Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.
Patient care procedures performed during the operation that are ancillary to the actual surgery. It includes monitoring, fluid therapy, medication, transfusion, anesthesia, radiography, and laboratory tests.
A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
The period during a surgical operation.
A procedure for removal of the crystalline lens in cataract surgery in which an anterior capsulectomy is performed by means of a needle inserted through a small incision at the temporal limbus, allowing the lens contents to fall through the dilated pupil into the anterior chamber where they are broken up by the use of ultrasound and aspirated out of the eye through the incision. (Cline, et al., Dictionary of Visual Science, 4th ed & In Focus 1993;1(1):1)
The constant checking on the state or condition of a patient during the course of a surgical operation (e.g., checking of vital signs).
Endoscopes for examining the interior of the ureter.
The duration of a surgical procedure in hours and minutes.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Fragmentation of CALCULI, notably urinary or biliary, by LASER.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Endoscopic examination, therapy or surgery of the ureter.
The pit in the center of the ABDOMINAL WALL marking the point where the UMBILICAL CORD entered in the FETUS.
The removal of a cataractous CRYSTALLINE LENS from the eye.
Insertion of an artificial lens to replace the natural CRYSTALLINE LENS after CATARACT EXTRACTION or to supplement the natural lens which is left in place.
The application of electronic, computerized control systems to mechanical devices designed to perform human functions. Formerly restricted to industry, but nowadays applied to artificial organs controlled by bionic (bioelectronic) devices, like automated insulin pumps and other prostheses.
Surgical procedures performed through a natural opening in the body such as the mouth, nose, urethra, or anus, and along the natural body cavities with which they are continuous.
Loss of blood during a surgical procedure.
The course of learning of an individual or a group. It is a measure of performance plotted over time.
ENDOSCOPES for examining the abdominal and pelvic organs in the peritoneal cavity.
Excision of the gallbladder through an abdominal incision using a laparoscope.
A technique of closing incisions and wounds, or of joining and connecting tissues, in which staples are used as sutures.
Procedures that avoid use of open, invasive surgery in favor of closed or local surgery. These generally involve use of laparoscopic devices and remote-control manipulation of instruments with indirect observation of the surgical field through an endoscope or similar device.
Surgery performed on the urinary tract or its parts in the male or female. For surgery of the male genitalia, UROLOGIC SURGICAL PROCEDURES, MALE is available.
Deliberate introduction of air into the peritoneal cavity.
An abdominal hernia with an external bulge in the GROIN region. It can be classified by the location of herniation. Indirect inguinal hernias occur through the internal inguinal ring. Direct inguinal hernias occur through defects in the ABDOMINAL WALL (transversalis fascia) in Hesselbach's triangle. The former type is commonly seen in children and young adults; the latter in adults.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Clarity or sharpness of OCULAR VISION or the ability of the eye to see fine details. Visual acuity depends on the functions of RETINA, neuronal transmission, and the interpretative ability of the brain. Normal visual acuity is expressed as 20/20 indicating that one can see at 20 feet what should normally be seen at that distance. Visual acuity can also be influenced by brightness, color, and contrast.
The period of confinement of a patient to a hospital or other health facility.
Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.
Surgery performed on the digestive system or its parts.
A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.
Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).
Incision into the side of the abdomen between the ribs and pelvis.
Elements of limited time intervals, contributing to particular results or situations.
Excision of kidney.
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.
Partial or complete opacity on or in the lens or capsule of one or both eyes, impairing vision or causing blindness. The many kinds of cataract are classified by their morphology (size, shape, location) or etiology (cause and time of occurrence). (Dorland, 27th ed)
Methods of creating machines and devices.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
Thinly cut sections of frozen tissue specimens prepared with a cryostat or freezing microtome.
Intraoperative computer-assisted 3D navigation and guidance system generally used in neurosurgery for tracking surgical tools and localize them with respect to the patient's 3D anatomy. The pre-operative diagnostic scan is used as a reference and is transferred onto the operative field during surgery.
Surgical procedures conducted with the aid of computers. This is most frequently used in orthopedic and laparoscopic surgery for implant placement and instrument guidance. Image-guided surgery interactively combines prior CT scans or MRI images with real-time video.
Occurence of a patient becoming conscious during a procedure performed under GENERAL ANESTHESIA and subsequently having recall of these events. (From Anesthesiology 2006, 104(4): 847-64.)
Surgery performed on the nervous system or its parts.
Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery.
The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)
Conditions or pathological processes associated with the disease of diabetes mellitus. Due to the impaired control of BLOOD GLUCOSE level in diabetic patients, pathological processes develop in numerous tissues and organs including the EYE, the KIDNEY, the BLOOD VESSELS, and the NERVE TISSUE.
Hemorrhage following any surgical procedure. It may be immediate or delayed and is not restricted to the surgical wound.
Infection occurring at the site of a surgical incision.
The systematic checking of the condition and function of a patient's CENTRAL NERVOUS SYSTEM during the course of a surgical operation.
Conditions or pathological processes associated with pregnancy. They can occur during or after pregnancy, and range from minor discomforts to serious diseases that require medical interventions. They include diseases in pregnant females, and pregnancies in females with diseases.
Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.)
The period following a surgical operation.
Excision of one or more of the parathyroid glands.
Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body.
Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues using a transducer placed in the esophagus.
Failure of equipment to perform to standard. The failure may be due to defects or improper use.
Interventions to provide care prior to, during, and immediately after surgery.
Surgery performed on the heart.
The transference of a part of or an entire liver from one human or animal to another.
The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)
Control of bleeding during or after surgery.
A state characterized by loss of feeling or sensation. This depression of nerve function is usually the result of pharmacologic action and is induced to allow performance of surgery or other painful procedures.
Hand-held tools or implements used by health professionals for the performance of surgical tasks.
Any adverse condition in a patient occurring as the result of treatment by a physician, surgeon, or other health professional, especially infections acquired by a patient during the course of treatment.
Diversion of the flow of blood from the entrance of the right atrium directly to the aorta (or femoral artery) via an oxygenator thus bypassing both the heart and lungs.
Removal of an implanted therapeutic or prosthetic device.
An imaging test of the BILIARY TRACT in which a contrast dye (RADIOPAQUE MEDIA) is injected into the BILE DUCT and x-ray pictures are taken.
Operative procedures for the treatment of vascular disorders.
The introduction of whole blood or blood component directly into the blood stream. (Dorland, 27th ed)
Excision of all or part of the liver. (Dorland, 28th ed)
The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.
Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.
The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
Pain during the period after surgery.
A surgical specialty concerned with the treatment of diseases and disorders of the brain, spinal cord, and peripheral and sympathetic nervous system.
Reinfusion of blood or blood products derived from the patient's own circulation. (Dorland, 27th ed)
Operative immobilization or ankylosis of two or more vertebrae by fusion of the vertebral bodies with a short bone graft or often with diskectomy or laminectomy. (From Blauvelt & Nelson, A Manual of Orthopaedic Terminology, 5th ed, p236; Dorland, 28th ed)
The plan and delineation of prostheses in general or a specific prosthesis.
Bleeding or escape of blood from a vessel.
Any operation on the cranium or incision into the cranium. (Dorland, 28th ed)
In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.
A blocking of nerve conduction to a specific area by an injection of an anesthetic agent.
A diagnostic procedure used to determine whether LYMPHATIC METASTASIS has occurred. The sentinel lymph node is the first lymph node to receive drainage from a neoplasm.
Migration of a foreign body from its original location to some other location in the body.
Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.
Breakdown of the connection and subsequent leakage of effluent (fluids, secretions, air) from a SURGICAL ANASTOMOSIS of the digestive, respiratory, genitourinary, and cardiovascular systems. Most common leakages are from the breakdown of suture lines in gastrointestinal or bowel anastomosis.
Production of an image when x-rays strike a fluorescent screen.
Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.
Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.
A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.
Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.
Specialized devices used in ORTHOPEDIC SURGERY to repair bone fractures.
An abnormal balloon- or sac-like dilatation in the wall of the ABDOMINAL AORTA which gives rise to the visceral, the parietal, and the terminal (iliac) branches below the aortic hiatus at the diaphragm.
Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.
Diseases in any part of the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.
Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)
Surgical removal of the GALLBLADDER.
Medical problems associated with OBSTETRIC LABOR, such as BREECH PRESENTATION; PREMATURE OBSTETRIC LABOR; HEMORRHAGE; or others. These complications can affect the well-being of the mother, the FETUS, or both.
The return of a sign, symptom, or disease after a remission.
A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage.
Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.
Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.
A tricarbocyanine dye that is used diagnostically in liver function tests and to determine blood volume and cardiac output.
Surgical insertion of a prosthesis.
Therapy whose basic objective is to restore the volume and composition of the body fluids to normal with respect to WATER-ELECTROLYTE BALANCE. Fluids may be administered intravenously, orally, by intermittent gavage, or by HYPODERMOCLYSIS.
Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.
Device constructed of either synthetic or biological material that is used for the repair of injured or diseased blood vessels.
The performance of surgical procedures with the aid of a microscope.
A collection of blood outside the BLOOD VESSELS. Hematoma can be localized in an organ, space, or tissue.
Surgical incision into the chest wall.
The use of ultrasound to guide minimally invasive surgical procedures such as needle ASPIRATION BIOPSY; DRAINAGE; etc. Its widest application is intravascular ultrasound imaging but it is useful also in urology and intra-abdominal conditions.

Reduction of laparoscopic-induced hypothermia, postoperative pain and recovery room length of stay by pre-conditioning gas with the Insuflow device: a prospective randomized controlled multi-center study. (1/1806)

OBJECTIVE: To assess the efficacy and safety of Insuflow (Georgia BioMedical, Inc.) filter heater hydrator device in reducing the incidence, severity and extent of hypothermia, length of recovery room stay and postoperative pain at the time of laparoscopy. DESIGN: Prospective, randomized, blinded, controlled multi-center study. Patients underwent gynecologic procedures via laparoscopy; surgeons, anesthesiologists and recovery room personnel assessed the results. SETTING: Seven North American institutions. PATIENTS: Seventy-two women for safety evaluation and efficacy studies. INTERVENTIONS: Intraoperative pre-conditioning of laparoscopic gas with the Insuflow device (treatment) or standard raw gas (control) during laparoscopic surgery and postoperatively. MAIN OUTCOME MEASURES: Incidence, severity and extent of hypothermia, postoperative pain perception and length of recovery room stay. RESULTS: The Insuflow group had significantly less intraoperative hypothermia, reduced length of recovery room stay and reduced postoperative pain. Pre-conditioning of laparoscopic gas by filtering heating and hydrating was well tolerated with no adverse effects. The safety profile of the Insuflow pre-conditioned gas showed significant benefits compared to currently used raw gas. CONCLUSIONS: Pre-conditioning laparoscopic gas by filtering heating and hydrating with the Insuflow device was significantly more effective than the currently used standard raw gas and was safe in reducing or eliminating laparoscopic-induced hypothermia, shortening recovery room length of stay and reducing postoperative pain.  (+info)

Carotid endarterectomy and intracranial thrombolysis: simultaneous and staged procedures in ischemic stroke. (2/1806)

PURPOSE: The feasibility and safety of combining carotid surgery and thrombolysis for occlusions of the internal carotid artery (ICA) and the middle cerebral artery (MCA), either as a simultaneous or as a staged procedure in acute ischemic strokes, was studied. METHODS: A nonrandomized clinical pilot study, which included patients who had severe hemispheric carotid-related ischemic strokes and acute occlusions of the MCA, was performed between January 1994 and January 1998. Exclusion criteria were cerebral coma and major infarction established by means of cerebral computed tomography scan. Clinical outcome was assessed with the modified Rankin scale. RESULTS: Carotid reconstruction and thrombolysis was performed in 14 of 845 patients (1.7%). The ICA was occluded in 11 patients; occlusions of the MCA (mainstem/major branches/distal branch) or the anterior cerebral artery (ACA) were found in 14 patients. In three of the 14 patients, thrombolysis was performed first, followed by carotid enarterectomy (CEA) after clinical improvement (6 to 21 days). In 11 of 14 patients, 0.15 to 1 mIU urokinase was administered intraoperatively, ie, emergency CEA for acute ischemic stroke (n = 5) or surgical reexploration after elective CEA complicated by perioperative intracerebral embolism (n = 6). Thirteen of 14 intracranial embolic occlusions and 10 of 11 ICA occlusions were recanalized successfully (confirmed with angiography or transcranial Doppler studies). Four patients recovered completely (Rankin 0), six patients sustained a minor stroke (Rankin 2/3), two patients had a major stroke (Rankin 4/5), and two patients died. In one patient, hemorrhagic transformation of an ischemic infarction was detectable postoperatively. CONCLUSION: Combining carotid surgery with thrombolysis (simultaneous or staged procedure) offers a new therapeutic approach in the emergency management of an acute carotid-related stroke. Its efficacy should be evaluated in interdisciplinary studies.  (+info)

Continuous versus intermittent portal triad clamping for liver resection: a controlled study. (3/1806)

OBJECTIVE: The authors compared the intra- and postoperative course of patients undergoing liver resections under continuous pedicular clamping (CPC) or intermittent pedicular clamping (IPC). SUMMARY BACKGROUND DATA: Reduced blood loss during liver resection is achieved by pedicular clamping. There is controversy about the benefits of IPC over CPC in humans in terms of hepatocellular injury and blood loss control in normal and abnormal liver parenchyma. METHODS: Eighty-six patients undergoing liver resections were included in a prospective randomized study comparing the intra- and postoperative course under CPC (n = 42) or IPC (n = 44) with periods of 15 minutes of clamping and 5 minutes of unclamping. The data were further analyzed according to the presence (steatosis >20% and chronic liver disease) or absence of abnormal liver parenchyma. RESULTS: The two groups of patients were similar in terms of age, sex, nature of the liver tumors, results of preoperative assessment, proportion of patients undergoing major or minor hepatectomy, and nature of nontumorous liver parenchyma. Intraoperative blood loss during liver transsection was significantly higher in the IPC group. In the CPC group, postoperative liver enzymes and serum bilirubin levels were significantly higher in the subgroup of patients with abnormal liver parenchyma. Major postoperative deterioration of liver function occurred in four patients with abnormal liver parenchyma, with two postoperative deaths. All of them were in the CPC group. CONCLUSIONS: This clinical controlled study clearly demonstrated the better parenchymal tolerance to IPC over CPC, especially in patients with abnormal liver parenchyma.  (+info)

Catheter-induced mechanical trauma to accessory pathways during radiofrequency ablation: incidence, predictors and clinical implications. (4/1806)

OBJECTIVES: To evaluate the incidence, predictors and clinical implications of nonintentionally catheter-induced mechanical trauma to accessory pathways during radiofrequency ablation procedures. BACKGROUND: Data on the incidence and significance of catheter-induced trauma to accessory pathways are scarce. METHODS: Consecutive patients (n = 381) undergoing radiofrequency ablation of accessory pathways at two different institutions were closely monitored for appearance of mechanical block of accessory pathways during catheter manipulation. RESULTS: Mechanical trauma to accessory pathways was observed in 37 (9.7%) patients. According to a multivariate analysis, the only independent variable associated with this phenomenon was the anatomical pathway location (p = 0.0001). The incidence of trauma of either right anteroseptal (38.5%) or right atriofascicular pathways (33.3%) was significantly greater than that of pathways (< or =10%) at all remaining locations (p < 0.0001). The duration of conduction block observed ranged from < or =1 min to >30 min in 19% and 35% of patients, respectively. "Immediate" application of radiofrequency pulses at sites of mechanical block (<1 min after occurrence) was associated with a 78% long-term success rate at follow-up. This contrasted with a 25% long-term success rate in patients in whom pulses were delivered 30 min after occurrence of block ("delayed pulses"). Finally, in 24% of patients persistent trauma-induced conduction block led to discontinuation of the ablation procedure. CONCLUSIONS: Trauma to accessory pathways is more common than previously recognized and frequently results in prolongation or discontinuation of the ablation procedure and in lower success rates. The only independent predictor of catheter-trauma to accessory pathways is the pathway location.  (+info)

Influence of a platelet GPIIb/IIIa receptor antagonist on myocardial hypoperfusion during rotational atherectomy as assessed by myocardial Tc-99m sestamibi scintigraphy. (5/1806)

OBJECTIVES: This study evaluated the effect of the glycoprotein IIb/IIIa (GPIIb/IIIa) antagonist abciximab on myocardial hypoperfusion during percutaneous transluminal rotational atherectomy (PTRA). BACKGROUND: PTRA may cause transient ischemia and periprocedural myocardial injury. A platelet-dependent risk of non-Q-wave infarctions after directional atherectomy has been described. The role of platelets for the incidence and severity of myocardial hypoperfusion during PTRA is unknown. METHODS: Seventy-five consecutive patients with complex lesions were studied using resting Tc-99m sestamibi single-photon emission computed tomography prior to PTRA, during, and 2 days after the procedure. The last 30 patients received periprocedural abciximab (group A) and their results were compared to the remaining 45 patients (group B). For semiquantitative analysis, myocardial perfusion in 24 left ventricular regions was expressed as percentage of maximal sestamibi uptake. RESULTS: Baseline characteristics did not differ between the groups. Transient perfusion defects were observed in 39/45 (87%) patients of group B, but only in 10/30 (33%) patients of group A (p < 0.001). Perfusion was significantly reduced during PTRA in 3.3 +/- 2.5 regions in group B compared to 1.4 +/- 2.5 regions in group A (p < 0.01). Perfusion in the region with maximal reduction during PTRA in groups B and A was 76 +/- 15% and 76 +/- 15% at baseline, decreased to 56 +/- 16% (p < 0.001) and 67 +/- 14%, respectively, during PTRA (p < 0.01 A vs. B), and returned to 76 +/- 15% and 80 +/- 13%, respectively, after PTRA. Nine patients in group B (20%) and two patients in group A (7%) had mild creatine kinase and/or troponin t elevations (p = 0.18). Patients with elevated enzymes had larger perfusion defects than did patients without myocardial injury (4.2 +/- 2.7 vs. 2.3 +/- 2.5 regions, p < 0.05). CONCLUSIONS: These data indicate that GPIIb/IIIa blockade reduces incidence, extent and severity of transient hypoperfusion during PTRA. Thus, platelet aggregation may play an important role for PTRA-induced hypoperfusion.  (+info)

A policy of quality control assessment helps to reduce the risk of intraoperative stroke during carotid endarterectomy. (6/1806)

OBJECTIVES: A pilot study in our unit suggested that a combination of transcranial Doppler (TCD) plus completion angioscopy reduced incidence of intra-operative stroke (i.e. patients recovering from anaesthesia with a new deficit) during carotid endarterectomy (CEA). The aim of the current study was to see whether routine implementation of this policy was both feasible and associated with a continued reduction in the rate of intraoperative stroke (IOS). MATERIALS AND METHODS: Prospective study in 252 consecutive patients undergoing carotid endarterectomy between March 1995 and December 1996. RESULTS: Continuous TCD monitoring was possible in 229 patients (91%), while 238 patients (94%) underwent angioscopic examination. Overall, angioscopy identified an intimal flap requiring correction in six patients (2.5%), whilst intraluminal thrombus was removed in a further six patients (2.5%). No patient in this series recovered from anaesthesia with an IOS, but the rate of postoperative stroke was 2.8%. CONCLUSIONS: Our policy of TCD plus angioscopy has continued to contribute towards a sustained reduction in the risk of IOS following CEA, but requires access to reliable equipment and technical support. However, a policy of intraoperative quality control assessment may not necessarily alter the rate of postoperative stroke.  (+info)

Gastrointestinal injuries during gynaecological laparoscopy. (7/1806)

A retrospective case review study was carried out on gastrointestinal injuries which occur during gynaecological laparoscopy. Fifty-six patients with 62 gastrointestinal injuries were identified. One-third of the complications (32.2%) occurred during the installation phase for laparoscopy. Four of the six complications attributed to electrosurgery were secondary to the use of monopolar coagulation. Diagnosis of these gastrointestinal injuries was made during surgery in only 20 patients (35.7%). The mean time before diagnosis was 4.0 +/- 5.4 (range 0-23) days. Treatment of these complications was performed by laparoscopic surgery in 16.1% of cases. Prevention relies on the surgeon's experience, strict observance of the safety rules, perfect familiarity with the physical properties of the instruments used, systematic use of bowel preparation for patients presenting a risk of bowel complications, systematic supervision of the route taken by the trocars, meticulous inspection on completion of surgery of all areas where bowel adhesiolysis has been used and, in case of any doubt, tests for leakage involving the rectosigmoid. For patients with a risk of bowel complications, the creation of a pneumoperitoneum and performing a mini laparoscopy in the left hypochondrium can be the judicious option.  (+info)

Airway closure, atelectasis and gas exchange during general anaesthesia. (8/1806)

Airway closure and the formation of atelectasis have been proposed as important contributors to impairment of gas exchange during general anaesthesia. We have elucidated the relationships between each of these two mechanisms and gas exchange. We studied 35 adults with healthy lungs, undergoing elective surgery. Airway closure was measured using the foreign gas bolus technique, atelectasis was estimated by analysis of computed x-ray tomography, and ventilation-perfusion distribution (VA/Q) was assessed by the multiple inert gas elimination technique. The difference between closing volume and expiratory reserve volume (CV-ERV) increased from the awake to the anaesthetized state. Linear correlations were found between atelectasis and shunt (r = 0.68, P < 0.001), and between CV-ERV and the amount of perfusion to poorly ventilated lung units ("low Va/Q", r = 0.57, P = 0.001). Taken together, the amount of atelectasis and airway closure may explain 75% of the deterioration in PaO2. There was no significant correlation between CV-ERV and atelectasis. We conclude that in anaesthetized adults with healthy lungs, undergoing mechanical ventilation, both airway closure and atelectasis contributed to impairment of gas exchange. Atelectasis and airway closure do not seem to be closely related.  (+info)

Iatrogenic, intraoperative complications that are repaired at the same operative session are not separately reported. Since the small bowel...
Keywords: Acute kidney injury, chronic kidney disease, end stage renal disease (ESRD), general anesthesia, hemodialysis, intraoperative hypotension, preventative nephrology.. Abstract: Background/Objective: Intraoperative hypotension (IOH) invariably follows the induction of general anesthesia during surgical operations. The current prevailing and predominant consensus is that IOH has immense clinical benefits such as reduced bleeding, less need for blood transfusions, and shorter surgery times. Simultaneously, it is assumed that IOH is devoid of adverse renal, hepatic and neurological consequences. Emerging new evidence and our experiences suggest a strong link between IOH and postoperative acute kidney injury (AKI). Method/Case Reports: We report on three case presentations to illustrate the impact of IOH on postoperative AKI. Conclusion: Our recent experiences suggest and show a link between IOH and postoperative AKI. Sun et al. (2015) recently demonstrated that postoperative AKI was ...
BACKGROUND: Acute kidney injury (AKI) occurs frequently after liver transplant surgery and is associated with significant morbidity and mortality. While the impact of intraoperative hypotension (IOH) on postoperative AKI has been well demonstrated in patients undergoi...
TY - JOUR. T1 - Octreotide for treatment of intraoperative hypotension due to an unexpected neuroblastoma in an adult. AU - Jaffe, R. S.. AU - Ankunding, J.. AU - Goodnight Jr, James E. PY - 1994. Y1 - 1994. KW - Neuroblastoma. KW - Neuroendocrine tumors. KW - Octreotide. KW - Somatostatin. UR - UR - M3 - Article. C2 - 7978489. AN - SCOPUS:0027994737. VL - 81. SP - 1294. EP - 1296. JO - Anesthesiology. JF - Anesthesiology. SN - 0003-3022. IS - 5. ER - ...
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Botto, F, Alonso-Coello, P, Chan, MT, Villar, JC, Xavier, D, Srinathan, S, Guyatt, G, Cruz, P, Graham, M, Wang, CY, Berwanger, O, Pearse, RM, Biccard, BM, Abraham, V, Malaga, G, Hillis, GS, Rodseth, RN, Cook, D, Polanczyk, CA, Szczeklik, W, Sessler, DI, Sheth, T, Ackland, GL, Leuwer, M, Garg, AX, Lemanach, Y, Pettit, S, Heels-Ansdell, D, Luratibuse, G, Walsh, M, Sapsford, R, Schünemann, HJ, Kurz, A, Thomas, S, Mrkobrada, M, Thabane, L, Gerstein, H, Paniagua, P, Nagele, P, Raina, P, Yusuf, S, Devereaux, PJ, Devereaux, PJ, Sessler, DI, Walsh, M, Guyatt, G, McQueen, MJ, Bhandari, M, Cook, D, Bosch, J, Buckley, N, Yusuf, S, Chow, CK, Hillis, GS, Halliwell, R, Li, S, Lee, VW, Mooney, J, Polanczyk, CA, Furtado, MV, Berwanger, O, Suzumura, E, Santucci, E, Leite, K, Santo, JA, Jardim, CA, Cavalcanti, AB, Guimaraes, HP, Jacka, MJ, Graham, M, McAlister, F, McMurtry, S, Townsend, D, Pannu, N, Bagshaw, S, Bessissow, A, Bhandari, M, Duceppe, E, Eikelboom, J, Ganame, J, Hankinson, J, Hill, S, Jolly, S, Lamy, ...
Introduction. Multiple clinical methods for detecting myocardial ischemia are utilised in the hospital setting each day, but there is uncertainty about their diagnostic accuracy. In the operating room, multiple methods may be employed, while in the CCU advanced electrophysiological (ECG) techniques for myocardial ischemia detection, and in particular, ST segment analysis, are common. Vectorcardiography (VCG) is one form of ECG.. Several conditions other than ischemia may cause marked ST changes, which can impair the process of diagnosis of clinical ischemia. Elevated HR is one of these factors, which is studied here. The hypotheses were about concordance of different methods to detect ischemia, and relation of ECG ST levels to HR with and without myocardial ischemia.. Methods. Study I. Anesthetised vascular surgical patients with coronary artery disease were studied during the start of anesthesia and surgery: ECG, hemodynamic, mechanical, and metabolic parameters were measured and categorised as ...
A retrospective analysis of the American Society of Anesthesiology Closed Claims Study, this article describes the types of adverse outcomes for which claims were filed. The authors report that three mechanisms of injury (inadequate ventilation, esophageal intubation, and difficult tracheal intubation) accounted for three-fourths of the adverse respiratory events. They further describe the median costs of settlements awarded, characteristics of events in which care was deemed substandard, and claims in which the outcome was considered preventable.
Venous air embolism (VAE), a subset of gas embolism, is an entity with the potential for severe morbidity and mortality. Venous air embolism is a predominantly iatrogenic complication that occurs when atmospheric gas is introduced into the systemic venous system.
Perioperative ischemia particularly in its NSTEMI aspect is a leading cause of morbidity and mortality and it continues to affect a large population. As the patient population is growing older as a result of technological advancements and sicker it is expected for perioperative ischemic episodes to continue. Such episodes not only affect the outcomes of surgical procedures and the patients quality of life but also translate into enormous associated costs. It is therefore a trifold need to increase awareness and knowledge of it. ...
Infants who undergo surgical procedures in the first few months of life are at a higher risk of death or subsequent neurodevelopmental abnormalities. Although the pathogenesis of these outcomes is multifactorial, an understanding of the nature and pathogenesis of brain injury in these infants may assist the anesthesiologist in consideration of their day-to-day practice to minimize such risks. This review will summarize the main types of brain injury in preterm and term infants and their key pathways. In addition, the review will address key potential pathogenic pathways that may be modifiable including intraoperative hypotension, hypocapnia, hyperoxia or hypoxia, hypoglycemia, and hyperthermia. Each of these conditions may increase the risk of perioperative neurological injury, but their long-term ramifications are unclear.. Read More. ...
Hartveit F, Lystad H, Minken A. The pathology of venous air embolism. Br J Exp Pathol. 1968 Feb;49(1):81-6.. Full Text Link. ...
|div id=teaser class=fragment teaser ||div class=p|Everything NICE has said on preventing and managing inadvertent perioperative hypothermia in adults having surgery in an interactive flowchart|/div||/div|
More on Complications with Diabetes: Diabetes is a chronic, life-long condition that requires careful control. Without proper management it can lead to various complications such as cardiovascular disease, kidney failure, blindness and nerve damage.
Comorbidity of glaucoma poses some increased risks for cataract surgery, but even when there are intraoperative complications during the lens removal procedure, it is almost always possible to still add micro-invasive glaucoma surgery (MIGS), said Reay H. Brown, MD. ...
TY - JOUR. T1 - Deep learning models for the prediction of intraoperative hypotension. AU - Lee, Solam. AU - Lee, Hyung Chul. AU - Chu, Yu Seong. AU - Song, Seung Woo. AU - Ahn, Gyo Jin. AU - Lee, Hunju. AU - Yang, Sejung. AU - Koh, Sang Baek. N1 - Funding Information: MD-PhD/Medical Scientist Training Program through the Korea Health Industry Development Institute , funded by the Ministry of Health and Welfare , Republic of Korea. Publisher Copyright: © 2021 British Journal of Anaesthesia. PY - 2021/4. Y1 - 2021/4. N2 - Background: Intraoperative hypotension is associated with a risk of postoperative organ dysfunction. In this study, we aimed to present deep learning algorithms for real-time predictions 5, 10, and 15 min before a hypotensive event. Methods: In this retrospective observational study, deep learning algorithms were developed and validated using biosignal waveforms acquired from patient monitoring of noncardiac surgery. The classification model was a binary classifier of a ...
Inadvertent perioperative hypothermia is a phenomenon that can occur as a result of the suppression of the central mechanisms of temperature regulation due to anaesthesia, and of prolonged exposure of large surfaces of skin to cold temperatures in operating rooms. Inadvertent perioperative hypothermia has been associated with clinical complications such as surgical site infection and wound-healing delay, increased bleeding or cardiovascular events. One of the most frequently used techniques to prevent inadvertent perioperative hypothermia is active body surface warming systems (ABSW), which generate heat mechanically (heating of air, water or gels) that is transferred to the patient via skin contact. To assess the effectiveness of pre- or intraoperative active body surface warming systems (ABSW), or both, to prevent perioperative complications from unintended hypothermia during surgery in adults. We searched the Cochrane Central Register of Controlled Trials (CENTRAL; Issue 9, 2015); MEDLINE ...
Background Individualized hemodynamic management during surgery relies on accurate titration of vasopressors and fluids. In this context, computer systems have been developed to assist anesthesia providers in delivering these interventions. This study tested the hypothesis that computer-assisted individualized hemodynamic management could reduce intraoperative hypotension in patients undergoing intermediate- to high-risk surgery. Methods This single-center, parallel, two-arm, prospective randomized controlled single blinded superiority study included 38 patients undergoing abdominal or orthopedic surgery. All included patients had a radial arterial catheter inserted after anesthesia induction and connected to an uncalibrated pulse contour monitoring device. In the manually adjusted goal-directed therapy group (N = 19), the individualized hemodynamic management consisted of manual titration of norepinephrine infusion to maintain mean arterial pressure within 10% of the patients baseline value, ...
Adapted from Canadian Cardiovascular Society Guidelines on Perioperative Cardiac Risk Assessment and Management for Patients Who Undergo Noncardiac Surgery. Canadian Journal of Cardiology. January 2017, Volume 33, Issue 1, Pages 17-32. ...
The study probably included enough patients to support its conclusion that there is no difference in conversion rates, but it is underpowered to detect a difference in iatrogenic injury rates or mortality because those events are so infrequent. To conclude that there is no difference in iatrogenic injury or mortality rates is what is known in statistical circles as a Type II error or failure to reject a false null hypothesis. The two null hypotheses in this situation were that there is no difference in 1) iatrogenic injury or 2) mortality rates when surgeons are rested or not ...
The examination of special competence in basic perioperative transesophageal echocardiography. This examination is intended for those who wish to demonstrate special competence in basic perioperative transesophageal echocardiography. [Scope of Practice: The application of a basic perioperative TEE examination is limited to non-diagnostic use within the customary practice of anesthesiology. Because the goal of and training in basic PTE is focused on intraoperative monitoring rather than specific diagnosis, except in emergent situations, diagnoses requiring intraoperative cardiac surgical intervention or postoperative medical/surgical management must be confirmed by an individual with advanced skills in TEE or by an independent diagnostic technique ...
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Capgnography is the monitoring of the concentration or partial pressure of carbon dioxide in the expired respiratory gases; as such, it is a non-invasive monitoring technique which allows fast and reliable insight into ventilation, circulation and metabolism. Capnography has proven to be more effective than clinical judgement alone in the early detection of adverse respiratory events. The shape of a capnogram is identical in all humans with healthy lungs; any deviations in shape must be investigated to determine a physiological or a pathological cause of the abnormality.. Data from a previous pilot study yielded two major findings:. ...
Perioperative ischemiaRepresentative pre- and postoperative (| 72h after surgery) MRI scans from a patient with perioperative ischemia ARE shown.
Urostomy complications - Whats a urostomy and does it have complications? UROSTOMY. There are several types of urostomies and they all have their own potential complications.
Insight is the patients awareness of the situation they are in, and an understanding of the implications of their condition as well as the potential complications that may occur as a result of it ...
DOI: 10.11607/jomi.4884 Purpose: To analyze the occurrence of intraoperative complications during sinus floor elevation with a lateral approach and their correlations with the technique adopted by surgeons. Materials and Methods: Electronic and manual searches resulted in 4,417 records on sinus floor elevation. Twenty-one randomized clinical trials (RCTs) and 11 prospective controlled clinical trials (CCTs) reporting occurrence of intraoperative complications were included. Risk of bias was assessed according to the Cochrane tool and a modified Downs and Black quality analysis for RCTs and CCTs, respectively. Results: Sinus membrane perforation and hemorrhagic events following vascular lesions were the only intraoperative complications reported by the selected studies with overall occurrences of 15.7% and 0.4%, respectively. Three different surgical devices (rotary instruments, piezoelectric osteotomes, and manual bone scrapers) were used to perform the lateral antrostomy. Ultrasonic devices and ...
Background: HMG-CoA reductase inhibitors (statins) improve mortality in high-risk patients. Statins may have beneficial properties beyond its lipid-lowering potential, including inflammation reduction and atherosclerotic plaque stabilization. In this study, we examined whether statins can reduce perioperative myocardial ischemia and improve long-term outcome in patients undergoing major vascular surgery.. Methods: A total of 213 consecutive patients (mean age 68 ± 10 years, 79% male) underwent surgery for abdominal aortic aneurysms or lower extremity bypass grafting. Statins were prescribed in 55% of the patients and serial cholesterol levels were measured 3 months and 1 week prior to surgery. Myocardial ischemia was assessed by continuous 12-lead ECG monitoring, starting 1 day before surgery and continuing for 3 days after. Serial troponin T measurements were performed on day 1, 3 and 7 after surgery. During follow-up, mortality was noted.. Results: In this study cohort, 71 patients (33%) had ...
PubMedID: 23255281 | Free flap reconstruction of oral composite defect complicated by intraoperative cardiac arrest: a case report. | Microsurgery | 3/1/2013
Downloadable! For the successful resolution of a crisis it is of key importance that the crisis is tackled by managers which along with a desirable knowledge of the companys activities are familiarized with the special characteristics of the crisis management and general creative (intuitive) approach. For their work crisis management will require strategic, as well as fully operational formal and empirical knowledge, possessing at least the minimum amount of knowledge from every business field, including basic knowledge of economic psychology. Additionally, some special knowledge and skills are demanded. In view of the complexity of the management of a company undergoing serious difficulties, crisis management is therefore denoted as a composite discipline, because a multi-disciplinary approach to problem solving is required in order to achieve the objectives of managing a company undergoing a crisis.
Current corneal assessment technologies make the process of corneal evaluation extremely fast and simple, and several devices and technologies show signs that help in identification of different diseases thereby, helping in diagnosis, management, and follow-up of patients. The purpose of this review is to present and update readers on the evaluation of cornea and ocular surface. This first part reviews a description of slit lamp biomicroscopy (SLB), endothelial specular microscopy, confocal microscopy, and ultrasound biomicroscopy examination techniques and the second part describes the corneal topography and tomography, providing up-to-date information on the clinical recommendations of these techniques in eye care practice. Although the SLB is a traditional technique, it is of paramount importance in clinical diagnosis and compulsory when an eye test is conducted in primary or specialist eye care practice. Different techniques allow the early diagnosis of many diseases, especially when ...
a Cochrane review concluded that BIS within 40 to 60 may improve anaesthetic delivery and postoperative recovery from relatively deep anaesthesia, and more important that BIS-guided anaesthesia significantly reduces the incidence of intraoperative recall in surgical patients with high risk of awareness (ex. TIVA) [Punjasawadwong et al. Cochrane Database Syst Rev. 4: CD003843, 2007]. The largest study in Cochrane was Myles et al. (2463 patients), the second-largest was only 268 patients. Cochrane did not review Avidan (see below), which was published later.. Myles et al. conducted a randomized, double blind trial of 2463 high risk patients (caesarean section, high-risk cardiac surgery [EF ,30%, cardiac index ,2·1 L/min per m2, severe aortic stenosis, pulmonary hypertension, or undergoing off-pump coronary artery bypass graft surgery], acute trauma with hypovolaemia, rigid bronchoscopy, significant impairment of cardiovascular status and expected intraoperative hypotension requiring treatment, ...
We studied 30 patients with asymptomatic, severe AS with a mean age of 78 + or - 9 years, an aortic valve area of 0.77 + or - 0.16 cm(2), a mean gradient of 50.1 + or - 9.5 mm Hg, and a peak gradient of 84 + or - 22 mm Hg. They were compared to 60 age-matched (within 2 years) and gender-matched (ratio of 1:2) patients with mild-to-moderate AS (controls).. Combined postoperative events were more common for the patients (n = 10; 33%) than for the controls (n = 14; 23%), but the difference was not statistically significant (p = 0.06).. Intraoperative hypotension requiring vasopressor use was more likely for the patients (n = 9; 30%) than for the controls (n = 10; 17%; odds ratio 2.5; p = 0.11). The perioperative myocardial infarction rates were similar for both groups (3%; p = 0.74). No deaths, heart failure events, or ventricular arrhythmias occurred in the patients and 1 death and 1 ventricular arrhythmia episode occurred in the controls ...
A negative situation can quickly impact a brands reputation. With 20+ years of expertise, the GEC PR team are highly experienced in handling crisis management situations.. Effective planning and the need to respond quickly in a crisis is paramount and we are able to support across all levels of crisis management.. From handling press conferences in response to a crisis situation to repairing a brands damaged reputation and image as a result of negative incidents, we are experienced in all aspects of crisis PR.. ...
Background and objective: Number and complexity of elderly patients presenting for anesthesia is increasing. The aims of this study are to identify the incidence and risk factors of perioperative complication in geriatric patients (age ≥65 years) who underwent anesthesia in order to improve the quality of anesthesia service.. Methods: Retrospective descriptive study was conducted between January 1, 2010 and December 31, 2011 in Srinagarind hospital. Medical charts and anesthetic records were reviewed. Univariate factors related to perioperative complications were analyzed. Multivariable Logistic Regression for risk ratio was used to investigate independent factors with significant association to perioperative complications. A forward stepwise algorithm was chosen. A p-value , 0.05 was considered as statistically significant.. Results: 4,595 anesthetic records were reviewed. 3,621 geriatric patients underwent surgery receiving anesthesia. Incident reports were 395 (860:10,000). The incidences, ...
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Surgeon can use the printed medical model of the mandible to adjust the implant to the particular patient even before the procedure. It is tailor-made - says the model creator, Dr. Paweł Turek from Rzeszów University of Technology. His research and the process of mandible model development were the subject of his doctoral dissertation Methodology of designing and manufacturing medical models of the mandible.
Now you can avoid long-term clinical complications, extended hospital stays and medical liability costs caused by air embolisms ...
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Venous air embolism is a dreaded condition particularly relevant to the field of nephrology. In the face of a favourable, air-to-blood pressure gradient and an abnormal communication between the atmosphere and the veins, air entrance into the circulation is common and can bring about venous air embolism. These air emboli can migrate to different areas through three major routes: pulmonary circulation, paradoxical embolism and retrograde ascension to the cerebral venous system. The frequent undesirable outcome of this disease entity, despite timely and aggressive treatment, signifies the importance of understanding the underlying pathophysiological mechanism and of the implementation of various preventive measures ...
Oszwald M., Westphal R., Bredow J., Calafi A., Hüfner T., Wahl F., Krettek C., Gösling T.. 2010. Robot-assisted fracture reduction using three-dimensional intraoperative fracture visualization: An experimental study on human cadaver femora. Journal of Orthopaedic Research. :1240-1244. ...
Smith NK, Zerillo J, Kim SJ, Efune G, Wang C, Pai S, Chadha R, Kor TM, Wetzel DR, Hall MA, Burton KK, Fukazawa K, Hill B, Spad MA, Wax DB, Lin HM, Liu X, Odeh J, Torsher L, Kindscher JD, Mandell MS, Sakai T, DeMaria S : Intraoperative Cardiac Arrest During Adult Liver Transplantation: Incidence and Risk Factors from 7 Academic Centers in the United States. Anesthesia and Analgesia March 2020 Notes: Online ahead of print: 10.1213/ANE.0000000000004734 ...
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Hello there, dear reader. I am so, so sorry. I am so sorry for everything you are going through. Relationships can be the most rewarding experiences of life, however they can also be the most heart wrenching. If you have been cheated on, abandoned, or abused, my heart goes out to you. I am truly sorry for your loss. If you are currently in an abusive situation and are afraid for the safety of yourself or your children, read on. I want to help you with the following tips:. ...
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Forest plots of peri-procedural complications associated with RD.A, Pooled univariate hazard ratio of patients without RD compared with patients with RD for all
Medical Consultant continued Medications thought to increase the risk of surgical complications that are not essential for short term improvement in quality of life should be held in the perioperative period Muluk V, Macpherson DS. Perioperative medication management. UpToDate Online
The aim of the present study was to investigate the influence of fixation delay and the perioperative ischemia on hypoxia inducible factor (HIF)-1α gene expression, HIF-1α protein expression, and immunohistochemical (IHC) expression of HIF-1α, GLUT-1, Bcl-2, and Ki-67 in colorectal cancer. The study included 25 surgically removed colorectal tumors. Three ...
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A surgical complication is defined as any undesirable result of surgery. Minor complication has little risk but patients are unnessesarily afraid of them too much.
TCFA is committed to patient centered healthcare services providing diagnosis, treatment and management of a wide spectrum of illnesses and diseases. Our providers educate and empower patients about the benefits of holistic coordinated healthcare. An educated patient is more compliant with prescribed treatment regimens thus resulting in better management of chronic illnesses and greater success in overall recovery. Let us help you to enjoy living again on your path to a healthy lifestyle!. Our doctors listen to you and do not treat you as just a number or financial transaction. They actually take time to understand your concerns without making you feel rushed during your visit. TCFA team of professionals makes you feel special and unique while providing:. ...
The arrival of real synthetic blood is also likely to bring with it its own set of serious socioeconomic issues, including ones that have complicated many medical advances that before it.
Complication coding is a hot topic among coding, clinical, and compliance professionals. Its considered to be one of the more challenging aspects of...
Resnik, Randolph R. (2018). "Intraoperative Complications". Misch's Avoiding Complications in Oral Implantology. pp. 267-293. ... It is poorly absorbed and may cause healing complications postoperatively. Regenerated cellulose Collinson, Simon; Thielemans, ...
Holmes, Dennis R. (June 2017). "Early complications after intraoperative radiotherapy revisited". Journal of Surgical Oncology ... Targeted intra-operative radiotherapy, also known as targeted IORT, is a technique of giving radiotherapy to the tissues ... August 2001). "Targeted intra-operative radiotherapy (Targit): an innovative method of treatment for early breast cancer". ... December 2006). "Targeted intraoperative radiotherapy (TARGIT) yields very low recurrence rates when given as a boost". ...
"Manual Small Incision Cataract Surgery: Intraoperative Complications." Archived 2012-02-05 at the Wayback Machine ORBIS ... An iridodialysis may be an iatrogenic complication of any intraocular surgery and at one time they were created intentionally ...
Delaying diagnosis and treatment can result in intraoperative complications. In one case of a clinical study, conducted in 2000 ... Complications that may postoperatively occur include: the development of osteoarthritis around the ankle joint. the development ... partial dorsiflexion of the foot is maintained prior to intraoperative screw fixation. This is because, in a neutral or ...
Awwad JT, Isaacson K (October 1996). "The harmonic scalpel: an intraoperative complication". Obstet Gynecol. 88 (4 Pt 2): 718- ... and poses somewhat less of a risk for electrocution or other potentially fatal complications. A harmonic scalpel cuts via ...
Intraoperative complications are of low risk and include vaginal or pelvic hematoma, bleeding, rectal injury and bladder injury ... Other common complications include urinary problems, abnormal bleeding, organ perforation while some rare complications, such ... "Mesh-related and intraoperative complications of pelvic organ prolapse repair". Central European Journal of Urology. 67 (3): ... due to the high prevalence of complications, including mesh erosion, pain and pelvic infection. Complications may arise from ...
June 2009). "The Intraoperative Complication Rate of Nonobstetric Dilation and Curettage". Obstetrics & Gynecology. 113 (6): ... Managing complications in pregnancy and childbirth: a guide for midwives and doctors. World Health Organization, UNICEF, United ... Aside from the surgery itself, complications related to anesthesia administration may also occur. Infection is uncommon after D ... Untreated Asherman's syndrome, especially if severe, also increases the risk of complications in future pregnancies, such as ...
These regulations have proven to reduce avoidable complications of intraoperative mistakes and resultant postoperative ... The project focuses on four broad areas in which the incidence and cost of complications are high: (1) Surgical site infections ... Such interventions will reduce intraoperative error as a result of personal conflicts and serve to increase efficiency. 2. ... An operating room manager must consider the preoperative, intraoperative and postoperative factors which reflect in patient ...
"Prediction of late ischemic complications after cerebral aneurysm surgery by the intraoperative measurement of cerebral blood ...
Confirmation of Endotracheal Tube Placement Predictor of Outcomes in the Intensive Care Unit Intraoperative Complications (ie. ...
... (IFIS) is a complication that may occur during cataract extraction in certain patients. ... Wong, A. C. M.; Mak, S. T. (2011). "Finasteride-associated cataract and intraoperative floppy-iris syndrome". Journal of ... Issa, S. A.; Dagres, E. (2007). "Intraoperative floppy-iris syndrome and finasteride intake". Journal of Cataract & Refractive ... Chang, D.; Campbell, J. (April 2005). "Intraoperative floppy iris syndrome associated with tamsulosin". J Cataract Refract Surg ...
Other factors predicting poorer surgical outcomes include intraoperative complications, incomplete surgery, lung disease beyond ... Fibrothorax may occur as a complication of many diseases, including infection of the pleural space known as an empyema or ... The outlook is usually good as long as there is no underlying pulmonary fibrosis or complications following surgery. The ... Fibrothorax may occur as a complication of other diseases. Symptoms of the underlying problem are sometimes seen, for example, ...
The coronary arteries are carefully mapped out in order to avoid unexpected intra-operative complications in transferring them ... A direct connection of the pulmonary artery reduced the incidence of this complication The world's smallest infant to survive ... Under preferable conditions, the intra-operative and post-operative success rate is 90% or more, with a comparable survival ... pericardial patch for pulmonary artery reconstruction and using a direct connection reduced the incidence of this complication ...
More than one code required in case of changes of the surgical site or intra-operative complications Inclusion and exclusion ...
... the use of an intraoperative shunt may prevent complications such as paraplegia. Simon Gelman; The Pathophysiology of Aortic ...
There was a high probability of intraoperative and postoperative surgical complication like infection or bleeding The ...
While shown to be effective, surgical resection has many potential complications, including difficult intraoperative ...
Intraoperative Complications: Bleeding", Misch's Avoiding Complications in Oral Implantology, Mosby, pp. 267-293, doi:10.1016/ ... Intraoperative Complications: Infection", Misch's Avoiding Complications in Oral Implantology, Mosby, pp. 294-328, doi:10.1016/ ... Complications of Sleep Surgery", Complications in Head and Neck Surgery (Second Edition), Philadelphia: Mosby, pp. 331-342, doi ...
Other complications are described: intraoperative hemorrhage due to pelvic large vessel lesion, ureter or bladder accidental ... The most important complications are ureteral, ureterovaginal, and vesicovaginal fistulae, appearing during the immediate ...
Intraoperative Complications: Bleeding", Misch's Avoiding Complications in Oral Implantology, Mosby, pp. 267-293, doi:10.1016/ ...
Any condition that probably increases the risk of intraoperative or postoperative complications: cardiovascular disease ...
A common but devastating complication of intraoperative awareness with recall is the development of post-traumatic stress ... intraoperative awareness with explicit recall). Intraoperative awareness with explicit recall is an infrequent condition with ... an American activist who experienced intraoperative awareness with recall Mashour GA, Avidan MS (July 2015). "Intraoperative ... Intraoperative awareness can present with a variety of signs and symptoms. A large proportion of patients report vague, ...
... are prone to developing a surgical complication known as intraoperative floppy iris syndrome (IFIS), which must be correctly ... Intraoperative wavefront analysis, such as that provided by the ORA System developed by Wavetec Visions Systems, can be used to ... Other possible complications include: Swelling or edema of the cornea, sometimes associated with cloudy vision, which may be ... The procedure has a relatively high rate of complications due to the large incision required and pressure placed on the ...
... risks greater neurological damage due to intra-operative spinal cord injury which in turn would yield further complications. ... This is in turn puts the patient at further risk for more complications such as a urinary tract infection. Giles Brindley ... Patients that have lost functional limb control due to spinal cord injuries often have further complications past the point of ... One twenty-nine-year-old male cervical spinal cord injury patient had severe complications with a sacral anterior root ...
... and complications". Surgical Oncology. 22 (1): 22-35. doi:10.1016/j.suronc.2012.11.001. PMC 4663079. PMID 23270946. Kraus- ... Intraoperative radiation therapy Cancer Treatment Centers of America Internal radiation therapy, Intraoperative ... Abe M. History of Intraoperative radiation therapy. In:Debelbower RR, Abe M (eds) Intraoperative radiation therapy. CRC, Boca ... Brachytherapy External beam radiotherapy (EBRT) Intraoperative electron radiation therapy (IOERT) Targeted intra-operative ...
The diabetic population is more susceptible to the risks of fracture and potential healing complications and infection that may ... and decreased intraoperative time. However, this procedure has increased risk of inadequate calcaneal bone fixation, compared ... This technique is associated with less wound complications, better soft tissue healing (because of less soft tissue manipulati ... Soft tissue involvement should be evaluated because of the association with serious complications (see below). Evaluating soft- ...
The most common complication associated with penile implant placement appears to be infections with reported rates of 1-3%. ... The residual curvature after penile implant placement usually requires intraoperative surgical intervention. ... The rate of repeat surgeries or device replacements ranges from 6% to 13%. Other reported complications include perforation of ... Krzastek, Sarah C.; Smith, Ryan (8 January 2019). "An update on the best approaches to prevent complications in penile ...
... surgery is generally the result of intra-operative contamination of the prosthesis or a bacteraemic post-operative complication ... A clear picture concerning the exactitude of thrombotic and embolic complications of artificial heart valves, and especially of ... Similar conclusions about the relationship between age and valve related complications were published about porcine valves. The ... such complications, 'grosso modo', would have occurred at about the same rate as reported by the users of the Ionescu valve as ...
... to the widespread adoption of IORT because they added significant cost to treatment as well as logistical complications to ... Radiation Therapy Intraoperative Radiation Therapy (Proceedings of the Third International Symposium on Intraoperative) edited ... Abe M. History of Intraoperative radiation therapy. In:Debelbower RR, Abe M (eds) Intraoperative radiation therapy. CRC, Boca ... External beam radiotherapy (EBRT) Intraoperative radiation therapy (IORT) Targeted intraoperative radiotherapy (TARGIT) ...
Intra-operative MRI is used to guide brain tumor surgery as well as placement of deep brain stimulation electrodes and ... Trans-Aortic Valve Implantation requires exact positioning of the valve in the aortic root to prevent complications. A good ... Using advanced intra-operative imaging in the operating rooms helps to precisely locate and resect the lesion in a potentially ... Intraoperative acquisition of a cone beam computed tomography image can also be used to reconstruct three dimensional CT-like ...
Another possible complication is an empyema, in which pus collects inside the lungs. If continual aspiration occurs, the ... Nason KS (August 2015). "Acute Intraoperative Pulmonary Aspiration". Thoracic Surgery Clinics. 25 (3): 301-7. doi:10.1016/j. ... The third complication occurs after inhalation of particulate matter that obstructs airways. The patients will have sudden ... Complications may occur, such as exudative pleural effusion, empyema, and lung abscesses. If left untreated, aspiration ...
Complications of surgery can include injury to the bladder, rectum, or ureter, especially in cases where there has been tissue ... Surgeons typically perform intraoperative cystoscopy with dye to assess potential bladder or ureter injuries. Vaginal ... Though it is a rare complication, as the popularity of laparoscopic hysterectomy has risen, the rate of vaginal evisceration ... Cellulitis, abscesses, hematomas, and other complications can appear at the same time as an evisceration. Abscesses and ...
Complications may also arise from the increased workload for the kidney as it secretes erythropoietin to stimulate the bone ... machinery is used for intraoperative blood salvage. A centrifuge process takes blood from the patient, washes the red blood ... Pulmonary hypertension has been gaining recognition as a complication of chronic hereditary and acquired hemolysis. Free ...
Also, complications of surgery may occur, such as bleeding within the brain. After surgery, swelling of the brain tissue, mild ... During the asleep procedure, intraoperative MRI guidance is used for direct visualization of brain tissue and device. The ... DBS carries the risks of major surgery, with a complication rate related to the experience of the surgical team. The major ... The procedure is well tolerated, but complications include "short battery life, abrupt symptom worsening upon cessation of ...
This complication is related to the impact that alpha and beta-adrenoceptor antagonists have on blood vessels combined with the ... Buhl T, Mortensen J, Kjaer A (March 2002). "I-123 MIBG imaging and intraoperative localization of metastatic pheochromocytoma: ... The study examined the intraoperative maximal systolic arterial pressure in people with and without alpha-adrenoceptor blockade ... Unmanaged pheochromocytoma is dangerous and can lead to serious complications, including death. The cardiovascular system is ...
Because every surgery comes along with some kind of risk, possible complications are an injury of the structures on the way to ... the disc space (like nerves, trachea and esophagus or vessels), resulting in intraoperative blood loss, apoplexy, postoperative ... Possible serious complications can be complete or incomplete tetraplegia, pneumonia or unnoticed injury of the esophagus. ... if the animal does not suffer from pulmonary complications." In terms of today's statistical basis surgeons are not able to ...
This complication can range from mild forms, which are easy to address during the operation, to more severe forms. If not ... An intraoperative cholangiogram, which is an X-Ray of the bile ducts during a laprascopic cholecystectomy Deep dissection of ... "Intraoperative cholangiography in cholecystectomy". Swedish Agency for Health Technology Assessment and Assessment ... Such injury can be prevented by routinely using X-ray investigation of the bile ducts (intraoperative cholangiography (IOC)). ...
"American Dental Association - Recognition and Management of Complications during Minimal and Moderate Sedation Course, Part 2 ... Rosenberg, MB; Campbell, RL (1991). "Guidelines for intraoperative monitoring of dental patients undergoing conscious sedation ... and General Anesthesia The promulgation and adoption of intraoperative monitoring standards in medicine for anesthesia has ... detailed monitoring standards with universal applicability in the dental setting Guidelines for Intraoperative Monitoring of ...
Intraoperative radiation therapy (IORT) is applying therapeutic levels of radiation to a target area, such as a cancer tumor, ... It is the most commonly reported complication in breast radiation therapy patients who receive adjuvant axillary radiotherapy ... March 2008). "Targeted intraoperative radiotherapy impairs the stimulation of breast cancer cell proliferation and invasion ... Fuccio L, Guido A, Andreyev HJ (December 2012). "Management of intestinal complications in patients with pelvic radiation ...
Hypotension and its complications (such as weakness and dizziness) are a constant risk, however, even though a selective alpha- ... Brogden, PR; Backhouse, OC; Saldana, M (2007). "Intraoperative floppy iris syndrome associated with tamsulosin". Can Fam ...
Intraoperative blood salvage is a technique which recycles and cleans blood from a patient during an operation and redirects it ... experience fewer complications, and are able to be discharged home more quickly. Knocking, a documentary on Jehovah's Witnesses ... especially in light of recent studies that suggest that blood transfusions can increase the risk of complications and reduce ...
Intraoperative neurophysiological monitoring can also be used. Examples of commonly used biomarkers are adrenaline, cortisol, ... "Surgical stress and postoperative complications related to regional and radical mastectomy in dogs". Acta Veterinaria ... Moreover, they can be performed both in the intraoperative or postoperative period. If there is a choice between different ... Höglund, OV; Hagman, R; Olsson, K; Olsson, U; Lagerstedt, AS (Aug 8, 2014). "Intraoperative Changes in Blood Pressure, Heart ...
In clinical studies, EVH has shown important benefits, including a reduced risk of infection and wound complications; less ... Thatte HS (2001). "The coronary artery bypass conduit: I. Intraoperative endothelial injury and its implication on graft ... The study compared more than 8,500 propensity-adjusted patients and revealed that EVH significantly reduced wound complications ... Crouch JD (1999). "Open versus endoscopic saphenous vein harvesting: wound complications and vein quality". Annals of Thoracic ...
On the other hand, such LPS would not be able to induce septic shock in susceptible patients, rendering septic complications ... Curr Drug Targets 19(13):1550-1559 McCartney SL, Duce L, Ghadimi K (2018) Intraoperative vasoplegia: methylene blue to the ... Melis M, Fichera A, Ferguson MK (July 2006). "Bowel necrosis associated with early jejunal tube feeding: A complication of ...
As this complication is fairly common, it is normal in this procedure for the surgeon to leave a drain in place at the end. ... the pylorus preserving pancreaticoduodenectomy technique is associated with shorter operation time and less intraoperative ... Post-operative complications, hospital mortality and survival do not differ between the two methods. Pancreaticoduodenectomy is ... Testini, M; Regina, G; Todisco, C; Verzillo, F; Di Venere, B; Nacchiero, M (1998). "An unusual complication resulting from ...
While generally benign, it may herald three complications of pregnancy: pre-eclampsia, HELLP syndrome and eclampsia. Follow-up ... or hypervolemia from excessive intraoperative fluid therapy; and in the 24 to 48 hours after the postoperative period as fluid ... Giacchetti G, Turchi F, Boscaro M, Ronconi V (April 2009). "Management of primary aldosteronism: its complications and their ...
Intraoperative blood salvage (autologous) or cell-saver scavenging, a method of collecting blood that has spilled from the ... "Witnesses do not appear to be at increased risk for surgical complications or long-term mortality when comparisons are properly ...
June 8, 2017). "Intraoperative hypothermia and its clinical outcomes in patients undergoing general anesthesia: National study ... is associated with increased risk of infectious and non-infections complications, longer post-operative ICU and overall ... Mahoney CB; Odom J. (April 1999). "Maintaining intraoperative normothermia: a meta-analysis of outcomes with costs". Aana J. 67 ... "Intraoperative local insufflation of warmed humidified CO₂ increases open wound and core temperatures: a randomized clinical ...
Serious and permanent complications are rare but are usually related to physiologic effects on the cardiovascular system and ... Balki, M.; Carvalho, J.C.A. (July 2005). "Intraoperative nausea and vomiting during cesarean section under regional anesthesia ... Most of the common side effects are minor and are self-resolving or easily treatable while major complications can result in ... Common and minor complications include: Mild hypotension Bradycardia Nausea and vomiting Transient neurological symptoms (lower ...
Intraoperative sonography offers invaluable assistance in such cases by localizing small schwannomas and decreasing operative ... and other neurological complications, excluding hallmark signs of NF. The exact frequency of schwannomatosis cases is unknown, ... Senchenkov A, Kriegel A, Staren ED, Allison DC (September 2005). "Use of intraoperative ultrasound in excision of multiple ...
Siti Masfufah Wardah, 12, from Probolinggo, Indonesia, was declared dead from chronic diabetes with organ complications. After ... 2001). "Survival After Failed Intraoperative Resuscitation: A Case of "Lazarus Syndrome"". Anesthesia & Analgesia. 92 (3): 690- ... due to complications from a stomach infection but at her funeral, family members noticed she was breathing and had a pulse. She ...
Complications of MALS result from chronic compression of the celiac artery. They include gastroparesis and aneurysm of the ... for example by intraoperative duplex ultrasound. If blood flow is poor, celiac artery revascularization is usually attempted; ...
The culmination of experiences led Wittmann to begin to develop a means to keep the abdominal wall safely open for serial intra-operative ... to reverse the detrimental effects of the abdominal compartment syndrome and to treat imminent intra abdominal complications ...
Complications can include muscle breakdown and high blood potassium. Most people who are susceptible to MH are generally ... Isaak RS, Stiegler MP (2015). "Review of crisis resource management (CRM) principles in the setting of intraoperative malignant ... Complications of surgical and medical care, Wikipedia medicine articles ready to translate, Wikipedia emergency medicine ...
Complications. A common complication is ischemia of the overlying skin paddle, resulting in delayed healing or partial or ... The rate of perineal complications, major and minor, occurring within the first 30 days post surgery were 25.9% and 14.8%, ... However, flap reconstruction was also associated with a higher rate of local infectious complications, although the ... or major wound complications, although superficial skin dehiscence occurred in one patient, and perineal hernia developed in ...
JavaScript is disabled for your browser. Some features of this site may not work without it ...
The frequency of major and minor complications fell sharply after the first 150 operations and was maintained. This study may ... Intraoperative complications of 1000 phacoemulsification procedures: a prospective study J Cataract Refract Surg. 1998 Oct;24( ... Purpose: To determine the frequency and nature of intraoperative complications of endocapsular phacoemulsification cataract ... The incidence of major complications was 9.3% in the first 150 cases and 0.9% in the last 850. This represents a relative risk ...
Intraoperative Details. Insertion of implants. Many different implants are available for nasal reconstruction. These implants ...
22/03/2016 Definition and classification of intraoperative complications (CLASSIC): Delphi study and pilot evaluation ...
Intraoperative complications. Uterine lacerations, especially of the lower uterine segment, are more common with a transverse ... Uterine atony is another intraoperative complication that can be encountered in a patient with a multiple gestation, ... A recent review reported a severe complication rate of 0.24% and a cesarean section rate secondary to complications of 0.34%. [ ... attempting vaginal delivery places both the mother and the fetus at risk for hemorrhagic complications. This complication has ...
Intraoperative Complications and Early Implant Failure After Transcrestal Sinus Floor Elevation With Residual Bone Height ≤5 mm ... Intraoperative complications and early implant failure after transcrestal sinus floor elevation with residual bone height ≤5 mm ...
Results of search for su:{Intraoperative complications} Refine your search. *. Availability. * Limit to currently available ...
Complications. Risks of tip refining techniques include tip asymmetry and bossa formation. Development of a polly beak ... Intraoperative Details. Suture control. Dome-binding sutures can be used to narrow a bulbous tip. A conservative resection of ... with no postoperative complications out of 120 patients and revision surgery required in just six cases. [9] ...
An unusual complication following mitral valve surgery and use of intra-operative transoesophageal echocardiography. ... Murugesan C, Banakal S, Muralidhar K. An unusual complication following mitral valve surgery and use of intra-operative ...
Intraoperative Complications [‎5]‎. Intrauterine Devices [‎42]‎. Intrauterine Devices, Copper [‎2]‎. Intrauterine Devices, ...
Perioperative and intraoperative complications. Patients with DCAN exhibit a two to threefold increase in perioperative ... T2DM and its complications are the main causes of premature deaths in many countries [5]. Its complications can compromise the ... DCAN is a complication that confers a higher morbidity and mortality from cardiovascular and all causes [1, 4, 7-13]. The ... Soedamah-Muthu SS, Chaturvedi N, Witte DR, Stevens LK, Porta M, Fuller JH; EURODIAB Prospective Complications Study Group. ...
Severe Intraoperative Hyperglycemia and Infectious Complications After Elective Brain Neurosurgical Procedures. November 4, ... Severe intraoperative hyperglycemia (SIH) contributes to both infectious and noninfectious postoperative complications. However ... SIH was recorded in at least 1 blood sample in 23 patients (4.5%). Infectious complications within the first postoperative week ... Postoperative infections after brain surgery are a serious complication potentially worsening the outcome of surgical treatment ...
Intraoperative cerebral oximetry in open heart surgeries reduced postoperative complicatio Intraoperative cerebral oximetry in ... Cardiothoracic surgeries are life-saving procedures but often it results in various complications. Intraoperative cerebral ... The main aim of the present study was to evaluate the association of intraoperative cerebral oxygen monitoring during cardiac ... Postoperative complications revealed that there were significant differences for risk of mortality (p. renal failure that ...
Incidence of intraoperative complications was 2.78 %. Incidence of Intraoperative complications were more previous 2 LSCS cases ... Present study was aimed to study various intraoperative complications observed in lower segment caesarean section (LSCS) ... with intraoperative readiness for additional procedures is need of hour to reduce morbidity & mortality in patients undergoing ... Intra-operative complications noted were extension of uterine incision (32.99 %), difficult delivery (27.84 %), intra operative ...
There were 8 intraoperative complications (0.8%). All 5 rectal injuries and the single ureteral injury were detected during the ... Intraoperative and postoperative complications of radical retropubic prostatectomy in a consecutive series of 1,000 cases ... All long-term complications were identified. The complication rate was calculated using the Kaplan-Meier method. The overall ... Of the patients 98% had no intraoperative or postoperative complications. Our series enables appropriate contemporary ...
A comparative study of intraoperative complications of pseudoexfoliation in manual small incision cataract surgery and ... A comparative study of intraoperative complications of pseudoexfoliation in manual small incision cataract surgery and ... A comparative study of intraoperative complications of pseudoexfoliation in manual small incision cataract surgery and ... undergoing Manual Small Incision Cataract Surgery are at a higher risk for the development of intraoperative complications as ...
Home / Int J Res Health Sci, Vol 6, Issue 4, 2018 / Study of different intraoperative and postoperative complications during ... Study of different intraoperative and postoperative complications during cataract surgery in eyes with pseudoexfoliation. ... Study of different intraoperative and postoperative complications during cataract surgery in eyes with pseudoexfoliation ... Keywords:BCVA (best corrected visual acuity), Cataract surgery, Intraoperative & postoperative complications, Poor pupillary ...
... intraoperative complications; 4) transfusion of more than 3 blood component units during surgery or in the immediate ... Pulmonary complications of open-heart operations: their pathogenesis and avoidance. Cleve Clin Q 1958; 25: 65-83. ... Pulmonary complications of open-heart operations: their pathogenesis and avoidance. Cleve Clin Q 1958; 25: 65-83. ... All patients were discharged from the ICU to the ward within 72 h without postoperative complications and from the hospital ...
There were no intraoperative complications. One cat with a poor preoperative status died at postoperative day 3 from pneumonia ... The complications observed after TOVBO were similar to those for VBO. In cats, TOVBO seems to be an acceptable and safe ... Eight cats experienced postoperative complications including head tilt (n = 2), Horner syndrome (3), loss of appetite (2), and ...
In implant therapy, some surgical complications may be minor and not affect the outcome of treatment, whereas others may be ... In this Learning Pathway, the common surgical complications that may be encountered are discussed. The Learning Pathway also ... Surgical complications are unintended, unwanted and unexpected adverse events that may occur during or following a surgical ... looks at different techniques and strategies that aim to reduce risk of intra-operative surgical complications and reports on ...
... parenchymal dissection and management of intraoperative complications were prohibitive. Furthermore, it was unknown if port- ... 6. Postoperative complications. The main postoperative complications include postoperative hemorrhage, liver dysfunction, ... One example is intra-operative near-infrared fluorescence (NIF) imaging. NIF imaging has become commonplace in many ... Intraoperative ultrasound is routinely used for real-time localization of liver tumors and identification of vessels and ...
Intraoperative and postoperative complication rates were comparable between both groups (table 3). There was a trend towards a ... Intraoperative complications and those occurring ≤1 month postoperatively were tabulated. Central corneal endothelial cell ... as well as incidence of intraoperative and postoperative complications. ... No direct complications were caused by the miLOOP. In two cases, capsular tears occurred during IOL implantation and in all ...
There were no intraoperative or postoperative complications. Comparison of preoperative and final clinical metrics demonstrated ... There were no intraoperative or postoperative complications. Comparison of preoperative and final clinical metrics demonstrated ... There were no intraoperative or postoperative complications. Comparison of preoperative and final clinical metrics demonstrated ... There were no cases with a perioperative complication (i.e., no deaths, medical complications, worsening neurological status, ...
No intra-operative or post-operative complications have been reported to date. Conclusion: CaEP may be a promising short-term ...
... accounted for the only intraoperative complication; 90-day mortality was zero. Postoperative complications were noted in total ... No major complications, mesh exposure, or mesh complication occurred during the follow-up period. Conclusion: In clinical ... 11 days, p , 0.0001), and a reduced need for intraoperative transfusions (12% vs. 25%, p = 0.047) compared to OH. R0 status was ... Intraoperative blood loss and number of blood units transfused served as the primary endpoints. Secondary endpoints were ...
... the neurosurgeon should therefore be aware of this possible intraoperative complication.. The survival of patients with HCC and ... Intraoperative photos showing. (a) Brain MRI sequence with GD in T1 showing lesion with homogeneous enhancement contrast in ...
There were no intraoperative complications. Operative times ranged from 174-273 minutes. Estimated blood loss ranged from 10- ... Patients were discharged on postoperative day 1. No major complications occurred within 90 days of discharge. Renal function ... allows for intraoperative ureteral assessment with ICG fluorescence and can successfully create a tension-free and watertight ...
There were no intraoperative complications. The median operative time was 456 min (range, 372-600). The median time to create ... Two of them had this complication successfully managed conservatively and 1 surgically. Daytime urinary continence was good or ... Main outcome measures were surgical complications, continence rate, neobladder function, and oncologic outcome. ... complication rates, and outcomes of this procedure. ...
  • To determine the frequency and nature of intraoperative complications of endocapsular phacoemulsification cataract surgery. (
  • 1.To compare the frequency and types of complications of small incision cataract surgery (SICS) and phacoemulsification surgery in patients with cataract with associated Pseudoexfoliation. (
  • Patients with pseudoexfoliation syndrome undergoing Manual Small Incision Cataract Surgery are at a higher risk for the development of intraoperative complications as compared to Phacoemulsification surgery. (
  • 1) To study the different intraoperative & early postoperative complications during cataract surgery in eyes with pseudoexfoliation and to record the best corrected visual acuity at 8 wks postoperatively. (
  • surgeons should be aware of potential complications during cataract surgery in pxf eyes & adequate measures should be taken to prevent intraoperative complications, these include surgical modifications such as sphincterectomy & or bimanual pupil stretching, use of iris hooks in eyes with inadequate mydriasis. (
  • Purpose To confirm the presence of incomplete vitreo-lenticular adhesion via microscope-integrated intraoperative optical coherence tomography (iOCT) during cataract surgery and via diagnostic spectral-domain OCT postoperatively. (
  • A common yet feared complication of cataract surgery, posterior capsular rent may lead to sub-optimal visual outcomes If not recognized early or managed appropriately. (
  • Outcome measures were phacoemulsification efficiency as measured by ultrasound energy (cumulative dispersed energy (CDE) units) and fluidics requirements (total irrigation fluid used) as well as incidence of intraoperative and postoperative complications. (
  • Preoperative assessment by history, previous records, ultrasonography (placental location & invasion) with intraoperative readiness for additional procedures is need of hour to reduce morbidity & mortality in patients undergoing LSCS. (
  • Beyond the preoperative imaging and anatomical landmarks, respecting the detailed vasculature in each individual patient by application of intraoperative CT angio offer a complementary, live and acurate method to reach the most valuable safety. (
  • Conclusion In patients undergoing surgery for gynecological cancer, preoperative evaluation of performance status according to ECOG, domains of quality of life and nutritional status, as well as intraoperative monitoring of risk factors, might help to identify patients at high risk for severe postoperative complications, and thus reduce surgical morbidity and mortality. (
  • Our case report showed that the use of advanced noninvasive preoperative imaging techniques and intraoperative fluorescent imaging are valuable tools and should be taken into consideration in selected cases to avoid postoperative complications. (
  • Optimization of noninvasive preoperative imaging techniques and intraoperative fluorescent imaging are valuable tools and should be taken into consideration when performing PTX consecutively in the same patient to avoid postoperative complications. (
  • The essential points of perioperative (preoperative, intraoperative, and postoperative) nursing care. (
  • Data recorded included pre-existing ocular abnormalities, duration of surgery, nuclear sclerosis grade, and intraoperative complications. (
  • IMSEAR at SEARO: An unusual complication following mitral valve surgery and use of intra-operative transoesophageal echocardiography. (
  • Postoperative infections after brain surgery are a serious complication potentially worsening the outcome of surgical treatment. (
  • Intraoperative cerebral oximetry monitoring used to detect regional cerebral oxygen saturation (rScO2) is a non-invasive method that provides prognostic importance in cardiac surgery . (
  • The main aim of the present study was to evaluate the association of intraoperative cerebral oxygen monitoring during cardiac surgery on postoperative complications . (
  • Each case was examined clinically and an elaborative study of history based on chief complaints, significant risk factors, investigations, time and type of surgery performed and intraoperative and postoperative events were recorded. (
  • How to Avoid Surgical Complications in Implant Surgery? (
  • A simple apparatus designed to retract the panniculus of an obese patient might reduce complications when performing abdominal surgery in such cases. (
  • During surgery, no signs of synovitis were noted, and 5 intraoperative cultures were negative. (
  • Complications that affect patients during surgery. (
  • Further resection of surgical boundaries monitoring function along intraoperative motor tasks with no direct electrical stimulation corroborated by intraoperative-neuromonitorization was completed as the final part of the surgery. (
  • The static VAS score, QoR15 score, and block-related complications within 48 hours after surgery were better in the RIB group than in the PVB group (p (
  • Background Surgery for gynecological cancer involves highly invasive and complex procedures potentially associated with various complications, which can cause extended hospital stays and delay of subsequent therapy, with a detrimental effect on the prognosis. (
  • The aim of this study was to explore and define the predictors of severe postoperative complications in patients undergoing surgery for gynecologic cancer. (
  • Our research is already showing that robotic surgery can decrease intra-operative radiation to patients in the operating room, as well as improve accuracy of surgery and decrease patient complications. (
  • Captain dies after extremely heavy physical exertion at building fire from complications of mitral valve surgery - Kansas. (
  • Informed consent - Your neurosurgeon will discuss the potential benefits, risks and complications that may result from the surgery, any alternative treatments, operative procedure, peri-operative investigations and estimated duration of surgery to you. (
  • 2017. Intraoperative Death During Cervical Spinal Surgery: A Retrospective Multicenter Study. . (
  • The Learning Pathway also looks at different techniques and strategies that aim to reduce risk of intra-operative surgical complications and reports on the consensus as to effectiveness at the present time. (
  • There was no intra-operative concern or complication related to the CVC. (
  • Complications included eight (16.3%) intra-operative calcar fractures, which healed uneventfully. (
  • The freehand pedicle screw insertion method depends on the surgeon's physical response and expertise to point out accurate anatomical marks for the correct screw entry point, without the need of intraoperative imaging tools or with minimal requirement of intra-operative fluoroscopy. (
  • Intraoperative optical coherence tomography (OCT) is a newer modality which is increasingly gaining acceptance by both anterior and posterior segment surgeons. (
  • Several teaching points are demonstrated in the video that include the importance of intraoperative ultrasound, caval control, caval excision, anastomotic technique, excision of the redundant graft and reanastomosis. (
  • We like buccal mucosa grafts because of its excellent short and long-term results, low post-operative complication rate, and relative ease of use. (
  • An observational study of intraoperative ventilator management and post-operative pulmonary complications. (
  • The laparoscopic nerve-sparing eradication of Deep Endometriosis of the urinary tract is the way to provide good results in terms of symptoms' control and relapses, an improvement of quality of life with a low post-operative complications rate. (
  • Ultrasound is being increasingly used to aid the placement of central venous catheters and has been demonstrated to decrease associated complications. (
  • We present two separate cases of rare complications of ultrasound guided CVC insertion. (
  • Comparative analysis of CT scan, PET scan, and CT angioportogram with intraoperative ultrasound in detecting liver metastases. (
  • In general, with all operations around the spine there are potential complications relating to the anesthesia, as well as risks of bleeding and wound infection. (
  • Use of optimizing strategies such as perioperative botulinum injections and intraoperative O-arm navigation should be considered. (
  • The patient was discharged home less than 48 hours postoperatively and experienced no perioperative or postoperative complications. (
  • Diabetic cardiovascular autonomic neuropathy is a frequent complication in diabetic patients, often underdiagnosed. (
  • Hypoxemia is a frequent complication after coronary artery bypass graft (CABG) with cardiopulmonary bypass (CPB), usually attributed to atelectasis. (
  • Respiratory dysfunction is one of the most frequent complications after coronary artery bypass graft (CABG) with cardiopulmonary bypass (CPB), even in the absence of previous pulmonary diseases (1). (
  • As previous studies reported, an intraoperative vessels injury was more frequent during the left upper lobectomy [15-17], this study anatomically analyzed the branches and courses of subsegmental PVs, which are characterized by considerable diversity in the branching patterns of blood vessels and bronchi, in the left upper lobe (LUL) of lung. (
  • Postoperative sore throat is relatively frequent complication after orotracheal intubation. (
  • Caesarean section is probably the most common surgical procedure carried out in the field of obstetrics in both industrialized and low-income countries.The risk of complications increases with increasing number of cesarean sections with subsequent adverse fetal and maternal. (
  • Surgical complications are unintended, unwanted and unexpected adverse events that may occur during or following a surgical procedure. (
  • We aimed to describe our preliminary experience in creating an ileal orthotopic urinary conduit in patients with a history of pelvic irradiation undergoing pelvic exenteration for recurrent cervical cancer and to evaluate the feasibility, complication rates, and outcomes of this procedure. (
  • There was no observed peri-procedure difficulty or complication. (
  • As with any surgical procedure, there are risks of C-Section complications. (
  • Complications for these procedures includes bleeding (the percutaneous procedure has less risk 1,4 ), pneumothorax or pneumomediastinum due to a false tract or perforation, esophageal perforation, tracheal ring fracture, or loss of the airway. (
  • To understand the value of intraoperative angiogram in the prevention of complications in SEEG procedure. (
  • The procedure was completed without complications, and the patient's symptoms resolved. (
  • During the surgical procedure were evaluated the radiographic position classifications of all third molars removed, using methods such as osteotomy and/or tooth section, time for the procedure and occurrence of any complication. (
  • These are the complications which may happen during the procedure of flap making ( step 1 ), though with the usage of latest hi tech flap makers these are very rare. (
  • The Mitrofanoff procedure is a feasible and acceptable option, with a low complication rate, for use as part of complex urinary reconstruction in a developing country. (
  • This image depicted an intraoperative view of a surgical procedure involving the removal of an ectopic pregnancy. (
  • There were no intraoperative ocular or anesthesia-related complications. (
  • Postoperative sore throat is a common complication following general anesthesia with orotracheal intubation. (
  • Intraoperative manual reduction of laterocollis is possible after general endotracheal anesthesia, and continuous neuromonitoring is established. (
  • ABSTRACT Objective: To identify the influence of the variables sex, age, type of anesthesia, occurrence of intraoperative complications, pain and surgical complexity on the Aldrete-Kroulik Scoring System in patients in the immediate postoperative period, in the post-anesthesia care unit. (
  • A relatively common complication of CPB is vasoplegia, which has an approximate incidence of anywhere from 5-25% 1-8 . (
  • Moreover the literature suggests that the thrombosis and infective complications are relevant to the duration of the pump treatment, while the ischemic problems of the limbs are mostly linked to the atherosclerotic status of the common femoral artery. (
  • The surgeon had not changed his infection control procedures recently and had not been aware of any infective complications previously. (
  • The two patients underwent similar reimplantation operations, both with uneventful intraoperative complications. (
  • The operation was uneventful and intraoperative neuromonitoring was used to help prevent. (
  • Secondary outcomes included: control of uveitis, development of or prevention of complications in the eye related to uveitis, ocular and systemic side effects associated with treatment, and quality of life measures. (
  • Intraoperative fluoroscopy and serial radiography only measures the penetration of screw depth but cannot detect screw malpositioning. (
  • In implant therapy, some surgical complications may be minor and not affect the outcome of treatment, whereas others may be severe enough to not only affect the function and survival of implants and their prostheses but also pose a general threat to the patient. (
  • Main Outcome Measures Length of hospital stay, surgical complications, and extent of resection. (
  • An intraoperative evaluation of the ureters after ureterolysis is mandatory to determine the surgical outcome. (
  • RESULTS: Identified risk factors that negatively influenced the postoperative outcome were: diabetes, personal neoplastic pathologies, associated cardiovascular disease, history of major surgeries, intraoperative blood loss, number of resected organs. (
  • On the contrary, the low occurrence of ischemia in some other studies, may be possibly linked to the fact that the patients died following a cardiogenic shock before the development of the clinical diagnosis of vascular complications. (
  • CONCLUSION: When performing Nd:YAG laser capsulotomy in the operating room, the lateral decubitus position allows an easy and safe approach without the risk of potentially devastating complications that have been associated with the previously described sitting and prone positions. (
  • Intraoperative cerebral oximetry in open heart surgeries reduced postoperative complications: A retrospective study. (
  • Cardiothoracic surgeries are life -saving procedures but often it results in various complications . (
  • Present study was aimed to study various intraoperative complications observed in lower segment caesarean section (LSCS) surgeries at a District hospital. (
  • Present study was hospital based, prospective, observational study, conducted in LSCS surgeries conducted at our hospital, had intraoperative surgical complication/s. (
  • Nuclear fragmentation also reduces the likelihood of intraoperative posterior capsule rupture (PCR) because most nuclear emulsification occurs in the pupillary or supracapsular plane, a safe distance from the posterior capsule. (
  • These findings underline the usefulness of intraoperative CT angio. (
  • The intraoperative findings indicated that the microaneurysm at the bifurcation of the left MCA was the ruptured site. (
  • HUMAN BRUCELLOSIS IN NORTHERN SAUDI ARABIA OBJECTIVE: Analysis of the clinical features, laboratory findings, treatment given and complications seen in brucellosis patients at the Northern Area Armed Forces Hospital, Hafr Al-Batin, Kingdom of Saudi Arabia. (
  • Background : Although a clear understanding of the anatomical characteristics of the pulmonary veins (PVs) is essential for the successful performance of segmentectomy and is important to avoid intraoperative pulmonary vessels injury, there is no report showing the relations between the branching patterns of PVs and pulmonary arteries (PAs). (
  • This scoping review aims to collate the current evidence of COVID-19-related gastrointestinal ischaemia and raise awareness among healthcare professionals of this lesser known, but serious, non-pulmonary complication of COVID-19 infection. (
  • This is the ideal approach for UES repair because it requires less mobilization of surrounding structures, allows for intraoperative ureteral assessment with ICG fluorescence and can successfully create a tension-free and watertight anastomosis. (
  • Intraoperative angiography with fluorescence and indocyanine green dye was used to assess the vascularization of the remaining PGs. (
  • Open prostatectomy is a traditional and more invasive form of prostatectomy that involves a larger incision and thus the potential for more complications. (
  • Several mini-incision techniques were introduced to avoid such complications. (
  • Treating VS with methylene blue after CPB has shown significantly quicker recovery and normal hemodynamics, shorter duration of vasopressor infusions, less incidence of renal complications, shorter length of stay (LOS) and less 30-day mortality 6 . (
  • The incidence of major complications was 9.3% in the first 150 cases and 0.9% in the last 850. (
  • No major complications occurred within 90 days of discharge. (
  • Key technical considerations include the choice of surgical approach and the adoption of measures to reduce complications. (
  • Adhesions can also lead to future pregnancy complications such as placenta previa or placental abruption 3 . (
  • La ingesta de N-acetilcisteína, con o sin otros medicamentos, podría ayudar a prevenir problemas renales causados por los tintes que se usan durante algunos exámenes de rayos X. Pero solo parece ayudar en personas que ya tienen una función renal deficiente. (
  • Have your health care provider do a comparison of all the possible risks and complications for you and your baby for a cesarean versus a regular birth. (
  • Your surgeon will discuss the risks and complications with you. (
  • Results: There were no intraoperative complications. (
  • Results Of the 226 enrolled patients, 40 (17.7%) experienced a grade ≥IIIb complication according to the Clavien-Dindo criteria. (
  • Severe intraoperative hyperglycemia (SIH) contributes to both infectious and noninfectious postoperative complications. (
  • However, some straightforward severe clinical indications, as in loss of pulse, were not considered to be a complication. (
  • The death certificate, completed by the pathologist, listed the cause of death as "massive acute myocardial infarction due to complications from mitral valve annulus placement due to severe mitral regurgitation aggravated by smoke/chemical inhalation. (
  • Aim: To evaluate the prevalence of intraoperative accidents associated with extraction of third molars and identify possible risk factors. (
  • Its complications can compromise the macro (stroke, coronary artery disease [CAD], peripheral artery disease, cerebrovascular disease) and micro (retinopathy, nephropathy and neuropathy) vasculature, actually the main cause of non-traumatic amputations, legal blindness and advanced chronic kidney disease (CKD) requiring dialysis [5]. (
  • Paralysis from spinal cord reperfusion effect - this is an uncommon complication that causes a stroke-like effect in the spinal cord. (
  • Taken together it's referred to as bradycardia-tachycardia or tachy-brady syndrome This is a type of sick sinus syndrome and can be associated with the heart rhythm disorder atrial fibrillation and raise a person's risk for complications that include stroke and sudden death or cardiac arrest. (
  • Two of them had this complication successfully managed conservatively and 1 surgically. (
  • This represents a relative risk of 9.9 (95% confidence interval 4.2 to 23.0) of a major complication occurring in the first 150 compared with the later 850 cases. (
  • It is preferable not to wait until the last stages of the cataract's evolution because, in these stages, the lens is more rigid and harder to extract through normal technique, with the chance of a bigger trauma for the eye's tissues and with a higher risk of intraoperative complications. (
  • Treatment may involve several parathyroidectomies (PTX), especially in young patients, which increases the risk of postoperative complications. (
  • 4] Perforation of pedicle cortex during pedicle screw fixation may impose the risk of dural tearing, neural damage, and vascular or visceral complications. (
  • Survival was negatively influenced by positive resection margins, the presence of lymph node metastases and the presence of complications in the postoperative period. (
  • The frequency of major and minor complications fell sharply after the first 150 operations and was maintained. (
  • Unfortunately, the clinical assessment of the complications associated to the use of this supporting device, underestimates the frequency of such complications. (
  • Certain researchers argue that clinical studies may significantly underestimate the actual frequency of complications. (
  • 3 4 COVID-19 infection has been reported to be associated with abnormal coagulation parameters with resultant complications and poor prognosis. (
  • 5-7 Coagulopathy and vascular endothelial dysfunction are now recognised complications of COVID-19 infection. (
  • 2017. Anterior Cervical Infection: Presentation and Incidence of an Uncommon Postoperative Complication. . (
  • None of the patients developed hemorrhagic complications or other adverse events. (
  • Despite these adverse events, the number of cases of intraoperative complications was low. (
  • Postoperatively, complications may also arise. (
  • The visual analogue scale (VAS) scores at rest and cough during 48 h postoperatively and the postoperative consumption of pain rescue were the primary outcomes, and the QoR15 score 48 h postoperatively, the usage of opioids during and after operation, and nerve block-related complications were the secondary outcomes. (
  • This case report highlights an unusual intraoperative complication that has medical and medico-legal implications. (
  • The patient had no postoperative complications, as systemic and local complications as well as functional limitations were not observed. (
  • Our patients recovered quickly and without complications. (
  • In the immediate postoperative course, the patients recovered well with no complications. (
  • DCAN is one of the least understood of all complications of DM and has been defined as the presence of abnormal myocardial performance secondary to dysregulation of autonomic cardiovascular control in the absence of other causes [3, 7]. (
  • They reported a higher consequential complication rate in patients that underwent unsuccessful surgical interventions. (
  • Additional potential intraoperative complications relate to neurologic injury. (
  • It highlighted that out of the estimated 200,000 CVCs inserted annually in the UK's National Health Service, the complication rate of the traditional landmark technique is as high as 35%, the most common being arterial puncture, arteriovenous fistula, pneumothorax, nerve injury and multiple unsuccessful catheterisation attempts. (
  • The most feared complication is an intra-cerebral hemorrhagic event due to vascular injury during the insertion of depth electrodes. (
  • Acute kidney injury (AKI) is one of the most common complications in critically ill patients in intensive care units (ICU). (
  • Analgesia is provided through continuation of the intraoperative epidural, patient-controlled intravenous analgesia, or oral analgesia. (
  • The patient was treated by trapping of the left ICA with external carotid artery-saphenous vein graft-M2 bypass without complications. (
  • The patient was discharged with normalized biochemical values and without postoperative complications. (