RECON: Inclusion and Exclusion Rachel Thavayogan STARSurg Steering - - PowerPoint PPT Presentation

recon inclusion and exclusion
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RECON: Inclusion and Exclusion Rachel Thavayogan STARSurg Steering - - PowerPoint PPT Presentation

RECON: Inclusion and Exclusion Rachel Thavayogan STARSurg Steering Committee 4 th Year Medical Student @starsurgUK | www.starsurg.org Who to Include? Any adult patient >16 years Elective or emergency abdominal surgery patients


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@starsurgUK | www.starsurg.org

RECON: Inclusion and Exclusion

Rachel Thavayogan STARSurg Steering Committee 4th Year Medical Student

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Who to Include?

  • Any adult patient >16 years
  • Elective or emergency abdominal surgery patients
  • Any operative approach
  • Any abdominal incision
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Which specialty?

  • Any major abdominal surgery procedure

across general surgery, transplant surgery, vascular surgery, gynaecology and urology specialties.

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Which procedures?

  • Visceral resections (single or multiple)
  • Stoma reversal
  • Open repairs of abdominal aneurysms or

vascular bypass procedures

  • Hernia
  • Transplant surgery
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Which procedures to exclude ?

  • Abdominal surgeries without visceral resection
  • C-sections
  • Groin and primary hernias that are not incisional
  • Vascular surgeries with no abdominal incision
  • Trauma surgeries
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Which procedures to exclude ?

  • Procedures performed without an abdominal

incision

  • Elective day case
  • Multiple surgeries for a single patient
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Example 1:

50 year old gentlemen comes into hospital for a planned rectopexy. Should he be included as a patient for RECON?

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Example 2:

A 65 year old gentlemen undergoes an emergency surgery for an abdominal aortic aneurysm. In theatre he has an endovascular repair of the aneurysm. Should he be included as a patient for RECON?

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Example 3:

65 year old woman undergoes an elective laparoscopic right hemicolectomy for a colonic cancer. Should she be included as a patient for RECON?

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Example 4:

A 35 year old woman undergoes emergency surgery for a ruptured spleen following trauma to the abdomen. In theatre the surgeon performs a splenic repair. Should she be included as a patient for RECON?

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Summary

  • Include all consecutive patients who are

eligible

  • If in doubt check the appendix in the protocol
  • r check with your regional lead / STARSurg

steering committee.

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Questions?

starsurguk@gmail.com www.starsurg.org

@RThavayogan