Question

What is trend analysis in safety of apendectomy in relation to Principles of Health Services?

Answer 1

Trend analysis in safety of Appendectomy

1. Several bailout strategies such a cholecystostomy were present before Critical view of safety for appendectomy came into fore. Example: Laparoscopically done Subtotal cholecystectomy of which there are two kinds. They are Subtotal fenestrating cholecystectomy and Subtotal reconstituting cholecystectomy.

2. Critical view of safety (CVS) was introduced in 1995 in an analytical review of the emerging problem of biliary injury in laparoscopic appendectomy.

CVS is an adoption of a technique of secure identification in open appendectomy in which both cystic structures are putatively identified after which the gallbladder is taken off the cystic plate so that it is hanging free and just attached by the two cystic structures.

3. The SAGES Safe Cholecystectomy program aims for prevention of biliary injury such as use of intraoperative imaging and approaches to the difficult gallbladder. Doublet photography is a method to record CVS visually for photodocumentation.

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