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Many studies demonstrate that malnutrition in geriatric patient suitable for major surgery is an important risk factor for the onset of operating complications and for the increase of mortality range.
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Surgical procedures, operating times, complications and subsequent clinical follow up were also recorded.
Data on the operative procedure and the post-operative period such as operating time, intra-operative complications, post-operative need for analgetics and duration of the hospital stay were obtained from patient records.
Patient characteristics, intra- and postoperative complications, operating time and duration of hospital stay were recorded.
Garret et al. [ 20] have reported no significant changes during the learning curve, in the terms of complications, operating time and bleeding, which could be due to very high number of teaching cases in this series.
No major post-operating complications were observed.
So, overcoming malnutrition seems necessary, especially in geriatric patients who have to undergo major surgery, to decrease pre-operating complications, mortality and to warrant more rapid functional recovery.
Main surgical outcomes were operation room time and skin to skin operating time, complications, conversions, rehospitalisation and reoperation, estimated blood loss and length of hospital stay.
But there are complications to operating in southern Sudan.
We report our experience with LigaSure tm) for thyroidectomy to test the hypothesis that it reduces operating time without increasing complications compared with standard vessel ligation.
Blood loss, operating time, and intraoperative complications such as bladder or ureteric injury as well as conversion to an open procedure were recorded.
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