Ross A. Pettigrew

Mechanical Inhibition of Angiogenesis at the Saphenofemoral Junction in the Surgical Treatment of Varicose Veins

André M. van Rij, Gregory T. Jones, Brigid G. Hill, Mohammad Amer et autres

BACKGROUND: Saphenofemoral junction (SFJ) ligation has been a major component of surgical intervention for varicose veins; however, recurrence occurs in as many as 40%. Neovascularization with reconnection of the venous channels at the transected SFJ has been identified as the major cause …

nz (code pays fourni par la source)

AMERICAN SOCIETY OF ANESTHESIOLOGISTS CLASSIFICATION OF PHYSICAL STATUS AS A PREDICTOR OF WOUND INFECTION

John C. Woodfield, Nagy M. Y. Beshay, Ross A. Pettigrew, Lindsay Dudley Plank et autres

BACKGROUND: Wound infection occurs when bacterial contamination overcomes the hosts' defences against bacterial growth. Wound categories are a measurement of wound contamination. The American Society of Anesthesiologists (ASA) classification of physical status may be an effective indirect measurement of the hosts' defence …

nz (code pays fourni par la source)

Accuracy of the Surgeons’ Clinical Prediction of Perioperative Complications Using a Visual Analog Scale

John C. Woodfield, Ross A. Pettigrew, Lindsay Dudley Plank, Michael Landmann et autres

BACKGROUND: The ability to predict who will develop perioperative complications remains difficult because the etiology of adverse events is multifactorial. This study examines the preoperative and postoperative ability of the surgeon to predict complications and assesses the significance of a change in …

nz (code pays fourni par la source)

Using Cost of Infection as a Tool to Demonstrate a Difference in Prophylactic Antibiotic Efficacy: A Prospective Randomized Comparison of the Pharmacoecomonic Effectiveness of Ceftriaxone and Cefotaxime Prophylaxis in Abdominal Surgery

John C. Woodfield, André M. van Rij, Ross A. Pettigrew, Antje van der Linden et autres

The purpose of this study was to test the hypothesis that cost, as well as frequency of infection, could be used to demonstrate a difference in the performance of prophylactic antibiotics. In a prospective, randomized, double-blind study, 1013 patients undergoing abdominal surgery …

nz (code pays fourni par la source)

A comparison of the prophylactic efficacy of ceftriaxone and cefotaxime in abdominal surgery

John C. Woodfield, André M. van Rij, Ross A. Pettigrew, Antje J van der Linden et autres

nz (code pays fourni par la source)

Polypharmacy in a general surgical unit and consequences of drug withdrawal

Julia Kennedy, André M. van Rij, George F. S. Spears, Ross A. Pettigrew et autres

AIMS: To identify drug usage/withdrawal in surgical patients and the relative risk this imposes on postoperative surgical complications. METHODS: A prospective survey of patients' medicines, oral intake (food/fluids/ medicines) and postoperative complications was carried out in the General Surgical Unit, Dunedin Hospital, …

nz (code pays fourni par la source)

BILE DUCT IMAGING AND INJURY: A REGIONAL AUDIT OF LAPAROSCOPIC CHOLECYSTECTOMY

Arend E. H. Merrie, Michael Booth, A. Shah, Ross A. Pettigrew et autres

BACKGROUND: The aim of the present study was to report details of practice with respect to bile duct imaging and bile duct injury. METHODS: A prospective audit of laparoscopic cholecystectomy (LC) was undertaken in the Otago region from the introduction of LC …

nz (code pays fourni par la source)

Cusum as an aid to early assessment of the surgical trainee

André M. van Rij, James R. McDonald, Ross A. Pettigrew, M J Putterill et autres

Tests of knowledge, aptitude and psychomotor skills have been used to assess and select surgical trainees but none of these is reliable in the long term. The industrial quality-control method of the cusum was used to assess performance progress in 17 surgical …

nz (code pays fourni par la source)

BILE LEAKAGE AFTER LAPAROSCOPIC CHOLECYSTECTOMY: BILIARY ANATOMY REVISITED

Riyaadh Roberts, Ross A. Pettigrew, André M. van Rij

Bile leakage from the gall-bladder bed following laparoscopic cholecystectomy is recognized as a potential cause of major morbidity. This problem is usually attributed to division of ducts draining a portion of liver directly into the gall-bladder. The authors' experience, however, and a …

Validation of subjective measures of fatigue after elective operations.

L S Buxton, Frank Frizelle, Bryan R. Parry, Ross A. Pettigrew et autres

OBJECTIVE: To find out if it was possible to evaluate postoperative fatigue by questionnaire. DESIGN: Open study. SETTING: University hospital. SUBJECTS: 23 patients about to undergo elective general surgical operations. INTERVENTIONS: A questionnaire was filled in before, and 2-46 days after, operation. …

nz (code pays fourni par la source)

DEVELOPING A SYSTEM FOR SURGICAL AUDIT

Ross A. Pettigrew, James R. McDonald, André M. van Rij

A system for surgical audit, which has been developed during a 6 year period in an active surgical unit of a teaching hospital, is described. Following a review of the first 3 years of our computerized audit, major modifications to the audit …

nz (code pays fourni par la source)

CODING FOR SURGICAL AUDIT

Ross A. Pettigrew, Andre M. van Ru

A simple system of codes for operations, diagnoses and complications, developed specifically for computerized surgical audit, is described. This arose following a review of our established surgical audit in which problems in the retrieval of data from the database were identified. Evaluation …

nz (code pays fourni par la source)