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Safety considerations in laparoscopic surgery: A narrative review 被引量:1
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作者 Brij Madhok Kushan Nanayakkara Kamal Mahawar 《World Journal of Gastrointestinal Endoscopy》 2022年第1期1-16,共16页
Laparoscopic surgery has many advantages over open surgery.At the same time,it is not without its risks.In this review,we discuss steps that could enhance the safety of laparoscopic surgery.Some of the important safet... Laparoscopic surgery has many advantages over open surgery.At the same time,it is not without its risks.In this review,we discuss steps that could enhance the safety of laparoscopic surgery.Some of the important safety considerations are ruling out pregnancy in women of the childbearing age group;advanced discussion with the patient regarding unexpected intraoperative situations,and ensuring appropriate equipment is available.Important perioperative safety considerations include thromboprophylaxis;antibiotic prophylaxis;patient allergies;proper positioning of the patient,stack,and monitor(s);patient appropriate pneumoperitoneum;ergonomic port placement;use of lowest possible intra-abdominal pressure;use of additional five-millimetre(mm)ports as needed;safe use of energy devices and laparoscopic staplers;low threshold for a second opinion;backing out if unsafe to proceed;avoiding hand-over in the middle of the procedure;ensuring all planned procedures have been performed;inclusion of laparoscopic retrieval bags and specimens in the operating count;avoiding 10-15 mm ports for placement of drains;appropriate port closures;and use of long-acting local anaesthetic agents for analgesia.Important postoperative considerations include adequate analgesia;early ambulation;careful attention to early warning scores;and appropriate discharge advice. 展开更多
关键词 LAPAROSCOPY Laparoscopic surgery Minimally invasive surgery Key-hole surgery Patient safety safe surgery safe laparoscopy
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Patient Safety Efforts in Tanzania: A Rapid Review of Two-Decades Efforts (2002-2022) to Inform Interventions towards Attainment of 2030 Targets
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作者 Joseph C. Hokororo Michael Habtu +12 位作者 Radenta P. Bahegwa Ruth R. Ngowi Yohanes S. Msigwa Mbwana M. Degeh Erick S. Kinyenje Omary A. Nassoro Laura E. Marandu Chrisogone J. German Edwin Mkwama Bushi Lugoba Grace E. Saguti Zabulon Yoti Eliudi S. Eliakimu 《Advances in Infectious Diseases》 CAS 2022年第3期466-495,共30页
Introduction: The need to address the problem of patient safety has been a focus of World Health Assembly (WHA) meetings of 2002, 2019 and 2021. The 2019 WHA Resolution urged the Member States to take action on patien... Introduction: The need to address the problem of patient safety has been a focus of World Health Assembly (WHA) meetings of 2002, 2019 and 2021. The 2019 WHA Resolution urged the Member States to take action on patient safety. We aimed to review patient safety efforts in Tanzania from 2002 to 2022 to inform improvement efforts towards the 2030 target. Methods: A rapid literature review was conducted between January 2002 and April 2022. We searched Google, PubMed and PubMed Central in April and May 2022 using the following search terms: PubMed—“patient safety Tanzania”, “blood safety in Tanzania”, “safe surgery Tanzania”, and “healthcare-associated infections Tanzania”;Google—“blood safety in Tanzania”, injection safety in Tanzania”, “infection prevention and control”, “radiation safety in health facilities in Tanzania”;and PubMed Central—“injection safety in Tanzania. Results: The search identified 4160 articles, of which 4053 were removed in initial screening;21 were duplicates, giving 86 relevant articles for full screening. Of the 86 articles, 04 were removed after the full screening, hence remaining with 82 articles. Among the 82 eligible articles, 27 are on IPC, 26 on safe surgery, 12 on blood safety, 07 on radiation safety, 06 on injection safety, and 02 on medication safety. One article was relevant to—blood safety, IPC and injection safety;and one article was relevant to—IPC and injection safety. Conclusion: Most of the eligible literature was on IPC and safe surgery, followed by blood safety, radiation safety, injection safety and medication safety. The literature on IPC has highlighted the need to strengthen efforts to address AMR. Findings from the implementation of the safe surgery 2020 intervention warrants for its scale-up to other zones. There is a need to strengthen hemovigilance and pharmacovigilance functions;and strengthen quality management and assurance systems and regulatory functions to ensure radiation safety. 展开更多
关键词 Patient safety safe surgery Infection Prevention and Control Medication safety Radiation safety
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Effect of laparoscopic abdominal surgery on splanchnic circulation: Historical developments 被引量:5
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作者 Sinan Hatipoglu Sami Akbulut +1 位作者 Filiz Hatipoglu Ruslan Abdullayev 《World Journal of Gastroenterology》 SCIE CAS 2014年第48期18165-18176,共12页
With the developments in medical technology and increased surgical experience, advanced laparoscopic surgical procedures are performed successfully. Laparoscopic abdominal surgery is one of the best examples of advanc... With the developments in medical technology and increased surgical experience, advanced laparoscopic surgical procedures are performed successfully. Laparoscopic abdominal surgery is one of the best examples of advanced laparoscopic surgery (LS). Today, laparoscopic abdominal surgery in general surgery clinics is the basis of all abdominal surgical interventions. Laparoscopic abdominal surgery is associated with systemic and splanchnic hemodynamic alterations. Inadequate splanchnic perfusion in critically ill patients is associated with increased morbidity and mortality. The underlying pathophysiological mechanisms are still not well understood. With experience and with an increase in the number and diversity of the resulting data, the pathophysiology of laparoscopic abdominal surgery is now better understood. The normal physiology and pathophysiology of local and systemic effects of laparoscopic abdominal surgery is extremely important for safe and effective LS. Future research projects should focus on the interplay between the physiological regulatory mechanisms in the splanchnic circulation (SC), organs, and diseases. In this review, we discuss the effects of laparoscopic abdominal surgery on the SC. 展开更多
关键词 Laparoscopic abdominal surgery Splanchnic circulation Intra-abdominal pressure Abdominal compartment syndrome safe laparoscopic surgery
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