Core Topics in General & Emergency Surgery: Companion to Specialist Surgical Practice (93 page)
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Authors: Simon Paterson-Brown MBBS MPhil MS FRCS
BOOK: Core Topics in General & Emergency Surgery: Companion to Specialist Surgical Practice
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D
Dabigatran etexilate,
274
274
Database of Abstracts of Reviews of Effectiveness (DARE),
5
5
Day case surgery,
41–56
41–56
future trends,
53–54
53–54
good practice,
48–53
48–53
attitudes,
50
50
complications,
52
52
controversies,
50–51
50–51
discharge,
51–52
51–52
procedures, rates,
50
50
patient viewpoint,
43–48
43–48
facilities,
43
43
admission,
47
47
patient selection,
44–46
44–46
age,
44–45
44–45
smoking,
45
45
social factors,
44
44
preoperative assessment,
46–47
46–47
investigations,
47
47
D-dimers,
275
275
Decompression, sigmoid volvulus,
182
182
Deep vein thrombosis (DVT),
275
275
clinical features,
275
275
D-dimers,
275
275
imaging techniques,
276
276
computed tomography (CT),
276
276
impedance plethysmography (IP),
276
276
magnetic resonance angiography (MRA),
276
276
magnetic resonance imaging (MRI),
276
276
venography,
276
276
Diabetes mellitus,
46
46
type II,
345
345
Diagnostic Assessment Programme (DAP) (NICE),
12
12
Diagnostic peritoneal lavage (DPL),
232
232
Diaphragm injury scale,
257t
257t
Diatrizoatemeglumine,
101
101
Dieulafoy’s lesion,
121
121
Diltiazem,
209–210
209–210
Discounting,
31–32
31–32
Double-layer closure technique (Nissen),
104
104
Drip and suck regimen,
160
160
Duhamel procedure,
219
219
Dumping syndrome,
355
355
Duodenal perforations,
110–112
110–112
bleeding,
356
356
bowel obstruction,
356
356
migration,
356
356
Duodenitis,
121
121
Duodenojejunostomy,
104
104
Duodenum injury scale,
260t
260t
Dutch Acute Pancreatitis Study Group,
146
146
Dysphagia,
350–352
350–352
E
Eastern Association for the Surgery of Trauma,
243
243
Echocardiography,
277
277
cost-benefit analysis,
35
35
cost-effectiveness
analysis,
33–34
33–34
incremental, ratios (ICER),
34
34
league tables,
34–35
34–35
cost-minimisation analysis,
33
33
cost-utility analysis,
34
34
ethical issues,
37
37
recent advances,
37
37
sensitivity analysis,
36–37
36–37
extremes, analysis,
36
36
probabilistic analysis (PSA),
37
37
simple,
36
36
threshold analysis,
36
36
value of information analysis,
37
37
willingness-to-pay (WTP) thresholds,
35
35
Effective Practice and Organisation of Care (EPOC),
12–13
12–13
Electrocardiography (ECG),
47
47
Electrolyte disturbances,
319b
319b
Elemental diets,
316
316
EMBASE database,
4–5
4–5
Emergency medical services (EMS),
229–230
229–230
Emergency surgery
abdominal hernias,
76
76
day cases,
53
53
Emergency surgery, general
early assessment, acute abdomen,
83–86
83–86
services organisation,
82–83
82–83
subspecialisation,
83
83
‘End Result Idea’,
1
1
Endoscopic mucosal resection (EMR),
110
110
acute cholangitis,
141–142
141–142
duodenal/jejunal perforations,
110–112
110–112
Endoscopic submucosal dissection (ESD),
110
110
Endoscopic treatment, peptic ulcers,
122–125
122–125
Endoscopy,
120–121
120–121
Endotherapy, mucosal/submucosal tumours,
110
110
Energy
assessment,
314
314
sources,
318–319
318–319
Enhanced recovery,
53
53
Enteral nutritional support,
315–316
315–316
access routes,
315–316
315–316
importance,
315
315
nutrient solutions,
316
316
perioperative,
321
321
Enterocutaneous fistulas,
322
322
Enterolith obstruction,
163–164
163–164
Enterostomy tube,
336
336
Epigastric hernias,
60–61
60–61
aetiology,
60
60
clinical presentation,
60
60
complications,
61
61
management,
60–61
60–61
operative details,
60–61
60–61
Esomeprazole,
125
125
Essential fatty acids,
322
322
Ethical issues,
37
37
EuroQol questionnaire,
27
27
Evidence-based medicine (EBM),
1–22
1–22
clinical guidelines,
11–13
11–13
critical appraisal,
5–8
5–8
determining strength, evidence,
14–15
14–15
integrated care pathways (ICPs),
13
13
meta-analysis,
9–11
9–11
need for,
2–3
2–3
process,
3
3
sources, evidence,
3–5
3–5
systematic literature reviews,
8–9
8–9
discussion,
9
9
evaluation studies,
9
9
literature search,
8–9
8–9
question protocol,
8
8
results, synthesis,
9
9
Evidence-Based Practice (EBP),
5
5
Exercise capacity, measures,
293–294
293–294
External validity,
3
3
Extrahepatic biliary tree injury scale,
259t
259t
Extremes, analysis,
36
36
F
Factor V Leiden,
270
270
Fallopian tube injury scale,
265t
265t
Family history,
271
271
Fat,
318–319
318–319
metabolism,
310
310
Femoral hernias,
71–72
71–72
aetiology,
71
71
management,
71–72
71–72
operative details,
71–72
71–72
high approach (McEvedy),
72
72
laparoscopic approach,
72
72
low approach (Lockwood),
71–72
71–72
transinguinal approach (Lothiessen),
72
72
Fennerty algorithm, modified,
279–280
279–280
Fentanyl,
48
48
Finney pyloroplasty,
104
104
Fistulas
enterocutaneous,
322
322
fistula-in-ano,
207–208
207–208
gastro-gastric,
355
355
malignant,
208
208
Fixed-effect model (meta-analysis),
9
9
children,
226
226
Foreign bodies, anorectal,
211–212
211–212
Fresh frozen plasma (FFP),
119
119
Functional assessment,
287
287
G
Gallbladder torsion,
139
139
pregnancy,
139
139
Gallstone ileus,
164
164
patients,
345
345
Gastric plication,
349
349
Gastric ulcers, perforation,
105
105
Gastritis,
121
121
Gastro-gastric fistula,
355
355
Gastrointestinal (GI) tract
enteral nutrition,
317b
317b
Gastrointestinal stromal tumours (GISTs),
121
121
Gastrostomy tubes,
315–316
315–316
General anaesthesia,
49–50
49–50
General Medical Council (GMC), patient information,
294
294
Generalised peritonitis,
196
196
Geneva scoring system,
276
276
Ghrelin (hunger hormone),
345
345
GIFTASUP (British Consensus Guidelines on Intravenous Fluid Therapy for Adult Surgical Patients),
301–302
301–302
Glasgow Coma Scale (GCS),
234
234
Glasgow scoring system, acute pancreatitis,
145
145
Glucagon,
309b
309b
Glucose,
318
318
disturbances,
319b
319b
Glutamine supplementation,
322
322
Glycerine trinitrate (GTN),
209–210
209–210
Glycopyrrolate,
187
187
Google Scholar,
4
4
GriPP (Getting Research into Practice and Purchasing),
17
17
Growth hormone,
309b
309b
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