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At least 685 records · Page 38Linked to original sources
PubMed2000

Prevalence of hepatitis B virus markers in surgeons in Lagos, Nigeria.

OBJECTIVE: To determine the prevalence of hepatitis B virus (HBV) markers in surgeons in a major city in Nigeria. DESIGN: A cross-sectional, descriptive study. SETTING: Three major hospitals in Lagos, Nigeria. SUBJECTS: One hundred and sixty seven surgeons (study group) and 193 administrative staff (controls). INTERVENTIONS: Blood samples were taken from subjects and analysed for hepatitis B virus markers (HBsAg, antiHBs and antiHBc) using the ELISA technique. MAIN OUTCOME MEASURES: Hepatitis B virus marker sero-positivity. RESULTS: The prevalence of hepatitis B surface antigen (HBsAg) in the surgeons was found to be 25.7% as compared to 15% in the control group (p=0.01). The frequency of antibody to the surface antigen (antiHBs) was 22.2% among the surgeons and 4.1% in the control group (p<0.001) and that of antibody to the core antigen (antiHBc) was 61.7% in the surgeons as compared to 53.4% in the control (p=0.11). At least one HBV marker was found in 76.6% of the surgeons as compared to 57% in the control group (p=0.0009). CONCLUSION: Health care workers should be immunised against HBV. In Nigeria, HBV immunisation should be considered for inclusion in the EPI.

Adult↗
PubMed1998

A profile of rural surgeons in Australia.

OBJECTIVES: To develop a profile of rural surgeons for comparison with profiles of rural general practitioners in the light of shortages in the rural medical workforce. DESIGN: Rural surgeons were surveyed by a postal questionnaire in November 1997. PARTICIPANTS: Members of the Provincial Surgeons of Australia residing in towns with fewer than 50,000 inhabitants. RESULTS: 239 questionnaires were sent and 137 surgeons replied, a response rate of 59%. Our survey showed that rural surgeons are predominantly male, middle-aged and married. They work long hours, and nominate as their major concerns difficulty in finding locum cover, continual on-call work, peer isolation, children's schooling, and lack of privacy. CONCLUSION: Rural surgeons and general practitioners share similar characteristics and concerns.

Adult↗
PubMed1998

Internists' and surgeons' attitudes toward guns and firearm injury prevention.

BACKGROUND: The high rates of death, injury, and long-term disability related to firearms in the United States have led to growing concern in the health care community. Medical organizations and journals are devoting increasing attention to firearm violence as a public health problem; however, few reports discuss physician attitudes toward guns and prevention of firearm-related injury. OBJECTIVE: To determine internists' and surgeons' attitudes toward guns and firearm injury prevention. DESIGN: Analysis of results of a structured telephone interview. SETTING: Internal medicine and surgical offices. PARTICIPANTS: 457 internists and 458 surgeons. MEASURES: 55 questions that covered six domains: experience with firearms, knowledge about clinical sequelae of firearm injury, knowledge about public policies on firearm violence, attitudes toward public policies on firearm violence, clinical practice behavior, and education and training. RESULTS: The interview response rate was 45.3%, with a compliance rate of 82.5% and a 95% probability (error rate, +/- 5%). Ninety-four percent of internists and 87% of surgeons believe firearm violence is a major public health issue. A majority of internists and surgeons also support community efforts to enact legislation to restrict the possession or sale of handguns (84% and 64%, respectively). Furthermore, although 84% of internists and 72% of surgeons believe that physicians should be involved with firearm injury prevention, less than 20% of respondents usually engage in some form of firearm injury prevention practice in patient care. CONCLUSION: Many internists and surgeons think that firearm injuries are a public health issue of growing importance, that physicians should incorporate firearm safety screening and counseling into their practice, that physicians should join community efforts to regulate handguns, and that specific gun regulation measures should be adopted as public policy.

Adult↗
PubMed1999

Colorectal cancer: is the surgeon a prognostic factor? A systematic review.

OBJECTIVE: To assess whether there is evidence that the surgeon is a prognostic factor in the treatment of colorectal cancer. DATA SOURCE: MEDLINE 1985-February 1999, and bibliographies of retrieved articles. STUDY SELECTION: Publications which analysed the outcome of patients with colorectal cancer and in which one of the variables analysed was the surgeon. RESULTS: Thirteen studies were identified which addressed the outcome measures: post-operative mortality, anastomotic leak rate, local recurrence rate, and long-term survival. For these outcomes, different surgeons achieve significantly different results, with experienced and specialist surgeons achieving significantly better results than other surgeons. CONCLUSION: The current data strongly suggest that the surgeon is an important prognostic factor in the treatment of colorectal cancer.

Clinical Competence↗
PubMed2000

The hospital volume-outcome relationship in general thoracic surgery. Is the surgeon the critical determinant?

BACKGROUND: Complex operations, such as those performed in thoracic surgery, have a hospital volume-outcome relationship. It is difficult to isolate the effect of the surgeon in this relationship since experienced thoracic surgeons tend to practice in high-volume tertiary care hospitals. An American comprehensive cancer hospital created a community outreach satellite program in thoracic surgery, and this provided a unique opportunity to study the hospital volume-outcome relationship without the confounding variable of surgeon experience. METHODS: A retrospective review of thoracic surgical operations done over a 4-year period at a small community hospital, by a tertiary care hospital surgeon, was conducted. Operative mortality was the major outcome measure. Two high complexity operations (pneumonectomy and esophagectomy) were specifically scrutinized. RESULTS: 486 thoracic surgical procedures (317 minor and 169 major cases) were done. There was one in-hospital death (aspiration pneumonia after esophageal stenting) and one 30-day mortality (readmission for cerebral vascular accident after lobectomy). Data,for the 10 esophagectomy patients is as follows: age - 66+/-13 years; length of stay - 12.8+/-3.4 days; anastomotic leaks - 0; operative mortality - 0. Data for the 6 pneumonectomy patients is as follows: age - 69+/-8 years; length of stay - 8.5+/-5.2 days; preoperative FEV1 - 1.6+/-0.3 litres; fistulas or empyema - 0; operative mortality - 0. CONCLUSIONS: Despite having a very low volume of thoracic surgical cases the community hospital had crude outcomes comparable to those reported from high volume tertiary hospitals. This suggests that the surgeon may be a more important factor in the hospital volume-outcome relationship than previously thought. Nevertheless, complex thoracic surgical operations are ideally performed by an experienced surgeon, and in a high volume hospital

Clinical Competence↗
PubMed1999

Ergonomic surgeon's chair for use during minimally invasive surgery.

The characteristic working situation in laparoscopic surgery involves elongated instruments and limited mobility of the surgeon during the operation. These circumstances require new technical solutions to enhance the surgeon's comfort. In other surgical fields with special ergonomic situations, such as microsurgery, some surgeons prefer to operate from a seated position at the operating room table. We developed a new surgeon's chair dedicated to the ergonomic and functional requirements of laparoscopic surgery. The chair allows the surgeon to maintain a semi-standing position during the operation. Foot pedals for high frequency and suction/irrigation are integrated into the base of the chair. The pedals are purposely aligned to be comparable to foot pedals in a car. The chair is driven by electromotors, controlled with a special foot switch that operates independent of assisting personnel during surgery. Initial clinical testing of the chair could prove the theory that supporting the surgeon with a cockpit type of operating room chair helps to avoid fatigue during long endoscopic procedures. Such assistance is especially important in combination with robotic devices for use during solo surgery.

Equipment Design↗
PubMed2000

The role of the rural surgeon as endoscopist.

As the number of physicians and surgeons practicing in rural communities decreases the roles of those physicians must necessarily expand to meet the needs of the community. Nowhere is this more apparent than in the field of endoscopy. This analysis was undertaken to examine the role of the rural general surgeon in the performance of endoscopy and the outcomes of endoscopic procedures in the hands of the general surgeon. This is a retrospective analysis of all endoscopic procedures performed at a single institution between July 1, 1996 and December 31, 1998. Data were stratified on the basis of type of procedure, indication, and findings. The patient group was a consecutive sample of all patients during the study period referred to the single general surgeon at a small acute-care hospital in rural east-central Mississippi for endoscopic procedures. All patients met accepted criteria for the proposed procedure. Patients underwent either esophagogastroduodenoscopy, colonoscopy, or diagnostic laparoscopy. Endoscopy comprised 24 per cent of all cases performed by the surgeon. Upper endoscopy accounted for 65 per cent of the total, colonoscopy for 29 per cent, and diagnostic laparoscopy for 6 per cent. Positive findings of significance were found in 75 per cent of endoscopic cases overall. Endoscopy comprises a significant proportion of the general surgeon's practice in the rural setting. With good patient selection in this setting the positive-finding rate is very high.

Endoscopy↗
PubMed2000

Courting disaster? A survey of the autopsy service provided by district surgeons in Kwazulu-Natal.

AIM: To provide information on the overall quality of the autopsy service provided by district surgeons in KwaZulu-Natal (KZN) and in particular to identify factors which may have a negative impact on the judicial process. METHOD: Confidential questionnaires were sent to 73 district surgeons and 216 legal practitioners including prosecution advocates, regional court prosecutors, defence advocates and attorneys. One hundred and twenty (43%) replies (47 doctors and 73 lawyers) were suitable for analysis. RESULTS: District surgeons have no shortage of experience or maturity but their performance is hampered by the following: lack of appropriate training in forensic pathology; high case load; inadequate facilities and support staff; and lack of access to ancillary services. CONCLUSION: This study has shown that the standard of autopsy services by district surgeons varies considerably. Overall, there is evidence that inadequacies on the part of district surgeons have negative repercussions for the criminal justice system. Urgent attention should be given to implement training programmes for the district surgeons and to improve service conditions.

Adult↗
PubMed2001

[Interactive cd-rom on the choice between breast-sparing treatment and mastectomy: positive responses from patients and surgeons].

OBJECTIVE: To assess how breast cancer patients and surgeons rate an interactive decision aid, using CD-ROM technology, developed to support a choice between breast-conserving therapy and mastectomy. DESIGN: Questionnaire investigation. METHOD: Written questionnaires were presented to patients as soon as they had finished using the CD-ROM. They responded on a 5-point scale. Surgeons (n = 14) were sent a written questionnaire to investigate their experiences of using the CD-ROM program. RESULTS: The interactive CD-ROM was offered to 92 consecutive breast cancer patients. Responses were obtained from 86 (93%) of the patients. The remainder were inadvertently not given the questionnaire. All of the patients evaluated the program as positive. Most of the patients found the program to be 'interesting', 'clear', 'useful', 'encouraging', and 'reassuring'. A majority (n = 76) expressed the view that the amount of information received was 'just right'. The interactive, computer-based method was evaluated as 'agreeable' by 74 patients. Almost all of the patients (n = 82) recommended that the program be shown to other patients. All of the surgeons (n = 14) stated that their patients' evaluations of the program were positive. Moreover, most of the surgeons (n = 10) were of the opinion that the program 'considerably contributed' to the provision of information. With the exception of one surgeon (n = 13), they all held the view that the program can be offered to breast cancer patients facing a choice between breast-conservation or mastectomy on a standard basis. CONCLUSION: Interactive decision-making support by means of a CD-ROM for patients with breast cancer, received positive evaluations from both the patients and surgeons.

Adult↗
PubMed2001

Evaluation of precautions adopted by dental surgeon using local anaesthesia.

There were 62 surgeons consisting of 38 (61.3%) males and 24 (38.7%) were females. Thirty-one (50%) were from private and state government owned clinics while the rest were from teaching hospitals. Thirty-three (53.2%) were dental house surgeons, senior dental house surgeons and dental officers, while 29 (46.8%) were within the rank of registrar and senior dental officer, senior registrar, principal dental officer and consultant. Six (9.7%) use aspirating syringe all the time. 11 (17.7%) use aspirating syringe occasionally and 45 (72.6%) use non aspirating syringe. All the surgeons wear facemasks and latex gloves. On the replacement of the needle guard after injection, 58 (93.5%) indicated that the needle is first inserted into the needle guard and then secure 4 while 4 (6.5%) pick-up the guard with their fingers, place it over the needle and secure the guard. Eight (12.9%) indicated that the maximum dose of 2% lignocaine with adrenaline 1:80,000 is 7 mg/kg body weight or less, 5 (8.1%) indicated 10 mg/kg body weight, while 49 (79.0%) did not complete this section. On the maximum number of 1.8 ml cartridges, all the surgeons indicated that the maximum is 12 or fewer cartridges. This study revealed that the risk of intravascular injection is high. Although of the most dental surgeons take necessary precautions to avoid complications arising from the use of local anaesthetics, there is a need for total compliance in view of fatal complications that may ensue. It also underscores the need for continuous dental education program to update practitioners.

Anesthesia, Dental↗
PubMed2001

A snapshot of waiting times for cancer surgery provided by surgeons affiliated with regional cancer centres in Ontario.

BACKGROUND: There is evidence that delays in treatment result in increased psychosocial morbidity for patients diagnosed with cancer. We evaluated waiting times for care among cancer patients treated by surgeons affiliated with regional cancer centres in Ontario. METHODS: Dates for 5 key events related to the surgical management of a patient with cancer were collected by a convenience sample of surgeons who treat breast, gynecologic, colorectal, head and neck, thoracic and urologic cancers. The key events were initial referral, first surgical visit, main treatment decision, major surgery and receipt of postoperative pathology report. The surgeons were also asked to judge the appropriateness of the waiting times for the intervals studied and to identify factors associated with inappropriate delays. RESULTS: A total of 62 surgeons affiliated with 8 regional cancer centres participated; data were collected for 1456 patients who underwent assessment and whose surgical visit occurred between Jan. 31 and May 31, 2000. The median waiting time from referral to first visit was 11.0 days, from first visit to treatment decision 0.0 days, from treatment decision to surgery 20.0 days and from surgery to receipt of the pathology report 8.0 days. The median waiting times for the 2 summary intervals (referral to surgery and referral to receipt of the pathology report) were 37.0 and 48.0 days respectively. The waiting times varied by cancer type; for example, the median time from referral to surgery varied from 29.0 days for colorectal cancers to 64.0 days for urologic cancers. The same interval varied from 19.0 to 43.0 days by treatment centre. The waiting times did not vary substantially by patient age. The surgeons judged that 344 (37.2%) of the 925 patients with dates for the referral-to-surgery interval had inappropriately long waiting times. They indicated that contributing factors to these inappropriate waits were shortage of operating room time (in 181 cases), lack of other resources such as diagnostic tests or allied health personnel (in 156) and patient preference or circumstance (in 28) (factors were not mutually exclusive). INTERPRETATION: Many of the patients with cancer seen by surgeons affiliated with regional cancer centres in Ontario may be experiencing significant delays in the assessment and treatment of their cancer.

Aged↗
PubMed1999

[Surgeons, attendants and physicians in the estates belonging to the Radziwills in the Nieswiez line in the 18th century].

The Polish Republic entered the 18th century as a country, which exhibited anachronistic organization of social and economic relations in many respects. For surgery this meant preserving the nature of a guild craft, whereas the West European trends moved closer to the area of medicine. The changes in the above state of affairs led to improvement only in the period of the National Education Commission. However, the commenced changes could not cause any significant increase of the level of surgery in the Polish Republic in the 18th century. Although not many facts support the statement that the Radziwills of the 18th century started any activities aiming at increasing the level of surgical care in all the estates, as they focused mainly on their own court, the court surgeons practiced also outside the court. In the 18th century, for the needs of the prince's family a few highly qualified surgeons came from abroad or from the main Polish cities where good surgeons were more available. But the range of duties performed by the Radziwills' surgeons was broader and covered also the activities other than those related to the profession i.e. treatment of wounds, fractures and certain external symptoms of a disease. They frequently entered the area reserved for the physicians. They were usually employed to treat people from lower backgrounds, including courtiers. However, if they treated the members of the prince's family, their role was limited to surgical operations. The findings included in this article, with regard to the availability of surgeons and the quality surgical care in the Radziwills' estates, present two extremities. One of them represents the prince's family and the court who have a team of highly qualified surgeons and attendants, many of whom are foreigners. The other one represents the peasants in the Radziwills' villages who have no access even to attendants. There are no premises to conclude that the Radziwills did anything to ensure the surgical care to the country-folk. The Radziwills' estate which was in many respects governed by separate noble laws was also characterized by a specific nature of medical organization. However, all the weaknesses of inefficient social and economic system were also present in the Radziwills' estates. They were acerbated by inefficient management of such a big estate, which was typical of the Radziwills of the 18th century. The intellectual capacity of the heirs was another impediment to the introduction of new solutions in the area of the surgical organization in the 18th century. The situation in the estates of the Radziwills in the Nieswiez line in the 18th century resulted in focusing the article on the organization of surgical care at the prince's court. However, even if presented from this point of view, they supplement the existing picture of the Polish surgery in the 18th century with the elements which are hardly reflected in the articles published up to this date.

Allied Health Personnel↗
PubMedDate not supplied

Surgeon-related aspects of the treatment and outcome after radical resection for rectal cancer.

AIM: To summarise the magnitude and mechanisms of surgeon-related variability in the outcome after radical resection for rectal cancer and to present a solution and targets. METHODS: A review of the literature, consultation of the "Guidelines for the management of colorectal cancer" published by the Association of Coloproctology of Great-Britain and Ireland, and analysis of data from the database of the Belgian Ministry of Health, RIZIV-INAMI, on radical resection for rectal cancer in Belgium during the years 1995-1997. RESULTS: The proportion of abdominoperineal excision of the rectum (APER) varies between 23-58% in specialised centres and 43-57% general practice. In Belgium the APER rate for rectal cancer located between 4 and 16 cm above the anal verge is 50% with an overall in-hospital mortality of 3.5%; both APER rate and postoperative mortality are lower in university than in community hospitals. Most studies observe an effect of specialisation, reducing mortality with a factor of 2.5-3. The magnitude of surgeon-related variability in the oncological outcome has been well documented indicating that the impact of the surgeon-factor is considerably larger than that of adjuvant therapy. When comparing subspecialised with general surgeons, relative risk factors of 0.3-0.8 are reported for local recurrence rate, and 0.7-0.8 for disease free survival. CONCLUSION: Inter-surgeon variability is to be related with surgical skill and adequate implementation of recent diagnostic and therapeutic methods. Guidelines and centralisation are appropriate concepts, but do not guarantee improved quality of care. The targets are an APER rate of < 40% with an operative risk of < 2%, a local recurrence rate of < 10% and a disease free survival of > 70%. External audit is essential, but subspecialty training is a prerequisite and the surgeon is not the only factor to be audited.

Aged↗
PubMed2002

A fast arterial duplex ultrasound performed by vascular surgeons. Is the time now?

BACKGROUND: With the technologic advancement in vascular ultrasound imaging, surgeons are now encouraged to perform their own examinations. Vascular surgeons run the vascular laboratory in the Suez Canal University hospital. The aim of this study is to determine the efficiency and advantages of arterial duplex scanning performed by the surgeon. METHODS: A prospective comparative study between the results of color duplex (performed by a vascular surgeon), arteriogram and operative finding in 105 limbs (96 lower and 9 upper) from 63 patients, with chronic arterial occlusive disease or of peripheral arterial emergencies, was performed. The arterial vessels were divided into 13 segments. RESULTS: A total of 858 segments were examined. Duplex scanning was able to detect significant disease with a sensitivity of 83%, a specificity of 100%, positive predictive index 100%, negative predicative index 93%, accuracy 95% and k value of 0.85. Accuracy for the final therapeutic decision was 83% in arteriography, 80% in duplex and in a combination of both was 100%. CONCLUSIONS: Surgeon performed duplex is reliable and should be an integral part of the vascular surgeon's practice. Our practice recommends performing arteriography additionally in the lower limb to maximise preoperative information.

Angiography↗
PubMedDate not supplied

A modular laparoscopic training program for pediatric surgeons.

OBJECTIVES: A structured endoscopic training program for pediatric surgeons has not yet been established. This study was conducted to develop a modular training program (MTP) for pediatric surgeons and to evaluate its effectiveness for surgeons with and without previous experience in laparoscopic surgery. METHODS: Nine pediatric surgeons participated in the study. They were divided into 2 groups: group A (n=4), surgeons who had experienced more than 10 cases of laparoscopic surgery prior to MTP; group B (n=5), those who had experienced fewer than 10 cases. They participated in a standardized MTP workshop, which consisted of 2 "see-through" and 3 "laparoscopic" tasks. Each participant's psychomotor skills were evaluated objectively before and after MTP with a computer-generated virtual simulator and were evaluated for precision, efficiency, and speed. RESULTS: In participants, speed was significantly enhanced after MTP. In group A, no differences were observed after MTP, whereas significant improvements were noted in efficiency and speed after MTP in group B. Before MTP, efficiency was significantly higher in group A than in group B; however, no difference remained between the 2 groups after MTP. CONCLUSIONS: MTP is effective for nonlaparoscopic pediatric surgeons to become familiar with basic endoscopic skills.

Adult↗
PubMed2003

[Day Surgery. An opportunity for postgraduate surgeons' training].

BACKGROUND: It is widely acknowledged that day surgical procedures must be performed by expert personnel or carried out under their supervision. Recent regulations introduced by Schools of Postgraduate Surgery oblige postgraduate surgeons to carry out a number of minor and medium-sized operations. The characteristics of day surgery make it an appropriate organisational model for complying with the requirements of these directives. Interventional research has shown that adequate training permits education to be coupled with good results. METHODS: The postgraduate surgeons are trained to perform hernioplasty using Trabucco's method through surgical training based on an initial phase of at least 20 operated patients during which they act as the second surgeon, and a phase of 10 patients during which they are the first surgeon working alongside a tutor with proven experience. Five doctors are completing their training, having acted as first surgeon assisted by a tutor during the period 01/11/1999 - 31/10/00 in 60 hernioplasty operations using Trabucco's method out of a total of 143 carried out in the same period, with an average of 12 operations each. Specific informed consent was obtained from all patients. All operations were performed under local anesthesia. RESULTS: There was no need to convert to general anesthesia. Complications were comparable to those occurring during surgery performed by experienced colleagues. No recurrences were reported. The mean follow-up was 10 months. CONCLUSIONS: An evaluation of these data confirms the real possibility of dedicating a number of ambulatory surgical procedures to training postgraduate surgeons. This would not lead to a reduced efficacy of treatment and does not increase the percentage of complications.

Aged↗
PubMedDate not supplied

Surgeon-led initiatives cut costs and enhance the quality of endoscopic and laparoscopic procedures.

BACKGROUND: Public perception depicts surgical cost control and quality of care as polar opposites. We describe a program led by practicing surgeons that demonstrates that quality can be maintained, and often improved, while substantial cost reductions are realized. METHODS: A set of evidence-based protocols was developed, revised, and followed for 42 procedures in general, otolaryngologic, urologic, and orthopedic surgery. Each protocol consists of surgeon-initiated guidelines on operative indications, preoperative testing, preadmission planning, length of stay, resource utilization, convalescence, and pharmacy services. Information was collected for 24 months from July 1998 to July 2000 by 62 surgeons in Kentucky and Indiana. Data were obtained for 4302 cases, among them colonoscopy (1145), esophagogastroduodenoscopy (714), laparoscopic cholecystectomy (418), endoscopic retrograde cholangiopancreatography (235), and laparoscopic fundoplication (87). RESULTS: Specific cost reductions occurred in laparoscopic cholecystectomy by limiting the administration of perioperative antibiotics. Sixty-seven percent of patients did not receive antibiotics. Outpatient cholecystectomy was the norm (60%), due primarily to preadmission planning through discussion with the patients and their family. Interestingly, when surgeons were educated on the costs of certain instruments and medications, their practices changed. The avoidance of a particular postoperative antiemetic, which was more than tenfold more expensive than other choices, was rapidly adopted by all surgeons when the costs were discovered. One participating teaching hospital used its own financial data and predicted that if all surgeons at their facility followed the protocols and had similar results, a savings of dollar 1.1 million per quarter would be obtained.

Anti-Bacterial Agents↗
PubMed2003

Comparison of the experimental intestinal anastomoses performed by different surgeons.

BACKGROUND/AIMS: This study was designed to determine the effects of different surgeons on the experimental anastomosis studied in rats. METHODOLOGY: Sixteen Wistar-albino rats were equally separated into two groups. The rats operated on by the first surgeon were coded Group 1 and operated on by the other surgeon were coded Group 2. Both surgeons were trained on the gastrointestinal surgery. The procedure of the study were standardized and dictated to the surgeons. Bursting pressure and tissue hydroxyproline content were determined as parameters of the anastomotic strength and healing on the seventh day postoperatively. RESULTS: The bursting pressures were measured with a digital manometer and anastomotic lines were removed to measure tissue hydroxyproline level. While hydroxyproline value in the first group was 105.60 +/- 9.43 microg/mg dry tissue, it was found to be 104.02 +/- 17.26 microg/mg dry tissue in the second group and this difference was not statistically significant (p=0.521). The bursting pressure was determined as 240.71 +/- 11.65 mmHg in the first group, 190.75 +/- 14.09 mmHg in the second group and the difference was statistically significant (p=0.002). The anastomotic resistances to intraluminal pressure were found statistically different whereas tissue hydroxyproline levels were normal between the groups. CONCLUSIONS: These results make us to consider mechanical differences occur related to the surgeons in the studies performed with the same technical detail.

Anastomosis, Surgical↗