Related Experiment Video
Updated: Aug 9, 2025
06:18
Author Spotlight: Segmentation and VR for Advanced Neurovascular Interventions
Published on: April 5, 2024
1.2K
Overlapping Surgeries From the Patient's Perspective
Yangzi Liu1, Shirley Chen1, Catherine M Hammack-Aviran2
1Vanderbilt University School of Medicine, Nashville, Tennessee.
The Journal of Surgical Research
|February 21, 2023
Summary
Patients who trust their surgeon and understand operating room (OR) roles are more comfortable with overlapping surgery (OS). Informed consent and clear communication about trainee roles are key to improving patient acceptance of OS.
Area of Science:
- Medical ethics
- Surgical practice
- Patient experience
Background:
- Overlapping surgery (OS) is common but faces public disapproval.
- Existing research indicates widespread patient concern regarding OS.
Purpose of the Study:
- To investigate patient attitudes towards OS among those who provided informed consent.
- To identify factors influencing patient comfort levels with OS.
Main Methods:
- Qualitative study involving interviews with 12 participants who consented to OS.
- Thematic analysis of interview transcripts to identify key themes.
- Codebook development and application by two independent coders.
Main Results:
- Patient comfort with OS was shaped by trust in the surgeon, concerns about OS, and understanding of operating room (OR) personnel roles.
- Trust was built on surgeon experience and patient research; concerns included surgical unpredictability and divided surgeon attention.
- Most participants reported neutral to high comfort levels, primarily attributed to trust in their surgeon.
Conclusions:
- Contrary to prior research, this study found neutral to positive patient views on OS.
- A strong surgeon-patient relationship and informed consent are crucial for patient comfort with OS.
- Patient education regarding the roles of surgical trainees is essential to address misunderstandings and improve OS acceptance.
Related Concept Videos
01:23Peripheral Artery Disease V: Postoperative Nursing Management
16
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
16
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
21
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
21
01:26Kidney Transplant II: Surgical Procedure
46
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
46