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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE
A Journal on Physiopathology and Surgery of the Foot
Indexed/Abstracted in: EMBASE, Scopus
Chirurgia Del Piede 2002 March;26(1):51-72
Operative risk in foot surgery
Napoli V., Napoli E.
Operative risk is an inalienable component and generally refers to the possibility of an adverse event occurring as a consequence of surgery. The present paper indicates the basic elements for a balanced preoperative judgement of risk in foot surgery subdivided into two categories: general and specific. General risk is common to all surgical operations and escapes any type of evaluation insofar as it is bound up with fatality, error, the technical capacity of the operators and the structures. The specific risk consists of four indispensable elements: 1) the patient's clinical condition; 2) preoperative diagnosis; 3) biological impact; 4) anaesthesiological approach and represents the basis for evaluating the assignment of the extent of operative risk. The great variability of the elements in question does not allow standard evaluation criteria to be adopted but demands a personalised judgement depending on the patient and the operation.