Conventional documentation of surgical procedures using only pre- and postoperative X-ray images and possibly a few intra-operative pictures does not allow secondary analysis of the technical performance in detail. In particular, the quality of the handling of tissues and surgical tools cannot be judged «post hoc», i.e. after the end of the surgical procedure. The invasiveness of the surgical act cannot yet be quantified. Surrogate invasiveness indices have therefore been developed. Furthermore, conventional documentation does not allow evaluation of the proper use of the C-arm both technically and with regard to fluoroscopy time. Documentation that follows the ICUC® documentation concept includes all fluoroscopy shots and images covering all key portions of the entire surgical procedure by multiple still images or videos. In certain cases, such documentation can help to explain post-operative courses that might be difficult to understand based only on X-rays and written operation reports. Finally, the data included in ICUC® documentation are a valuable source for knowledge extraction. In addition, time saving is conceivable if operation reports can include images of the key stages of the procedure with a few additional comments dictated during the surgery. Key words: trauma surgery, ICUC® documentation concept.
- MeSH
- Surgical Procedures, Operative * MeSH
- Documentation * MeSH
- Fluoroscopy MeSH
- Humans MeSH
- Wounds and Injuries diagnostic imaging surgery MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- MeSH
- Cholangiography MeSH
- Cholecystectomy, Laparoscopic adverse effects MeSH
- Adult MeSH
- Humans MeSH
- Wounds and Injuries diagnosis diagnostic imaging MeSH
- Biliary Tract injuries MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
The condition of the main pancreatic duct determines very probably in a decisive way the fate of posttraumatic pancreatic pseudocysts and acute pancreatic injuries. Endoscopic retrograde cholangiopancreatography is the only diagnostic method which makes possible to evaluate the condition of this duct. The authors performed ERCP in three children, in two of them an internal drainage of the pseudocyst was carried out on account of verified ductal rupture. In the third girl, after evidence of an intact main pancreatic duct, conservative therapy was successfully applied. In the discussion the authors summarize data from the literature regarding the use of ERCP in the preoperative diagnosis of posttraumatic pancreatic pseudocysts and acute pancreatic injuries. The authors consider ERCP a method which renders the diagnosis of posttraumatic pancreatic pseudocysts and acute pancreatic injuries more accurate.
- MeSH
- Cholangiopancreatography, Endoscopic Retrograde * MeSH
- Child MeSH
- Humans MeSH
- Adolescent MeSH
- Pancreas diagnostic imaging injuries MeSH
- Pancreatic Pseudocyst diagnostic imaging etiology MeSH
- Wounds and Injuries complications diagnostic imaging MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Adolescent MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
- MeSH
- Humans MeSH
- Joint Diseases diagnostic imaging MeSH
- Bone Diseases diagnostic imaging MeSH
- Tomography, X-Ray Computed * MeSH
- Wounds and Injuries diagnostic imaging MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- MeSH
- Angiography * MeSH
- Time Factors MeSH
- Accidents, Traffic MeSH
- Adult MeSH
- Humans MeSH
- Emergencies MeSH
- Pancreas injuries MeSH
- Abdominal Injuries diagnostic imaging MeSH
- Wounds and Injuries diagnostic imaging MeSH
- Stomach injuries MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Publication type
- Journal Article MeSH
