Surgery

Biography

Biography: Alexander Mimery

Abstract

Introduction: Daytime emergency operating lists have been demonstrated to reduce surgery performed after hours.

Method: A retrospective review of Laparoscopic Cholecystectomies (LC) and Laparoscopic Appendicectomies (LA) between September 2013-September 2017 at a Brisbane tertiary hospital before and after the introduction of a daytime Emergency Operating List (EOL) in February 2016. Daytime was defined as 08:00-16:59, evening was defined as 17:00-21:59 and overnight was defined as 22:00-07:59.

Result: A total of 1392 laparoscopic cholecystectomies and 1201 laparoscopic appendicectomies were performed during the study period. There were 649 emergency appendicectomies in the pre-EOL period of which 281 cases (43%) were performed in the evening and 9 cases (1.4%) were performed overnight. In the post-EOL period there were 517 emergency appendicectomies of which 215 cases (42%) were done in the evening and 9 cases (2%) were performed overnight. There were 67 emergency cholecystectomies in the pre-EOL period of which 11 cases (16%) were performed in the evening and no cases were performed overnight. In the post-EOL period there were 106 emergency cholecystectomies of which 12 cases (11%) were done in the evening and no cases were performed overnight. The introduction of the EOL was able to increase the monthly provision of emergency LC by a factor of 2.4 (2.28 cases/month pre EOL, 5.52 cases/month post EOL).

Conclusion: The introduction of the emergency operating list did not reduce after hours operating in our facility but enabled us to perform more emergency cholecystectomies in the daytime.