5th International Conference and Exhibition on Surgery November 7-8, 2016 Alicante, Spain

rnDione Lother has completed her Medical Training at University of Birmingham, England. She has subsequently commenced Surgical Training and is a Member of Royal College of Surgery, England. She has presented her work in a number of both national and international conferences.rn

Airway emergencies are a common clinical presentation. Surgical doctors (especially those working within ENT surgery) may be involved in cases requiring invasive interventions such as cricothyroidotomy. Furthermore, junior trainees in ENT may be required to provide emergency on-call airway services, sometimes without immediate senior supervision or support. Despite this, currently, no formal curriculum around airway management exists within the core surgical training program. SBME offers an opportunity for trainees to learn within a safe, controlled environment without compromising patient safety and in addition, enables exposure to rare clinical scenarios as well as assessment and feedback. Aim of this study is to design a SBME program utilizing intermediate-fidelity simulation to teach junior medical staff the clinical skills required to manage airway emergencies and non-technical/human factors required to function safely as a member of the wider team. Trainees will rotate through three skills stations that provide the opportunity for hands-on practice in basic airway skills (simple adjuncts) and intubation, surgical airways (both cricothyroidotomy and tracheostomy) and fibro-optic nasoendoscopy. These stations will be followed by a series of simulation scenarios using a SimMan patient simulator; all with the common theme of management of patients with rapidly deteriorating airways. SBME is proving to be important in airway management education and as such may be an invaluable adjunct in higher surgical ENT training. Within core surgical training however, SBME in airway management may offer the only opportunity for formal teaching around this topic before junior trainees are faced with a real life patient with airway compromise.

Dione Lother has completed her Medical Training at University of Birmingham, England. She has subsequently commenced Surgical Training and is a Member of Royal College of Surgery, England. She has presented at a number of conferences at both national and international level.\r\n\r\n

Introduction: Clinical trials have shown that GES is an effective and safe treatment for intractable nausea and vomiting in adults. However, less is known about the efficacy and safety of this treatment in the pediatric population.\r\n\r\nAim: We performed a small prospective study to assess the feasibility and effectiveness of GES in children with refractory nausea and vomiting.\r\n\r\nMethod: Six children underwent surgical insertion of gastric stimulators for chronic unexplained nausea and vomiting; all were females. Median duration of symptoms prior to GES insertion was 2.25 years (range 1.25-11 years). Median age at the insertion was 15.5 (range 13-18 years). Five of six patients had proven gastroparesis on gastric emptying studies. Electro-gastrography showed gastric dysrhythmias in all six patients (increased episodes of tachygastria in three, bradygastria in one and mixed dysrhythmias in two). None were diabetics. Surgical approach was via laparotomy in two patients and laparoscopic surgery in the remaining four patients (two robotic-assisted laparoscopic). \r\n\r\nResults: Statistically significant reduction in symptoms (nausea, vomiting, abdominal pain and early satiety) and requirement for nutritional support following GES insertion was observed. There were no peri or immediate/early post-operative complications.\r\n\r\nConclusion: Our study shows GES to be an effective and safe treatment in children with intractable nausea and vomiting. However, the small sample size is a significant limitation of the study. Despite this, the results show that further investigation of this novel treatment is required.\r\n

Introduction: Chronic otitis media is a widespread disease that affects up to 2% of the population. The COMQ-12 was developed to assess the patient-reported health-related quality of life (HRQoL) due to chronic otitis media.\r\n\r\nAim: The aim of this study is to develop a Russian version of the COMQ-12 and evaluate its effectiveness amongst different groups of patients with and without chronic otitis media.\r\n\r\nMaterials & Methods: The RCOMQ-12 was obtained through a formal process of translation and back-translation. 108 patients with different forms of COM completed the RCOMQ-12. The internal consistency of this questionnaire was evaluated using Cronbach’s alpha coefficient. Questionnaire data was also acquired from a population of healthy volunteers.\r\n\r\nResults: The average RCOMQ-12 score was 19.4 (SD 8.3) in patients with COM. The internal consistency of the RCOMQ-12 was high, with a Cronbach’s alpha value of 0.860. Of the participants with COM, 91% of respondents achieved a score of 30 or less, 55% of respondents achieved a score of 20 or less. In contrast to this, of the participants identified from a group of healthy volunteers, 75% of respondents achieved a score of 5 or less, 95% of respondents achieved a score of 10 or less.\r\n\r\nConclusions: The Russian version of the COMQ-12 is a reliable tool for assessment of HRQoL in patients with chronic otitis media. This sets the scene for further work to determine the effectiveness of this tool to plan surgical treatment and to assess outcome.\r\n

Aim: Rhinitis is common in Saudi Arabia. Therefore, our study was designed to evaluate the prevalence, triggering factors, severity and progression of rhinitis during pregnancy.\r\n\r\nMethods: Prospective cross-sectional study was conducted in eight governmental and private medical centers in Riyadh, Saudi Arabia, during June and July 2014. Validated Arabic language self-administered questionnaire was used. Sample size of 260 Saudi pregnant women was calculated by Raosoft sample size calculator. Random sampling was achieved by choosing one and skipping every five patients in the clinic list. Data were coded and entered manually into spreadsheets then transferred to SPSS statistical package version 16.0 for windows. Consent, privacy and confidentiality of information were assured.\r\n\r\nResults: Pregnancy rhinitis was reported 31.2% (CI 25.6 - 37.2%). Symptoms arising in first trimester appeared in 79.2% of PR cases and mostly worsen. The most prevalent symptoms were nasal pruritis (67.5%), followed by sneezing (57.1%), congestion (50.6%) and post nasal drip (46.7%). The major triggering factor was dust (71.4%), followed by tobacco/shisha smoke (57.6%) and perfume (47%). Pre-existing allergic diseases were markedly associated with developing pregnancy rhinitis.\r\n\r\nConclusion: Rhinitis during pregnancy manifested in one third of Saudi pregnant ladies. Nasal pruritus was the most common symptom and dust was the widespread triggering factor.\r\n