Chapter One: Introduction
No researcher has ever studied to quantify how infection and complication rates are affected by the different types of surgeries that doctors performed. There have been studies placing MIS over other surgeries in other areas, such as blood loss. There have also been studies that place Open surgery above, saying that it is simpler for the surgeon and therefore got better results.
Statement of Problem There is a lack of information about infection and complication rate with any spinal surgery. As such, doctors and patients are making less informed decisions about care and potential surgeries. By determining the complication and infection rate for each style surgery, doctors will have more information as to which surgery is better for their patients (Park & Ha, 2007).
Purpose Statement
The purpose of this study is to determine if there is a relationship between the type of surgery performed and the occurrence of an infection or a
…show more content…
Some doctors have personal opinions on this subject, but not many of them back up their options with fact. When looking at Swift (2017), it is clear that this is a doctor who prefers minimally invasive surgery for a multitude of reasons, but he neglects to mention anything about infection or complications in his reasoning. McClelland et al., (2017) conclude the benefits of minimally invasive surgery in some aspects of the surgery but,t also neglects to mention any data collected about infection or complications. Similarly, Regan et al. (1999) choose to not display their data for rate of infection or complication when deciding that minimally invasive surgery was the best course for
Rational: History of hospitalizations for GI problems may reveal an exacerbation of a previously diagnosed condition (Jensen, 2015). Abdominal surgeries increase risk for adhesions, infections, obstructions, and malabsorption (Jensen, 2015).
Melling, C. A., Baqar, A., Eileen, M. S., & David, J. L. (2001, September 15). Effects of preoperative warming on the incidence of wound infection after clean surgery; a randomised control trial. The Lancet, 358, 876-880.
You also get the chance to ask any questions that you may have about the surgery. Therefore during consultation, you should expect your surgeon to ask you various questions, to help him evaluate your condition correctly. Examples of what you’re likely to be asked include, if you’re currently taking any medications, your medical history, your family history, as well as your expectations. It’s very important that you answer all the questions accurately and honestly to reduce any chances of complications and to protect your
Anytime the word surgery is mentioned, pain is typically one of the first concerns that occurs in a patient’s mind. Therefore, if you need to have Mohs surgery performed, you’re probably concerned about whether or not
Kaiser, L. R., A. C. O. Surgeons, and W. H. Pearce. Acs surgery, principles & practice. 6th. Webmd Prof Pub, 2007. eBook.
warm) in the left upper and lower extremities; decreased strength and movement of the right upper and lower extremities and of the left abdominal muscles; lack of triceps and biceps reflexes in the right upper extremity; atypical response of patellar, Achilles (hyper) reflexes in the right lower extremity; abnormal cremasteric reflex in the right groin; fracture in cervical vertebrae #7; and significant swelling in the C7-T12 region of the spinal canal (Signs and symptoms, n.d.). The objective complaint of a severe headache could also be consistent with a spinal cord injury (Headache, nausea, and vomiting,
Question #3: What, if any, are the long term complications associated with these surgeries and do the benefits outweigh the risks?
A medical assistant’s cooperation and presence during a surgical procedure is essential in order to provide satisfactory patient care. Although the role of the medical assistant may not shine though as strongly as the physician’s, their subtle presence provide organization in the form of administrative and clinical tasks to facilitate the physician’s demanding profession. During a surgical procedure, such as an incision and drainage of an abscess, the medical assistant is the patient’s first point of contact. The medical assistant’s role in any surgical procedure will begin as the patient schedules an appointment with the providing health care provider.
Hospital acquired infections are spread by numerous routes including contact, intravenous routes, air, water, oral routes, and through surgery. The most common types of infections in hospitals include urinary tract infections (32%), surgical site infections (22%), pneumonia (15%), and bloodstream infections (14%). ( book). The most common microorganisms associated with the types of infections are Esherichila coli, Enterococcus species, Staphylococcus auerus, Coagulase-negative staphylococci, or Pseudomonas aeruginosa.(secondary) Urinary tract infections occur when one or more of microorganisms enter the urinary system and affect the bladder and/or the kidneys. These infections are often associated improper catheterization technique. Surgical site infections occur after surgery in the part of the body where the surgery took place. These infections may involve the top of the skin, the tissue under the skin, organs, or blood vessels. Surgical site infections sometimes take days or months after surgery to develop. The infections can be cause by improper hand washing, dressing change technique, or improper surgery procedure. Pneumonia can also become a hospital acquired infection. Ventilator-associated pneumonia is a type of lung in...
The robot allows surgeons to view things magnified in 3-D “with a 40 percent sharper image then previous models” (Robotic). Seeing the image in 3-D makes it much easier thus always safer. Without the improved vision that is allowed by the robot, difficult operations usually would have to be performed through a much larger opening instead of the suggested small incision. The benefits of robotic surgery include less trauma to the body, minimal scarring, and faster recovery time. With all medical procedures there is always the possibility of infections and possible complications. By using robotic surgery, the risks are no different than the risks of conventional open
the after-effects of some surgeries, e.g. the time to recover from the anesthetic mmmand the surgery itself
Wound infections can occur in either open or laparoscopic intestinal surgery. In Hartmann’s procedure, although wound infection has only a small chance of causing major problems, antibiotics may need to be prescribed (Birmingham Bowel Clinic, 2011, “What are the risks?”, para 2). Medical conditions and health issues of the patient contribute greatly to the chance of getting wound infection as a postoperative complication (Rudra et al., 2006, p. 267). A nurse needs to look for any signs of wound infection, such as fluid discharge, redness, odour, and swelling. If there are signs of wound infection, the wound must be covered in sterile moist packs and need to be reviewed by medical team (Tjandra, Clunie, Kaye, & Smith, 2008, p. 21). Well maintained dressing provides moist so that the skin can be intact fast. It is also a protection against bacterial or fluid contamination which reduces wound infection rate (Yumun et al., 2014, p. 216). Giving a mild aseptic wound irrigation with normal saline or water, but not swabbing is recommended in order to minimize trauma to the wound site, as well as to sustain the best possible condition for healing (Singh, Anderson & Harper,
patients. Finally I will explain some ways to reduce the risks of the procedure for
Normally a surgery would require hours of time, large incisions, months of recovery and have the risk of human. But there is a new surgeon taking the world by storm. Robotic surgeries have become more and more prevalent in the last decade. There are 2 general types of surgery woundless surgery and minimal invasive surgery.
Although the importance of aseptic technique has been continually reiterated, I have realised its substantial role in the perioperative environment. Aseptic technique refers to the practice of creating and maintaining a sterile environment used for sterile procedures (Laws, 2010a). This is incredibly important as repetitive minor breaches of the sterile environment is one of the major factors increasing the risk of surgical site infection (Harrop et al., 2012).