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Biomedical subjects

M C Airan

Publications and source records attributed to M C Airan.

5 recordsLinked to original sources
PubMed1992

Assessment of quality of care in laparoscopic cholecystectomy.

With the advent of laparoscopic cholecystectomy, assessment of data and its relationship to quality of care became important. The Mount Sinai Hospital Medical Center conducted a prospective survey in conjunction with the Society of American Gastrointestinal Endoscopic Surgeons (SAGES) National Survey. In this survey, only two surgeons operated as surgeon and co-surgeon with an extremely small rate of complication. A national survey of chairpersons in surgery was designed at Rush Presbyterian St. Luke's Hospital, and 4300 chairpersons were mailed questionnaires to record complications of laparoscopic cholecystectomy. There were 36,232 patients and 3111 surgeons in the survey. The Southern Surgeons Club experience, as reported in New England Journal of Medicine, was reviewed. Because of the complexity of understanding the implications of the survey results, the authors have arrived at a simplified system of evaluating quality of care in laparoscopic cholecystectomy. In this system only three considerations are taken into account: (a) elective conversions to standard operation, (b) forced conversions (due to iatrogenic injuries), and (c) reoperation rate (delayed complication). It is hoped that data collection will be simplified and more meaningful.

Cholecystectomy↗
PubMed1991

Review of 300 consecutive laparoscopic cholecystectomies: development, evolution, and results.

The present paper reviews 300 laparoscopic cholecystectomies with intraoperative cholangiograms that were performed by the authors. The development and evolution of this procedure are described along with the results. The guidewire technique used for operative cholangiography and the maneuver applied to control bleeding of the cystic artery are detailed. Five cases were converted to open operations. No serious complications were encountered. One common bile duct injury occurred during endoscopic retrograde cholangiopancreaticography performed on postoperative day 8 for diagnostic purposes.

Adolescent↗
PubMed1975

Parathyroid identification by methylene blue infusion.

The intravenous infusion of methylene blue was investigated as a procedure that would identify parathyroid glands during operation in 17 patients with primary hyperparathyroidism. The dye was found to stain all adenomas, most hyperplastic glands and occasionally normal parathyrodi glands. In addition, the frequency of glandular staining was directly related to the size of the gland, although size and histology may have been independent variables. Methylene blue infusion is a safe effective method of localizing abnormal parathyroid glands.

Adenoma↗
PubMedDate not supplied

Therapeutic laparoscopic suturing techniques.

With the introduction of the technique of Interventional laparoscopy, a new era of minimally invasive general surgery has begun. The well-established principles of general surgical technique have not been altered by this new technology. As the new laparoscopic technology has become available, intraabdominal laparoscopic suturing and ligating techniques have been developed. The authors have attempted to elucidate the techniques of endoligation, "Endoloop" application, endosuture placement, sling suture placement, and continuous suture placement in laparoscopic surgery.

Humans↗