Abstract
This issue highlights the importance of anatomical orientation, which can sometimes be difficult during bowel anastomosis and stoma formation. The need for good medical communication and an adequate handover, particularly at night and at weekends for patients with medical co-morbidities or following complex surgery, is emphasised in another case.We are grateful to the clinicians who have provided the material for these reports. The online reporting form is on our website, www.coress.org.uk, which also includes all previous feedback reports. Published contributions will be acknowledged by a ‘Certificate of Contribution’, which may be included in the contributor’s record of continuing professional development.
Highlights
A 69-year-old male underwent resection of an advanced squamous cell carcinoma of the right mandibular alveolus
Postoperative x-rays demonstrated that the NG tube was incorrectly positioned and three further attempts were made to re-site this
The following morning, the patient was placed on the emergency list for gastrostomy, which was postponed due to other cases, until the early evening when he was taken back to theatre and a gastrostomy tube inserted by the oncall surgical registrar, in a lengthy open procedure
Summary
A 69-year-old male underwent resection of an advanced squamous cell carcinoma of the right mandibular alveolus. The need for good medical communication and an adequate handover, at night and at weekends for patients with medical co-morbidities or following complex surgery, is emphasised in another case. There were no beds available on the day prior to surgery so the patient was advised to attend at 09.30 on the morning of the procedure.
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