World journal of surgery
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World journal of surgery · Aug 2008
Annoyances, disruptions, and interruptions in surgery: the Disruptions in Surgery Index (DiSI).
Recent studies have investigated disruptions to surgical process via observation. We developed the Disruptions in Surgery Index (DiSI) to assess operating room professionals' self-perceptions of disruptions that affect surgical processes. ⋯ Although operating room professionals acknowledged disruptions and their impact, they attributed disruptions related to individual performance and attitudes more to their colleagues than to themselves. The cross-professional discrepancy in perceived disruptions (surgeons perceiving fewer than the other two groups) suggests that attempts to improve the surgical environment should always start with thorough assessment of the views of all its users. DiSI is useful in that it differentiates between the frequency and the severity of disruptions. Further research should explore correlations of DiSI-assessed perceptions and other observable measures.
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World journal of surgery · Aug 2008
Image-guided liver mapping using fluorescence navigation system with indocyanine green for anatomical hepatic resection.
In malignant hepatic neoplasm, anatomic resection could improve survival and limit complications from hepatectomy. Our purpose was to develop an intraoperative method for identifying segment and subsegment of the liver with high-sensitivity near-infrared fluorescence imaging. ⋯ We demonstrated here that near-infrared fluorescence imaging system is a novel and reliable intraoperative technique to identify hepatic segment and subsegment for anatomical hepatic resection.
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The quality of trauma care in New Zealand is good, but not optimal; it is characterized by skilled and dedicated staff relying on personal knowledge and institutional guidelines to deliver care. Quality assessment, standardization, and coordination of care continue to be hampered by the absence of a national trauma registry within the framework of a national trauma system. There is some hope that a planned regional pilot of the national trauma database will lead to more robust trauma system development, although this will only be achievable with solid governmental support.