Supravesical hernia is an unusual type of hernia. It is of two types: internal and external [Skandalakis JE, Gray SW, Burns WB, Sangmalee U, Sorg JL. Internal and external supravesical hernia. Am Surg 1976 Feb;42(2):142-6]. We are reporting a case of internal supravesical hernia, in a 62-year-old gentleman to call attention to the entity, as a rare cause of intestinal obstruction.
PurposeThe purpose of this paper is to analyse the complaints received from surgical patients and provide suggestions to reduce them.Design/methodology/approachThe authors conducted a retrospective study of 100 complaints received from surgical patients over a two‐year period between January 2004 and December 2005. Data was obtained through the complaints department and summaries of all the complaints were analysed.FindingsThere were 47 males and the median age was 58 years (range 13‐92). Of complaints, 44 per cent were received from outpatients and 56 per cent from inpatients. The main reasons for complaints from outpatients were appointment delays or cancellations (54.6 per cent), followed by clinical treatment (20.5 per cent), communication issues (13.6 per cent), attitude of staff (9.1 per cent) and miscellaneous (2.25 per cent). For inpatients, the main reasons were clinical treatment (39.3 per cent) followed by delay in admission/investigations (25 per cent), communication (17.9 per cent), attitude of staff (10.7 per cent) and miscellaneous (7.1 per cent). The outpatients complain mostly about administrative problems whereas inpatients complain about clinical care. Communication problems and staff attitude are the next most common in either setting. Providing patients with clear patient information about admission, treatment and waiting times would help to reduce complaints.Originality/valueThe paper shows that adopting an empathetic approach to patients and understanding their concerns and anxieties would improve patient satisfaction.
This is a case report of a 53-yr-old gentleman with soft tissue inflammation of the thigh, secondary to delayed radionecrosis of rectum. He presented with this condition, one-and-half years after he had pre-operative radiotherapy and low anterior resection for Dukes'B adenocarcinoma of rectum. In this report we emphasise the need for the clinician to be alert of this delayed side-effect of pre-operative radiotherapy and also the need for patients receiving high-dose radiotherapy to be warned of this possible complication, although it is rare.
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