ISurgery

Et oui… il faut savoir respecter certaines règles… même si des fois elle déplaisent! Ignorer les conséquences n’est pas permis…

ACUTE CHOLECYSTITIS - Timing of Surgery Changes Everything

DIAGNOSIS: Gallstone obstruction causes 90-95% of cases. Ultrasound shows 81% sensitivity, 83% specificity.

Early vs late laparoscopic cholecystectomy

EARLY SURGERY (1-3 days):
- 11.8% complications
- 5.4 day hospital stay
- Lower costs

LATE SURGERY (>3 days):
- 34.4% complications
- 10.0 day hospital stay
- Higher costs

BOTTOM LINE: Early lap chole cuts complications by two-thirds and halves length of stay.

SOURCE: J. Gallaher and A. Charles. JAMA. 2022;327(10):965-975

Read the full review: https://www.newsletter.endocollab.com/p/acute-cholecystitis-nice-review-ofhttps://substackcdn.com/image/fetch/$s_!3NlZ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F811ceef4-6d96-407a-9bff-a65a1b678a21_1400x863.png

A méditer… 🤔

Peut-être une confirmation qu’un team chirurgien/chirurgienne ou chirurgienne/chirurgien est la meilleure combinaison pour une intervention chirurgicale pour le ou la patiente… 🙏

Association of Surgeon-Patient S*x Concordance With Postoperative Outcomes This cohort study examines the association between surgeon-patient s*x discordance and postoperative outcomes.