Austin journal of surgery最新文献_第6页

A Case Report of the Resection of Giant Trunk Neurofibroma 巨干神经纤维瘤切除术1例报告

Austin journal of surgery Pub Date : 2018-11-13 DOI: 10.26420/austinjsurg.2018.1153

Minliang Chen

引用次数: 0

Simultaneous Minimally Invasive Surgery in a Patient with Lung Cancer and Coronary Artery Disease 同时微创手术治疗肺癌和冠状动脉疾病1例

Austin journal of surgery Pub Date : 2018-10-23 DOI: 10.26420/austinjsurg.2018.1150

K. Ch

引用次数: 0

The Efficacy of Patient Centered Outcomes in Determining the Effectiveness of Surgical Mentorship in Rural Saskatchewan 在萨斯喀彻温省农村地区，以患者为中心的结果在确定手术指导有效性方面的有效性

Austin journal of surgery Pub Date : 2018-10-01 DOI: 10.26420/austinjsurg.2018.1149

Pillay Y

{"title":"The Efficacy of Patient Centered Outcomes in Determining the Effectiveness of Surgical Mentorship in Rural Saskatchewan","authors":"Pillay Y","doi":"10.26420/austinjsurg.2018.1149","DOIUrl":"https://doi.org/10.26420/austinjsurg.2018.1149","url":null,"abstract":"Background: Advanced laparoscopic skills are difficult to obtain for practicing surgeons. This issue is exponentially more difficult for surgeons in rural practice. Surgical mentorship is one way in which this can be achieved. Material and Methods: A surgical mentorship program was under taken by the author under the auspices of a senior surgeon at the same hospital he practices in. This was under taken to learn the Laparoscopic Transabdominal Pre - Peritoneal herniorrhaphy technique (TAPP). This involved supervision of the first twenty operative procedures. Once there was satisfaction with the technique the remaining surgical procedures were performed independently without supervision. Over a four-year duration, fifty-nine procedures were performed by the first author. Data was assessed retrospectively with the use of an outcome questionnaire adapted from the EuroQol© questionnaire. Results: A patient centered outcomes questionnaire was employed to determine the efficacy of the mentorship program. This was done through a retrospective audit of the first four years of this advanced technique. An established short quality of life questionnaire, the EuroQol© was used and adapted for laparoscopic hernia surgery 94 percent of patients would recommend the surgeon to other patients for this surgery. There were no hernia recurrences and three patients had inguinodynia, all of whom were managed conservatively Discussion: The patient centered outcomes clearly demonstrate satisfaction with the surgical mentorship program. While this was a small study with insufficient follow up for long term post - operative complications, it does show the feasibility of patient centered outcomes in determining the effectiveness of surgical mentorship.","PeriodicalId":91056,"journal":{"name":"Austin journal of surgery","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84031723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgeons, Especially Orthopedic Surgeons Should Know Fibromyalgia and Incomplete Form of Fibromyalgia 外科医生，特别是骨科医生应该了解纤维肌痛和不完全纤维肌痛

Austin journal of surgery Pub Date : 2018-09-19 DOI: 10.26420/austinjsurg.2018.1148

K. Toda

引用次数: 0

Perspectives on the Management of Abdominal Trauma 腹部创伤的处理展望

Austin journal of surgery Pub Date : 2018-08-07 DOI: 10.26420/austinjsurg.2018.1147

P. Weledji, J. Tambe

引用次数: 8

An Assessment of Artificial Intelligence Software Measurement of Physician Performance: Not Quite Ready for Prime Time 评估人工智能软件测量医生的表现:还没有完全准备好黄金时间

Austin journal of surgery Pub Date : 2018-07-30 DOI: 10.26420/austinjsurg.2018.1145

G. Sc

{"title":"An Assessment of Artificial Intelligence Software Measurement of Physician Performance: Not Quite Ready for Prime Time","authors":"G. Sc","doi":"10.26420/austinjsurg.2018.1145","DOIUrl":"https://doi.org/10.26420/austinjsurg.2018.1145","url":null,"abstract":"With an increase in hospital-based employment of plastic surgery graduates, understanding how hospitals evaluate physician performance is essential, as data could have important career implications. At our hospital (Loma Linda University Medical Center), the software program The CRIMSON Initiative is used to provide data related to physician performance. Upon review of this data, our Plastic Surgery department had a 30 days readmission rate that was higher than the hospital average. We were interested to see how accurate this number actually was, and so we closely examined the 30 days readmission rates for our department for an entire year. Using the CRIMSON Initiative software, two separate major searches were used (by “Attending Physician” and by “Performing Physician”). Searching either way revealed a 30 days readmission rate that was higher for our department than the hospital average. However, after manually sorting through each patient chart, there were cases that were not readmissions due to the patient’s plastic surgery. Once these cases were excluded from the original calculations, it brought our department’s readmission rate down to slightly lower than the hospital average for each search. This discrepancy highlights the margin of error of such automated physician performance programs, and brings to light pitfalls that physicians should be aware of concerning similar programs at their own institutions. As plastic surgery residency graduates are increasingly employed by hospitals, it would behoove them to be cognizant of this issue, and to be empowered to question the data being used to assess their performance.","PeriodicalId":91056,"journal":{"name":"Austin journal of surgery","volume":"322 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79708295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unusual Cause of Splenomagaly 脾肿大的不寻常原因

Austin journal of surgery Pub Date : 2018-07-30 DOI: 10.26420/austinjsurg.2018.1146

H. Elkaoui

引用次数: 0

Multifocal Central Giant Cell Granuloma of the Mandible in 9-Year-Old Boy with one Stage Surgery using Fibula Free Flaps with Virtual Surgical Planning 虚拟手术计划下腓骨游离皮瓣一期手术治疗9岁男孩下颌骨多灶性中央巨细胞肉芽肿

Austin journal of surgery Pub Date : 2018-05-29 DOI: 10.26717/BJSTR.2018.05.0001134

Ł. Krakowczyk, K. Dowgierd, Maciej Borowiec, D. Smyczek, D. Walczak, A. Maciejewski

引用次数: 1

Tumor Enucleation of Renal Cell Carcinoma in a Solitary Kidney. 孤立肾肾细胞癌的肿瘤去核。

Austin journal of surgery Pub Date : 2015-01-01

N J Farber, I Faiena, J S Parihar, E A Singer

引用次数: 0