Thirdly, the foveated high-magnification scope provides much more improved spatial resolution than a standard laparoscope and enables highly resolvable visualization of tissues and thus enhances intro-operative surgical decision making.
Careful evaluation of the patient's history with the relatively long time for existence of the nodule and the subtle clinical findings, in association with the specific frozen section histology findings and imaging features, are essential for intra-operative decision making to avoid unnecessary sacrifice of the parent nerve.
We postulate that passive tension only becomes significant at relatively long lengths and that passive tension as the major factor in intra-operative decision making may result in overstretch of the muscle-tendon unit (MTU) and accompanying low-active force generation.
Also, pulmonary function testing is critical before surgery, as phrenic nerve involvement is not always apparent on radiologic scans, and baseline pulmonary status may affect intra-operative decision making if a phrenic nerve is involved.
This study investigates changes in operative performance when assessment and feedback focus on decision making.
The aforementioned limitations along with the lack of impact on operative decision-making along with correlation with intraoperative findings also limited our study.
However, the objectives of this study were to build upon the reliability findings determined by van Leeuwen et al. [19] and to provide initial preliminary data which we hope to utilize in a prospective, large-scale, multi-center study that will provide the ability to perform regression and obtain operative decision-making capacity and intraoperative correlation.
Despite these discrepancies in the influence in IOFB size on functional and anatomic outcomes, however, IOFB size does play a role in operative decision-making, and should be noted carefully.
It does not provide guidance for the most appropriate prosthodontic or operative technique as there is too much variation at this level of decision making between clinicians.
Similarly, operatives (especially the non-physicians) neither used the partograph to monitor labour nor used obstetric protocols to aid decision making.
