International journal of surgery
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Inter-hospital transfer of trauma patients in a developing country: a prospective descriptive study.
There is no standardised protocol for the transfer of injured patients in Jamaica, a process that is well known to be potentially hazardous. We undertook this study to evaluate the inter-hospital transfer process of injured patients in this developing country. ⋯ The transfer of injured patients is not being performed in a manner consistent with modern medical practice. There is urgent need for implementation of a standardised protocol for the transfer of such patients in Jamaica.
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Laparoscopic appendicectomy is gradually being accepted as a procedure of choice in the management of suspected acute appendicitis. (in female of childbirth and obese patients, working class, children and elderly). The aim of this study is to assess the feasibility and safety of laparoscopic appendicectomy for perforated appendicitis and to assess our simple technique to reduce postoperative infective complications of perforated appendicitis. ⋯ Perforated appendicitis can be managed effectively and safely using a laparoscopic technique. Timing of intervention and operative technique which includes four abdominal quadrants copious irrigation is important to prevent postoperative intra-abdominal abscesses.