Emergency surgery model improves outcomes for patients with acute cholecystitis

Waiting for definitive care: An analysis of elapsed time from decision to surgery or transfer in a rural centre

“…Following the introduction of EGS theatre sessions, McGlade et al 12 reported a reduction in time to theatre from 41.8 to 26.4 hours in patients requiring an acute cholecystectomy, and Lovett et al 21 documented a reduction in emergency cases occuring after-hours from 88% to 53%. NHW has the ability to perform 24-hour emergency surgery; however, it does not have rostered theatre staff for night nor a dedicated surgeon and surgical team for out-of-hours operating.…”

“…1,3,[6][7][8][9] These have led to reductions in time to definite operative management, as measured by benchmark emergency procedures such as appendicectomy, cholecystectomy and hip joint replacements for femoral fractures. [6][7][8][10][11][12][13] However, many of these studies are based on data from metropolitan hospitals. The practice of rural surgery bears unique challenges compared to those faced in tertiary centres.…”