The influence of surgical experience on the rate of intraoperative aneurysm rupture and its impact on aneurysm treatment outcome

Caseload as a factor for outcome in aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis

“…13,41 This study does not answer the question of how much patients should be treated by a single surgeon or neurointerventionalist to obtain the best result. 3,26,39 As previously stated, the results of treatment are not merely the merits of one specialist but the chain of care. In the scope of quality of care and the increasing demand for centralization, volume number alone is not sufficient as a parameter to guide these developments.…”

A systematic review of the impact of volume of surgery and specialization on patient outcome

“…As with hospital volume, the definitions of high and low surgeon volume varied between different operations and, in some instances, between studies examining the same operation ( Table 6). Copyright [145][146][147][148][149][150][151][152][153][154][155][156][157][158][159][160][161] Restricting the analysis to studies that adjusted for casemix differences, a significant benefit from high surgeon volume was demonstrated for colectomy 46 , lobectomy 46 , gastrectomy 46 , colorectal cancer surgery 137 , angioplasty 10 and paediatric cardiac surgery 9 . For each of these, the annual volumes recommended to achieve significantly better outcomes are outlined in Table 4: 13 colectomies 46 , 50 lobectomies 46 , six gastrectomies 46 , 21 operations for colorectal cancer 137 , 11 angioplasties 10 and 75 paediatric cardiac surgical procedures 9 .…”

Intra-Operative Rupture of Remote Aneurysm during Transphenoidal Resection of Pituitary Macroadenoma

“…Intra-operative rupture of aneurysms during open aneurismal surgical repair is a well reported complication affecting 6.7% of aneurysms in one retrospective review [9]. Spontaneous aneurysm rupture has been reported occurring during labor [10], cervical spine surgery [11], and after blunt head trauma [12].…”