Elective surgery: Difference between revisions
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{{Short description|Surgical procedure that is planned in advance}} |
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{{more citations needed|date=July 2011}} |
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'''Elective surgery''' or '''elective procedure''' is [[surgery]] that is scheduled in advance because it does not involve a [[medical emergency]]. '''Semi-elective surgery''' is a surgery that must be done to preserve the patient's life, but does not need to be performed immediately. Most surgeries are elective, scheduled at a time to suit the surgeon, hospital, and patient. |
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By contrast, an '''urgent surgery''' is one that can wait until the patient is medically stable, but should generally be done |
By contrast, an '''urgent surgery''' is one that can wait until the patient is medically stable, but should generally be done within 2 days, and an '''[[emergency]] surgery''' is one that must be performed without delay; the patient has no choice other than immediate surgery if permanent disability or death is to be avoided. Many surgeries can be performed as either elective or emergency surgeries, depending on the patient's needs. |
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== Description == |
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Most surgeries are elective. |
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| ⚫ | An elective surgery or elective procedure (from the {{langx|la|eligere}}, meaning to choose<ref>{{cite book |title=[[Mosby's Medical, Nursing & Allied Health Dictionary]] |publisher=Mosby |year=1994 |edition=4 |location=St. Louis, Missouri |page=530 |oclc=29185395}}</ref>) is a [[surgery]] that is does not involve a [[medical emergency]] and is scheduled in advance. Semi-elective surgery is a surgery that must be done to preserve the patient's life, but does not need to be performed immediately. |
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==Types== |
==Types== |
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Elective surgeries include all optional surgeries performed for non-medical reasons, i.e., [[cosmetic surgery]]. They also include most surgeries necessary for medical reasons. |
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=== Elective === |
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[[Cosmetic surgery]], such as a [[facelift]] or the placement of [[breast implant]]s, is typically performed to subjectively improve a patient's physical appearance. Cosmetic and aesthetic surgeries are elective surgeries are pre-scheduled at a time that is mutually convenient for the patient, the surgeon, and the medical facility. |
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Most surgical medical treatments are elective, that is, scheduled at a time to suit the surgeon, hospital, and patient. These include [[inguinal hernia surgery]], [[cataract surgery]], [[mastectomy]] for breast cancer, and the [[Kidney transplantation|donation of a kidney]] by a living donor.<ref>{{Cite web |last=Rusciano |first=Alex |date=2020-09-30 |title=What is an elective surgery? |url=https://www.osfhealthcare.org/blog/what-is-an-elective-surgery/ |access-date=2024-08-14 |website=OSF HealthCare Blog |language=en-US}}</ref> |
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Elective surgeries include all optional surgeries performed for non-medical reasons. This includes [[cosmetic surgery]], such as [[facelift]]s, [[breast implant]]s, [[liposuction]], and [[breast reduction]], which aim to subjectively improve a patient's physical appearance. Another optional surgery is [[LASIK]]—currently the top elective surgery in the United States<ref>{{Cite news|url=https://www.ocregister.com/2015/08/01/the-brain-of-lasik-santa-ana-company-develops-new-device-derived-from-space-telescope-to-personalize-laser-eye-surgery/|title=The brain of Lasik: Santa Ana company develops new device, derived from space telescope, to personalize laser eye surgery|date=2015-08-01|work=Orange County Register|access-date=2018-01-24|language=en-US|archive-date=2018-01-25|archive-url=https://web.archive.org/web/20180125134717/https://www.ocregister.com/2015/08/01/the-brain-of-lasik-santa-ana-company-develops-new-device-derived-from-space-telescope-to-personalize-laser-eye-surgery/|url-status=live}}</ref>—where a patient weighs the risks against increased quality of life expectations.<ref>[https://www.waitevision.com/lasik-utah-salt-lake-city/ LASIK Eye Surgery]</ref> |
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Many medically necessary surgeries are also elective surgeries. For example, [[inguinal hernia surgery]], [[cataract surgery]], [[mastectomy]] for breast cancer, and the [[Kidney transplantation|donation of a kidney]] by a living donor are performed as elective surgeries. |
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=== Semi-elective === |
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==Increasing urgency== |
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{{Unreferenced section|date=May 2023}} |
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When a condition is worsening |
When a condition is worsening but has not yet reached the point of a true emergency, surgeons speak of ''semi-elective surgery'': the problem must be dealt with, but a brief delay is not expected to affect the outcome. Semi-elective procedures are typically scheduled within a time frame deemed appropriate for the patient's condition and disease. Removal of a [[malignancy]], for example, is usually scheduled as semi-elective surgery, to be performed within a set number of days or weeks. |
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==Urgency== |
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| ⚫ | In a patient with multiple medical conditions, problems classified as needing semi-elective surgeries may be postponed until emergent conditions have been addressed and the patient is medically stable. For example, whenever possible, pregnant women typically postpone all elective and semi-elective procedures until after giving birth |
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{{Unreferenced section|date=May 2023}} |
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| ⚫ | In a patient with multiple medical conditions, problems classified as needing semi-elective surgeries may be postponed until emergent conditions have been addressed and the patient is medically stable. For example, whenever possible, pregnant women typically postpone all elective and semi-elective procedures until after giving birth. |
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In some situations, an urgently needed surgery will be postponed briefly to permit even more urgent conditions to be addressed. In other situations, emergency surgery may be performed at the same time as life-saving [[resuscitation]] efforts. |
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Semi-elective procedures are typically scheduled within a time frame deemed appropriate for the patient's condition and disease. Removal of a [[malignancy]], for example, is usually scheduled as semi-elective surgery, to be performed within a set number of days or weeks. Urgent surgery is typically performed with 48 hours of diagnosis. Emergency surgery is performed as soon as a surgeon is available. |
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Many surgeries can be performed as either elective or emergency surgeries, depending on the patient's needs. |
Many surgeries can be performed as either elective or emergency surgeries, depending on the patient's needs. A sudden worsening of [[gallbladder disease]] may require immediate removal of the gallbladder by emergency surgery, but this surgery is more commonly scheduled in advance. An [[appendectomy]] is considered emergency surgery, but depending upon how early the diagnosis was made, the patient may have more time before the appendix risks rupturing or the infection spreads. Also, in certain emergency conditions, even ones like a [[heart attack]] or [[stroke]], surgery may or may not need to be utilized. |
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==Best practices== |
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Preoperative carbohydrates may decrease amount of time spent in hospital recovering.<ref>{{cite journal |last1=Smith |first1=MD |last2=McCall |first2=J |last3=Plank |first3=L |last4=Herbison |first4=GP |last5=Soop |first5=M |last6=Nygren |first6=J |date=Aug 14, 2014 |title=Preoperative carbohydrate treatment for enhancing recovery after elective surgery. |journal=The Cochrane Database of Systematic Reviews |volume=8 |issue=8 |pages=CD009161 |doi=10.1002/14651858.CD009161.pub2 |pmid=25121931|doi-access=free |pmc=11060647 }}</ref> |
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== Non-elective surgery == |
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Non-elective surgeries may be classified as ''urgent'' or ''emergency''. An urgent surgery is one that can wait until the patient is medically stable, but should generally be done within 2 days. An [[emergency]] surgery is one that must be performed without delay; the patient has no choice other than immediate surgery if permanent disability or death is to be avoided.<ref>{{cite web |title=Surgery, elective |url=http://www.medterms.com/script/main/art.asp?articlekey=14368 |url-status=live |archive-url=https://web.archive.org/web/20140313181352/http://www.medterms.com/script/main/art.asp?articlekey=14368 |archive-date=2014-03-13 |access-date=2011-07-19 |work=MedTerms |publisher=MedicineNet}}</ref> Urgent surgery is typically performed with 48 hours of diagnosis and emergency surgery is performed as soon as a surgeon is available. |
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==References== |
==References== |
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==Bibliography== |
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[[he:ניתוח אלקטיבי]] |
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Latest revision as of 22:15, 27 November 2024
 | This article needs additional citations for verification. (July 2011) |
Elective surgery or elective procedure is surgery that is scheduled in advance because it does not involve a medical emergency. Semi-elective surgery is a surgery that must be done to preserve the patient's life, but does not need to be performed immediately. Most surgeries are elective, scheduled at a time to suit the surgeon, hospital, and patient.
By contrast, an urgent surgery is one that can wait until the patient is medically stable, but should generally be done within 2 days, and an emergency surgery is one that must be performed without delay; the patient has no choice other than immediate surgery if permanent disability or death is to be avoided. Many surgeries can be performed as either elective or emergency surgeries, depending on the patient's needs.
Description
[edit]An elective surgery or elective procedure (from the Latin: eligere, meaning to choose[1]) is a surgery that is does not involve a medical emergency and is scheduled in advance. Semi-elective surgery is a surgery that must be done to preserve the patient's life, but does not need to be performed immediately.
Types
[edit]Elective
[edit]Most surgical medical treatments are elective, that is, scheduled at a time to suit the surgeon, hospital, and patient. These include inguinal hernia surgery, cataract surgery, mastectomy for breast cancer, and the donation of a kidney by a living donor.[2]
Elective surgeries include all optional surgeries performed for non-medical reasons. This includes cosmetic surgery, such as facelifts, breast implants, liposuction, and breast reduction, which aim to subjectively improve a patient's physical appearance. Another optional surgery is LASIK—currently the top elective surgery in the United States[3]—where a patient weighs the risks against increased quality of life expectations.[4]
Semi-elective
[edit] |
When a condition is worsening but has not yet reached the point of a true emergency, surgeons speak of semi-elective surgery: the problem must be dealt with, but a brief delay is not expected to affect the outcome. Semi-elective procedures are typically scheduled within a time frame deemed appropriate for the patient's condition and disease. Removal of a malignancy, for example, is usually scheduled as semi-elective surgery, to be performed within a set number of days or weeks.
Urgency
[edit] |
In a patient with multiple medical conditions, problems classified as needing semi-elective surgeries may be postponed until emergent conditions have been addressed and the patient is medically stable. For example, whenever possible, pregnant women typically postpone all elective and semi-elective procedures until after giving birth.
In some situations, an urgently needed surgery will be postponed briefly to permit even more urgent conditions to be addressed. In other situations, emergency surgery may be performed at the same time as life-saving resuscitation efforts.
Many surgeries can be performed as either elective or emergency surgeries, depending on the patient's needs. A sudden worsening of gallbladder disease may require immediate removal of the gallbladder by emergency surgery, but this surgery is more commonly scheduled in advance. An appendectomy is considered emergency surgery, but depending upon how early the diagnosis was made, the patient may have more time before the appendix risks rupturing or the infection spreads. Also, in certain emergency conditions, even ones like a heart attack or stroke, surgery may or may not need to be utilized.
Best practices
[edit]Preoperative carbohydrates may decrease amount of time spent in hospital recovering.[5]
Non-elective surgery
[edit]Non-elective surgeries may be classified as urgent or emergency. An urgent surgery is one that can wait until the patient is medically stable, but should generally be done within 2 days. An emergency surgery is one that must be performed without delay; the patient has no choice other than immediate surgery if permanent disability or death is to be avoided.[6] Urgent surgery is typically performed with 48 hours of diagnosis and emergency surgery is performed as soon as a surgeon is available.
References
[edit]- ^ Mosby's Medical, Nursing & Allied Health Dictionary (4 ed.). St. Louis, Missouri: Mosby. 1994. p. 530. OCLC 29185395.
- ^ Rusciano, Alex (2020-09-30). "What is an elective surgery?". OSF HealthCare Blog. Retrieved 2024-08-14.
- ^ "The brain of Lasik: Santa Ana company develops new device, derived from space telescope, to personalize laser eye surgery". Orange County Register. 2015-08-01. Archived from the original on 2018-01-25. Retrieved 2018-01-24.
- ^ LASIK Eye Surgery
- ^ Smith, MD; McCall, J; Plank, L; Herbison, GP; Soop, M; Nygren, J (Aug 14, 2014). "Preoperative carbohydrate treatment for enhancing recovery after elective surgery". The Cochrane Database of Systematic Reviews. 8 (8): CD009161. doi:10.1002/14651858.CD009161.pub2. PMC 11060647. PMID 25121931.
- ^ "Surgery, elective". MedTerms. MedicineNet. Archived from the original on 2014-03-13. Retrieved 2011-07-19.
Bibliography
[edit]- C. Parchment-Smith (2006). Essential Revision Notes for Intercollegiate MRCS: Bk. 1. Knutsford, Cheshire, UK: PasTest, LLC. p. 439. ISBN 1-904627-36-6.
