The Surgeon Leslie Wolfe

The modern surgeon is involved with the management of a patient from preoperative evaluation, through the conduct of the operation into the postoperative care period, and often into generating a long-term plan. As the operating surgeon, they are best situated to apply evidence-based scientific knowledge and a deep understanding of potential complications to that patient’s care. The recovery ...

Read chapter 6 of The General Surgeon’s Guide to Passing the Oral Boards online now, exclusively on AccessSurgery. AccessSurgery is a subscription-based resource from McGraw Hill that features trusted medical content from the best minds in medicine.

The Surgeon Leslie Wolfe 2

Vascular Surgery | The General Surgeon’s Guide to Passing the Oral ...

The Surgeon Leslie Wolfe 3

Read this chapter of The General Surgeon’s Guide to Passing the Oral Boards online now, exclusively on AccessSurgery. AccessSurgery is a subscription-based resource from McGraw Hill that features trusted medical content from the best minds in medicine.

The Surgeon Leslie Wolfe 4

Communication failure occurs across all phases of the surgical pathway. Suboptimal communication between surgeons and their patients can lead to misdiagnosis/delayed diagnosis. Problematic team communication is a root cause in more than 60% of serious adverse events (“never events”). The majority of serious adverse events in hospitals occur in surgical patients.

The Surgeon Leslie Wolfe 5

Traditionally, the surgeon’s perspective of a bowel obstruction represents a mechanical obstruction that is due to physical stenosis or occlusion of the intestinal lumen. In the broader context, however, ineffective motility, without any physical obstruction, causes a functional obstruction or ileus of the intestine.

The surgeon must decide which approach is in the best interest of the individual patient. In addition, application of robotic surgery has added a new dimension to the surgical armamentarium. Throughout the evolution of surgery it has been recognized that faulty technique rather than the procedure itself was the cause of failure.