Acta Neurochirurgica

, Volume 138, Issue 9, pp 1067–1069

Ruptured cerebral aneurysm: Influence of specialist and trainee-performed operations on outcome

  • G. Stranjalis
Clinical Articles


The results of a series of 160 consecutive patients operated on for ruptured cerebral aneurysm in relation to the surgeon's seniority were studied. The outcome, as measured by the Glasgow Outcome Scale at six months, shows a difference between specialist-neurosurgeon and resident-performed ruptured cerebral aneurysm obliterations, although this difference does not reach statistical significance.


Neurosurgical training surgical expertise trainee operative performance management of raptured cerebral aneurysm 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Al-Assaf AF, Schmele JA (1993) The textbook of total quality in healthcare. St Lucie Press, Delray Beach, Florida, pp 1–5Google Scholar
  2. 2.
    Campling EA, Devlin HB, Haile RW, Lunn JN (1992) The report of the national confidential enquiry into perioperative deaths, pp 7Google Scholar
  3. 3.
    Shepherd JP, Brickley M (1992) Activity analysis. Measurement of the effectiveness of surgical training and operative technique. Ann Roy Coll Surg 74: 417–421Google Scholar
  4. 4.
    Taylor B, Harries P, Bullock R (1991) Factors affecting outcome after surgery for intracranial aneurysm in Glasgow. Br J Neurosurg 5: 591–600PubMedGoogle Scholar
  5. 5.
    Jennett B, Bond M (1975) Assessment of outcome after severe brain damage. Lancet; i: 480–484Google Scholar
  6. 6.
    Hunt WE, Hess RM (1968) Surgical risk as related to time interaction in the repair of intracranial aneurysms. Neurosurgery 28: 14–20Google Scholar
  7. 7.
    Crouch ER (1993) A comparison of the success rates of resident and attending strabismus surgery. Ped Opth Strabismus 30/3: 157–158Google Scholar
  8. 8.
    Valen B, Molster A (1993) Follow-up of sutured meniscus by means of survival analysis. Tiskr Nor Laegeforen 113: 3561–3563Google Scholar
  9. 9.
    Leighton SE, Robson AK, Freeland AP (1991) Audit of stapedectomy. Results in a teaching hospital. Clin Otolaryngol Allied Sci 16: 488–492Google Scholar

Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • G. Stranjalis
    • 1
  1. 1.Department of NeurosurgeryFrenchay HospitalBristolUK
  2. 2.AthensGreece

Personalised recommendations