We still need to operate at night!

Table 1 Guidelines for surgical procedures (excluding obstetrics) to be performed at night as per revised NCEPOD classification

Immediate	Vascular	Ruptured AAA
	Trauma	Major trauma to thorax/abdomen with haemodynamic compromise
	Urology	Suspected testicular torsion
Urgent	Abdomen	Perforated viscus
		Penetrating abdominal injures
		Peritonitis
		Gastrointestinal haemorrhage with haemodynamic compromise
		Intestinal obstruction with possible bowel infarction
		Strangulated hernia
		Acute appendicitis (especially in children and elderly)
	Vascular	Critical limb ischaemia
	Orthopaedics	Fracture with major neurovascular deficit
		Compartment syndrome
		Compound fracture

ISSN: 1749-7922