General Surgical Operations in the United States

Rutkow, Ira M.

doi:10.1001/archsurg.1986.01400100053010

Cited by 22 publications

(12 citation statements)

References 9 publications

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“…As time progressed, due to the division into multiple subspecialties, the varieties of major surgeries performed by a general surgeon have decreased. 1,[3][4][5] This statement holds good for our study because the number of major abdominal surgeries has decreased from group-I to group-II (27% vs. 25.9%). This decrease in abdominal surgeries may appear insignificant but from Table-7 we can observe that the significant decrease in gastrointestinal surgeries has been masked by a significant increase in the number of lap cholecystectomies.…”

Section: Spectrum Of Surgeriesmentioning

confidence: 55%

“…In the literature, except for very few foreign studies in the past, there were no recent studies that compared the general surgery workload between two time periods in our country. 1,[3][4][5] To our knowledge, our study is the first of its kind in recent times. Our study differs from all the reference studies in that we have compared the spectrum of elective surgeries between 2009 & 2018 in a teaching institute rather than a population.…”

Section: Discussionmentioning

confidence: 80%

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Did general surgeons surgical spectrum changed over time? A retrospective comparative study in a South Indian tertiary care centre between 2009 and 2018

Gade

Meegada²,

Alavala

2020

Int Surg J

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Background: General surgery discipline has fragmented into several subspecialties over the past. This division has affected the surgical spectrum of general surgeons. Studies comparing the changes in the general surgeon's work spectrum were done in the ’90s but not in the recent past. Our study aims to compare the surgical spectrum of general surgeons between two time periods in our institute.Methods: We performed a retrospective study comparing the elective surgeries performed by general surgeons in the year 2009 and 2018 in an academic tertiary care centre.Results: There was a 28.9% rise in the total number of elective surgeries (1567 vs. 2020) in our study. There was a significant rise in the mean age of surgical patients (39.7 years vs. 41.9 years) but with no change in M: F ratio (1.7: 1). There was a significant rise in Hernia surgeries and Varicose veins surgeries (p<0.001) along with a rise in anal surgeries (p=0.018). There was a significant decrease in Breast surgeries (p=0.02) and Thyroid surgeries (p<0.001). There was a dramatic rise in the laparoscopic cholecystectomy rate (23.2% vs. 52%) and a fall in the laparoscopic appendectomy rate (26.3% vs. 8%). Open inguinal hernia surgeries were the most common surgeries performed in both the years.Conclusions: There was an increase in the surgical volume for general surgeons but the surgical spectrum has narrowed. We recommend conducting periodic surgical audits in institutions to monitor and maintain the standards of surgeries performed by general surgeons.

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Section: Spectrum Of Surgeriesmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 80%

Did general surgeons surgical spectrum changed over time? A retrospective comparative study in a South Indian tertiary care centre between 2009 and 2018

Gade

Meegada²,

Alavala

2020

Int Surg J

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“…Hernia through the walls of the abdominal cavity develops in approximately 1.5% of the population and this usually involves specific sites of congenital weakness or previous surgical incision (27,29). CT is useful for depicting the precise sites and the types of hernia and the contents.…”

Section: External Herniamentioning

confidence: 99%

Evaluation of Small Bowel Obstruction Using Multidetector Computed Tomography (MDCT)

Lee

Sang-Hwa

Cho

et al. 2008

J Korean Radiol Soc

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“…A herniorrafia inguinal é a operação mais comumente efetuada por cirurgiões gerais nos EUA, onde são realizadas aproximadamente 700 mil destas cirurgias anualmente, perfazendo 15% de todas as operações em geral e representando impacto socioeconômico altamente relevante 3 . No Brasil, as herniorrafias inguinais foram responsáveis por 500 mil operações realizadas entre 1993 e 1996 pelos cirurgiões gerais do Sistema Único de Saúde, ocupando o segundo lugar entre os procedimentos efetivados, custando aos cofres públicos cerca de 100 milhões de reais naquela ocasião 4 .…”

Section: Introductionunclassified

Herniorrafia inguinal com anestesia locorregional - (uso de ropivacaína)

Skinovsky¹,

Sigwalt²,

Bertinato³

et al. 2006

Rev. Col. Bras. Cir.

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OBJETIVO: O objetivo deste estudo é relatar a eficiência e a segurança da realização de herniorrafias inguinais com a utilização da anestesia locorregional com ropivacaina, destacando sua técnica, suas indicações e limitações. MÉTODO: Foram operados 50 pacientes, no período compreendido entre janeiro e dezembro de 2005, sendo submetidos à herniorrafia inguinal mediante anestesia locorregional utilizando-se o anestésico ropivacaina, associada a sedação intra-venosa, no Hospital Universitário Cruz Vermelha Brasileira - UnicenP, na cidade de Curitiba-PR, sendo utilizada técnica sem tensão, com o uso de prótese. Foram avaliadas as variáveis idade, gênero e tipo de hérnia através da classificação de Nyhus. RESULTADOS: Não foram observadas quaisquer alterações conseqüentes a reações adversas ao anestésico local, não sendo necessária nenhuma conversão do método anestésico ou mesmo complementação deste. As complicações pós-operatórias foram de pequena monta e de resolução adequada. CONCLUSÃO: A anestesia local por bloqueio de campo, com o uso de ropivacaína e associada a sedação intravenosa, para a realização de herniorrafias inguinais, constitui-se em procedimento plenamente viável, prático, menos oneroso e benéfico ao paciente.

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General Surgical Operations in the United States

Cited by 22 publications

References 9 publications

Did general surgeons surgical spectrum changed over time? A retrospective comparative study in a South Indian tertiary care centre between 2009 and 2018

Did general surgeons surgical spectrum changed over time? A retrospective comparative study in a South Indian tertiary care centre between 2009 and 2018

Evaluation of Small Bowel Obstruction Using Multidetector Computed Tomography (MDCT)

Herniorrafia inguinal com anestesia locorregional - (uso de ropivacaína)

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