Abstract
How do we surgeons make decisions under what can be inauspicious conditions is not entirely clear. One would think and hope that we have streamlined this process clearly by now since such decisions are made countless times daily across the world. Dissecting the anatomy of this process is of great importance to all surgeons and those who work with surgeons. Most importantly, however, is the question, do patients understand entirely the thought process of their surgeon and how is this incorporated into the consent for the operation. Many of us make decisions for which later we may not have solid reason why we did it. Usually, these are decisions made on the basis of “a gut feeling” or “intuition” or the “gray hair effect” among other “techniques.” The aim of this chapter is to set the stage for the entire book on this complex and very important process, which if done properly and timely may prevent, minimize, or avoid altogether serious intraoperative and postoperative complications.
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References
Marshall JC. Surgical decision-making: integrating evidence, inference, and experience. Surg Clin North Am. 2006;86(1):201–15.
Latifi R, Gruessner R, Rhee P. Intraoperative decision-making process: the art and the science. In: Latifi R, editor. Surgery of complex abdominal wall defects. New York: Springer; 2013.
Korenkov M, Troidl H, Sauerland S. Individualized surgery in the time of evidence-based medicine. Ann Surg. 2014;259(5):e76–7.
Wu Z, Vakalopoulos KA, Kroese LF, Boersema GS, Kleinrensink GJ, Jeekel J, Lange JF. Reducing anastomotic leakage by reinforcement of colorectal anastomosis with cyanoacrylate glue. Eur Surg Res. 2013;50(3–4):255–61.
Lustosa SA, Matos D, Atallah AN, Castro AA. Stapled versus handsewn methods for colorectal anastomosis surgery. Cochrane Database Syst Rev. 2001;(3):CD003144. Review. Update in: Cochrane Database Syst Rev. 2012;2:CD003144.
Beitler AL, Urschel JD. Comparison of stapled and hand-sewn esophagogastric anastomoses. Am J Surg. 1998;175(4):337–40.
Law WL, Bailey HR, Max E, Butts DR, Smith KW, Thompson DA, Skakun GB, Graves E. Single-layer continuous colon and rectal anastomosis using monofilament absorbable suture (Maxon): study of 500 cases. Dis Colon Rectum. 1999;42(6):736–40.
Shogan BD, Carlisle EM, Alverdy JC, Umanskiy K. Do we really know why colorectal anastomoses leak? J Gastrointest Surg. 2013;17(9):1698–707.
Flin R, Youngson G, Yule S. How do surgeons make intraoperative decisions? Qual Saf Health Care. 2007;16(3):235–9.
Pauley K, Flin R, Yule S, Youngson G. Surgeons’ intraoperative decision making and risk management. Am J Surg. 2011;202:375–81.
Klein G. A recognition-primed decision making (RPD) model of rapid decision making. In: Klein G, Orasanu J, Calderwood R, Zsambock C, editors. Decision making in action. New York: Ablex; 1993.
Velanovich V. Operative decisions. Theor Surg. 1991;638–40.
Czyzeweska E, Kicka K, Czarnecki A, et al. The surgeon’s mental load during decision making at various stages of operations. Eur J Appl Physiol Occup Physiol. 1983;51:441–6.
Jalote-Parmar A, Badke-Schaub P. Critical factors influencing intra-operative surgical decision-making. International conference on systems, man and cybernetics. SMC. 2008;1091–6.
Jalote-Parmar A, Badke-Schaub P. Work flow integration matrix: a framework to support the development of surgical information systems. Des Stud. 2008;29(4):338–68.
Latifi R, Rhee P, Gruessner WR, editors. Technological advances in surgery, trauma and critical care. New York: Springer; 2015.
Orasanu J, Fischer U. Finding decisions in natural environments: the view from the cockpit. In: Zsambok C, Klein G, editors. Naturalistic decision making. Mahwah: Lawrence Erlbaum; 1997.
Parker SH, Yule S, Flin R, McKinley A. Surgeons’ leadership in the operating room: an observational study. Am J Surg. 2012;204(3):347–54.
Parker SH, Flin R, McKinley A, Yule S. The Surgeons’ Leadership Inventory (SLI): a taxonomy and rating system for surgeons' intraoperative leadership skills. Am J Surg. 2013;205(6):745–51.
Acknowledgements
Special thanks to Elizabeth H. Tilley, PhD for her contribution to this to this and other chapters in the early stage of this book.
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Latifi, R. (2016). Intraoperative Surgical Decision-Making: Is It Art or Is It Science or Is It Both?. In: Surgical Decision Making. Springer, Cham. https://doi.org/10.1007/978-3-319-29824-5_1
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DOI: https://doi.org/10.1007/978-3-319-29824-5_1
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