Page 10 University Daily Kansan Friday, Dec. 13, 1963 California Professor Urges 'Surgical Audits' NEW YORK—(UPI) —No matter where a surgeon makes a slit in any abdomen he can either see or reach most of the contents, and for this reason surgeons are being urged to become auditors. The urge, Dr. Edwin G. Clausen, a professor of surgery at the University of California School of Medicine in San Francisco, suggested that routine auditing should be a part of surgical science. He sought a set-up that would enforce auditing upon surgeons. Surgeons entering an abdomen for a specific reason may be so concentrated they don't let their eyes and hands stray from the organ they're after. BUT THERE might well be things wrong inside that abodem which haven't so far troubled its owner, or it may be that an organ is unsus- pectingly contributing to the symptoms which caused the surgeon to enter in the first place, Dr. Causen continued. Therefore, "a detailed audit of the contents of the abdominal cavity should be an integral part of the patient's records," he said in editorializing in the Technical Journal of the American College of Surgeons. In hospitals accredited by the college all surgery performed is reviewed afterwards by a committee of surgeons. Dr. Clausen urged that these committees should reject "operative reports if such a detailed audit has not been recorded." HIS IDEA OF AN audit was for the surgeon to examine visually those organs exposed to view and to feel with his skilled hands those organs within reach. In many cases, he reminded colleagues, correctable wrongs will be found. In any case, there would be a detailed report on the condition of the patient's liver, spleen, gallbladder, gastric antrum, duodenum, and so forth, as of a specific date. This record could be invaluable the next time the patient became ill. "CORRECTLY, much emphasis has been placed on the recording of a complete history and physical examination of each patient," he said. "If the record is incomplete, the patient can be contacted for the necessary information. "However, once the abdomen is closed, much desirable information may be lacking and is unattainable short of a second operation. Upon many occasions, the operative report is studied months or years later. An earlier detailed accounting of the various organs may prove invaluable in the diagnosis of a later ailment." Dr. Clausen reminded his fellows of the many times the abodmen is entered for a given reason when the surgeon finds things which surprise him. "THE FINDING of major disease symptomatic or not symptomatic other than that suspected has occurred with such frequency that a routine detailed examination of the abdomen should be mandatory," he said. Dr. Clausen was speaking only of "elective" abdominal surgery—when the operation has been planned in detail after the usual tests, and the patient has been thoroughly prepared. Emergency abdominal surgery is quite another matter, of course. Trial, Not Wedding CHICAGO —(UPI)— Frank Vercillo and Ann Farrell may have to postpone their wedding Saturday. Police scheduled a hearing for them Thursday on charges of theft after Vercillo sold a $100 wig to female police investigator. Authorities said the wigs were stolen from the Victory Beauty Supply Co., by Miss Farrell, an employee of the firm. Police said she told them she needed money to finance her marriage to Vercillo. Official Bulletin Europeans and Latin Americans: Michigan S. U. Christmas Adventures in World Standing. Obtain application form from Dean Coan, 228 Strong by 5 p.m. today. Larry Martin, American Friends Service Committee, Des Moines, will interview students interested in weekend, summer and long term work and study projects with the service committee. Sign up or call the KU-Y office, UN 4-3761. TODAY Catholic Mass, 5 p.m. St. Lawrence Chapel, 1910 Stratford Road. Baptist Student Union, 7.30 p.m., 122 Oread. Christmas program. Jewish Community Center Services, 719 Highland Drive. Refreshment, p.m., 917 Highland Drive. KU Dames Christmas dance. 9 p.m. KUKa Dame's Christmas dance. 9 p.m. Epicodial Evening Prayer. 9:30 p.m. Epicodial Evening Prayer. 9:30 p.m. Inter-Varsity Christian Fellowship, Study, p. 829 Miss. "Personal Bible Science." SATURDAY SUNDAY BUSINESS DIRECTORY Catholic Masses, 6:45 a.m. 5 p.m. St. Lawrence Chapel, 1910 Stratford Road. Catholic Masses, 8 a.m. St. Lawrence Catholic Mass, 8 a.m. Road. 9:30 and 11 a.m. Fraser Theatre. Oread Friends Meeting, 10:30 a.m. Danforth. Everyone welcome. 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