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Emergency Colorectal Surgery Checklists and Technical Considerations

  • Pietro Genova
  • Solafah Abdalla
  • Francesco Brunetti
  • Nicola de’Angelis
Chapter
Part of the Hot Topics in Acute Care Surgery and Trauma book series (HTACST)

Abstract

A surgical checklist is a step-by-step control procedure carried on for checking through the most delicate phases of the perioperative period, in order to increase surgical patient’s safety and avoid preventable complications. The checklist implementation within operating rooms have proved to be effective in reducing morbidity and mortality rates significantly, without being costly and lengthy. These results have been confirmed also in emergency surgery, which represents in itself a cause of higher risks for patients. Thus, the checklist use has rapidly spread out all over the world. The mechanism responsible for the improvement of surgical outcomes is not completely clear, partly due to ameliorated perioperative practices and better communication among surgical team members. This chapter reports a general overview on this theme and describes the way of using the World Health Organization (WHO) Surgical Safety Checklist (SSC), which is by far the most common surgical checklist worldwide. A curious historical reference concerning the development of checklists in aviation is also provided, helping understand the logic behind their application to the surgical field. Moreover, this chapter reports some useful paragraphs concerning technical considerations, notably the necessary equipment in colorectal surgery, patient positioning and ports placement.

Keywords

Emergency Colorectal surgery Checklist Patient positioning Ports placement 

References

  1. 1.
    Weiser TG, Regenbogen SE, Thompson KD, et al. An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet. 2008;372(9633):139–44.CrossRefGoogle Scholar
  2. 2.
    Gawande AA, Thomas EJ, Zinner MJ, Brennan TA. The incidence and nature of surgical adverse events in Colorado and Utah in 1992. Surgery. 1999;126(1):66–75.CrossRefGoogle Scholar
  3. 3.
    Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360(5):491–9.CrossRefGoogle Scholar
  4. 4.
    Kable AK, Gibberd RW, Spigelman AD. Adverse events in surgical patients in Australia. Int J Qual Health Care. 2002;14(4):269–76.CrossRefGoogle Scholar
  5. 5.
    McConkey SJ. Case series of acute abdominal surgery in rural Sierra Leone. World J Surg. 2002;26(4):509–13.CrossRefGoogle Scholar
  6. 6.
    Bickler SW, Sanno-Duanda B. Epidemiology of paediatric surgical admissions to a government referral hospital in the Gambia. Bull World Health Organ. 2000;78(11):1330–6.PubMedPubMedCentralGoogle Scholar
  7. 7.
    Yii MK, Ng KJ. Risk-adjusted surgical audit with the POSSUM scoring system in a developing country. Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity. Br J Surg. 2002;89(1):110–3.CrossRefGoogle Scholar
  8. 8.
    Ouro-Bang’na Maman AF, Tomta K, Ahouangbevi S, Chobli M. Deaths associated with anaesthesia in Togo, West Africa. Trop Doct. 2005;35(4):220–2.CrossRefGoogle Scholar
  9. 9.
    Bergs J, Hellings J, Cleemput I, et al. Systematic review and meta-analysis of the effect of the World Health Organization surgical safety checklist on postoperative complications. Br J Surg. 2014;101(3):150–8.CrossRefGoogle Scholar
  10. 10.
    de Vries EN, Ramrattan MA, Smorenburg SM, Gouma DJ, Boermeester MA. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17:216–23.CrossRefGoogle Scholar
  11. 11.
    Pearse RM, Moreno RP, Bauer P, et al. Mortality after surgery in Europe: a 7 day cohort study. Lancet. 2012;380(9847):1059–65.CrossRefGoogle Scholar
  12. 12.
    Zegers M, de Bruijne MC, de Keizer B, et al. The incidence, root-causes, and outcomes of adverse events in surgical units: implication for potential prevention strategies. Patient Saf Surg. 2011;5:13.CrossRefGoogle Scholar
  13. 13.
    World Health Organization & WHO Patient Safety. Implementation manual: WHO surgical safety checklist. 1st ed. Geneva: World Health Organization; 2008. http://www.who.int/iris/handle/10665/70046.Google Scholar
  14. 14.
    WHO. WHO Guidelines for safe surgery 2009. Safe surgery saves lives. http://whqlibdoc.who.int/publications/2009/9789241598552_eng.pdf. Accessed 15 May 2018.
  15. 15.
    Abbott TEF, Ahmad T, Phull MK, et al. The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis. Br J Anaesth. 2018;120(1):146–55.CrossRefGoogle Scholar
  16. 16.
    Gillespie BM, Chaboyer W, Thalib L, John M, Fairweather N, Slater K. Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analysis. Anesthesiology. 2014;120(6):1380–9.CrossRefGoogle Scholar
  17. 17.
    Sewell M, Adebibe M, Jayakumar P, et al. Use of the WHO surgical safety checklist in trauma and orthopaedic patients. Int Orthop. 2011;35(6):897–901.CrossRefGoogle Scholar
  18. 18.
    Conley DM, Singer SJ, Edmondson L, Berry WR, Gawande AA. Effective surgical safety checklist implementation. J Am Coll Surg. 2011;212(5):873–9.CrossRefGoogle Scholar
  19. 19.
    Lingard L, Regehr G, Orser B, et al. Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. Arch Surg. 2008;143(1):12–17; discussion 18.CrossRefGoogle Scholar
  20. 20.
    Pugel AE, Simianu VV, Flum DR, Patchen Dellinger E. Use of the surgical safety checklist to improve communication and reduce complications. J Infect Public Health. 2015;8(3):219–25.CrossRefGoogle Scholar
  21. 21.
    Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation. BMJ Qual Saf. 2014;23(4):299–318.CrossRefGoogle Scholar
  22. 22.
    Weiser TG, Haynes AB, Dziekan G, et al. Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. Ann Surg. 2010;251(5):976–80.CrossRefGoogle Scholar
  23. 23.
    Woodman N, Walker I. World Health Organization surgical safety checklist; 2016.Google Scholar
  24. 24.
    de Vries EN, Prins HA, Crolla RM, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med. 2010;363(20):1928–37.CrossRefGoogle Scholar
  25. 25.
    Walker IA, Reshamwalla S, Wilson IH. Surgical safety checklists: do they improve outcomes? Br J Anaesth. 2012;109(1):47–54.CrossRefGoogle Scholar
  26. 26.
    Levy SM, Senter CE, Hawkins RB, et al. Implementing a surgical checklist: more than checking a box. Surgery. 2012;152(3):331–6.CrossRefGoogle Scholar
  27. 27.
    Poon SJ, Zuckerman SL, Mainthia R, et al. Methodology and bias in assessing compliance with a surgical safety checklist. Jt Comm J Qual Patient Saf. 2013;39(2):77–82.CrossRefGoogle Scholar
  28. 28.
    Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. J Am Coll Surg. 2015;220(1):1–11 e14.CrossRefGoogle Scholar
  29. 29.
    Harden SW. The birth of the checklist.Google Scholar
  30. 30.
    Aydin HN, Tekkis PP, Remzi FH, Constantinides V, Fazio VW. Evaluation of the risk of a nonrestorative resection for the treatment of diverticular disease: the Cleveland Clinic diverticular disease propensity score. Dis Colon Rectum. 2006;49(5):629–39.CrossRefGoogle Scholar
  31. 31.
    Han EC, Ryoo SB, Park BK, et al. Surgical outcomes and prognostic factors of emergency surgery for colonic perforation: would fecal contamination increase morbidity and mortality? Int J Colorectal Dis. 2015;30(11):1495–504.CrossRefGoogle Scholar
  32. 32.
    Isbister WH, Prasad J. Emergency large bowel surgery: a 15-year audit. Int J Colorectal Dis. 1997;12(5):285–90.CrossRefGoogle Scholar
  33. 33.
    Kim CN. Emergent colorectal surgery: what should be considered? Ann Coloproctol. 2016;32(4):124–5.CrossRefGoogle Scholar
  34. 34.
    Bickell NA, Aufses AH Jr, Rojas M, Bodian C. How time affects the risk of rupture in appendicitis. J Am Coll Surg. 2006;202(3):401–6.CrossRefGoogle Scholar
  35. 35.
    Gustilo RB, Merkow RL, Templeman D. The management of open fractures. J Bone Joint Surg Am. 1990;72(2):299–304.CrossRefGoogle Scholar
  36. 36.
    Encyclopédie Médico-Chirurgicale (EMC). Techniques Chirurgicales - Appareil Digestif. Paris: Elsevier; 1970.Google Scholar
  37. 37.
    Dulucq J-L, Wintringer P, Périssat J. Tips and techniques in laparoscopic surgery. New York: Springer; 2005.Google Scholar
  38. 38.
    Valleur P. Chirurgie du tube digestif bas. Paris: Elsevier; 2005.Google Scholar
  39. 39.
    Young-Fadok TM. Colorectal resections: patient positioning and operating room setup. In: Whelan RL, Fleshman JW, Fowler DL, editors. The sages manual. New York: Springer; 2006. p. 150–62.CrossRefGoogle Scholar
  40. 40.
    Ferzli GS, Fingerhut A. Trocar placement for laparoscopic abdominal procedures: a simple standardized method. J Am Coll Surg. 2004;198(1):163–73.CrossRefGoogle Scholar
  41. 41.
    Croce E, Olmi S, Azzola M, Russo R, Di Bonifacio M. Laparoscopic colectomy: indications, standardized technique and results after 6 years experience. Hepato-Gastroenterology. 2000;47(33):683–91.PubMedGoogle Scholar
  42. 42.
    Laparoscopically assisted colectomy is as safe and effective as open colectomy in people with colon cancer Abstracted from: Nelson H, Sargent D, Wieand HS, et al., for the Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004;350:2050–9. Cancer Treat Rev. 2004;30(8):707–9.Google Scholar
  43. 43.
    de’Angelis N, Lizzi V, Azoulay D, Brunetti F. Robotic versus laparoscopic right colectomy for colon cancer: analysis of the initial simultaneous learning curve of a surgical fellow. J Laparoendosc Adv Surg Tech A. 2016;26(11):882–92.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Pietro Genova
    • 1
  • Solafah Abdalla
    • 2
  • Francesco Brunetti
    • 1
  • Nicola de’Angelis
    • 1
  1. 1.Department of Digestive, Hepatobiliary and Hepatic Transplantation Surgery, Henri Mondor University Hospital, Assistance Publique—Hôpitaux de Paris (AP-HP)Université Paris Est—Créteil (UPEC)CréteilFrance
  2. 2.Department of General and Digestive Surgery, Bicêtre University Hospital, Assistance Publique—Hôpitaux de Paris (AP-HP)Université Paris—SaclayParisFrance

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