OUTCOMES DATA

If you have spent much time searching on the Internet for information about one of these surgical problems, you probably have not seen many sites where there is specific information on “outcomes”. We at DeKalb Surgical feel this is helpful information for our patients and potential patients, so we have made this information available on our website for over the past 15 years. We welcome your questions regarding our results. We wish other surgeons would get on board and share such information with you as well; you won’t find many practices with available data on the Internet for you to compare. Collecting, evaluating, and presenting such data is time consuming, and for this reason, we must choose what and when to update and add to the information available here. Some data may be less current than other, but we do our best to update the various components shown below, which spans the majority of the type of surgical procedures we do.

 

Overall Hospital Patient Satisfaction Scores (updated December 2012)

Breast Cancer (updated November 2012)

Colon Cancer (updated November 2012)

Laparoscopic Cholecystectomy (Gallbladder) (updated July 2014)

Customized Circular Cutting Device Lowers Re-Excision Rate for Breast Cancer (updated June 2008)

Hernias- Recurrence Rates (updated July 2014)

 

Outcomes in Laparoscopic Cholecystectomy (gallbladder removal) (Updated July 2014)

We recently reviewed our outcomes for laparoscopic cholecystectomy (removal of the gallbladder using minimally invasive techniques).  Although there are a variety of outcomes that might be measured, probably the most significant thing to evaluate is whether or not there was any injury to the common bile duct.  Fortunately this is a rare occurrence, but when it happens, a surgical repair must be done, which can greatly extend the recovery period, and can increase the risk for additional problems (jaundice, liver infections, abdominal symptoms) in the future.  It is clear that PREVENTING such an injury is the best goal.

Nationally, the rate of common bile duct injury is about 0.4%, or 1 out of every 250 procedures.  Our rate at DeKalb Surgical Associates over the past 10 years, is 0.29% (or 1 out of 340), which is better than the national average.  Of course, we strive to have a 0% rate of common bile duct injury.  But there are cases where there is so much fibrosis, inflammation, or unusual anatomy, that it may not be possible to avoid.

You will find more information about laparoscopic cholecystectomy on our Gallstones and Gallbladder Page.

Return to top of page

 

Customized Surgical Device Lowers Re-excision Rate for Breast Cancer (updated June 2008)

Women with breast cancer can be overwhelmed with anxiety from the very moment they learn of their diagnosis. Fortunately for most women at DeKalb Surgical, the diagnosis is made early, with a correspondingly good prognosis. We then give extra effort to achieve a maximum cure with a minimum of surgery.

Particular emphasis must be given to obtaining clear margins around the lump of cancer. This is essential in assuring a low risk of local recurrence in the breast. If the margins are not clear, the patient must undergo either a re-excision, or a mastectomy. For most surgeons, anywhere from 20% to over 50% of their patients must have a second procedure to obtain clear margins. Mastectomy rates may run as high as 60%.

We have focused on this issue at DeKalb Surgical Associates over the past 6 years. As a result, our re-excision rate for breast cancer patients undergoing breast conserving surgery is only 12%.  As a corollary, our mastectomy rate is also remarkably low, at less than 10%, excluding patients who present with advanced disease.

A nearby university center has actually reported their re-excision rate to be as high as 40%!! In fact, they are conducting a clinical trial to try to see if they can do better. Patients would be randomized to having the surgery done the usual way (for which they KNOW the re-excision rate will be 40%) versus a new way. This seems unnecessary in our opinion, since we already have a method for minimizing the need to return to the operating room a second time.

By minimizing the need for additional surgery, our patients complete their treatment more quickly. This helps to reduce the anxiety that comes with the diagnosis, allowing them to resume their daily routine.

Here is a shortcut to our Breast Cancer Home Page.

Return to top of page

 

Hernia Repair- Recurrence Rate

Return to Hernia Page

(updated July 2014)                                                                                                                                                                                                                                                                                              hernia

DeKalb Surgical Associates surgeons perform both “open” and laparoscopic hernia repairs.  We monitor the frequency with which patients have a recurrence.  Fortunately, the likelihood of a recurrence is low, but it can happen.  For a given surgeon or group of surgeons, the “recurrence rate” may vary, depending the characteristics of the patients (for example,  heavier patients are at more risk for recurrence), the experience of the surgeons, and the type of repair done (for example, “open” vs laparoscopic).  In published reports across the US, the recurrence rate may be anywhere from <1%, to as high as 10% or more, so it is important for the surgeon and for you to know what their outcomes have been in the past, as an indicator for what you might expect in your case.

In a recent review of our own cases, over 4 years, our overall recurrence rate is 1.2% at a median of 5 years of followup.  For just the laparoscopic repairs, the recurrence rate is 2.31%, and for the “open” hernia repairs, the recurrence rate is 0.76%.  Our surgeons have a combined 100 years of experience in repairing hernias.  We will carefully assess your specific case, and together with you decide on what technique will likely best meet your individual needs.

Return to Hernia Page

Return to top of page