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less exposure surgery

Incidence and Risk Analysis of Surgical Site Infection in Spine Surgery Patients in an Outpatient versus Hospital Cohort

Issue: 
Vol 66, Issue 3: 2017- Less Exposure Surgery (LES) Focus
DOI: 
10.7727/wimj.2017.035
Pages: 
450–6
Synopsis: 
A surgical site infection is a well-documented form of patient morbidity. A significant decrease was noted in an outpatient setting. Modifiable risk factors such as weight, smoking, alcohol use and numbers of levels necessary for operation should be considered.

ABSTRACT

Objective: Surgical site infection (SSI) is a well-documented cause of patient morbidity, with an associated increase in cost to the healthcare system. The move to outpatient surgery is to reduce the overall cost of surgery in conjunction with improved patient morbidity.

Received: 
27 Jan, 2017
Accepted: 
12 May, 2017
Published: 
23 Oct, 2017
PDF Attachment: 
PDF icon wimj-iss3-2017_450_456.pdf
Journal Sections: 
Original Articles
Keywords: 
incidence
inpatient
less exposure surgery
outpatient
risk analysis
surgical site infections
Journal Authors: 
KR Chin
FJR Pencle
CF Packer
NT Britton
AV Coombs
RF Douglas
JA Seale
e-Published: 10 Jul, 2017

Experience and Benefits of Using a Pre-drilled Screw Hole before Placing Anterior Cervical Plates in 330 Consecutive Patients during Anterior Cervical Discectomy and Fusion

Issue: 
Vol 66, Issue 3: 2017- Less Exposure Surgery (LES) Focus
DOI: 
10.7727/wimj.2017.034
Pages: 
445–9
Synopsis: 
The use of a pre-drilled pilot hole prior to anterior cervical plate placement decreases the size of the plate used. There is improved accuracy while placing the plate and it reduces adjacent segment encroachment.

 ABSTRACT

Received: 
27 Jan, 2017
Accepted: 
12 May, 2017
Published: 
23 Oct, 2017
PDF Attachment: 
PDF icon wimj-iss3-2017_445_449.pdf
Journal Sections: 
Original Articles
Keywords: 
Anterior cervical plate
less exposure surgery
pilot hole
plate size
predrilled
Journal Authors: 
KR Chin
FJR Pencle
AV Coombs
L Lendvai
JA Seale
VB Cumming
CA Bruce
e-Published: 10 Jul, 2017

Are Lumbar Drains Necessary After Outpatient Lumbar Interbody Fusion Using Less Exposure Surgery Techniques?

Issue: 
Vol 66, Issue 3: 2017- Less Exposure Surgery (LES) Focus
DOI: 
10.7727/wimj.2017.032
Pages: 
434–9
Synopsis: 
The concerns of haematoma formation in posterior lumbar interbody fusion may be heightened in outpatient surgery. Innovative techniques for surgery have decreased the need for drains in outpatient single level posterior lumbar interbody fusion.

 ABSTRACT

Objective: The use of postoperative drains for elective spine surgery has not been justified. In transitioning to the outpatient setting there may be concerns for haematoma formation in same day procedures. The purpose of the study is to evaluate the outcomes of lumbar spine surgery with no drains in the outpatient setting compared to the inpatient setting.

Received: 
27 Jan, 2017
Accepted: 
12 May, 2017
Published: 
23 Oct, 2017
PDF Attachment: 
PDF icon wimj-iss3-2017_434_439.pdf
Journal Sections: 
Original Articles
Keywords: 
Ambulatory surgery centre
less exposure surgery
low back-pain
outpatient
outcomes
posterior lumbar interbody fusions
postoperative drains
spine surgery
Journal Authors: 
KR Chin
FJR Pencle
AM O’Neill
KJ Conklin
MJ McGarry
JA Seale
e-Published: 10 Jul, 2017

Transitioning Lumbar Fusions to Outpatient Using Midline Less Exposure Surgery Techniques with Transfacet and Mediolateral Cortical Bone Pedicle Screws

Issue: 
Vol 66, Issue 3: 2017- Less Exposure Surgery (LES) Focus
DOI: 
10.7727/wimj.2017.031
Pages: 
428–33
Synopsis: 
The combined approach of unilateral pedicle screws plus contralateral facet screw has equivalent outcomes to bilateral traditional pedicle screw. This study demonstrates the feasibility of an alternative of posterior fixation.

ABSTRACT

Objective: Posterior decompression and fusion have been the standard of treatment for degenerative disc disease as well as disc herniation. Recent advances in medicine and healthcare have shown a trend to move surgeries to the outpatient setting. The authors aim to assess the outcomes of unilateral cortical pedicle screw-rod construct combined with a contralateral transfacet pedicle screw (TFPS) in the outpatient setting.

Received: 
27 Jan, 2017
Accepted: 
12 May, 2017
Published: 
23 Oct, 2017
PDF Attachment: 
PDF icon wimj-iss3-2017_428_433.pdf
Journal Sections: 
Original Articles
Keywords: 
Combined fixation
cortical bone trajectory pedicle screws
eligibility
facet screws
less exposure surgery
L5–S1
outpatient
posterior fixation
Journal Authors: 
KR Chin
FJR Pencle
RM Harris II
JA Seale
e-Published: 24 May, 2017

Avoiding Transfusion in 700 consecutive Outpatient Spine Surgery Patients Using Less Exposure Surgery Techniques

Issue: 
Vol 66, Issue 3: 2017- Less Exposure Surgery (LES) Focus
DOI: 
10.7727/wimj.2017.030
Pages: 
424–7
Synopsis: 
Blood loss requiring the need for transfusion is a major potential in spine surgery. There is a need to decrease the risk of transfusion to transition to outpatient surgery. This study demonstrated that no patients required transfusion using several tips and techniques.

ABSTRACT

Objective: Spine surgery is transitioning using minimally invasive and less exposure surgery (LES) techniques. Blood loss requiring transfusions remains a distinct complication. The authors aim to demonstrate the use of tips and techniques in decreasing the risk of transfusion in the outpatient setting.

Received: 
27 Jan, 2017
Accepted: 
12 May, 2017
Published: 
23 Oct, 2017
PDF Attachment: 
PDF icon wimj-iss3-2017_424_427.pdf
Journal Sections: 
Original Articles
Keywords: 
Blood Loss
inpatient
less exposure surgery
outpatient
risk reduction
transfusion
Journal Authors: 
FJR Pencle
NT Britton
CF Packer
JA Seale
KR Chin
e-Published: 24 May, 2017

Dysphagia Incidence after Outpatient Anterior Cervical Surgery Using Instrumentation versus No Instrumentation

Issue: 
Vol 67, Issue 1: 2018
DOI: 
10.7727/wimj.2016.152
Pages: 
39-45
Synopsis: 
The medical records of patients who had undergone anterior cervical discectomy and fusion and anterior cervical discectomy were reviewed. There was no statistically significant difference in the clinical outcomes of neck disability index scores between the groups. The incidence of dysphagia was noted to be 12% in patients who had undergone anterior cervical discectomy and fusion compared to no instrumentation.

ABSTRACT

Received: 
07 Apr, 2016
Accepted: 
11 Jul, 2016
Published: 
22 Apr, 2018
PDF Attachment: 
PDF icon wimj-iss1-2018_39_45.pdf
Journal Sections: 
Original Articles
Keywords: 
Anterior cervical discectomy and fusion
dysphagia
less exposure surgery
outpatient surgery
Journal Authors: 
KR Chin
FJR Pencle
A Coombs
J Wheeler
JA Seale
e-Published: 19 Jul, 2016
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West Indian Medical Journal

Faculty of Medical Sciences,
The University of the West Indies,
Mona, Kingston 7
Tel: (876) 927-1214
Fax: (876) 927-1846
wimj@uwimona.edu.jm
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