Abstract:With good patient selection, a team approach and a protocol ensuring consistent care, pouch surgery is being performed to a high standard in a DGH setting. Follow-up care is provided locally and patients have easy access to the multidisciplinary team.
“…Even with some low volume centres achieving good results , these are likely to be the exception. Low volume, irrespective of the initial starting point of knowledge and technical expertise, eventually culminates in dilution of individual and institutional experience in both technical aspects of the procedure and management of complications by the multidisciplinary team.…”
Low volume units and occasional pouch surgeons present a strong argument for centralization of pouch surgery. Data from England outside London suggest that this may already be happening.
“…Even with some low volume centres achieving good results , these are likely to be the exception. Low volume, irrespective of the initial starting point of knowledge and technical expertise, eventually culminates in dilution of individual and institutional experience in both technical aspects of the procedure and management of complications by the multidisciplinary team.…”
Low volume units and occasional pouch surgeons present a strong argument for centralization of pouch surgery. Data from England outside London suggest that this may already be happening.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.