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Operative Surgery (operative + surgery)

Distribution by Scientific Domains
Medical Sciences66%

Selected Abstracts

Traditions and peculiarities of clinical anatomy education in Russia

CLINICAL ANATOMY, Issue 2 2002
Ilia I. Kagan
Abstract The Russian experience in clinical anatomy education is described in this article. Such training is provided by the Department of Operative Surgery and Topographical Anatomy both during the pregraduate (undergraduate) period for medical students and in the postgraduate period for interns, residents, physicians, and surgeons of different specialties. The teaching of clinical anatomy in the pregraduate period occurs in combination with the study of operative surgery and follows the study of gross anatomy in the Department of Human Anatomy and microscopic anatomy in the Department of Histology, Cytology and Embryology. Clin. Anat. 15:152,156, 2002. © 2002 Wiley-Liss, Inc. [source]

Surgical history of ancient China: part 2

ANZ JOURNAL OF SURGERY, Issue 3 2010
Louis Fu
Abstract In this second part of ancient Chinese surgical history, the practice of bone setting in China began around 3000 years ago. Throughout this period, significant progress was made, some highlights of which are cited. These methods, comparable with Western orthopaedic technique, are still being practised today. In conclusion, the possible reasons for the lack of advancement in operative surgery are discussed, within context of the cultural, social and religious background of ancient China. [source]

World War I: the genesis of craniomaxillofacial surgery?

ANZ JOURNAL OF SURGERY, Issue 1-2 2004
Donald A. Simpson
Herbert Moran enlisted in the Royal Army Medical Corps early in World War I. His autobiography captures the impact of contemporary experience of wartime gunshot wounds, seen in vast numbers and with little understanding of the requirements of wartime surgery. Wounds of the face and brain were numerous, especially in trench fighting. In France, Germany, Britain and elsewhere, surgeons and dentists collaborated to repair mutilated faces and special centres were set up to facilitate this. The innovative New Zealand surgeon Harold Gillies developed his famous reconstructive techniques in the Queen's Hospital at Sidcup, with the help of dental surgeons, anaesthetists and medical artists. The treatment of brain wounds was controversial. Many surgeons, especially on the German side, advocated minimal primary operative surgery and delayed closure. Others advocated early exploration and immediate closure; among the first to do so was the Austro-Hungarian otologist Robert Bárány. In 1918, the pioneer American neurosurgeon Harvey Cushing published well-documented proof of the desirability of definitive operative management done as soon as possible. Few World War I surgeons developed their knowledge of plastic surgery, neurosurgery and oral surgery in post-war practice. An exception was Henry Newland, who went on to pioneer the development of these specialties in Australasia. After World War II, the French plastic surgeon Paul Tessier created the multidisciplinary subspecialty of craniomaxillofacial surgery, with the help of his neurosurgical colleague Gérard Guiot, and applied this approach to the correction of facial deformities. It has become evident that the new subspecialty requires appropriate training programs. [source]

Tight orbit syndrome: a previously unrecognized cause of open-angle glaucoma

ACTA OPHTHALMOLOGICA, Issue 1 2010
Graham A. Lee
ABSTRACT. Purpose:, To describe a new syndrome of tight orbit and intractable glaucoma with a poor visual prognosis. Methods:, A retrospective observational case series of six patients seen at two centres between 2001 and 2007 assessing intraocular pressure (IOP), best-corrected visual acuity and visual field. Results:, Three men and three women, ranging in age at diagnosis from 14 to 53 years, demonstrated similar orbital features and progressive visual field loss despite intensive management with medication and laser and operative surgery. Highest IOPs ranged from 30 to 50 mmHg. Trabeculectomy and/or glaucoma drainage devices were attempted in five patients but all failed. One patient underwent orbital decompression with achievement of IOP control. Final IOP at last follow-up was variable; only two patients achieved IOP in the normal range, with the rest ranging from 25 to 40 mmHg. All patients had advanced visual field loss. Conclusion:, Tight orbit syndrome presents a serious clinical challenge. Despite maximum medical therapy and surgical intervention IOP is difficult to control, resulting in progressive visual field loss. [source]

Traditions and peculiarities of clinical anatomy education in Russia

CLINICAL ANATOMY, Issue 2 2002
Ilia I. Kagan
Abstract The Russian experience in clinical anatomy education is described in this article. Such training is provided by the Department of Operative Surgery and Topographical Anatomy both during the pregraduate (undergraduate) period for medical students and in the postgraduate period for interns, residents, physicians, and surgeons of different specialties. The teaching of clinical anatomy in the pregraduate period occurs in combination with the study of operative surgery and follows the study of gross anatomy in the Department of Human Anatomy and microscopic anatomy in the Department of Histology, Cytology and Embryology. Clin. Anat. 15:152,156, 2002. © 2002 Wiley-Liss, Inc. [source]

Tales from the frontline: the colorectal battle against SARS

COLORECTAL DISEASE, Issue 2 2004
I. M. J. Bradford
Abstract Objective The recent worldwide epidemic of Severe Acute Respiratory Disease (SARS) caused over 800 deaths and had a major impact on the health services in affected communities. The impact of SARS on colorectal surgery, particularly service provision and training, is unknown. This paper reports these changes from a single colorectal unit at the centre of the outbreak. Patients and methods Hospital databases and electronic patient records covering the 4 months duration of the SARS epidemic and an equivalent period preceding SARS were compared. Data was collected for inpatient admissions, outpatient consultations, operative surgery, colonoscopy and waiting times for appointments or surgery. Results The SARS epidemic resulted in reductions of 52% for new outpatient attendances, 59% for review attendances, 51% for admissions, 32% for surgical procedures and 48% for colonoscopies. Major emergency procedures, cancer resections and complex major procedures were unaffected. Operative procedures by trainees reduced by 48% and procedures by specialists reduced by 21%. Patients awaiting early or urgent outpatient appointments rose by 200% with waiting times for colonoscopy increased by a median 3, 5 or 9 weeks for outpatient, inpatient or non-urgent cases, respectively. The waiting time for minor elective colorectal surgery was extended by 5 months. Conclusion SARS resulted in a major reduction in the colorectal surgical caseload. The consequences were evidenced by a detrimental effect on waiting times and colorectal training. However, serious pathology requiring emergency or complex surgery was still possible within these constraints. [source]