scholarly journals Use of 3D Models in the Surgical Decision-Making Process in a Case of Double-Outlet Right Ventricle With Multiple Ventricular Septal Defects

2019 ◽  
Vol 7 ◽  
Author(s):  
Andrew I. U. Shearn ◽  
Michael Yeong ◽  
Michael Richard ◽  
Maria Victoria Ordoñez ◽  
Henry Pinchbeck ◽  
...  
Keyword(s):  
Decision Making ◽  
Right Ventricle ◽  
3D Models ◽  
Double Outlet Right Ventricle ◽  
Decision Making Process ◽  
Ventricular Septal Defects ◽  
Surgical Decision ◽  
Septal Defects ◽  
Surgical Decision Making

Double outlet right ventricle—an echocardiographic study

1993 ◽  
Vol 3 (2) ◽  
pp. 124-131 ◽  
Author(s):  
Oscar Arista-Salado Martínez ◽  
José Arango Casado ◽  
María V. de la Cruz ◽  
Francisco Díaz ◽  
Osiris Cubero
Keyword(s):  
Decision Making ◽  
Surgical Technique ◽  
Ventricular Septal Defect ◽  
Right Ventricle ◽  
Septal Defect ◽  
Double Outlet Right Ventricle ◽  
Surgical Decision ◽  
Echocardiographic Study ◽  
Surgical Decision Making ◽  
Anatomic Feature

SummaryWe examined the echocardiograms of 40 patients with double oudet right ventricle, proven either at autopsy or during surgery. By way of the subcostal approach, it proved possible to determine the insertion of the outlet (infundibular) septum and to categorize the malformations within the classification proposed by de la Cruz and her colleagues. It was also possible to ascertain the relationships of the atrioventricular valves with one or with both infundibulums, and these features could be correlated with infundibular interrelationships. The interrelationship of the great arteries, in contrast, was not always in accordance with the infundibular interrelationships, indicating that the arterial interrelationship may not prove to be a good parameter for surgical decision-making. Of greatest importance was the visualization and echocardiographic appraisal of the spatial position and size of the ventriculoinfundibular fold, since this anatomic feature was the key to determining the optimal surgical approach. This is so because the ventriculoinfundibular fold constitutes one of the borders of the ventricular septal defect, and separates it from the plane of the leaflets of the arterial valves. Furthermore, the fold frequendy contributes to infundibular obstruction. Our echocardiographic studies, based on a better anatomic knowledge, permitted us to choose the most suitable surgical technique in our patients.

scholarly journals An assessment of the factors affecting surgical decision making: a multi institutional study

2020 ◽  
Vol 7 (4) ◽  
pp. 1138
Author(s):  
Prem Kumar Anandan ◽  
Sindhu Sivakumar
Keyword(s):  
Decision Making ◽  
Work Experience ◽  
Institutional Factors ◽  
Decision Making Process ◽  
Final Decision ◽  
Surgical Decision ◽  
Factors Affecting ◽  
Surgical Residents ◽  
Complex Process ◽  
Surgical Decision Making

Background: Decision making is a complex process, especially when guidelines are lacking. Surgeons then turn to other factors to help guide them make these decisions. This study is an attempt to understand these factors which play a role in the decision making process of surgeons.Methods: A prospective qualitative study was conducted amongst consultant surgeons and surgical residents from various institutes across Bangalore. The questionnaire was sent out to these surgeons and responses were recorded using Google Forms. A total of 158 responses were received and analyzed.Results: 69.2% of surgeons felt that patient preferences influence their decision making process. Age of the patient and medical comorbidities played a role in the decision making process of 95.5% and 94.2% of the surgeons respectively. 91% of the surgeons agreed that their age and experience has a strong influence on the decisions made by them. The institution of work and availability of tools mattered to 61.7% and 80.1% of the surgeons respectively.Conclusions: Factors such as patients’ age, comorbidities, preferences, surgeon’s institution of study, institution of work, experience, and institutional factors influence the decisions made by surgeons. Further study is needed on the larger scale to fully understand the various factors playing a role in the final decision making process.

scholarly journals Understanding the impact of breast reconstruction on the surgical decision-making process for breast cancer

Cancer ◽  
2008 ◽  
Vol 112 (3) ◽  
pp. 489-494 ◽  
Author(s):  
Amy K. Alderman ◽  
Sarah T. Hawley ◽  
Jennifer Waljee ◽  
Mahasin Mujahid ◽  
Monica Morrow ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Decision Making ◽  
Breast Reconstruction ◽  
Decision Making Process ◽  
Surgical Decision ◽  
The Impact ◽  
Surgical Decision Making

scholarly journals The morphologic nature of noncommitted ventricular septal defects in specimens with double-outlet right ventricle

2002 ◽  
Vol 124 (5) ◽  
pp. 984-990 ◽  
Author(s):  
Rudolf P. Beekman ◽  
Margot M. Bartelings ◽  
Mark G. Hazekamp ◽  
Adriana C. Gittenberger-de Groot ◽  
Jaap Ottenkamp
Keyword(s):  
Right Ventricle ◽  
Double Outlet Right Ventricle ◽  
Ventricular Septal Defects ◽  
Septal Defects

Proper information during the surgical decision-making process lowers the anxiety of patients with high-grade gliomas

2009 ◽  
Vol 151 (4) ◽  
pp. 357-362 ◽  
Author(s):  
José L. Díaz ◽  
Pilar Barreto ◽  
José M. Gallego ◽  
Javier Barbero ◽  
Ramón Bayés ◽  
...  
Keyword(s):  
Decision Making ◽  
Decision Making Process ◽  
High Grade ◽  
Surgical Decision ◽  
High Grade Gliomas ◽  
Surgical Decision Making
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