1. 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

2. 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

3. Items discussed
Complications report – February 2014
AOB

4. 1. Complications Report – February 2014

5. 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%

6. Team 1 – Hepato-biliary & Pancreatic Surgery

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

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

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

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

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

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

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

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

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

16. Team 3 – Colorectal Surgery

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

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

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

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

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

22. Team 4 – Vascular Surgery

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

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

25. Plastic, Reconstructive and Aesthetic Surgery

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

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

28. Neurosurgery

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

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

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

32. Neurosurgery ( Cont’d 5/6)

33. Neurosurgery ( Cont’d 6/6)

34. Paediatric Surgery & Paediatric Urology

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

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

37. Urology

38. Urology ( Cont’d 2/3) Missing case discussed in the meeting
HN V M/83yr
Complication
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

39. Urology ( Cont’d 3/3)

40. Cardiothoracic Surgery

41. Cardiothoracic Surgery ( Cont’d 2/10)

42. Cardiothoracic Surgery ( Cont’d 3/10)

43. Cardiothoracic Surgery ( Cont’d 4/10)

44. Cardiothoracic Surgery ( Cont’d 5/10)

45. Cardiothoracic Surgery ( Cont’d 6/10)

46. Cardiothoracic Surgery ( Cont’d 7/10)

47. Cardiothoracic Surgery ( Cont’d 8/10)

48. Cardiothoracic Surgery ( Cont’d 9/10)

49. Cardiothoracic Surgery ( Cont’d 10/10)

50. 2. AOB

51. AOB
Nil

52. THE END