Evidence – Based Surgery

The report of the US institute of medicine showed that a large proportion of medical errors occurred because of poor knowledge about the best method practice. The use of careful and systematic of research results in evidence-based practice lead to less errors. Evidence-based surgery has been less developed than evidence-based practice in non-surgical disciplines because of many factors. The surgeon's willing ness to do operative procedures they are more skilled in, the problematic nature of conducting double blind randomized surgical trials, the scarcity of systematic reviews and finally professional dogmatism of surgeons, all are contributing to poor state of evidence-based practice among the surgeons. An increase in the number of quality clinical trials and synthetic studies in surgery, developing the culture of using best evidence as well as the improvement of the skills and knowledge of evidence-based practice among surgeons, provides the required supportive facilities and practicalities in the surgical settings, higher use of sham surgeries in effectiveness studies and refraining from intense pragmatism in part of surgeons are measures that can facilitate greater evidence-based practice in surgery