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World Journal of Surgery

, Volume 15, Issue 4, pp 439–445 | Cite as

Surgical opportunism in emergency hand surgery

  • Wayne A. Morrison
  • Bernard McC O'Brien
Progress Symposium-Progress in Emergency Surgery of the Hand

Abstract

Surgical opportunism is the exploitation of circumstances at the time of surgery which will maximize the ultimate functional result. This may be an imaginative original application of surgery and regularly demands a degree of lateral thinking to visualize the opportunity. It involves particularly the careful appraisal of all damaged or amputated tissues and assessment as to their potential usefulness. Microvascular anastomosis greatly broadens the scope of opportunism in emergency hand surgery.

Keywords

Public Health Functional Result Potential Usefulness Anastomosis Microvasculares Lateral Thinking 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Résumé

L'opportunisme chirurgical se définit comme étant l'exploitation des circonstances au moment de l'acte chirurgical qui maximalise les résultats ultérieurs. Ceci est une application originale de la chirurgie et demande, de façon absolue, un effort de pensée au delà de la situation apparente, pour saisir l'opportunité. Particulièrement importantes sont l'évaluation soigneuse de tous les tissus amputés ou endommagés, l'évaluation d'une éventuelle récupération parcellaire de telle ou telle autre structure pour une utilisation partielle. Le recours à la microchirugie élargit énormément les possibilités de l'opportunisme en chirurgie de la main en urgence.

Resumen

El oportunismo quirúrgico es la explotación de las circunstancias que en el momento de la cirugía permitan el logro de un máximo efecto funcional. Este puede significar una imaginativa aplicación de una cirugía original; demanda regularmente un grado de pensamiento colateral para visualizar la oportunidad. También involucra, en forma muy particular, la cuidadosa valoración de todos los tejidos lesionados y amputados y la estimatión de su utilidad potencial. Las anastomosis microvasculares amplian en forma importante el panorama del oportunismo en la cirugía de urgencia de la mano.

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Copyright information

© Société Internationale de Chirurgie 1991

Authors and Affiliations

  • Wayne A. Morrison
    • 1
  • Bernard McC O'Brien
    • 1
  1. 1.Microsurgery Research CentreSt. Vincent's HospitalMelbourneAustralia

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