produced less surgical trauma.

Hernia, Inguinal↗