Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Current practice in biliary surgery.

C J Cahill1, J A Pain

  • 1Department of Surgery, Westminister Hospital, London, UK.

The British Journal of Surgery
|December 1, 1988
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Peritoneal drainage following cholecystectomy: a controlled trial.

Annals of the Royal College of Surgeons of England·2009
Same author

Peritoneal drainage following cholecystecomy: a controlled trial.

Annals of the Royal College of Surgeons of England·2009
Same author

Duct-to-mucosa pancreaticogastrostomy is a safe anastomosis following pancreaticoduodenectomy.

The British journal of surgery·2005
Same author

A prospective study of the use of fine-needle aspiration cytology and core biopsy in the diagnosis of breast cancer.

The breast journal·2003
Same author

A prospective randomised trial of two treatments for wound seroma after breast surgery.

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·2002
Same author

Replace fine needle aspiration cytology with automated core biopsy in the triple assessment of breast cancer.

Annals of the Royal College of Surgeons of England·2002

Most UK surgeons still use traditional biliary surgery practices, with inconsistent antibiotic prophylaxis use and high rates of routine operative cholangiography and T tube use. This highlights a gap between evidence and common clinical application in current UK biliary surgery.

Area of Science:

  • Surgical Practices
  • Gastroenterology
  • Evidence-Based Medicine

Background:

  • Biliary surgery, including cholecystectomy, is a common surgical procedure.
  • Current guidelines and literature present controversies regarding optimal practices.
  • Adherence to evidence-based practices in biliary surgery varies globally.

Purpose of the Study:

  • To investigate current practices in biliary surgery among consultant general surgeons in the United Kingdom.
  • To assess the adherence to established guidelines for antibiotic prophylaxis and operative procedures.
  • To identify the prevalence of traditional versus evidence-based approaches in UK biliary surgery.

Main Methods:

  • A questionnaire-based survey was distributed to over 25% of UK consultant general surgeons.

Related Experiment Videos

  • A high response rate of 90% was achieved, providing a robust dataset.
  • Data collected included antibiotic prophylaxis use, operative cholangiography, T tube usage, and peritoneal drain placement.

    • Main Results:

    • Only 56% of surgeons use antibiotic prophylaxis for elective cholecystectomy, and 84% for emergency procedures.
    • Inappropriate antibiotic prophylaxis (duration, agent, high-risk cases) occurred in up to 20% of cases.
    • Routine operative cholangiography and T tube use were reported by 84%, and peritoneal drains by 75% of respondents.

    Conclusions:

    • Most UK surgeons continue to employ traditional biliary surgery techniques, irrespective of evolving literature.
    • Significant variations and potential non-adherence to best practices in antibiotic prophylaxis were observed.
    • The study underscores a disconnect between current research and routine clinical application in UK biliary surgery.