Granting of privileges for laparoscopic general surgery
Article Abstract:
The Society of American Gastrointestinal Endoscopic Surgeons (SAGES) has issued a statement presenting guidelines for granting surgical privileges to surgeons who wish to perform endoscopic general surgery. This includes cholecystectomy (gallbladder removal), appendectomy (removal of the appendix), hernia repair, or similar abdominal procedures that are performed using a laparoscope (an illuminated tube with an optical system), avoiding the need for a large surgical incision. The guidelines are based on the premise that the person performing such procedures must possess the judgement, training, and ability to proceed immediately to an open (traditional) surgical operation if the need arises. The endoscopic surgeon must have either formal fellowship or residency training in general surgery, as well as competence in laparoscopic surgery. Physicians may receive credentials if they meet the following criteria: residency in general surgery; credentialed in diagnostic laparoscopy; trained in laparoscopic surgery; and prior observation of laparoscopic procedures. Monitoring of performance and continuing education related to laparoscopic surgery should be maintained. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: American Journal of Surgery
Subject: Health
ISSN: 0002-9610
Year: 1991
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Role of herniography in the diagnosis of occult hernias
Article Abstract:
Herniography is an imaging procedure in which radiopaque material is injected into the peritoneal cavity to identify hidden hernias. Although this technique is controversial for pediatric patients, it may be useful in the evaluation of adults with obscure groin pain. A report is presented of the use of this technique in adults. Twenty-two patients with groin pain who had normal physical examinations underwent herniography. Eleven unsuspected hernias were identified in eight patients in whom the presence of hernia was confirmed at the time of surgery. Of the 14 patients with normal herniogram studies, 10 were asymptomatic for the next 3 months. The use of herniogram in these 22 patients resulted in savings of $31,000. These findings suggest that herniography is a useful and cost-effective diagnostic procedure for patients with abdominal wall pain without obvious cause. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: American Journal of Surgery
Subject: Health
ISSN: 0002-9610
Year: 1991
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