EBS presentation 1

Surgical occlusion of the Galenic system: is it safe?

Macquarie Neurosurgery

Evidence Based Surgery presentation

May 17th 2012

D. Bervini

EBS presentation 2

Searchable question

• “Does the surgical occlusion of a patent Galenic system increase the morbidity/mortality of the surgical procedure?”

• Databases

• Ovid Medline, usingMeSH

• Scopus using key articles and tracking citations

EBS presentation 3

Searchable question (PICO format)• Population: surgical patients

• Intervention: galenic system surgical occlusion

• Compared: -

• Outcome: morbidity/mortality

EBS presentation 4

Search strategy

EBS presentation 5

EBS presentation 6

EBS presentation 7

EBS presentation 8

EBS presentation 9

EBS presentation 10

EBS presentation 11

EBS presentation 12

EBS presentation 13

EBS presentation 14

EBS presentation 15

EBS presentation 16

EBS presentation 17

EBS presentation 18

Summary of papers

• Review all selected papers in Endnote, retrieve complete text (.pdf)

• Export Endnote selected papers in a Endonote Group

• Elaborate a chart in a Endnote Group and export it to Excel (see separate tutorial)

EBS presentation 19

EBS presentation 20

Summary of paper

• National Health and Medical Research Council (NHMRC) Evidence Hierarchy

– All articles are case series

Level IV

EBS presentation 21

Conclusion

• No sound evidence regarding safety of galenic system surgical occlusion/resection

• Difficult to predict morbidity/mortality of galenic system occlusion/resection