Abstract
It is rare that a trained VR surgeon performs only a single operation on a day; even if he is in training, it is better to do more cases on 1 day than 1 per day on multiple days. On days with multiple surgeries, somebody has to make a decision about the order of the cases. Should the sequence be random or be determined by the surgeon or someone else? If the order is preconceived, should it go from the more difficult cases to the less tough ones, or vice versa? This is an individual decision best made by the surgeon, but it has to be a conscious decision, not one left to chance.
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Notes
- 1.
Sepsis, HIV, hepatitis etc.
- 2.
Proper antibiotic treatment, including intravitreal antibiotics, must be given immediately, not be delayed until the surgery commences.
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This may take up to 8 h.
- 4.
See Table 63.1 for more details.
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Of course, life has many surprises and the case, which promised to be easy and fast, turns out to be the opposite; the reverse may also occur, but this is less common. A Hungarian proverb accurately describes this: Man plans, God executes.
- 6.
Remember, though, that the patient has understandable anxiety before the operation and has been preparing himself for it; postponing it has obvious mental implications for the patient so do not take such a postponing lightly.
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Kuhn, F. (2016). The Order of Cases If Multiple Surgeries Are Performed. In: Vitreoretinal Surgery: Strategies and Tactics. Springer, Cham. https://doi.org/10.1007/978-3-319-19479-0_10
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DOI: https://doi.org/10.1007/978-3-319-19479-0_10
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-19478-3
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