Mid-Western Regional Hospital Research Articles

Seven-year retrospective review of facial lacerations treated under general anaesthesia by the Oral and Maxillofacial Surgery Deptartment of the Mid-Western Regional Hospital

Seven-year retrospective review of facial lacerations treated under general anaesthesia by the Oral and Maxillofacial Surgery Deptartment of the Mid-Western Regional Hospital

“Is this a dagger I see before me?” — an audit of stabbings and gunshot wounds in Limerick

According to a recent study in Cardiff, the incidence of stab wounds is 14 per 100,000 population per annum. No such figures are available for Ireland. To evaluate the incidence, type of injury, medical consequences and outcome of patients with stab or gunshot wounds presenting to the Mid-Western Regional Hospital, Limerick, over a 12 month period. A retrospective case study of all stab and gunshot wounds presenting over a 12 month period. Out of 62,000 new presentations to the Accident and Emergency (A&E) department, 101 (0.16%) were stabbings, giving an incidence of 33 per 100,000 population. Twenty-six patients required surgical intervention. There were three deaths. There were 10 gunshot wounds, of which 40% required surgical intervention, with no mortalities. The incidence of stab wounds presenting to our institution is high. Although constituting a small percentage of presentations to the A&E department they result in considerable morbidity and surgical activity.

The future of paediatric surgery outside specialist paediatric hospitals.

In Ireland, general surgeons provide paediatric surgical services to patients remote from specialist paediatric units. To review general paediatric surgical services in the Mid-Western Health Board (MWHB) region with a view to informing future policy decisions in Ireland. From 1995 to 2000, the paediatric surgical workload at the Mid-Western Regional Hospital was reviewed. Operations performed, level of operating surgeon, morbidity and mortality were recorded. There were 3,166 general paediatric surgical patients cared for by three general surgeons and one urologist, all with paediatric surgical training. There was an increase in day cases (55% to 70%) and operations at which the consultant was the main operator (40% to 67%). There was no mortality and the morbidity rate was less than 1%. General paediatric surgery and urology is well provided for in the MWHB by appropriately trained surgeons. Lack of opportunity for surgeons in training to obtain general paediatric surgical experience will put this service at risk as the current cohort of surgeons retire. Expansion in specialist paediatric surgical services, changes in general surgical training to include general paediatric surgery or proleptic appointments may be required.

CONTINUOUS INFUSION (CI) FLOXURIDINE (FUDR)AND INTER_ FERON-ALPHA 2b (a-IFN-2b) IN ADVANCED RENAL CANCER - AN NBSG PHASE II STUDY

Bergan Mercy Medical Center, Omaha, ND; Horton Memorial Hospital, Middletown, NY; Midwestern Regional Hospital, Zion, IL; St. Vincent Hospital, Indianapolis IN; National Biotherapy Study Group, Franklin, TN