The role of general surgery consultations in direction of patient management
Şahin Kahramanca, Oskay Kaya, Cem Azılı, Hakan Güzel, Gülay Özgehan, Burak İrem
Clinic of General Surgery, Dışkapı Yıldırım Beyazıt Training Hospital, Ankara, Turkey
Objective: Consultation results of patients who were thought to need a surgical approach and evaluated in the General Surgery Department for diagnostic support and treatment offers after detection of clinical and/or laboratory tests were evaluated.
Material and Methods: In a six months period, 221 patients were analyzed retrospectively. There were 121 male (54.75%) and 100 female (45.25%) patients and the mean value of their ages was 46 (15-102). The departments which requested consultation, reason of consultation, test results and physical examination before consultation; required additional tests after consultation and results of consultations were reported.
Results: The majörity of consultations were from the emergency department (91.9%) and the most frequent reason was abdominal pain (21.9%). There were no tests performed before consultation in 21 percent of cases. Although physical examinations were almost 100% in judicial cases, the ratio was 35% in perianal diseases and 30% in ileus cases. Twenty-one percent of the patients with surgical pathology were operated under general anaesthesia, 9% with local anaesthesia, while elective operation was suggested in 3%.
Conclusion: Currently, it is mandatory that patient management is carried out with a multidisciplinary approach; however, we believe that we should be more selective regarding the consultation results.
Keywords: General surgery, consultation, patient management
Study concept and design - Ş.K; Acquisition of data - Ş.K., B.İ., G.Ö.; Analysis and interpretation of data - O.K.; Preparation of the manuscript - O.K., C.E., H.G.; Statistical analysis - Ş.K.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.