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Difference between revisions of "Intraoperative consultation"
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Intraoperative consultation (view source)
Revision as of 22:49, 14 March 2012
, 22:49, 14 March 2012→Why ICs are done: why they may be refused
(→Why ICs are done: why they may be refused) |
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'''Intraoperative consultation''', also '''quick section''' and '''frozen section''', is when a surgeon requests an opinion during an operation so that they can appropriately manage a patient. It is abbreviated '''IC'''. | '''Intraoperative consultation''', also '''quick section''' and '''frozen section''', is when a surgeon requests an opinion during an operation so that they can appropriately manage a patient. It is abbreviated '''IC'''. | ||
==Why | ==Why intraoperative consultations are done== | ||
Reasons why IC are done:<ref>{{Cite journal | last1 = Zarbo | first1 = RJ. | last2 = Schmidt | first2 = WA. | last3 = Bachner | first3 = P. | last4 = Howanitz | first4 = PJ. | last5 = Meier | first5 = FA. | last6 = Schifman | first6 = RB. | last7 = Boone | first7 = DJ. | last8 = Herron | first8 = RM. | title = Indications and immediate patient outcomes of pathology intraoperative consultations. College of American Pathologists/Centers for Disease Control and Prevention Outcomes Working Group Study. | journal = Arch Pathol Lab Med | volume = 120 | issue = 1 | pages = 19-25 | month = Jan | year = 1996 | doi = | PMID = 8554440 }} | Reasons why IC are done:<ref>{{Cite journal | last1 = Zarbo | first1 = RJ. | last2 = Schmidt | first2 = WA. | last3 = Bachner | first3 = P. | last4 = Howanitz | first4 = PJ. | last5 = Meier | first5 = FA. | last6 = Schifman | first6 = RB. | last7 = Boone | first7 = DJ. | last8 = Herron | first8 = RM. | title = Indications and immediate patient outcomes of pathology intraoperative consultations. College of American Pathologists/Centers for Disease Control and Prevention Outcomes Working Group Study. | journal = Arch Pathol Lab Med | volume = 120 | issue = 1 | pages = 19-25 | month = Jan | year = 1996 | doi = | PMID = 8554440 }} | ||
</ref> | </ref> | ||
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#Inform family ~ 8%. | #Inform family ~ 8%. | ||
#Sufficient tissue? ~ 8%. | #Sufficient tissue? ~ 8%. | ||
===Why intraoperative consultations may be refused=== | |||
*Tissue is the issue - not enough of it. | |||
*Infectious case. | |||
*Management - it won't make a different. | |||
**Diagnosis won't make a difference. | |||
**Cannot make the diagnosis. | |||
***Bone tumours. | |||
==Frozen section permanent section concordance == | ==Frozen section permanent section concordance == | ||