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outpatient

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

Safety and Outcome of Outpatient 2-Level Hybrid Anterior Cervical Discectomy and Fusion plus Adjacent Total Disc Replacement

Issue: 
Vol 66, Issue 3: 2017- Less Exposure Surgery (LES) Focus
DOI: 
10.7727/wimj.2017.033
Pages: 
440–4
Synopsis: 
Hybrid anterior cervical discectomy and fusion (ACDF) and total disc replacement (TDR) have been found to exhibit similar outcomes in the treatment of cervical spondylosis.

ABSTRACT

Received: 
27 Jan, 2017
Accepted: 
12 May, 2017
Published: 
23 Oct, 2017
PDF Attachment: 
PDF icon wimj-iss3-2017_440_444.pdf
Journal Sections: 
Original Articles
Keywords: 
Ambulatory surgery centre
Anterior cervical discectomy and fusion
cervical spondylosis
combined procedures
hybrid surgery
outcomes
outpatient
total disc replacement
Journal Authors: 
KR Chin
FJR Pencle
AV Coombs
JA Seale
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

Correlates of Symptoms of Depression and Anxiety among Clinic Patients in Western Jamaica

Issue: 
Vol 62, Issue 6: July (2013)
DOI: 
10.7727/wimj.2012.177
Pages: 
533–42
Synopsis: 
To ascertain the prevalence of symptoms of depression and anxiety and their correlates, surveys containing sociodemographics and items from both the Beck Anxiety Inventory and the Beck Depression Inventory-II were administered to outpatient clinic attendees in Western Jamaica.

ABSTRACT 

Objectives: There is a paucity of studies on psychosocial disorders in clinic populations in Jamaica. Therefore, we sought to determine the prevalence and correlates of symptoms of depression and anxiety in a clinic population in western Jamaica.

Received: 
05 Jun, 2012
Revised: 
08 Oct, 2012
Accepted: 
29 Oct, 2012
PDF Attachment: 
PDF icon dr._ce_monroe_wimj_july.qxd_.pdf
Journal Sections: 
Original Articles
Keywords: 
Jamaica
Depression
Anxiety
outpatient
Journal Authors: 
CE Monroe
O Affuso
MY Martin
M Aung
L Crossman
PE Jolly
e-Published: 14 Nov, 2013
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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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