scholarly journals Morbidity and mortality conferences in general surgery: a narrative systematic review

2020 ◽  
Vol 63 (3) ◽  
pp. E211-E222 ◽  
Author(s):  
Nicholas Slater ◽  
Perneet Sekhon ◽  
Nori Bradley ◽  
Farhana Shariff ◽  
Julie Bedford ◽  
...  
Keyword(s):  
Systematic Review ◽  
General Surgery ◽  
Morbidity And Mortality ◽  
Morbidity And Mortality Conferences

scholarly journals At the Crossroad with Morbidity and Mortality Conferences: Lessons Learned through a Narrative Systematic Review

2016 ◽  
Vol 2016 ◽  
pp. 1-11 ◽  
Author(s):  
Xin Xiong ◽  
Teela Johnson ◽  
Dev Jayaraman ◽  
Emily G. McDonald ◽  
Myriam Martel ◽  
...  
Keyword(s):  
Systematic Review ◽  
Adult Population ◽  
Lessons Learned ◽  
Morbidity And Mortality ◽  
Educational Values ◽  
Systematic Review Methodology ◽  
Cross Sectional ◽  
Morbidity And Mortality Conferences ◽  
Morbidity And Mortality Conference ◽  
Medical Articles

Objective. To determine the process and structure of Morbidity and Mortality Conference (MMC) and to provide guidelines for conducting MMC.Methods. Using a narrative systematic review methodology, literature search was performed from January 1, 1950, to October 2, 2012. Original articles in adult population were included. MMC process and structure, as well as baseline study demographics, main results, and conclusions, were collected.Results. 38 articles were included. 10/38 (26%) pertained to medical subspecialties and 25/38 (66%) to surgical subspecialties. 15/38 (40%) were prospective, 14/38 (37%) retrospective, 7/38 (18%) interventional, and 2/38 (5%) cross-sectional. The goals were quality improvement and education. Of the 10 medical articles, MMC were conducted monthly 60% of the time. Cases discussed included complications (60%), deaths (30%), educational values (30%), and system issues (40%). Recommendations for improvements were made frequently (90%). Of the 25 articles in surgery, MMCs were weekly (60% of the time). Cases covered mainly complications (72%) and death (52%), with fewer cases dedicated to education (12%). System issues and recommendations were less commonly reported.Conclusion. Fundamental differences existed in medical versus surgical departments in conducting MMC, although the goals remained similar. We provide a schematic guideline for MMC through a summary of existing literature.

Morbidity and Mortality after General Surgery in Heart and Lung Transplant Patients

2019 ◽  
Author(s):  
Alek Zywot ◽  
Amber L. Turner ◽  
Joanna Sesti ◽  
Russell C. Langan ◽  
Andrew Nguyen ◽  
...  
Keyword(s):  
General Surgery ◽  
Lung Transplant ◽  
Morbidity And Mortality ◽  
Transplant Patients

scholarly journals Diaphragmatic herniation after esophagogastric surgery: systematic review and meta-analysis

2021 ◽  
Author(s):  
Davide Bona ◽  
Francesca Lombardo ◽  
Kazuhide Matsushima ◽  
Marta Cavalli ◽  
Valerio Panizzo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Treatment Algorithm ◽  
Pulmonary Complications ◽  
Morbidity And Mortality ◽  
Current Evidence ◽  
Esophageal Hiatus ◽  
Pooled Prevalence ◽  
Increased Risk ◽  
Esophagogastric Surgery

Abstract Introduction The anatomy of the esophageal hiatus is altered during esophagogastric surgery with an increased risk of postoperative hiatus hernia (HH). The purpose of this article was to examine the current evidence on the surgical management and outcomes associated with HH after esophagogastric surgery for cancer. Materials and methods Systematic review and meta-analysis. Web of Science, PubMed, and EMBASE data sets were consulted. Results Twenty-seven studies were included for a total of 404 patients requiring surgical treatment for HH after esophagogastric surgery. The age of the patients ranged from 35 to 85 years, and the majority were males (82.3%). Abdominal pain, nausea/vomiting, and dyspnea were the commonly reported symptoms. An emergency repair was required in 51.5%, while a minimally invasive repair was performed in 48.5%. Simple suture cruroplasty and mesh reinforced repair were performed in 65% and 35% of patients, respectively. The duration between the index procedure and HH repair ranged from 3 to 144 months, with the majority (67%) occurring within 24 months. The estimated pooled prevalence rates of pulmonary complications, anastomotic leak, overall morbidity, and mortality were 14.1% (95% CI = 8.0–22.0%), 1.4% (95% CI = 0.8–2.2%), 35% (95% CI = 20.0–54.0%), and 5.0% (95% CI = 3.0–8.0%), respectively. The postoperative follow-up ranged from 1 to 110 months (mean = 24) and the pooled prevalence of HH recurrence was 16% (95% CI = 13.0–21.6%). Conclusions Current evidence reporting data for HH after esophagogastric surgery is narrow. The overall postoperative pulmonary complications, overall morbidity, and mortality are 14%, 35%, and 5%, respectively. Additional studies are required to define indications and treatment algorithm and evaluate the best technique for crural repair at the index operation in an attempt to minimize the risk of HH.

scholarly journals Clinical diagnostic tools for screening of perioperative stroke in general surgery: a systematic review

2016 ◽  
Vol 116 (3) ◽  
pp. 328-338 ◽  
Author(s):  
Z. Sun ◽  
Y. Yue ◽  
C.C.H. Leung ◽  
M.T.V. Chan ◽  
A.W. Gelb
Keyword(s):  
Systematic Review ◽  
General Surgery ◽  
Diagnostic Tools ◽  
Perioperative Stroke ◽  
Clinical Diagnostic

scholarly journals Attitudes Toward Morbidity and Mortality Conferences Among Medical and Surgical Pediatric Specialists in Armenia

JAMA Surgery ◽  
2017 ◽  
Vol 152 (12) ◽  
pp. 1178
Author(s):  
Joshua D. Rouch ◽  
Aaron J. Dawes ◽  
Kent Garber ◽  
Biayna Sukhudyan ◽  
Shant Shekherdimian
Keyword(s):  
Morbidity And Mortality ◽  
Morbidity And Mortality Conferences
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