Experience in Oman suggests that the lessons of history in respect of casualties in times of conflict are both unlearned and being repeated. The role of the medical specialities in military secondary care should be recognised and deployed facilities should not be defined by surgical capability alone.

No abstract

There is still a great discussion what's the best treatment for disruptions of the posterior cruciate ligament. The results of the operations are often bad. In Rheinfelden from 1979 to 1990 34 Patients underwent an operation of the posterior cruciate ligament. In 1991 we made a follow-up evaluation with 30 of these patients. The results according the OAK-Score were 8 x excellent, 11 x good, 3 x fair and 5 x poor, 3 patients were reoperated elsewhere. The average Lysholm score was 79 points. The results after treatment of the freshly ruptured ligaments were much better than the results of the treatment of chronic instabilities. A significant acute posterior instability should be operated.

Additional process duration for LenSx was widely compensated by nurses/ support staff and only in 1 case an extra surgeon operated the laser. Complexity and time to add the LenSx steps to the cataract surgery was very low. ConClusions: This study demonstrates that different LenSx setups may be efficiently utilized for LenSx without major differences in process times. High overlap in time range with LenSx and phacoemulsification indicates that factors other than LenSx have a large influence on time and efficiency. Capacity can be the same for LenSx® and phacoemulsification, especially if laser is done in parallel with usual preparations and setup in the OR. It appears that a facility can implement LenSx laser into their process and keep patient numbers equal to where they are currently with non-LenSx procedures.