Post-Procedure Complications Monitoring Programme 40th Review Meeting Friday, 25 April 2014 4:00 - 5:20pm, 4/F, Arthur K C Li Surgical Library Lui Che Woo Clinical Sciences Building, PWH

Attendance Present Dr. David S Y Wong (Chairman) Team 1 – Dr. Sunny Cheung Team 3 – Dr. S F Hon Team 4 – Prof. James Lau & Dr. Micah Chan PRAS – Dr. Kevin Mo NS – Dr. W K Mak & Dr. Alberto Chu PSU – Dr. Edwin Chan URO – Dr. C K Chan Mr. Alfred Chan Ms Daisy Feng

Items discussed Complications report – February 2014 AOB

1. Complications Report – February 2014

February 2014 Summary (case collection progress and Complication rate) Complication rate and Magnitude Team 1 Team 2 Team 3 Team 4 PRAS NS PSUR URO CTS Total No. of Complication 10 3 9 2 1 8 44 46 49 70 48 50 57 473 Complication Rate 21.74% 6.12% 12.86% 4.17% 2.00% 14.04% 2.17% 3.51% 16.00% 9.30%

Team 1 – Hepato-biliary & Pancreatic Surgery

Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 2/6) Wound dehiscience

Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 3/6) - > Seroma

Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 4/6) Confusion – post OP

Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 5/6) + I O High risk case

Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 6/6)

Team 2 – Upper Gastro-intestinal Surgery Discussed in next month

Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 2/4)

Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 3/4)

Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 4/4)

Team 3 – Colorectal Surgery

Team 3 – Colorectal Surgery ( Cont’d 2/6)

Team 3 – Colorectal Surgery ( Cont’d 3/6)

Team 3 – Colorectal Surgery ( Cont’d 4/6) > 30 days mortality Leakage from drainage site

Team 3 – Colorectal Surgery ( Cont’d 5/6) + Sputum retention

Team 3 – Colorectal Surgery ( Cont’d 6/6) + Non-surgical related

Team 4 – Vascular Surgery

Team 4 – Vascular Surgery ( Cont’d 2/3) M & M Case + Renal failure

Team 4 – Vascular Surgery ( Cont’d 3/3) Non-surgical related

Plastic, Reconstructive and Aesthetic Surgery

Plastic, Reconstructive and Aesthetic Surgery ( Cont’d 2/3) Please comment on grading

Plastic, Reconstructive and Aesthetic Surgery ( Cont’d 3/3)

Neurosurgery

Neurosurgery ( Cont’d 2/6) * Coroner report request has been waived

Neurosurgery ( Cont’d 3/6) Remarks : Grade II Facial nerve palsy

Neurosurgery ( Cont’d 4/6) Cx Remarks : Facial nerve palsy

Neurosurgery ( Cont’d 5/6)

Neurosurgery ( Cont’d 6/6)

Paediatric Surgery & Paediatric Urology

Paediatric Surgery & Paediatric Urology ( Cont’d 2/3)

Paediatric Surgery & Paediatric Urology ( Cont’d 3/3)

Urology

Urology ( Cont’d 2/3) Missing case discussed in the meeting HN14014306V M/83yr Complication 518.81 Respi Failure – Ventilatory support Remarks Type I respiratory failure ICU 1st Admission 21/02/2014 – 22/02/2014 2nd Admission 23/02/2014 – 27/02/2014

Urology ( Cont’d 3/3)

Cardiothoracic Surgery

Cardiothoracic Surgery ( Cont’d 2/10)

Cardiothoracic Surgery ( Cont’d 3/10)

Cardiothoracic Surgery ( Cont’d 4/10)

Cardiothoracic Surgery ( Cont’d 5/10)

Cardiothoracic Surgery ( Cont’d 6/10)

Cardiothoracic Surgery ( Cont’d 7/10)

Cardiothoracic Surgery ( Cont’d 8/10)

Cardiothoracic Surgery ( Cont’d 9/10)

Cardiothoracic Surgery ( Cont’d 10/10)

2. AOB

AOB Nil

THE END