One-session laparoscopic management of Mirizzi syndrome: feasible and safe in specialist units.

Background: To evaluate the laparoscopic management of Mirizzi syndrome, seldom diagnosed preoperatively causing difficulty when performing cholecystectomy and increasing complication risks.

Methods: Analysis of a prospective single-surgeon database of 5700 laparoscopic cholecystectomies found 58 Mirizzi syndrome cases. They were managed with an intention to treat during the index admission according to protocol of single-session management of bile duct stones.

"Reply - 313 Dermatome-Induced Lacerations: Incidence, Management, and Preventative Measures. April 2018, Volume 39, Issue Suppl 1, Page S126.".

We would like to suggest the use of a simple and relevant mnemonic ("STSG") for the safe use of powered dermatomes to harvest split thickness skin grafts. Safety checklists have been shown to be effective tools for improving patient safety in various clinical settings by improving compliance with good practice and reducing the incidence of adverse events.

Managing aesthetic referrals in NHS Scotland: Outcomes from 1122 patients in the East of Scotland.

The Adult Exceptional Aesthetic Referral Protocol (AEARP) encompasses a series of aesthetic procedures which, as they do not treat an underlying disease process, are not routinely available within the National Health Service. Provision of these services can only be provided on an exceptional basis. In this prospective study, we evaluated the referral process and outcomes of 1122 patients referred under the AEARP over a 3.

A Hidden Danger of Vomiting: Gastric Acid Burns.

This case report describes a gastric acid burn. Gastric acid burns secondary to vomiting in an elderly patient who has fallen and experienced a so called "long lie" have not been reported. The patient was admitted under the physicians and referred to the burns team once the wounds were recognized as burns.