Demonstrator of vascular surgery,Alexandria Main University Hospital.
Abstract
Background:Vascular surgeons are an integral component of the surgical services and must be available to support the primary surgeon when needed in cases of complex anatomic exposure, uncontrollable bleeding, and restoration of blood flow for both elective and emergency operative cases.Unfortunately, many requests for vascular surgeons occur as an unplanned emergency intraoperative consultation with the assumption underlying these requests is that vascular surgeons are ready and available at a moment's notice (ie, 24/7). Administrators, other medical providers, hospital systems, and modern health care in general underappreciate the value and necessity of vascular surgery services in this context. In addition, the contribution to patient safety of readily available vascular surgery services to a given hospital has rarely been quantified or reported. Aim: Evaluate assistance provided during unplanned intraoperative consultations. Patients and methods: A retrospective analysis of intraoperative vascular surgery consultations from January 1, 2018, to December 31, 2019, will be evaluated. Results: There were 59 emergency intraoperative consultations over 2 year period. Patients were 62.7% females with an average age of 41 years. Most of the consulting specialties were obstetrics and gynecology (n= 25 [42.4%]), urology (n= 11[18.6%]) and general surgery (n= 10[16.9%]). Conclusion: Vascular surgeons are required to provide emergency open surgical consultations for several specialty in several anatomic regions, with a variety of skills and techniques. This study testifies to the importance of the rule of vascular services supplied to our hospital.
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