Ethical leadership
Ethical decision-making Decisions that take into account values, morals and norms New managers in the healthcare system will be faced with multiple and sometimes competing frameworks that guide practice. These…
Exploring values
Values ‘Underlying attitudes and beliefs that determine individual behaviour’ (Viinamäki, 2012, p. 29) As a leader, it is important to reflect upon questions like the following: Who does your organisation…
Emotional intelligence and self-awareness
Emotional intelligence The ‘ability to recognize the meanings of emotion and their relationships, and to reason and problem-solve on the basis of them’ (Mayer, Caruso & Salovey, 1999, p. 267)…
Laparoscopic Cholecystectomy
■ In atypical cases, a hepatobiliary iminodiacetic acid (HIDA) cholescintigraphy scan may be used to demonstrate obstruction of the cystic duct, which definitively diagnoses cholecystitis. Filling of the gallbladder during a…
Inguinal Hernia: Open Approaches
■ Using electrocautery, the soft tissue is dissected to the superficial epigastric vessels, which are ligated. The dissection is then carried down through Camper’s fascia and the more fibrous Scarpa’s fascia….
Feeding Jejunostomy
Incision ■ If the open J-tube placement is being done as a stand-alone operation, the incision should be centered in the midline at the level of the LOT. ■ The supraumbilical vertical…
Incisional Hernia: Open Approaches
■ Dissection proceeds directly down to the hernia sac, being careful not to enter the sac. If the incision is longer than the hernia defect, only the skin and subcutaneous tissues…
Minimally Invasive Esophagectomy
Mary T. Hawn DEFINITION ■ The incidence of esophageal cancer, especially adenocarcinoma, has increased dramatically over the past decades. This phenomenon is secondary to the increasing incidence of obesity contributing to…
Redo Fundoplication
■ The 360-degree fundoplication (Nissen fundoplication) is the most popular of the various fundoplication techniques. ■ Although fundoplication, when done by an experienced surgeon, results in control of GERD and significant improvement…
Treatment of Esophageal Perforation: Cervical, Thoracic, and Abdominal
■ Cervical and thoracic computed tomography (CT) scans with oral contrast can be performed to diagnose esophageal perforations. An extraluminal leak of contrast medium can be seen in the prevertebral or…
