Insufficient safety measures reported in operation notes of complicated laparoscopic cholecystectomies.

Background: In 2007, a Dutch guideline for laparoscopic cholecystectomy (LC) was composed that advocates the critical view of safety (CVS) to prevent bile duct injury (BDI). Conversion to open cholecystectomy is recommended in complicated cholecystectomy, but young surgeons are hardly trained in this procedure. The aim of this study was to analyze the accuracy of dictated operation notes, the use of CVS before and after guideline implementation, and the severity of injury after conversion.

Nineteen-year follow-up of the silastic double stemmed hinge prosthesis of the first metatarsophalangeal joint.

Background: The purpose of this retrospective study is to evaluate patient-related outcome and reoperation rate of the Swanson prosthesis in patients with and without grommets.

Methods: Between 1981 and 1999, 98 Swanson MTP-1 prostheses were implanted in 84 patients (14 bilateral). The average follow-up was 19 years.

Surgical outcomes of open cholecystectomy in the laparoscopic era.

Background: Although laparoscopic cholecystectomy has become the standard of care for symptomatic cholelithiasis and cholecystitis, 10% to 30% of cholecystectomies are still performed in open fashion. Because the total number of cholecystectomies is increasing with time, the average patient undergoing open cholecystectomy in the laparoscopic era is older and has more comorbidities.

Methods: The records of 1629 consecutive patients who underwent cholecystectomy from July 1997 to September 2006 were evaluated.