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.
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.
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.
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.
The period of confinement of a patient to a hospital or other health facility.
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.
Infection occurring at the site of a surgical incision.
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.
Surgery performed on the digestive 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)
Elements of limited time intervals, contributing to particular results or situations.
A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.
A technique of closing incisions and wounds, or of joining and connecting tissues, in which staples are used as sutures.
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.
Loss of blood during a surgical procedure.
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)
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.
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.
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.
The excision of lung tissue including partial or total lung lobectomy.
Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).
Surgical incision into the chest wall.
The excision of the head of the pancreas and the encircling loop of the duodenum to which it is connected.
Excision of the whole (total gastrectomy) or part (subtotal gastrectomy, partial gastrectomy, gastric resection) of the stomach. (Dorland, 28th ed)
A condition sometimes occurring after tooth extraction, particularly after traumatic extraction, resulting in a dry appearance of the exposed bone in the socket, due to disintegration or loss of the blood clot. It is basically a focal osteomyelitis without suppuration and is accompanied by severe pain (alveolalgia) and foul odor. (Dorland, 28th ed)
Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound.
The duration of a surgical procedure in hours and minutes.
Excision of all or part of the liver. (Dorland, 28th ed)
The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
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 a portion of the colon or of the whole colon. (Dorland, 28th ed)
Surgery performed on the female genitalia.
Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.
Any woven or knit material of open texture used in surgery for the repair, reconstruction, or substitution of tissue. The mesh is usually a synthetic fabric made of various polymers. It is occasionally made of metal.
Procedures using an electrically heated wire or scalpel to treat hemorrhage (e.g., bleeding ulcers) and to ablate tumors, mucosal lesions, and refractory arrhythmias. It is different from ELECTROSURGERY which is used more for cutting tissue than destroying and in which the patient is part of the electric circuit.
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.
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.
Incision into the side of the abdomen between the ribs and pelvis.
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.
Surgery performed on the thoracic organs, most commonly the lungs and the heart.
Surgery performed on the pregnant woman for conditions associated with pregnancy, labor, or the puerperium. It does not include surgery of the newborn infant.
A variety of surgical reconstructive procedures devised to restore gastrointestinal continuity, The two major classes of reconstruction are the Billroth I (gastroduodenostomy) and Billroth II (gastrojejunostomy) procedures.
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)
Interventions to provide care prior to, during, and immediately after surgery.
Hemorrhage following any surgical procedure. It may be immediate or delayed and is not restricted to the surgical wound.
Surgical removal of the vermiform appendix. (Dorland, 28th ed)
Operative procedures for the treatment of vascular disorders.
Swollen veins in the lower part of the RECTUM or ANUS. Hemorrhoids can be inside the anus (internal), under the skin around the anus (external), or protruding from inside to outside of the anus. People with hemorrhoids may or may not exhibit symptoms which include bleeding, itching, and pain.
An abscess located in the abdominal cavity, i.e., the cavity between the diaphragm above and the pelvis below. (From Dorland, 27th ed)
Hand-held tools or implements used by health professionals for the performance of surgical tasks.
Surgery performed on the heart.
The surgical construction of an opening between the colon and the surface of the body.
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.
Fastening devices composed of steel-tantalum alloys used to close operative wounds, especially of the skin, which minimizes infection by not introducing a foreign body that would connect external and internal regions of the body. (From Segen, Current Med Talk, 1995)
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
Excision of the gallbladder through an abdominal incision using a laparoscope.
Excision of part (partial) or all (total) of the esophagus. (Dorland, 28th ed)
The period during a surgical operation.
Materials used in closing a surgical or traumatic wound. (From Dorland, 28th ed)
The proportion of survivors in a group, e.g., of patients, studied and followed over a period, or the proportion of persons in a specified group alive at the beginning of a time interval who survive to the end of the interval. It is often studied using life table methods.
Devices, usually incorporating unidirectional valves, which are surgically inserted in the sclera to maintain normal intraocular pressure.
A vital statistic measuring or recording the rate of death from any cause in hospitalized populations.
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.
Removal of the whole or part of the vitreous body in treating endophthalmitis, diabetic retinopathy, retinal detachment, intraocular foreign bodies, and some types of glaucoma.
The removal of a cataractous CRYSTALLINE LENS from the eye.
The time periods immediately before, during and following a surgical operation.
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.
Removal of an implanted therapeutic or prosthetic 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.
The transference of a part of or an entire liver from one human or animal to another.
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.
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.
Surgical removal of the pancreas. (Dorland, 28th ed)
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.
Any surgical procedure for treatment of glaucoma by means of puncture or reshaping of the trabecular meshwork. It includes goniotomy, trabeculectomy, and laser perforation.
An abnormal passage communicating between any component of the respiratory tract or between any part of the respiratory system and surrounding organs.
Surgical procedures undertaken to repair abnormal openings through which tissue or parts of organs can protrude or are already protruding.
Surgical insertion of a prosthesis.
Pain during the period after surgery.
Acute inflammation of the APPENDIX. Acute appendicitis is classified as simple, gangrenous, or perforated.
Endoscopic surgery of the pleural cavity performed with visualization via video transmission.
Excision of the uterus.
The performance of surgical procedures with the aid of a microscope.
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.
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.
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.
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.
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
A Y-shaped surgical anastomosis of any part of the digestive system which includes the small intestine as the eventual drainage site.
Surgical excision of one or more lymph nodes. Its most common use is in cancer surgery. (From Dorland, 28th ed, p966)
An area occupying the most posterior aspect of the ABDOMINAL CAVITY. It is bounded laterally by the borders of the quadratus lumborum muscles and extends from the DIAPHRAGM to the brim of the true PELVIS, where it continues as the pelvic extraperitoneal space.
A hernia caused by weakness of the anterior ABDOMINAL WALL due to midline defects, previous incisions, or increased intra-abdominal pressure. Ventral hernias include UMBILICAL HERNIA, incisional, epigastric, and spigelian hernias.
The proportion of patients with a particular disease during a given year per given unit of population.
That portion of the body that lies between the THORAX and the PELVIS.
Endoscopic examination, therapy or surgery of the pleural cavity.
The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment.
Any impairment, arrest, or reversal of the normal flow of INTESTINAL CONTENTS toward the ANAL CANAL.
Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.
The return of a sign, symptom, or disease after a remission.
Surgical removal of the GALLBLADDER.
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.
Surgical anastomosis of the pancreatic duct, or the divided end of the transected pancreas, with the jejunum. (Dorland, 28th ed)
Hemorrhage into the VITREOUS BODY.
Surgery performed on the male genitalia.
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.
Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.
Control of bleeding during or after surgery.
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 condition of weighing two, three, or more times the ideal weight, so called because it is associated with many serious and life-threatening disorders. In the BODY MASS INDEX, morbid obesity is defined as having a BMI greater than 40.0 kg/m2.
An abnormal passage or communication leading from an internal organ to the surface of the body.
Non-cadaveric providers of organs for transplant to related or non-related recipients.
Total or partial excision of the larynx.
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
Abnormal passage communicating with the PANCREAS.
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)
Diseases in any part of the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.
Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999)
Opening or penetration through the wall of the INTESTINES.
A form of secondary glaucoma which develops as a consequence of another ocular disease and is attributed to the forming of new vessels in the angle of the anterior chamber.
The introduction of whole blood or blood component directly into the blood stream. (Dorland, 27th ed)
Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery.
Surgical formation of an opening into the trachea through the neck, or the opening so created.
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.
The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.
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.
Descriptive terms and identifying codes for reporting medical services and procedures performed by PHYSICIANS. It is produced by the AMERICAN MEDICAL ASSOCIATION and used in insurance claim reporting for MEDICARE; MEDICAID; and private health insurance programs (From CPT 2002).
Surgery performed on the nervous system or its parts.
The constant checking on the state or condition of a patient during the course of a surgical operation (e.g., checking of vital signs).
Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.
A nonparametric method of compiling LIFE TABLES or survival tables. It combines calculated probabilities of survival and estimates to allow for observations occurring beyond a measurement threshold, which are assumed to occur randomly. Time intervals are defined as ending each time an event occurs and are therefore unequal. (From Last, A Dictionary of Epidemiology, 1995)
Hospitals with a much higher than average utilization by physicians and a large number of procedures.
Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
Any surgical procedure performed on the biliary tract.
The plan and delineation of prostheses in general or a specific prosthesis.
A collection of blood outside the BLOOD VESSELS. Hematoma can be localized in an organ, space, or tissue.
Making an incision in the STERNUM.
A class of statistical methods applicable to a large set of probability distributions used to test for correlation, location, independence, etc. In most nonparametric statistical tests, the original scores or observations are replaced by another variable containing less information. An important class of nonparametric tests employs the ordinal properties of the data. Another class of tests uses information about whether an observation is above or below some fixed value such as the median, and a third class is based on the frequency of the occurrence of runs in the data. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed, p1284; Corsini, Concise Encyclopedia of Psychology, 1987, p764-5)
Surgery performed on the heart or blood vessels.
Rods of bone, metal, or other material used for fixation of the fragments or ends of fractured bones.
Lasers in which a gas lasing medium is stimulated to emit light by an electric current or high-frequency oscillator.
Surgical creation of an external opening into the ILEUM for fecal diversion or drainage. This replacement for the RECTUM is usually created in patients with severe INFLAMMATORY BOWEL DISEASES. Loop (continent) or tube (incontinent) procedures are most often employed.
A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.
Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.
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.
DEEP VEIN THROMBOSIS of an upper extremity vein (e.g., AXILLARY VEIN; SUBCLAVIAN VEIN; and JUGULAR VEINS). It is associated with mechanical factors (Upper Extremity Deep Vein Thrombosis, Primary) secondary to other anatomic factors (Upper Extremity Deep Vein Thrombosis, Secondary). Symptoms may include sudden onset of pain, warmth, redness, blueness, and swelling in the arm.
Replacement of the hip joint.
Pathological conditions involving the HEART including its structural and functional abnormalities.
Penetration of a PEPTIC ULCER through the wall of DUODENUM or STOMACH allowing the leakage of luminal contents into the PERITONEAL CAVITY.
Removal of the uterus through the vagina.
Creation of an artificial external opening into the stomach for nutritional support or gastrointestinal compression.
The distal segment of the LARGE INTESTINE, between the SIGMOID COLON and the ANAL CANAL.
Protrusion of the rectal mucous membrane through the anus. There are various degrees: incomplete with no displacement of the anal sphincter muscle; complete with displacement of the anal sphincter muscle; complete with no displacement of the anal sphincter muscle but with herniation of the bowel; and internal complete with rectosigmoid or upper rectum intussusception into the lower rectum.
Surgery performed on the eye or any of its parts.
An abnormal anatomical passage between the INTESTINE, and another segment of the intestine or other organs. External intestinal fistula is connected to the SKIN (enterocutaneous fistula). Internal intestinal fistula can be connected to a number of organs, such as STOMACH (gastrocolic fistula), the BILIARY TRACT (cholecystoduodenal fistula), or the URINARY BLADDER of the URINARY TRACT (colovesical fistula). Risk factors include inflammatory processes, cancer, radiation treatment, and surgical misadventures (MEDICAL ERRORS).
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.
The expenses incurred by a hospital in providing care. The hospital costs attributed to a particular patient care episode include the direct costs plus an appropriate proportion of the overhead for administration, personnel, building maintenance, equipment, etc. Hospital costs are one of the factors which determine HOSPITAL CHARGES (the price the hospital sets for its services).
The aftermost permanent tooth on each side in the maxilla and mandible.
Spasmodic contraction of the masseter muscle resulting in forceful jaw closure. This may be seen with a variety of diseases, including TETANUS, as a complication of radiation therapy, trauma, or in association with neoplastic conditions.
A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.
The period before a surgical operation.
Bleeding or escape of blood from a vessel.
Internal devices used in osteosynthesis to hold the position of the fracture in proper alignment. By applying the principles of biomedical engineering, the surgeon uses metal plates, nails, rods, etc., for the correction of skeletal defects.
A partial or complete return to the normal or proper physiologic activity of an organ or part following disease or trauma.
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.
A surgical specialty concerned with the diagnosis and treatment of disorders and abnormalities of the COLON; RECTUM; and ANAL CANAL.
Fractures of the FEMUR HEAD; the FEMUR NECK; (FEMORAL NECK FRACTURES); the trochanters; or the inter- or subtrochanteric region. Excludes fractures of the acetabulum and fractures of the femoral shaft below the subtrochanteric region (FEMORAL FRACTURES).
Tumors or cancer of the RECTUM.
Traumatic injuries to the TRIGEMINAL NERVE. It may result in extreme pain, abnormal sensation in the areas the nerve innervates on face, jaw, gums and tongue and can cause difficulties with speech and chewing. It is sometimes associated with various dental treatments.
Replacement of the knee joint.
The surgical removal of a tooth. (Dorland, 28th ed)
Surgical procedure involving either partial or entire removal of the spleen.
Surgical formation of an opening through the ABDOMINAL WALL into the JEJUNUM, usually for enteral hyperalimentation.
Pathological processes involving any part of the LUNG.
Artificial substitutes for body parts, and materials inserted into tissue for functional, cosmetic, or therapeutic purposes. Prostheses can be functional, as in the case of artificial arms and legs, or cosmetic, as in the case of an artificial eye. Implants, all surgically inserted or grafted into the body, tend to be used therapeutically. IMPLANTS, EXPERIMENTAL is available for those used experimentally.
Tumor-like sterile accumulation of serum in a tissue, organ, or cavity. It results from a tissue insult and is the product of tissue inflammation. It most commonly occurs following MASTECTOMY.
Specialized devices used in ORTHOPEDIC SURGERY to repair bone fractures.
The surgical cutting of a bone. (Dorland, 28th ed)
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.
Pathological processes in the COLON region of the large intestine (INTESTINE, LARGE).
Liver disease caused by infections with parasitic tapeworms of the genus ECHINOCOCCUS, such as Echinococcus granulosus or Echinococcus multilocularis. Ingested Echinococcus ova burrow into the intestinal mucosa. The larval migration to the liver via the PORTAL VEIN leads to watery vesicles (HYDATID CYST).
The condition of an anatomical structure's being constricted beyond normal dimensions.
Tumors or cancer of the ESOPHAGUS.
Excessive sweating. In the localized type, the most frequent sites are the palms, soles, axillae, inguinal folds, and the perineal area. Its chief cause is thought to be emotional. Generalized hyperhidrosis may be induced by a hot, humid environment, by fever, or by vigorous exercise.
The use of photothermal effects of LASERS to coagulate, incise, vaporize, resect, dissect, or resurface tissue.
Fractures of the short, constricted portion of the thigh bone between the femur head and the trochanters. It excludes intertrochanteric fractures which are HIP FRACTURES.
The ratio of two odds. The exposure-odds ratio for case control data is the ratio of the odds in favor of exposure among cases to the odds in favor of exposure among noncases. The disease-odds ratio for a cohort or cross section is the ratio of the odds in favor of disease among the exposed to the odds in favor of disease among the unexposed. The prevalence-odds ratio refers to an odds ratio derived cross-sectionally from studies of prevalent cases.
The insertion of a catheter through the skin and body wall into the kidney pelvis, mainly to provide urine drainage where the ureter is not functional. It is used also to remove or dissolve renal calculi and to diagnose ureteral obstruction.
Diseases in any segment of the GASTROINTESTINAL TRACT from ESOPHAGUS to RECTUM.
Pathological processes involving the PHARYNX.
Criteria and standards used for the determination of the appropriateness of the inclusion of patients with specific conditions in proposed treatment plans and the criteria used for the inclusion of subjects in various clinical trials and other research protocols.
Excision of kidney.
Pathological processes of the PANCREAS.
Used for excision of the urinary bladder.
The course of learning of an individual or a group. It is a measure of performance plotted over time.
Device constructed of either synthetic or biological material that is used for the repair of injured or diseased blood vessels.
Protrusion of tissue, structure, or part of an organ through the bone, muscular tissue, or the membrane by which it is normally contained. Hernia may involve tissues such as the ABDOMINAL WALL or the respiratory DIAPHRAGM. Hernias may be internal, external, congenital, or acquired.
A blocking of nerve conduction to a specific area by an injection of an anesthetic agent.
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.
Separation of the inner layers of the retina (neural retina) from the pigment epithelium. Retinal detachment occurs more commonly in men than in women, in eyes with degenerative myopia, in aging and in aphakia. It may occur after an uncomplicated cataract extraction, but it is seen more often if vitreous humor has been lost during surgery. (Dorland, 27th ed; Newell, Ophthalmology: Principles and Concepts, 7th ed, p310-12).

Effect of intravenous dextran 70 and pneumatic leg compression on incidence of postoperative pulmonary embolism. (1/18686)

The incidence of pulmonary embolism and deep vein thrombosis was measured in 50 matched pairs of patients undergoing common surgical procedures with preoperative and postoperative ventilation-perfusion lung scans and the fibrinogen uptake test. One patient in each pair was treated with intravenous dextran 70 and pneumatic leggings. The incidence of pulmonary embolism among the treated patients was significantly reduced from 24% to 8%, but the incidence of deep vein thrombosis was not significantly reduced (34% to 24%).  (+info)

Analysis of the effect of conversion from open to closed surgical intensive care unit. (2/18686)

OBJECTIVE: To compare the effect on clinical outcome of changing a surgical intensive care unit from an open to a closed unit. DESIGN: The study was carried out at a surgical intensive care unit in a large tertiary care hospital, which was changed on January 1, 1996, from an open unit, where private attending physicians contributed and controlled the care of their patients, to a closed unit, where patients' medical care was provided only by the surgical critical care team (ABS or ABA board-certified intensivists). A retrospective review was undertaken over 6 consecutive months in each system, encompassing 274 patients (125 in the open-unit period, 149 in the closed-unit period). Morbidity and mortality were compared between the two periods, along with length-of-stay (LOS) and number of consults obtained. A set of independent variables was also evaluated, including age, gender, APACHE III scores, the presence of preexisting medical conditions, the use of invasive monitoring (Swan-Ganz catheters, central and arterial lines), and the use of antibiotics, low-dose dopamine (LDD) for renal protection, vasopressors, TPN, and enteral feeding. RESULTS: Mortality (14.4% vs. 6.04%, p = 0.012) and the overall complication rate (55.84% vs. 44.14%, p = 0.002) were higher in the open-unit group versus the closed-unit group, respectively. The number of consults obtained was decreased (0.6 vs. 0.4 per patient, p = 0.036), and the rate of occurrence of renal failure was higher in the open-unit group (12.8% vs. 2.67%, p = 0.001). The mean age of the patients was similar in both groups (66.48 years vs. 66.40, p = 0.96). APACHE III scores were slightly higher in the open-unit group but did not reach statistical significance (39.02 vs. 36.16, p = 0.222). There were more men in the first group (63.2% vs. 51.3%). The use of Swan-Ganz catheters or central and arterial lines were identical, as was the use of antibiotics, TPN, and enteral feedings. The use of LDD was higher in the first group, but the LOS was identical. CONCLUSIONS: Conversion of a tertiary care surgical intensive care unit from an open to closed environment reduced dopamine usage and overall complication and mortality rates. These results support the concept that, when possible, patients in surgical intensive care units should be managed by board-certified intensivists in a closed environment.  (+info)

Colon and rectal anastomoses do not require routine drainage: a systematic review and meta-analysis. (3/18686)

OBJECTIVE: Many surgeons continue to place a prophylactic drain in the pelvis after completion of a colorectal anastomosis, despite considerable evidence that this practice may not be useful. The authors conducted a systematic review and meta-analysis of randomized controlled trials to determine if placement of a drain after a colonic or rectal anastomosis can reduce the rate of complications. METHODS: A search of the Medline database of English-language articles published from 1987 to 1997 was conducted using the terms "colon," "rectum," "postoperative complications," "surgical anastomosis," and "drainage." A manual search was also conducted. Four randomized controlled trials, including a total of 414 patients, were identified that compared the routine use of drainage of colonic and/or rectal anastomoses to no drainage. Two reviewers assessed the trials independently. Trial quality was critically appraised using a previously published scale, and data on mortality, clinical and radiologic anastomotic leakage rate, wound infection rate, and major complication rate were extracted. RESULTS: The overall quality of the studies was poor. Use of a drain did not significantly affect the rate of any of the outcomes examined, although the power of this analysis to exclude any difference was low. Comparison of pooled results revealed an odds ratio for clinical leak of 1.5 favoring the control (no drain) group. Of the 20 observed leaks among all four studies that occurred in a patient with a drain in place, in only one case (5%) did pus or enteric content actually appear in the effluent of the existing drain. CONCLUSIONS: Any significant benefit of routine drainage of colon and rectal anastomoses in reducing the rate of anastomotic leakage or other surgical complications can be excluded with more confidence based on pooled data than by the individual trials alone. Additional well-designed randomized controlled trials would further reinforce this conclusion.  (+info)

Peripheral hepatojejunostomy as palliative treatment for irresectable malignant tumors of the liver hilum. (4/18686)

OBJECTIVE: To evaluate the concept of surgical decompression of the biliary tree by peripheral hepatojejunostomy for palliative treatment of jaundice in patients with irresectable malignant tumors of the liver hilum. SUMMARY BACKGROUND DATA: Jaundice, pruritus, and recurrent cholangitis are major clinical complications in patients with obstructive cholestasis resulting from malignant tumors of the liver hilum. Methods for palliative treatment include endoscopic stenting, percutaneous transhepatic drainage, and surgical decompression. The palliative treatment of choice should be safe, effective, and comfortable for the patient. METHODS: In a retrospective study, surgical technique, perioperative complications, and efficacy of treatment were analyzed for 56 patients who had received a peripheral hepatojejunostomy between 1982 and 1997. Laparotomy in all of these patients had been performed as an attempt for curative resection. RESULTS: Hepatojejunostomy was exclusively palliative in 50 patients and was used for bridging to resection or transplantation in 7. Anastomosis was bilateral in 36 patients and unilateral in 20. The 1-month mortality in the study group was 9%; median survival was 6 months. In patients surviving >1 month, a marked and persistent decrease in cholestasis was achieved in 87%, although complete return to normal was rare. Among the patients with a marked decrease in cholestasis, 72% had no or only mild clinical symptoms such as fever or jaundice. CONCLUSIONS: Peripheral hepatojejunostomy is a feasible and reasonably effective palliative treatment for patients with irresectable tumors of the liver hilum. In patients undergoing exploratory laparotomy for attempted curative resection, this procedure frequently leads to persistent-although rarely complete-decompression of the biliary tree. In a few cases it may also be used for bridging to transplantation or liver resection after relief of cholestasis.  (+info)

Reconstruction for chronic dysfunction of ileoanal pouches. (5/18686)

OBJECTIVE: A retrospective review was performed to determine the results after surgical reconstruction for chronic dysfunction of ileal pouch-anal procedures for ulcerative colitis and familial colonic polyposis at a university medical center. METHODS: During the 20-year period from 1978 to 1998, 601 patients underwent colectomy and ileal pouch-anal anastomosis (IPAA) for ulcerative colitis, familial colonic polyposis, or Hirschsprung's disease. A J pouch was used for 351 patients, a lateral pouch for 221, an S pouch for 6, and a straight pull-through for 23. Acute complications after pouch construction have been detailed in previous publications and are not included in this study. Chronic pouch stasis with diarrhea, frequency, urgency, and soiling gradually became more severe in 164 patients (27.3%), associated with pouch enlargement, an elongated efferent limb, and obstruction to pouch outflow, largely related to the pouch configuration used during the authors' early clinical experience. These patients were sufficiently symptomatic to be considered for reconstruction (mean 68 months after IPAA). Transanal resection of an elongated IPAA spout was performed on 58 patients; abdominoperineal mobilization of the pouch with resection and tapering of the lower end (AP reconstruction) and ileoanal anastomosis on 83; pouch removal and new pouch construction on 7; and conversion of a straight pull-through to a pouch on 16. RESULTS: Good long-term results (mean 7.7 years) with improvement in symptoms occurred in 98% of transanal resections, 91.5% of AP reconstructions, 86% of new pouch constructions, and 100% of conversions of a straight pull-through to a pouch. The average number of bowel movements per 24 hours at 6 months was 4.8. Complications occurred in 11.6% of reconstructed patients. Five of the 164 patients (3.1%) required eventual pouch removal and permanent ileostomy. The high rate of pouch revision in this series of patients undergoing IPAA is due to a policy of aggressive correction when patients do not experience an optimal functional result, or have a progressive worsening of their status. CONCLUSIONS: Although occasionally a major undertaking, reconstruction of ileoanal pouches with progressive dysfunction due to large size or a long efferent limb has resulted in marked improvement in intestinal function in >93% of patients and has reduced the need for late pouch removal.  (+info)

Risk of major liver resection in patients with underlying chronic liver disease: a reappraisal. (6/18686)

OBJECTIVE: To explore the relation of patient age, status of liver parenchyma, presence of markers of active hepatitis, and blood loss to subsequent death and complications in patients undergoing a similar major hepatectomy for the same disease using a standardized technique. SUMMARY BACKGROUND DATA: Major liver resection carries a high risk of postoperative liver failure in patients with chronic liver disease. However, this underlying liver disease may comprise a wide range of pathologic changes that have, in the past, not been well defined. METHODS: The nontumorous liver of 55 patients undergoing a right hepatectomy for hepatocellular carcinoma was classified according to a semiquantitative grading of fibrosis. The authors analyzed the influence of this pathologic feature and of other preoperative variables on the risk of postoperative death and complications. RESULTS: Serum bilirubin and prothrombin time increased on postoperative day 1, and their speed of recovery was influenced by the severity of fibrosis. Incidence of death from liver failure was 32% in patients with grade 4 fibrosis (cirrhosis) and 0% in patients with grade 0 to 3 fibrosis. The preoperative serum aspartate transaminase (ASAT) level ranged from 68 to 207 IU/l in patients with cirrhosis who died, compared with 20 to 62 in patients with cirrhosis who survived. CONCLUSION: A major liver resection such as a right hepatectomy may be safely performed in patients with underlying liver disease, provided no additional risk factors are present. Patients with a preoperative increase in ASAT should undergo a liver biopsy to rule out the presence of grade 4 fibrosis, which should contraindicate this resection.  (+info)

Perioperative growth hormone treatment and functional outcome after major abdominal surgery: a randomized, double-blind, controlled study. (7/18686)

OBJECTIVE: To evaluate short- and long-term effects of perioperative human growth hormone (hGH) treatment on physical performance and fatigue in younger patients undergoing a major abdominal operation in a normal postoperative regimen with oral nutrition. SUMMARY BACKGROUND DATA: Muscle wasting and functional impairment follow major abdominal surgery. METHODS: Twenty-four patients with ulcerative colitis undergoing ileoanal J-pouch surgery were randomized to hGH (12 IU/day) or placebo treatment from 2 days before to 7 days after surgery. Measurements were performed 2 days before and 10, 30, and 90 days after surgery. RESULTS: The total muscle strength of four limb muscle groups was reduced by 7.6% in the hGH group and by 17.1% in the placebo group at postoperative day 10 compared with baseline values. There was also a significant difference between treatment groups in total muscle strength at day 30, and at the 90-day follow-up total muscle strength was equal to baseline values in the hGH group, but still significantly 5.9% below in the placebo group. The work capacity decreased by approximately 20% at day 10 after surgery, with no significant difference between treatment groups. Both groups were equally fatigued at day 10 after surgery, but at day 30 and 90 the hGH patients were less fatigued than the placebo patients. During the treatment period, patients receiving hGH had reduced loss of limb lean tissue mass, and 3 months after surgery the hGH patients had regained more lean tissue mass than placebo patients. CONCLUSIONS: Perioperative hGH treatment of younger patients undergoing major abdominal surgery preserved limb lean tissue mass, increased postoperative muscular strength, and reduced long-term postoperative fatigue.  (+info)

Is early post-operative treatment with 5-fluorouracil possible without affecting anastomotic strength in the intestine? (8/18686)

Early post-operative local or systemic administration of 5-fluorouracil (5-FU) is under investigation as a means to improve outcome after resection of intestinal malignancies. It is therefore quite important to delineate accurately its potentially negative effects on anastomotic repair. Five groups (n = 24) of rats underwent resection and anastomosis of both ileum and colon: a control group and four experimental groups receiving daily 5-FU, starting immediately after operation or after 1, 2 or 3 days. Within each group, the drug (or saline) was delivered either intraperitoneally (n = 12) or intravenously (n = 12). Animals were killed 7 days after operation and healing was assessed by measurement of anastomotic bursting pressure, breaking strength and hydroxyproline content. In all cases, 5-FU treatment from the day of operation or from day 1 significantly (P<0.025) and severely suppressed wound strength; concomitantly, the anastomotic hydroxyproline content was reduced. Depending on the location of the anastomosis and the route of 5-FU administration, even a period of 3 days between operation and first dosage seemed insufficient to prevent weakening of the anastomosis. The effects of intravenous administration, though qualitatively similar, were quantitatively less dramatic than those observed after intraperitoneal delivery. Post-operative treatment with 5-FU, if started within the first 3 days after operation, is detrimental to anastomotic strength and may compromise anastomotic integrity.  (+info)

Methods We analysed data for patients undergoing major non-cardiac surgery in 2008 from The American College of Surgeons National Surgical Quality Improvement Program database (a prospective validated outcomes registry from 211 hospitals worldwide in 2008). We obtained anonymised data for 30-day mortality and morbidity (cardiac, respiratory, CNS, urinary tract, wound, sepsis, and venous thromboembolism outcomes), demographics, and preoperative and perioperative risk factors. We used multivariate logistic regression to assess the adjusted and modified (nine predefined risk factor subgroups) eff ect of anaemia, which was defi ned as mild (haematocrit concentration ,29-,39% in men and ,29-,36% in women) or moderate-to-severe (≤29% in men and women) on postoperative outcomes.. Interpretation Preoperative anaemia, even to a mild degree, is independently associated with an increased risk of 30-day morbidity and mortality in patients undergoing major non-cardiac surgery. ...
We present a complete national six-year cohort of gastro-esophageal and pancreatic resections for cancer in Norway with major complications and survival. Suffering one or more major postoperative complications was associated with both considerably increased early mortality and statistically significant decreased long-term survival. Educational level did not affect the relationship between complications and survival.. Several studies have demonstrated an association between postoperative complications and decreased survival [5, 6]. This has led to theories suggesting an immune-suppressive effect of postoperative complications that might lead to cancer recurrence [5, 8, 9]. A recent meta-analysis reported a hazard ratio (HR) of 1.28 for decreased overall survival after any postoperative complication [6], the cut-offs for early mortality were not reported [6]. We found a similar risk of decreased survival associated with major complications if patients suffering early mortality were excluded (HR = ...
Postoperative complications are major healthcare problems and are associated with a reduced short-term and long-term survival after surgery. Major surgery is associated with a predictable and usually transient Systemic Inflammatory Response (SIRS), depending on the magnitude of the surgical trauma. An excessive SIRS syndrome participates to the development of postoperative organ dysfunction, infection and mortality. Corticosteroids may decrease the postsurgical SIRS in cardiac surgery: in a large multicenter randomized trial, a single intravenous administration of high-dose dexamethasone did not reduce the incidence of a composite endpoint of adverse events but was associated with a reduced incidence of postoperative pulmonary complications and infections and with a reduction in hospital stay. However, a similar study, recently published in the Lancet was negative. Evidences from one meta-analysis, including 11 studies of moderate quality (439 patients in total), suggest that intraoperative ...
Diabetics undergoing surgery suffer an increased risk of peri-operative complications. Higher rate of infection, delayed wound healing, ischemic complications, autonomic neuropathy, difficulties in controlling glycemic levels and longer hospital stay burden the outcome of surgery. Yet a detailed study to look for the incidence of complications, its relation to glycemic levels and type of surgery was lacking especially in an Indian setup. In this study we have tried to access the effect of hyperglycaemia on post-operative complications of laparotomies in diabetic patients. A comparison with non-diabetic patients regarding the complications was drawn. Aims: To study the effect of hyperglycaemia on post-operative complications of laparotomies in diabetic patients, and correlate it with glycemic control. Methods and Material: All patients undergoing laparotomies were studied. A detailed history and laboratory data were obtained at presentation. Patients were followed through their hospital stay for ...
Hypothesis: Statins attenuate perioperative inflammatory and oxidative mechanisms that contribute to the initiation and severity of cardiopulmonary complications after thoracic surgery.. Aim 1. To determine whether prophylactic administration of atorvastatin attenuates the inflammatory and oxidative response to surgery and significantly reduces the composite risk of cardiovascular morbidity (atrial fibrillation (AF), acute coronary syndrome, myocardial infarction (MI), cerebrovascular accident (CVA), pulmonary embolism) and mortality within 30 days after thoracic surgery.. Aim 2. To explore whether prophylactic administration of atorvastatin attenuates the inflammatory and oxidative (CRP, IL-6, TNF, and MPO) response to surgery and significantly reduces the overall risk of pulmonary complications (atelectasis, pneumonia, pneumonitis, acute respiratory failure) after thoracic surgery.. Aim 3. To explore the association of single nucleotide polymorphism (SNP) changes in genes linked to atrial ...
TY - JOUR. T1 - Vedolizumab and early postoperative complications in nonintestinal surgery. T2 - a case-matched analysis. AU - Kotze, Paulo Gustavo. AU - Ma, Christopher. AU - Mckenna, Nicholas. AU - Almutairdi, Abdulelah. AU - Kaplan, Gilaad G.. AU - Raffals, Laura E. H.. AU - Loftus, Jr, Edward Vincent. AU - Panaccione, Remo. AU - Lightner, Amy. PY - 2018/1/1. Y1 - 2018/1/1. N2 - Background: Vedolizumab (VDZ) is a gut-specific α4-β7 integrin antagonist that has demonstrated efficacy in Crohns disease (CD) and ulcerative colitis (UC). The safety of VDZ in the perioperative period remains unclear. The aim of this study was to evaluate postoperative complications and perioperative safety in VDZ-treated patients undergoing nonintestinal operations. Methods: A case-matched study was performed at two inflammatory bowel disease (IBD) referral centers. Adult patients with CD and UC who underwent a nonintestinal surgical procedure during treatment with VDZ were included. Patients who had their last ...
The researchers, from St. Michaels Hospital in Toronto, also found no association between the risk for complications and a patients American Society of Anesthesiologists, or ASA, status, which assesses a patients physical health before surgery.. The fact that age and ASA status were not risk factors for postoperative complications is somewhat surprising because these are the factors a clinician would typically look at when assessing a patients risk of developing complications after surgery, study author Dr. Jennifer Watt said in a hospital news release.. Older adults are a diverse group of patients whose risk of postoperative complications is not solely defined by their age, co-morbidities [multiple health problems] or the type of surgical procedure they receive, Watt said.. This study highlights how common postoperative complications are among older adults undergoing elective surgery, and the importance of geriatric syndromes, including frailty, in identifying older adults who may be ...
TY - JOUR. T1 - Neurologic complications of anesthesia A practical approach. AU - Rabinstein, Alejandro A.. AU - Keegan, Mark T.. PY - 2013/8/1. Y1 - 2013/8/1. N2 - Neurologic complications related to anesthesia are infrequent but can be serious. Neurologists are often consulted to evaluate patients with postoperative symptoms and must be ready to discriminate those truly caused by the anesthetic drug or procedure from the more common postoperative complications that are unrelated to the anesthesia itself. This practical review relies on cases to illustrate common reasons for neurologic consultation in the postsurgical setting. It also briefly summarizes what to expect when patients with central or peripheral neurologic disease undergo surgery under general or regional anesthesia.. AB - Neurologic complications related to anesthesia are infrequent but can be serious. Neurologists are often consulted to evaluate patients with postoperative symptoms and must be ready to discriminate those truly ...
Effect of diabetes mellitus on postoperative outcomes in patients undergoing emergency general surgery procedures., Abdulmalik Altaf
Results. The observed postoperative mortality rate was 2.4% (95% CI: 1.5-3.3%), which was much lower than the rate predicted by both POSSUM (6.2%) and P-POSSUM (5.3%) analyses, and 36% of patients experienced complications, a percentage slightly higher than that predicted by POSSUM (30.2%). The first 48 hours following surgery were characterized by the highest mortality rate (2.85 deaths per thousand vs 0.7 per thousand by the third postoperative day) as well as the highest morbidity rate (7.7% vs 4.3% between the third and seventh postoperative days, and 0.9% between the eighth and thirtieth postoperative days). The presumed causes of early death were primarily secondary to cardiovascular complications (five out of six ...
Spencer Liu is well known for his work on postoperative analgesia. Here he presents a systemic review of the evidence of analgesia and its effect on on postoperative complications such as respiratory and cardiac events. While they are cautious in their conclusions, an associated editorial by Paul White and Henrik Kehlet is critical of the methodology in most studies and highlights the way for future studies.. ...
Short-term postoperative data and medium-term recurrence and survival were compared and analyzed. In all patients resection and anastomosis was generally performed for right-sided lesions, whereas Hartmanns operation was the commonest procedure for more distally situated neoplastic lesions. A loop diverting colostomy was used most commonly in patients with peritonitis. As showed our previous studies, the complication rates and mortality were equal when single-stage and multi-stage procedures were compared, so in our clinic we tried to prefer single-stage surgeries. Median hospital stay was 11.5 days (range 9-14 days) in group 1 and 2 days (range 4-6 days) in group 2. Postoperative complications rate was significantly equal in two groups. However the cardiopulmonary complications were lower in the second group of patients. There were 5 anastomotic leaks in the first group and 2 in the second, which is comparable. Eleven patients died post-operatively (25 days), an overall postoperative mortality ...
Objective To investigate the effect of nursing intervention on postoperative complications of bladder perfusion in patients with bladder tumors. Methods Between January 2015 and December2017,101 patients with bladder tumors treated at Hanzhong Railway Hospital were selected. According to the random number table method,they were divided into an observation group( 51 patients) and a control group( 50 patients). The observation group was given targeted nursing intervention based on the conventional nursing and the control group only received conventional nursing. Complications and patients satisfaction were compared between the two groups. Results The incidence of complications was 11. 8% in patients undergong bladder perfusion in the observation group and 30. 0% for the control group( P 0. 05). The satisfaction was 92. 2% for the observation group and 72. 0% for( P 0. 05). Conclusion Nursing intervention can significantly reduce the incidence of postoperative complications in patients with bladder
With better medical quality and living condition, geriatric patient population is growing and often pose a significant challenge in surgery and anesthesia. Geriatric patients are relative fragile and also develop more complication after anesthesia than general population [1, 15]. The most common postoperative complication is pulmonary complication and the secondary is cardiac event, leading to longer hospitalization and increased mortality. In previous study in Taiwan, relationship between postoperative complications and mortality risk was established, but there was no analysis between preoperative comorbidities and post-operative mortality. The leading preoperative comorbidities were listed as following: Hypertension, Diabetes mellitus, Coronary artery disease, Pulmonary disease, Malignancy, Hepatic dysfunction, and Renal dysfunction. Detailed evaluation and better communicating the aforementioned risk factors to these patients before operation are suggested for improving anesthesia quality and ...
Buy, download and read Post-operative Complications ebook online in PDF format for iPhone, iPad, Android, Computer and Mobile readers. Author: David Leaper; Iain Whitaker. ISBN: 9780191575501. Publisher: OUP Oxford. Complications following surgical procedures are not only associated with significant morbidity and mortality, but also add immensely to the psychological burden of the patient and are disappointing fo
To investigate the costs associated with postoperative complications following rectal resection.Rectal resection is a major surgical procedure that ca
Prior studies of resource use for coronary artery bypass graft (CABG) surgery have either focused on a limited number of hospitals or have used charges instead of costs. We used a large statewide database (n = 6791) to study predictors of cost and length of stay (LOS) for CABG surgery. We used linear regression to sequentially model (a) specific procedures performed, (b) preoperative patient characteristics, and (c) postoperative events to determine the relative impact of these 3 factors on resource use. We then used the resulting models to calculate adjusted mean hospital costs and LOS. These 3 factors were all significantly associated with resource use. Postoperative events were the greatest determinant of costs, while preoperative characteristics were the greatest determinant of LOS. Despite risk adjustment for these factors, resource use differed significantly across 12 hospitals (mean cost range, $22,200 to $41,900; mean LOS range, 11 to 18 days), suggesting that some institutions may need to
Advances in operative techniques and postoperative care have led to a further decline in the postoperative complication rates following a lobectomy with a mortality rate of 1-9% reported in recent studies7-9 and morbidity occurring at an alarming rate of 11-47%.8-10 These mortality and morbidity data are generally obtained from eligible patients who are selected on the basis of their pulmonary function and other organ functions. We also selected surgical candidates on the basis of either a predicted postoperative FVC of ,800 ml/m2 or an FEV1 of ,600 ml/m2. The resulting 0% mortality suggests that our criteria appear to be generally acceptable. However, some morbidity still remains even in these selected patients. We therefore evaluated whether it is possible to predict pulmonary complications after a lobectomy because even patients eligible for surgery develop pulmonary complications.. Many investigators have tried to identify the factors that predict the occurrence of postoperative ...
We observed a noteworthy amount of variation in complication rates. For example, although ≈12% of facilities reported period 1 complication rates ,7%, 31 of the 94 facilities had no complications at all. Although there was some tendency for facilities with high complication rates in period 1 to report relatively high complication rates in period 2 (Spearman correlation, 0.04), most of the differences in complication rates in period 1 were not maintained over time.. Several previous studies have documented important variations in complication rates for CEA, including variation by facility characteristics such as the volume of procedures.10-12⇓⇓ Implicit in the interpretation of facility-to-facility variation is the assumption that complication rates are reasonably stable within individual facilities. Our findings call into question this assumption of stability.. This basic result has a number of possible explanations. First, noting that our analysis uses unadjusted complication rates, these ...
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Table 3 Cost to treat postoperative complications.. The healer performed DIH (specifically called Samadhi Healing Technique or SHT) twice per day at 5 a.m. and midnight daily for the 4 week period for patients immediately after their surgeries. The healer visualized patients and with intention, projected the thought of no complications to group DIH-SHT patients even though the healer did not know who they were. The DIH-SHT group patients were not told if and when they were receiving such intentional healing during the 4 week period post operative. At the end of 6 months postoperative, complications were documented from their medical records. If there were complications, the cost of care was also documented from their medical financial records and used for calculations in Table 3 for both groups.. Results. The results indicate significantly less postoperative complication rate with p. The 2 in the DIH-SHT group were nail spicules after partial matrixectomy. For Table 1, of the 9 operatory ...
A fundamental ethical principle in surgery is that a patients voluntary consent is obtained prior to any invasive procedure. This can be verbal or written but it demands that the patient has received prior, sufficient, appropriate information to be able to make a reasoned judgement on what is being offered to them. As I indicated in the section on surgical outcome there is a partnership between the patient and the healthcare professionals to reduce any potential risks and to strive to achieve a satisfactory outcome to all. Clearly this means that the individual patient must receive adequate information and it is my practice to routinely do this. Nevertheless some patients require more information than others and hopefully this section will help in providing the extra.. Risks and complications can be considered in a number of different ways but I propose to look at them simply from the aspect of the general complications that can occur with any surgical procedure and anaesthetic and then the ...
Smoking and Surgery: What Can Go Wrong. There are a number of complications, risks, and potential infections that can develop as a result of smoking pre- or post-surgery. What exactly can go wrong? Heres a run-down on the most common and serious complications that can arise as a result of smoking pre- or post-surgery ophtalmologues Courbevoie:. Wound Infection. One of the most common complications that can occur if you smoke is wound infection. Smoking, in effect, steals oxygen from cells that are in the process of healing. Smoking is a risk factor for wound infection in almost any kind of surgery. Researchers have found that smokers continue smoking before surgery are at a much higher risk of developing wounds that do not heal properly.. Cardiopulmonary complications. Tobacco smoke is very hard on the heart, lungs, and the entire immune system. If you are scheduled for any type of heart surgery, it is imperative that you quit smoking for at least six weeks before your ...
Most commonly referred to as simply bypass surgery, this surgery is often performed in people who have angina (chest pain) and coronary artery disease (where plaque has built up in the arteries). During the surgery, a bypass is created by grafting a piece of a vein above and below the blocked area of a coronary artery, enabling blood to flow around the obstruction. Veins are usually taken from the leg, but arteries from the chest may also be used to create a bypass graft ...
Every surgeon knows that sometimes the risks of surgery outweigh the benefits. And the biggest reason for this is because of a little thing we call risk factors. By studying who has a good outcome and who has poor results after any procedure, its possible to predict who will do well and who wont. Some of the most common risk factors that have the potential to disrupt healing or contribute to post-operative complications are known. These can include patient factors such as age, sex (male versus female), body-size ratio called body mass index, general health, and the presence of conditions such as diabetes. In other cases, surgical factors are more likely to increase the risk of problems developing. Length of time in the operating room, type of incision used, size of implant, type of surgical procedures used are examples of intra-operative risk factors. In the case of a total joint replacement for the ankle, the presence of inflammatory conditions (e.g., rheumatoid arthritis) is an important ...
A total of 300 patients were included, and 38.3% were male. The mean age was 63.7 years: 10.3% of patients were younger than 50 years, 36.0% were 50-64 years, 45.7% were 65-79 years, and 8.0% were 80 years or older. The overall mean EBL was 1999 ml. The overall perioperative complication rate was 24.7%: 18.0% had a medical complication and 7.0% had a surgical complication. There were no perioperative or 30-day deaths. Age was associated with overall complications (p = 0.002) and medical-specific complications (p , 0.001); there were higher rates of overall and medical complications with increased age: 9.7% and 6.5%, respectively, for patients younger than 50 years; 16.7% and 10.2%, respectively, for patients 50-64 years; 31.4% and 22.6%, respectively, for patients 65-79 years; and 41.7% and 41.7%, respectively, for patients 80 years or older. However, after adjusting for relevant covariates on multivariate analysis, age was not an independent factor for perioperative complications. Surgical ...
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IN BRIEF This study examined whether elevated A1C in patients with diabetes is associated with a higher incidence of postoperative infections and other complications. Researchers followed 50 noncardiac surgical patients for 7 postoperative days. Half of the patients had an A1C ,7% and the other half had an A1C ≥7%. The two groups were otherwise comparable except that the higher-A1C group had significantly higher pre-induction and postoperative blood glucose levels, with wider variability in the first 24 hours after surgery. During the first postoperative week, 11 patients developed complications, of whom 10 were in the higher-A1C group. Elevated A1C, unlike a single preoperative blood glucose value, may predict difficult postoperative glucose control and postsurgical complications. ...
I have mentioned repeatedly that we are programming our next generation while they are still in the womb, and research continues to support this.
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.
Workshop learning objectives Learn the indications for preoperative testing and preparation for a healthy patient having elective surgery Learn the indications for cardiac stress testing and beta blockade prior to noncardiac surgery Understand new recommendations for preventing postoperative pulmonary complications KH
To the Editor Healy and colleagues published a thoughtful analysis on the hospital and payer economics of surgical complications for 5120 patients treated at a
Surgical Complications of the Foot and Ankle Course: Putting the Band Back Together. Below is a compilation of documents from the Surgical Complications 2015 Course in Tampa, Florida.​​​​ ...
Dr Mahesh Kulkarni is an alumnus of B.J. Medical college Pune. He completed his MBBS in 1994 and went on to complete his MS in Trauma and Orthopaedics from Sassoon Hospitals, University of Pune in 1996. He migrated to the United Kingdom in 1997. He started working at Gloucestershire Royal Hospital in 1998.... read more. ...
In general, after any weight loss procedure, patients who continue to monitor their postoperative diet, maintain good eating habits and get regular exercise are more likely to maintain their weight loss.. Surgery, healthy eating habits and exercise will help decrease the BMI with resolution or significant improvement of the medical problems associated with the weight.. Complications can be minimized by following standardized protocols and implementing a team approach by staff that is well trained in this field. As with any surgical intervention, complications can occur. We focus on early detection of complications to manage at an early stage. Please feel free to contact the surgeon or the staff after surgery if you are experiencing any unusual symptom.. SPECIAL NOTE TO WOMEN OF CHILDBEARING AGE: Pregnancy should be avoided if possible in the first 2 years after surgery. ...
The ICD10 code for the diagnosis Certain early complications of trauma, not elsewhere classified is T79. T79 is NOT a valid or billable ICD10 code. Please select a more specific diagnosis below.
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.
Any patient undergoing a surgical procedure is at risk for developing complications afterward, including bleeding, infection, breathing problems and...
It is normal to be afraid of surgery. If given a choice, all of us would stay away from surgery. Our reasons for avoiding surgery are obvious. Surgeries come with a baggage of complications. Rarely a complication is severe enough to offset any potential benefit promised by the surgery. The complication itself becomes a bigger problem than the original illness. A complication can happen with the best surgeon having the purest intentions. Therefore it is wise to be scared of surgery. Yet we often find ourselves facing surgery. The truth is many problems cannot be solved effectively unless tackled by surgery. Surgery today is far more successful due to improved knowledge, experience and technology. Many patients have undergone surgery and have benefitted tremendously. So if a patient is offered surgery, how should he/she approach the situation?. The first question to be answered is Is my problem bad enough? This is an obvious question and most patients address it correctly. Doing a major surgery ...
Diarrhoea is a health complication where the patient experience irregular bowel movement every day for numbers of days. Diarrhoea is one of the abundantly general complications among people throughout the world. Weve data of 2004 which explains approximately 2.5 billion cases have been recorded that resulted in 1.5 million deaths….. ...
Diarrhoea is a health complication where the patient experience irregular bowel movement every day for numbers of days. Diarrhoea is one of the abundantly general complications among people throughout the world. Weve data of 2004 which explains approximately 2.5 billion cases have been recorded that resulted in 1.5 million deaths….. ...
Surgical Services for Children at St Georges includes emergency care, day surgery, as well as inpatient and outpatient care. This service provides care for children aged from newborn to late teens, both before and following operations in an appropriate child-friendly environment. Many childrens operations are ...
Complication coding is a hot topic among coding, clinical, and compliance professionals. Its considered to be one of the more challenging aspects of...
Overview The current trends in vascular imaging are to increase the reliance on noninvasive approaches, to minimize complications linked to invasive imaging, and to reserve invasive techniques for therapeutic interventions. Arteriography, while still the gold standard for the evaluation of the arterial system, is performed with greater speed and lower complication rates than in previous…
As with any surgical procedure, there are certain risks involved in having spine surgery performed. Read on to learn about the most common complications.
orthoRAPs Products. Tapeless support of post-operative dressing. Reduce Post-operative Complications. Post-operative, Post-injury Patient Care Products.
Acute scrotal pain: - Torsion of the testes - Torsion of the testicular and epididymal appendices - Acute epididymo-orchitis - Fournierís gangrene - Other causes of acute scrotal pain and swelling - Renal tract colic - Acute urinary retention - Frank haematuria - Renal trauma - Bladder trauma - Urethral trauma - Priapism - Paraphimosis - Penile fracture - Early postoperative complications: nephrectomy - Early postoperative complications: radical cystectomy - Early postoperative complications: radical prostatectomy - Early postoperative complications: percutaneous nephrolithotomy - Early postoperative complications: transurethral resection of the prostate - Early postoperative complications: transurethral resection of bladder tumour and cystoscopy - Early postoperative complications: scrotal surgery - Early postoperative complications: circumcision - Early postoperative complications: lithotripsy - Early postoperative complications: ureteroscopy ...
PURPOSE: To analyze agreement on postoperative complications after hypospadias surgery according to medical records and parents reports. MATERIALS & METHODS: In this retrospective cohort study, data were collected from 409 children who received an initial one-stage hypospadias correction in the Radboudumc, The Netherlands. Postoperative complications according to medical records were compared with parent-reported complications in an online questionnaire. Main complications studied were wound-related complications, urinary tract infections, fistulas, stenosis, and prepuce-related complications. Agreement was determined by Cohens kappa coefficient. RESULTS: Slightly less complications were mentioned in medical records (37%) compared to parents reports (42%). Overall agreement was moderate (kappa=0.50, 95% confidence interval (CI):0.41-0.59), but poor for some specific complications. Agreement was higher for complications that needed reoperation compared to when no reoperation was performed ...
1 Common complications after PPH. 2 Comparison of short-term complications after PPH and traditional methods. Racalbuto et al. reported that the comparison of 50 cases of PPH and Milligan-Morgan (MMH) surgery showed that: PPH has less pain (average painkiller 2.60 vs 15.9 tablets) and faster return to normal activities (08 04 vs 16. 9 d). Mehigan et al. reported that 85% of patients with PPH treatment were satisfied with postoperative symptom control, while MMH hemorrhoidectomy accounted for 75%. Since the initiation of PPH surgery, in the comparative study of PPH and MMH surgery in 4 domestic cases with a large number of cases, the comparison of operation time, pain index injection analgesic frequency, hospitalization time, recovery time and postoperative complication rate have shown PPH is better than MMH group. Schmidt et al. reported that 80 cases of similar patients treated with PPH and traditional surgery were compared. The complication rate of PPH was 4%, while that of traditional surgery ...
Patients with mean preoperative overnight SpO2 |92.7% or ODI |28.5 events/h or CT90 |7.2% are at higher risk for postoperative adverse events. Overnight oximetry could be a useful tool to stratify patients for the risk of postoperative adverse events.
The purpose of our study was to estimate the influence of estimated intraoperative blood loss (EIBL) on postoperative cardiopulmonary complications (PCCs) in patients undergoing video-assisted thoracoscopic surgery (VATS) lobectomy for non-small-cell lung cancer (NSCLC). We conducted a single-center retrospective analysis on the clinical data of consecutive patients in our institution between April 2015 and February 2016. Demographic differences between PCC group and non-PCC group were initially assessed. Receiver operating characteristic (ROC) analysis was performed to determine the threshold value of EIBL for the prediction of PCCs. Demographic differences in the PCC rates and length of stay between two groups of patients divided by this cutoff were further evaluated. A multivariable logistic-regression model involving the clinicopathological parameters with P-value| 0.05 was finally established to identify independent risk factors for PCCs. A total of 429 patients with operable NSCLC were included
November 2, 2017-The Society for Vascular Surgery (SVS) announced that findings from a comparison of percutaneous access versus femoral cutdown during endovascular repair of ruptured abdominal aortic aneurysm (AAA) were published by Samuel L. Chen, MD, et al in the Journal of Vascular Surgery (2017;66:1364-1370).. The study addresses the question of whether the fully percutaneous technique offers any benefit over open femoral cutdown in the emergency setting. Investigators reviewed a large national database and found that using an entirely percutaneous approach is as safe as incision-based approaches.. According to SVS, led by Roy M. Fujitani, MD, researchers retrospectively studied 502 patients who underwent ruptured endovascular aortic aneurysm repair and were entered into the American College of Surgeons National Surgical Quality Improvement Program between 2011 and 2014. The percentages of different endovascular repair access rates were 24% for bilateral percutaneous, 64% for bilateral ...
Background: Open revascularization for acute mesenteric ischemia (AMI) is associated with high perioperative morbidity and mortality; however, results from contemporary studies are varied. Therefore, we evaluated 30-day mortality after open revascularization for AMI and identified preoperative factors associated with mortality. Methods: We performed a retrospective cohort study of patients in the American College of Surgeons National Surgical Quality Improvement Program database undergoing open mesenteric revascularization for AMI from 2005 to 2017. The primary outcome was 30-day mortality. We used multivariable logistic regression to identify preoperative factors independently associated with 30-day mortality. Results: The study cohort included 918 patients; their median age was 70 years (interquartile range: 59e80 years), 62% were female, and 90% were white. Thirty-day mortality after open revascularization for AMI was 32%, specifically 35% after embolectomy, 31% after thromboendarterectomy, ...
Postoperative cognitive dysfunction (POCD) is a common postoperative complication experienced by patients aged 65 years and older, and these older adults comprise more than one third of the surgical patients in the USA. Because not everyone with a history of exposure to surgery and anesthesia develops POCD, there are likely major biological risk factors involved. There are important gaps in our knowledge regarding whether genetic makeup, biological sex, or other Alzheimers disease risk factors predispose older adults to developing POCD. We set out to determine whether biological sex and Apolipoprotein E-ε4 (APOE4) carrier status increase the risk of developing POCD in older adults. We performed a cohort analysis of 1033 participants of prospective longitudinal aging studies. Participants underwent regular cognitive test batteries and we compared the annual rate of change over time in various cognitive measures in the women exposed to surgery and general anesthesia compared to the men exposed to
Background The Medicare Access and CHIP Reauthorization Act of 2015 provides the framework to link reimbursement for providers based on outcome metrics. Concerns exist that the lack of risk adjustment for patients undergoing revision TKA for an infection may cause problems with access to care.. Questions/purposes (1) After controlling for confounding variables, do patients undergoing revision TKA for infection have higher 30-day readmission, reoperation, and mortality rates than those undergoing revision TKA for aseptic causes? (2) Compared with patients undergoing revision TKA who are believed not to have infections, are patients undergoing revision for infected TKAs at increased risk for complications?. Methods We queried the American College of Surgeons National Surgical Quality Improvement Program database for patients undergoing revision TKA from 2012 to 2015 identified by Current Procedural Terminology (CPT) codes 27486, 27487, and 27488. Of the 10,848 patients identified, four were ...
Utilizing American College of Surgeons National Surgical Quality Improvement Project (ACS NSQIP) data, the authors looked at the effects of intraoperative handoffs involving anesthesia personnel in two hospitals.
Nine nonrandomised cohort studies met the inclusion criteria and involved a total of 1589 women with 2199 breast reconstructions. We included seven retrospective and two prospective cohort studies. Six studies reported the number of MSFN on a per breast basis for a total of 1435 breasts and three studies reported the number of MSFN on a per patient basis for a total of 573 women. Five studies reported the number of other complications on a per breast basis for a total of 1370 breasts and four studies reported the number on a per patient basis for a total of 613 patients. Therefore, we decided to pool data separately.. Risk of bias for each included nonrandomised study was assessed using the Newcastle-Ottawa Scale for cohort studies. There was serious concern with risk of bias due to the nonrandomised study design of all included studies and the low comparability of cohorts in most studies. The quality of the evidence was found to be very low, after downgrading the quality of evidence twice for ...
Correlation between perioperative surgical factors and complications after hip arthroplasty, as a salvage procedure, following failure of internal fixation of osteoporotic intertrochanteric fractures Noratep Kulachote,1 Paphon Sa-Ngasoongsong,1 Siwadol Wongsak,1 Kulapat Chulsomlee,2 Chavarat Jarungvittayakon,1 Praman Fuangfa,3 Viroj Kawinwonggowit,1 Pornchai Mulpruek1 1Department of Orthopedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; 2Chakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; 3Department of Radiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand Background and purpose: Salvage hip arthroplasty (SHA) in patients presenting with failed internal fixation after intertrochanteric fracture (FIF-ITFx) is a difficult procedure, and the incidence of perioperative mortality and complications following SHA are high. To our knowledge, no information related to
BACKGROUND/AIM Surgical treatment of patients with gastric adenocarcinoma means the total excision of a tumor and the pathways of its spreading with the risk of operational complications as low as possible. The aim of this study was to evaluate the type and frequency of early postoperative complications and mortality after a radical surgical treatment of patients with gastric adenocarcinoma. METHODS Complication rates and postoperative mortality were studied in 70 consecutive patients in whom a radical surgical procedure, gastrectomy (total or subtotal) with D2 lymphadenectomy, was performed. In the early postoperative period, the frequencies of general and specific complications were detected. The frequencies of complications were compared between the groups of patients according to the defined clinical, operative and pathohistological paramethers. RESULTS The overall morbidity and mortality rates were 27.14% and 5.71%, respectively Pancreatic fistula in five, and pleural effusion in three patients
Looking for high-risk surgery? Find out information about high-risk surgery. branch of medicine medicine, the science and art of treating and preventing disease. History of Medicine Ancient Times Prehistoric skulls found in Europe... Explanation of high-risk surgery
The corresponding records data was evaluated for novel postoperative complications in six categories; postoperative infection, nervous system, pain, urinary tract infection, osteomyelitis and joint derangement. Complication rates were investigated at 90 days and six months post-operatively, with a 30-day point used to evaluate infection rates. Novel lumbar pathology was also investigated as an outcome.. The researchers observed an incidence of 62 complications within the first 90 days (13.2%), and 77 (16.4%) within six months of the procedure. An infection rate of 4.1% (19) was observed within six months. Novel lumbar pathology was found in 3.6% of patients (n=17) at 90 days following the procedure, and in 5.3% (25) at six months, with a 9.1% (15) burden of incidence on the male population by this time point.. The results of our study show higher overall complication rates for minimally invasive sacroiliac joint fusion than have been previously reported, write the authors. Whilst the team note ...
Postoperative Myocardial Infarction: Diagnosis and Management Todd M. Brown, MD, MSPH Chief Fellow Division of Cardiovascular Diseases December 9, 2008 CHEST PAIN NON-ANGINAL UNSURE ANGINAL STABLE ANGINA
The present study showed that the short-term outcomes, including overall postoperative complication rates, mortality rates were similar between elderly and non-elderly patients. Furthermore, the details of the perioperative course and length of hospital stay were similar between the groups. Therefore, our results suggest that LAC is a safe and feasible regardless of the age of the patient.. The overall complication rates were 19.0% in Group A and 15.7% in Group B. There were no statistically significant differences (P = 0.587). Anastomotic leakage (5.9%) and surgical site infection (2.0%) were main complications in Group A. Surgical site infection was the most frequently diagnosed complication in Group B, followed by ileus, leakage, diarrhea and delirium. Moreover, no mortality was observed in both groups. Similar results were observed in previous reports. For example, Inoue et al. evaluated efficacy and safety of laparoscopic surgery in elderly patients with colorectal cancer [22]. They ...
If you experienced complications after surgery because of a negligent doctor, then you need an Alpharetata post-operative complications lawyer.
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The surgical treatment of advanced ovarian cancer is based on the maximal debulking with widening the operation range to the infiltrated organs. The aims are as follows: (1) the assessment of the quantity and quality of intra- and postoperative complications in patients with advanced ovarian cancer in which partial bowel resection was performed and (2) the evaluation of intra- and postoperative complications related to surgery with bowel resection and anastomosis, compared to Hartmanns procedure. The analysis of debulking procedures with intestinal resection and postoperative period in 39 ovarian cancer patients, FIGO stage III-IV, was performed. During 39 operations, the most frequent type of resection was the sigmoidectomy or proctosigmoidectomy (29 patients). In the remaining patients, left- and right-side hemicolectomy or partial enterectomy was done. Twenty-four anastomosis and 15 Hartmanns procedures were performed. There were no differences between surgery with anastomosis and ...
Colorectal cancer (CRC) is the second most prevalent type of cancer in the world. Surgery is the only curative option. However, postoperative complications occur in up to 50% of patients and are associated with higher morbidity and mortality rates, lower health related quality of life (HRQoL) and increased expenditure in health care. The number and severity of complications are closely related to preoperative functional capacity, nutritional state, psychological state, and smoking behavior. Traditional approaches have targeted the postoperative period for rehabilitation and lifestyle changes. However, recent evidence shows that the preoperative period might be the optimal moment for intervention. This study will determine the impact of multimodal prehabilitation on patients functional capacity and postoperative complications. This international multicenter, prospective, randomized controlled trial will include 714 patients undergoing colorectal surgery for cancer. Patients will be allocated to the
BACKGROUND: The effects of individualised perioperative lung-protective ventilation (based on the open-lung approach [OLA]) on postoperative complications is unknown. We aimed to investigate the effects of intraoperative and postoperative ventilatory management in patients scheduled for abdominal surgery, compared with standard protective ventilation. METHODS: We did this prospective, multicentre, randomised controlled trial in 21 teaching hospitals in Spain. We enrolled patients who were aged 18 years or older, were scheduled to have abdominal surgery with an expected time of longer than 2 h, had intermediate-to-high-risk of developing postoperative pulmonary complications, and who had a body-mass index less than 35 kg/m2 ...
TY - JOUR. T1 - Blood levels of dual-specificity phosphatase-1 independently predict risk for post-operative morbidities causing prolonged hospitalization after coronary artery bypass grafting. AU - Hägg, Sara. AU - Alserius, Thomas. AU - Noori, Peri. AU - Ruusalepp, Arno. AU - Ivert, Torbjörn. AU - Tegner, Jesper. AU - Björkegren, Johan. AU - Skogsberg, Josefin. PY - 2011/6/1. Y1 - 2011/6/1. N2 - New technologies to generate high-dimensional data provide unprecedented opportunities for unbiased identification of biomarkers that can be used to optimize pre-operative planning, with the goal of avoiding costly postoperative complications and prolonged hospitalization. To identify such markers, we studied the global gene expression profiles of three organs central to the metabolic and inflammatory homeostasis isolated from coronary artery disease (CAD) patients during coronary artery bypass grafting (CABG) surgery. A total of 198 whole-genome expression profiles of liver, skeletal muscle and ...
The most common complications that occur during treatments with dental implants are mechanical. Purpose of this presentation was to show the incidence and types of technical complications associated with implant supported complete dental fixed prostheses. Prosthetic conditions were determined by clinical analysis and radiographic examination. Design characteristics of the implant, abutment and prostheses, the materials employed and biomechanical issues all exert an important influence on the outcome of these prostheses. First technical and immediately after biologic complications after the placement of implant supported fixed complete dental prosthesis for our edentulous patients, occur continuously over time as a result of fatigue and stress. The most frequent implant - prosthesis complication reported was screw fractures, or hypertrophy - hyperplasia of tissue. The combination of implant-bone anchoring, the attachment of prosthetic components with screws, and the dynamics involved result in a ...
Patients and Methods: Surgically managed burn patients admitted between 2010-14 were included. Operative stay was defined as the time from admission until the last operation, postoperative stay as the time from the last operation until discharge. The difference in variation was analysed with F-test. A retrospective review of medical records was done to explore reasons for extended postoperative stay. Multivariable regression was used to assess factors associated with operative stay and postoperative stay.less thanbr /greater thanResults: Operative stay/TBSA% showed less variation than total duration/TBSA% (F test = 2.38, pless than0.01). The size of the burn, and the number of operations, were the independent factors that influenced operative stay (R2 0.65). Except for the size of the burn other factors were associated with duration of postoperative stay: wound related, psychological and other medical causes, advanced medical support, and accommodation arrangements before discharge, of which the ...
Results of the surgical management of abdominal aortic aneurysms in 80 patients over 80 years of age. Background: Abdominal aortic aneurysms AAA may be lethal unless appropriately and timely treated.. Since age is a surgical risk, octogenarians are usually not considered as candidates for surgical intervention. Aim: To asses surgical complications and mortality in octogenarians treated for AAA.. Subjects and Methods: Patients aged 80 years older, treated consecutively between were retrospectively analyzed. Results: Sixty one patients were male, and their age ranged from 80 to 95 years. All were treated with open surgery. The operation was elective in 58 and as an emergency in 22 patients symptomatic or ruptured AAA. Aortic diameter was 6. Thirty days postoperative mortality was 5.. Five years survival rate was Conclusions: Elective surgery for asymptomatic AAA can be performed with low operative mortality in octogenarians. However, surgery in emergency cases has an 8 fold increase in risk. ...
The OPOS study is novel in its design for classifying CVD patients by BMI, QoL measures and functional capacity, and correlating these factors with molecular biomarkers of obesity at the systemic and cellular levels. Previous studies have been unable to completely elucidate the mechanisms by which obesity affects postoperative outcomes. The proposed findings of this study should overcome, to a great extent, the limitations of BMI as a singular measure of obesity, the most salient of which is its inability to account for muscle mass or functional capacity. While alternate techniques can directly measure body composition, such as MRI or dual-energy X-ray absorptiometry,39 these are impractical in the clinical setting. Despite its limitations, BMI is most familiar to clinicians and thus must serve as a comparative marker in this study design. Studies like this one are necessary to help segregate the high-risk obese patient likely to experience adverse outcomes from the lower risk obese patient. ...
Pre- and post-operative complications can be fatal if not recognized and treated rapidly. Preventing postoperative pulmonary complications, Intraoperative and postoperative respiratory management, Boston University School of Medicine Surgery website,, Antibiotic prophylaxis and skin preparation, Strategies to prevent postop nausea and vomiting, Use chewing gum to accelerate GI motility, Defined discharge criteria (ambulation, oral solids), Pulmonary rehabilitation and prehabilitation, Remove urinary catheters/ drains within 24 hours. Even with the safest of surgeries come with their fair share of risks for complications. Prevention of these complications includes aseptic practices, exercises, hydration, and the use of advanced care wound care products. People with PD are even more susceptible to this phenomenon especially those with cognitive decline. (See ERAS protocol ...
Reflex vagal responses have also been reported in anesthetized horses after stimulation of the bladder, extension of contracted joints and traction of the ovarian pedicle and spermatic cord ...
Recent myocardial infarction is known to be a significant risk factor for postoperative complications following elective, noncardiac surgery
Index of /kafedra/internal/11/classes_stud/en/Med-prof faculty/Fts/Care of the patient/2/04. Early postoperative period. Early postoperative complications and their treatment. ...
by admin , Apr 10, 2014. Pulmonary complications after surgery are relatively common, occurring in roughly 3% of patients who undergo non-cardiac operations. When compared with other adverse postoperative outcomes, pulmonary complications are also among the most costly. Some analyses have shown that these complications can increase hospital length of stay by as many as 14 days when compared with a lack of these complications. Clinicians have little guidance on how to prevent pulmonary complications after operations, says David McAneny, MD. Efforts to standardize care may reduce the incidence of adverse pulmonary outcomes. Testing an Intervention In a study published in JAMA Surgery, Dr. McAneny and colleagues tested an intervention designed to reduce the incidence of postoperative pulmonary complications. Our goal was to create a simple, inexpensive pulmonary care program that was easily understood and remembered by patients, their families, and our staff, says Dr. McAneny. We included ...
Buy Coronary Bypass Surgery Procedure by Pressmaster on VideoHive. Closeup of experienced surgeon performing coronary artery bypass grafting assisted by nurse, shot on Sony NEX 700 + O...
AF is the most common complication occurring after cardiac surgery.1 2 3 Despite advances in CPB, cardioplegic arrest, and surgical techniques, its incidence has paradoxically increased in recent years18 as the result of surgical patients being older and sicker and advances in ECG continuous monitoring technology.3 It is frequently not well tolerated, and patients may have symptoms including temporary hemodynamic instability, thromboembolic events, and shortness of breath or chest discomfort and has been shown to increase costs and to lengthen hospital stay.1 3 Many preoperative and postoperative factors have been suggested to increase the incidence of postoperative AF after conventional CABG such as advanced age, hypertension,3 withdrawal of β-blocker drug,19 RCA stenosis,5 respiratory complications,6 and bleeding.7 Strategies directed toward reduction of postoperative AF have focused on several drugs, given prophylactically, such as β-adrenoceptor antagonists,1 19 calcium antagonists,9 ...
This Revised Cardiac Risk Index (RCRI) calculator determines risk of perioperative cardiac events in patients undergoing heart surgery.
Complications following surgical procedures are not only associated with significant morbidity and mortality, but also add immensely to the psychological burden of the patient and are disappointing for the surgical team. Recent research has led to a greater understanding of the response to surgery and anaesthesia, and great advances have been made in pre-operative preparation with appropriate investigations and pharmacological prophylaxis.
Which local hospitals are the best at performing total hip replacements? Healthgrades, a Denver-based health care information provider, rolled out a study Oct. 17 to help metro Atlantans find out.
An aorto-cutaneous fistula is a rare complication that occurs after aortic surgery. Due to its rarity, postoperative complications are not normally highlighted in most standard teaching. We report here a case of aorto-cutaneous fistula after surgical treatment of a Stanford type A aortic dissection (AD) in a 67-year-old Chinese male. The patient presented with severe right heart dysfunction and a mass was found in the upper-middle of his chest, which started bleeding in the next years. On admission, preoperative aortic computed tomography angiography (CTA) showed a huge hematoma located in the anterior superior mediastinum and a shunt between the embedding cavity of the aortic root and right atrium ...
Both AUDIT-C alcohol screening scores up to a year before surgery and clinical documentation of drinking over 2 drinks per day immediately prior to surgery (documented drinking ,2d/d) are associated with increased postoperative complications and health care utilization. The purpose of this study was to evaluate whether documented drinking ,2d/d contributed additional information about postoperative risk beyond past-year AUDIT-C screening results ...
Publication date: Sep 16, 2019 A sentinel lymph node (SLN) biopsy is a common surgical procedure for cutaneous melanoma. Our aim was to evaluate risk factors for early post-operative complications ... Read more ...
Alan R. Hartman, MD, chair of cardiovascular and thoracic surgery at North Shore-LIJ, and his colleagues conducted a retrospective review of data from cases conducted in the health system that had been submitted to the New York State Cardiac Surgery Reporting System and the Society of Thoracic Surgeons. Thirteen surgeons in three of the health systems largest hospitals brought 96 patients into their operating rooms over a consecutive nine-year period. Eight of those surgeons had more than 15 years experience in cardiothoracic medicine. In addition to 30-day mortality, the study team collected data on post-operative length of stay, discharge location, readmission status and post-operative complications. All of the patients who had undergone surgery had acute, centrally located pulmonary embolus and severe global hyperkinetic right ventricular (RV) dysfunction. All patients had either a large clot burden in the main pulmonary arteries or a saddle embolism, which is a clot that blocks the ...
Many of these early complications can be avoided or dealt with appropriately with our experienced surgeons in a hospital setting.. Over time, other complications may arise from the surgery.. Later Complications that may occur while the tracheostomy tube is in place include:. ...
Higher rates of stillbirths, the need for emergency Caesarean sections, and infant mortality have all been associated with both type 1 and type 2 diabetes
Complication, in medicine, is an unfavorable evolution or consequence of a disease, a health condition or a therapy. The disease can become worse in its severity or show a higher number of signs, symptoms or new pathological changes, become widespread throughout the body or affect other organ systems. A new disease may also appear as a complication to a previous existing disease. A medical treatment, such as drugs or surgery may produce adverse effects or produce new health problem(s) by itself. Therefore, a complication may be iatrogenic (i.e. literally brought forth by the physician).. Medical knowledge about a disease, procedure or treatment usually entails a list of the most common complications, so that they can be foreseen, prevented or recognized more easily and speedily.. Depending on the degree of vulnerability, susceptibility, age, health status, immune system condition, etc. complications may arise more easily. Complications affect adversely the prognosis of a disease. Non-invasive ...
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The effects of preoperative smoking cessation on the healing of fractures and postoperative complications: A systematic review and meta-analysis, Wei Min, Rongze An, Songjun Li, Ji
"Postoperative. Pulmonary. Complications: A Statistical. Study. Based on Two. Years' Personal. Observation. Surgical Gynecol ... Another serious complication was chronic incisional hernias, a condition in which the incision fails to heal, causing it to ... 1998). "Surgical complications of diagnostic and operative gynaecological laparoscopy: A series of 29,966 cases". Hum Reprod. ... Hall, JC; Taral, RA; JL Hall, Mander J (1991). "A multivariate analysis of the risk of pulmonary complications after laparotomy ...
Feeding into a vein and early postoperative feeding may increase postoperative complications. These diet interventions do not ... "Postoperative complications". Standford Health Care. 2017. Retrieved 2018-01-17. Lauridsen SV, Tønnesen H, Jensen BT, Neuner B ... perioperative oral supplements may slightly decrease postoperative complications. It is uncertain if giving an individual ... Any of these complications may require another operation or re-admission to the hospital. Immediately after surgery no food or ...
Postoperative Complications". The Anesthesia Guide. New York: McGraw-Hill Medical. ISBN 9780071760492. OCLC 793006233. " ... Post operative interview by an anesthetist is common practice to elucidate if awareness occurred in the case. If awareness is ... Butterworth JF, Mackey DC, Wasnick JD, Morgan G, Edward M, Maged S, Morgan GE (2018). "Chapter 54: Anesthetic Complications". ... A common but devastating complication of intraoperative awareness with recall is the development of post-traumatic stress ...
On 15 May 1911 he delivered his presidential address to the Medical Society of London on post-operative lung complications. ... doi:10.1016/s0140-6736(01)33673-5. "The Annual Oration On post-operative lung complications Delivered before the Medical ... Janes, Robert M. (February 1955). "Postoperative pulmonary complications". The American Journal of Surgery. 89 (2): 297-303. ... Atelectasis is one of the most common breathing (respiratory) complications after surgery. It's also a possible complication of ...
Carmen Sánchez Galán (45), public servant; complicaciones post-operative complications. January 15 Isidro Baldenegro López, ... surgical complications. Raquel Parot (92), actress Juan Gabriel Sánchez Gómez (43), leader of taxi drivers in Tizayuca, Hidalgo ... respiratory complications (b. March 30, 1921). September 5 - José Durán González, 67, polítician, former mayor of Pueblo Nuevo ...
Minor post-operative pulmonary complications include events such as atelectasis, bronchospasm, laryngospasm, and unanticipated ... Smetana GW (November 2009). "Postoperative pulmonary complications: an update on risk assessment and reduction". Cleveland ... Cook MW, Lisco SJ (2009). "Prevention of postoperative pulmonary complications". International Anesthesiology Clinics. 47 (4): ... Postoperative fevers are a common complication after surgery and can be a hallmark of a serious underlying sepsis, such as ...
49 (2). Tenofsky PL, Beamer L, Smith RS (2000). "Ogilvie syndrome as a postoperative complication". Arch Surg. 135 (6): 682-6, ...
Postoperative complications include: Bleeding (most common). Bleeding may be reduced by pre-treatment with an anti-androgen ... This complication can lead to confusion, changes in mental status, vomiting, nausea, and even coma. To prevent TURP syndrome, ... This is one of the most frequent complications of the procedure, occurring in about 65% of patients. Bladder neck stenosis. ... Rassweiler J, Teber D, Kuntz R, Hofmann R (November 2006). "Complications of transurethral resection of the prostate (TURP)-- ...
One patient developed postoperative ulnar nerve damage. Two patients had damages to the posteromedial part of the olecranon and ... Of the 78 patients, 8 of them (8.8%) reported complications. Two patients had superficial infections that resolved with oral ... Post-operative treatment is related to the restoration of normal scapulohumeral rhythm, which begins with establishing trunk ... Difficult diagnoses and surgical complications". Clinics in Sports Medicine. 18 (4): 795-809. doi:10.1016/S0278-5919(05)70185-X ...
Bleeding is the most common postoperative complication. Severe postoperative pain could be caused by dehiscence of the ... Pescatori M, Gagliardi G (March 2008). "Postoperative complications after procedure for prolapsed hemorrhoids (PPH) and stapled ... Many long-term complications have been described. Most of them are related to either an incorrect indication for surgery or ... Severe complications leading to death have been described but are rare. Irreversible urge incontinence due to lesions of the ...
Two studies showed few post-operative complications. In adult females, a laparoscopic "Venetian blind" technique can be used ... For many, Diastasis Recti is a condition which they have to live with for many years later In children - Complications include ...
Potential complications include hemorrhage and postoperative hypokalemia. With complete removal of the tumor, prognosis is ...
Approximately 30% of patients experience postoperative complications. The National Pediatric Cardiology Quality Improvement ... The mechanism of many of the risks and complications related to failure of the Glenn bidirectional shunt is thought to be ... These results showed a low survival rate in these canines, and further demonstrated the basis of many surgical complications ... and prolonged operative and recovery time are the major factors that increase the risk of complications and failure. ...
Again, post-operative infection was a major complication. Gillies described the flap as "floating in pus at one point" which ... On post-operative day five, a serious infection was noted as well as complications with the stent requiring surgical ...
Rare post-operative complications include hydrocephalus and brain stem compression by retroflexion of odontoid. Also, an ... All patients died from surgery or postoperative complications. 1935: Russell and Donald suggested that decompression of the ... The alternative spinal surgery is also not without risk.[citation needed] Complications of decompression surgery can arise. ... extended CVD created by a wide opening and big duroplasty can cause a cerebellar "slump". This complication needs to be ...
Hall died following post-operative complications in 1928. Floyd R. Mechem. "James Parker Hall , Illinois Law Review". www. ...
Postoperative complications associated with 25-gauge pars plana vitrectomy. Ophthalmic Surg Lasers Imaging. 2007;38(4):270-275 ... Complications can include retinal detachment, retinal tears, endophthalmitis, and postoperative cataract formation. ... Complications of sutureless vitrectomy and the findings of the Micro-Surgical Safety Task Force. Paper presented at: Retina ... VMA can also lead to the development of VMT/traction-related complications such as macular puckers and macular holes leading to ...
Potential complications include: Post-operative complications include infection, sepsis. The surgery death rate was 5-10% in ... Post-operative survival periods average 15 years. Heart transplantation is not considered to be a cure for heart disease; ... Many recent advances in reducing complications due to tissue rejection stem from mouse heart transplant procedures. People who ... The following conditions in a patient increase the chances of complications.[citation needed] Absolute contraindications: ...
Gopal, Das (1989). "Spinal Traumas : Some Post-operative Complications in Experimental Animals". Brain Research Bulletin. 22 (1 ...
... is safe, yet complications can arise; post-operative bleeding is uncommon, but usually resolves without treatment. ... Swanepoel PF, Fysh R (2007). "Laminated dorsal beam graft to eliminate postoperative twisting complications". Archives of ... Nonetheless, one potential, but rare, complication of this nasal correction approach is the formation of a medial canthal web, ... Throughout the first year post-operative, in the course of the rhinoplastic wounds healing, the tissues will shift moderately ...
Furthermore, postoperative complications such as psychiatric disturbances were realized. These combined findings eventually led ...
... post-operative complications may include edema, hematoma, and ecchymosis. Paralysis Paresis congenital mirror movement disorder ...
Long-term follow-ups are often recommended to prevent these complications. Micro-TESE has limited postoperative complications ... Micro-TESE and TESE have risks of postoperative infection, bleeding and pain. TESE can result in testicular abnormalities and ... Tsujimura, Akira (2007). "Microdissection testicular sperm extraction: prediction, outcome, and complications". International ...
During the REMATCH trial, several complications were reported for patients who received the LVAD. They reported post-operative ... or other complications. In addition, patients may be eligible but are not suitable for heart transplant because they have other ...
PMID 16597816 "Complications Associated With Minimally Invasive Decompression For Lumbar Spinal Stenosis." (August 2006) ... PMID 16770211 "Evaluation of Cold Therapy in Postoperative Spine Patients." (May 2005) Surgical Technology International. PMID ...
Scarring, postoperative skin discoloration or keloid formation are potential complications. Therefore, conservative DPN ...
The advantage is that it produces less post-operative restlessness. It has less post-operative lung complications and less ... The complications of retrobulbar block are globe perforation, optic nerve injury, retrobulbar haemorrhage and extraocular ... The complications of general anaesthesia are laryngospasm, hypotension, hypercarbia, respiratory depression and cardiac ...
... this occurs as a postoperative complication of tooth extraction. Alveolar osteitis usually occurs where the blood clot fails to ... Postoperative pain is also worse than the normal discomfort which accompanies healing following any minor surgical procedure. ... Other factors in the postoperative period that may lead to loss of the blood clot include forceful spitting, sucking through a ... Prevention of alveolar osteitis can be exacted by following post-operative instructions, including: Taking any recommended ...
After surgery, postoperative care is necessary for recovery. Topical corticosteroids are used to decrease postoperative optical ... The most common complication after cataract surgery in childhood is visual axis opacification. Cataract surgery may be ... Topical anesthetics are used for postoperative pain. Contact lens are used immediately after surgery to allow for visual ... Even when treated, childhood cataracts may be associated with some complications. About 10% to 25% of children have been ...
Post-operative death and complications associated with pancreaticoduodenectomy have become less common, with rates of post- ... Post-operative complications, hospital mortality and survival do not differ between the two methods. Pancreaticoduodenectomy is ... Three of the most common post-operative complications are: delayed gastric emptying, bile leak, and pancreatic leak. Delayed ... While post-operative ileus is typically self-limited, prolonged post-operative ileus occurs when patients develop nausea, ...
Long term complications with pain, feeling sick and lesser sleep quality than before the LAUP. In 2008, Labra, et al., from ... This approach improves postoperative results in well-selected patients. One of the risks is that by cutting the tissues, excess ... After surgery, complications may include these: Sleepiness and sleep apnea related to post-surgery medication Swelling, ... Technique to avoid complications". Journal of Otolaryngology. 37 (2): 256-9. PMID 19128622. WebMDHealth. ...
Complications in the mother include obstructed labour, postpartum bleeding, eclampsia, and postpartum infection. Complications ... "Vaginal preparation with antiseptic solution before cesarean section for preventing postoperative infections". The Cochrane ... In some cases twin delivery is done in a larger delivery room or in an operating theatre, in the event of complication e.g. ... Each year, complications from pregnancy and childbirth result in about 500,000 birthing deaths, seven million women have ...
... post-operative, post-infectious, post-traumatic or post-vaccination), the cause is still unknown. The condition manifests as a ... however most recent studies suggest that long-term complications are more common than previously thought. It is named after ...
Post-operative complications can be divided into donor-site and recipient-site problems. Donor-site complications include wound ... Further postoperative treatment modalities as radiation therapy and chemotherapy may impact the final result.[citation needed] ... Recipient-site complications include (total or partial) flap necrosis, wound infection, dehiscence, hematoma or skin graft ... reducing postoperative wound infections and CSF leakages. Disadvantages are the complexity of the operation, leading to ...
Periodic post operative CT scans and tumor marker laboratory tests are used to monitor patients for disease progression. The ... or other types of complications. This disease is most commonly caused by an appendiceal primary cancer (cancer of the appendix ... Some surgeons also apply early post-operative intraperitonial chemotherapy (EPIC), adjunct to surgical cytoreduction and HIPEC ... known as early postoperative intraperitoneal chemotherapy (EPIC). EPIC may be given in multiple cycles for several months after ...
... post-operative complications) 24 November - Arthur James Herbert, Quartermaster-General, 77 2 December - Thomas Lewis, ...
For this reason, it commonly occurs in people with post-operative diarrhea induced by post-operative antibiotics.[citation ... Kim MS, Lee JK, Chang BS, Um HS (April 2010). "Benign paroxysmal positional vertigo as a complication of sinus floor elevation ...
... and post-operative complications. The progression of reduced cardiac functioning over time may necessitate surgical procedures ... Cardiorespiratory complications may arise, which is why it is recommended that CLS patients undergo regular monitoring for ...
... meeting inclusion criteria experienced a postoperative complication. Their conclusion was that: Liposuction by board-certified ... Death Serious complications include deep vein thrombosis, organ perforation, bleeding, and infection. Death occurs in about one ... There exists a spectrum of complications that may occur due to any liposuction. Risk is increased when treated areas cover a ... In nine cases, complications developed that needed further action. The conclusion was that liposuction using exclusively ...
Complications of surgery can include injury to the bladder, rectum, or ureter, especially in cases where there has been tissue ... and postoperative/perioperative infection. One case has been reported as of 2015 where placement of a pessary caused an ... Though it is a rare complication, as the popularity of laparoscopic hysterectomy has risen, the rate of vaginal evisceration ... Vaginal evisceration is a serious complication of dehiscence (where a surgical wound reopens after the procedure), which can be ...
Castration can have complications, such as swelling, hemorrhage or post-operative bleeding, infections, and eventration. It can ... Minor complications following castration are relatively common, while serious complications are rare. According to one in-depth ... The more common complications are: Post-operative swelling (edema) - minor and very common Scrotal/incisional infection - local ... These complications occur with sufficient frequency that castration has a relatively high overall mortality rate. To minimize ...
... and postoperative complications. Currently, there are no published trials which compare the efficacy and safety of ab interno ... Flat bleb - will fail if not formed in first postoperative days; if early scarring is cause, subconjunctival 5-FU injections or ... 5 mg 5-FU daily can be injected in the 7-14 postoperative days. In the following days to weeks sutures that hold the scleral ...
Using antibiotics to prevent potential postoperative complications in emergency appendectomy procedures is recommended, and the ... If the appendix has not ruptured, the complication rate is only about 3% but if the appendix has ruptured, the complication ... Laparoscopic appendectomy has several advantages over open appendectomy, including a shorter post-operative recovery, less post ... Hospital lengths of stay typically range from a few hours to a few days but can be a few weeks if complications occur. The ...
Some injuries MedStar NRH encounters are spinal cord disease, spinal stenosis, multiple sclerosis, postoperative spinal surgery ... Promoting Health and Preventing Complications through Exercise is also funded by the NIDRR. The $4 million, 5-year grant allows ...
The authors of the Earfold method point out that late complications, such as relapse, secondary deformations, defects, shifts ... post-operative bleeding with haematoma in the pockets of the skin; pain; infection; erosion of the skin; allergic reaction to ... Kang and his colleagues reported on the results and possible complications of the method in 2018 (2). One or several incisions ...
Singh VP, Bali A, Singh N, Jaggi AS (February 2014). "Advanced glycation end products and diabetic complications". The Korean ... parallels and lessons to be learned from other persistent post-operative pain disorders". Molecular Pain. 11: s12990-015-0020. ... Grossman G (April 2008). "Neurological complications of coeliac disease: what is the evidence?". Practical Neurology. 8 (2): 77 ... Nickerson DS (2017). "Nerve decompression and neuropathy complications in diabetes: Are attitudes discordant with evidence?". ...
The most common post-operative complications, likely causes, and treatment options are: Cardiovascular Hypertension: In the ... This complication is related to the impact that alpha and beta-adrenoceptor antagonists have on blood vessels combined with the ... Hypotension: There are several reasons a patient may have low blood pressure in the post-operative period. First and foremost, ... Mamilla D, Araque KA, Brofferio A, Gonzales MK, Sullivan JN, Nilubol N, Pacak K (July 2019). "Postoperative Management in ...
Her condition due to post operative complications worsened and she was moved to the ICU and had two subsequent surgeries. She ...
Christie, I. W; McCabe, S. (2007-03-21). "Major complications of epidural analgesia after surgery: results of a six-year survey ... to enable post-operative pain treatment. The benefits of wound infiltration are quite prominent which is the reason why "single ... Epidural analgesia may lead to serious neurological complications (epidural haematoma and abscess, with an incidence of one in ... Moen, Vibeke; Dahlgren, Nils; Irestedt, Lars (October 2004). "Severe neurological complications after central neuraxial ...
... and the advantage of there being potentially less post-operative complications using the perineal route, rekindled interest in ... Postoperative Care". Medscape. Archived from the original on 19 February 2021. Retrieved 19 February ...
Adverse effects like postoperative paresis or tetraparesis or pneumonia appear in some cases. Depending on the width or lateral ... Because every surgery comes along with some kind of risk, possible complications are an injury of the structures on the way to ... Possible serious complications can be complete or incomplete tetraplegia, pneumonia or unnoticed injury of the esophagus. ... One can control the early postoperative course by making sure that the animal stays calm and gets controlled, short walks to ...
Despite significant improvements in technique and postoperative care, the long-term survival for esophageal cancer is still ... Recognized major cancer hospitals typically report mortality rates under 5%. Major complications occur in 10-20% of patients, ... and some sort of complication (major and minor) occurs in 40%. Time in hospital is usually 1-2 weeks and recovery time 3-6 ...
Postoperative complications after LRLPJ are usually septic in nature and are likely to occur more often in patients in whom ... Chaudhary A, Negi SS, Masood S, Thombare M (2004). "Complications after Frey's procedure for chronic pancreatitis". Am. J. Surg ...
It arises as a complication of paraproctitis. Ischiorectal, inter- and intrasphincteric abscesses have been described.[citation ... the pain associated with the opening and draining incision during the post-operative period is often mild in comparison. ...
... postoperative pain, and complications". Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 97 (4 ...
A common postoperative complication is heterotopic ossification around the injured hip joint. To understand the fracture ... Deep vein thrombosis and pulmonary embolism are other complications that may occur in any type of injury to the acetabulum. ... and complications. Chin J Traumatol. 2018 Jun;21(3):176-181. doi: 10.1016/j.cjtee.2018.02.004. Epub 2018 Apr 26. PMID: 29773451 ... normally lag screws and reconstruction plates are preferred implants Post operative management: would involve initial period or ...
It also found that children who were accompanied by their mother had significantly lower rates of post-operative complications ...
... there may also be complications. Potential complications include significant postoperative pain, injury to organs, bleeding, ... benefits of SPL techniques include less postoperative pain, less blood loss, faster recovery time, and better cosmetic results ... training and experience is currently limited and some negative perceptions regarding increased operating time and complications ...
... surgery is generally the result of intra-operative contamination of the prosthesis or a bacteraemic post-operative complication ... 1986) Irvine, California, pages 17-22 Bove E I, Helak J W, Potts J L, et al 'Postoperative haemodynamic evaluation of the ... Ionescu's group took draconian measures in trying to jugulate post-operative infections which they considered to be, in great ... A clear picture concerning the exactitude of thrombotic and embolic complications of artificial heart valves, and especially of ...
It is a possible complication of all intraocular surgeries, particularly cataract surgery, and can result in loss of vision or ... Christy NE, Sommer A (1979). "Antibiotic prophylaxis of postoperative endophthalmitis". Annals of Ophthalmology. 11 (8): 1261- ... Endophthalmitis Study Group; European Society of Cataract; Refractive Surgeons (2007). "Prophylaxis of postoperative ...
Posts about postoperative complications written by What Doctors Dont Tell You ...
... whether higher intraoperative tissue expander fill volumes are associated with a greater risk for postoperative complications. ... higher intraoperative percent fill has been identified as a risk factor for complications. However, the postoperative outcomes ... was not associated with increased postoperative complications. After careful patient selection and perfusion evaluation, larger ... A Comparative Analysis of Online Reporting of Possible Complications for Minimally Invasive Cosmetic Procedures Journal Article ...
... of OSA and prescription of continuous positive airway pressure therapy were associated with a reduction in postoperative ... cardiovascular complications. Despite limitations in the data, these results could be used to justify and inform large efficacy ... Background: Obstructive sleep apnea (OSA) is associated with increased risk of postoperative complications. The authors ... Follow-up was at least 7 postoperative days. Results were reported as odds ratio (95% CI) for OSA or subgroup versus controls. ...
Management: Postoperative Neurologic Complications. Addressing the problem. At some institutions, admission of CEA patients to ... Problem: Postoperative Neurologic Complications. The majority of perioperative strokes occur during or within 12 hours after ... Key considerations in the management of postoperative complications of CEA include the following:. * Surgical CEA is indicated ... How are the neurologic complications of carotid endarterectomy (CEA) treated?. What are the possible postoperative bleeding and ...
Patient- and procedure-specific risk factors for postoperative complications in peripheral vascular surgery ... Patient- and procedure-specific risk factors for postoperative complications in peripheral vascular surgery ... Patient- and procedure-specific risk factors for postoperative complications in peripheral vascular surgery ...
Whilst the potential outcomes and complication rates are not insignificant with hypospadias repairs, the benefits of performing ... and post-operative complications (OKelly F, manuscript in press). Put simply, younger children experience fewer complications ... Hypospadias - post-operative care and complications. By Dr Fardod OKelly - 14th Oct 2022 , 167 views ... Distal hypospadias complication rates: 17-to-24 per cent *Urethrocutaneous fistula and glans dehiscence more common in the ...
Preventing postoperative pulmonary complications. July 1, 2020. Pulmonary atelectasis and retained secretions. February 4, 2019 ... Preventing postoperative pulmonary complications. July 1, 2020. Using ERAS and I COUGH to improve outcomes. Takeaways: ... Takeaways: Atelectasis is a serious postoperative pulmonary complication. Risk factors include advanced age, obesity, upper… ...
... patient with periampullary neoplasmas with different clinical characteristics and assess its predictive value for postoperative ... Postoperative complications included clinical pancreatic fistula(Grade B/ C) and surgery-related complications classified by ... Table 4 univariate analysis of potential factors associated with major complications. Major complications(Calvin-Dindo grade≥3) ... The incidence rate of clinical postoperative pancreatic fistula(POPF) and other major complications were 38.2% and 16%.In the ...
RESULTS: All 3 score systems correlated significantly with the incidence and severity of postoperative complications and the ... RESULTS: All 3 score systems correlated significantly with the incidence and severity of postoperative complications and the ... The correlation of nutrition risk index, nutrition risk score, and bioimpedance analysis with postoperative complications in ... Complications were assessed using a standardized complication classification. The findings of the score systems were correlated ...
Factors Related to Postoperative Complications Following Internal Pulse Generator Surgery: Evidence from the National Surgical ... Conclusions: Postoperative complications following implantation, revision, replacement, and/or removal of IPGs are relatively ... The prevalence of postoperative complications was determined. Multivariable logistic regression was used to identify ... Therefore, our objective was to investigate the prevalence of and risk factors for postoperative complications following IPG- ...
A descriptive postoperative study was done whereby patients who underwent oral and maxillofacial surgery were included. The ... The occurrence of complications does increase the duration of stay in the hospital hence increasing cost of treatment for which ... Demographic data, complications developed within one week post operative, and underlying systemic comorbidities before and ... The aim of this study was to determine the occurrence of common early post-operative complications after oral and maxillofacial ...
Effects of Preoperative Use of an Immune-Enhancing Diet on Postoperative Complications and Long-Term Outcome: A Randomized ... Effects of Preoperative Use of an Immune-Enhancing Diet on Postoperative Complications and Long-Term Outcome: A Randomized ... Background: Despite recent advances in surgical techniques and perioperative management, postoperative infectious complications ... on postoperative complications in Japanese patients who underwent curative colorectal cancer surgery. This study was also ...
Chapter 11: Postoperative Surgical Course and Complications. Postoperative IOL Complications. Pupillary Capture. Postoperative ...
In the late postoperative setting, adhesions and internal hernias are the most important complications. and they can be further ... Long-term postoperative complications of gastrointestinal tract surgery can be divided into procedure-related and disease- ... Knowledge of the most frequent complications after gastrointestinal surgery in the late postoperative period is of paramount ... At present, computed tomography (CT) is the workhorse for evaluating late postoperative complications. Accurate imaging ...
Is there still an avoidable fraction of post-operative thromboembolic complications with heparin prophylaxis? The results of a ... Dive into the research topics of Is there still an avoidable fraction of post-operative thromboembolic complications with ... Is there still an avoidable fraction of post-operative thromboembolic complications with heparin prophylaxis? The results of a ... Is there still an avoidable fraction of post-operative thromboembolic complications with heparin prophylaxis? The results of a ...
PPH - early postoperative complications
Systematic approach of postoperative gastric conduit complications after esophageal resection. J.J.G. Scheepers, D.L. van der ... Systematic approach of postoperative gastric conduit complications after esophageal resection. / Scheepers, J.J.G.; van der ... Systematic approach of postoperative gastric conduit complications after esophageal resection. In: Diseases of the esophagus. ... Systematic approach of postoperative gastric conduit complications after esophageal resection. Diseases of the esophagus. 2010; ...
Postoperative Complications Sometimes a cosmetic surgery does not go as planned, and certain complications can arise after ... Other complications, including oil cysts, seromas, and scar tissue formation, can also cause problems that leave the butt ... In many cases, removal of the old implants is necessary to correct the complication. If your issue is primarily aesthetic-that ... Fat transfer surgery, or Brazilian Butt Lift, can also have complications that may need to be corrected. Most commonly, contour ...
Postoperative infection. 674.32, 674.34. Other complications of obstetrical surgical wounds. 670.02, 670.04. Major puerperal ... Enhanced Identification of Postoperative Infections among Inpatients Deborah S. Yokoe*. , Gary A. Noskin†, Susan M. Cunningham ... Enhanced Identification of Postoperative Infections among Inpatients. ...
Complications. The majority of patients have an increased sensory deficit after surgery. This may be due to edema from surgical ... Postoperative Details. A typical regimen of postoperative care for patients after surgery for intramedullary tumors entails the ... Sgouros S, Malluci CL, Jackowski A. Spinal ependymomas--the value of postoperative radiotherapy for residual disease control. ... Some clinicians obtain immediate postoperative imaging; others delay imaging for a period of months after surgery. Routine ...
Enteral nutrition programme was started on postoperative day 1 in the surgical ICU. NCJ was always removed in the outpatient ... One case of tube blockage has been observed as single short-term complication in this series. No long-term complications have ... One case of tube blockage has been observed as single short-term complication in this series. No long-term complications have ... The purpose of this study was to prospectively evaluate the rate and type of early and late complications associated with NCJ ...
"Postoperative Complications" by people in this website by year, and whether "Postoperative Complications" was a major or minor ... "Postoperative Complications" is a descriptor in the National Library of Medicines controlled vocabulary thesaurus, MeSH ( ... Below are the most recent publications written about "Postoperative Complications" by people in Profiles. ... Below are MeSH descriptors whose meaning is more general than "Postoperative Complications". ...
This study aimed to evaluate the association between preoperative SARS-CoV-2 testing and postoperative pulmonary complications ... This study aimed to evaluate the association between preoperative SARS-CoV-2 testing and postoperative pulmonary complications ... This study aimed to evaluate the association between preoperative SARS-CoV-2 testing and postoperative pulmonary complications ... This study aimed to evaluate the association between preoperative SARS-CoV-2 testing and postoperative pulmonary complications ...
... emerged as significant predictors of postoperative complications. Moreover, postoperative complications were predicted by phase ... The aim of this study was to explore and define the predictors of severe postoperative complications in patients undergoing ... Role of predictive markers for severe postoperative complications in gynecological cancer surgery: a prospective study (RISC- ... Role of predictive markers for severe postoperative complications in gynecological cancer surgery: a prospective study (RISC- ...
Postoperative Rehabilitation. The initial goal of postoperative rehabilitation is to maximize passive ROM while allowing the ... Instability following hemiarthroplasty is one of the relatively more common postoperative complications. Damage or dysfunction ... At the first postoperative follow-up visit (usually 10-14 days after surgery), the patient is given a prescription for physical ... Complications with humeral head replacement. Orthop Clin North Am. 2000 Jan. 31(1):77-90. [QxMD MEDLINE Link]. ...
MORAIS, Hécio Henrique Araújo de et al. Parotid sialocele: postoperative complication of a retromandibular approach. Rev. cir. ... Keywords : Mandibular fractures; Parotid gland; Postoperative complications; Saliva.. · abstract in Portuguese · text in ... It may be idiopathic, trauma or postoperative complication of retromandibular approach to the condyle and mandibular ramus. The ... This paper aims to report a clinical case of parotid sialocele as postoperative complication access retromandibular to condylar ...
6. Postoperative complications. The main postoperative complications include postoperative hemorrhage, liver dysfunction, ... PVE has been shown to reduce the rate of postoperative complications in select patients with chronic liver disease [17], and ... Post hepatectomy liver failure (PHLF) is a major postoperative complication with mortality of approximately 30%. The definition ... In the postoperative period, recognizing and aggressively treating postoperative hemorrhage, biliary obstructions or leaks and ...
Post-operative complications. *Pregnancy. *Primary care/clinical practice. *Prostate cancer. *Psychiatric disorders. *Public ...
Postoperative Complications / diagnostic imaging* * Postoperative Complications / etiology* * Predictive Value of Tests * ... Background and purpose: Parenchymal hematoma (PH) is a rare but dreadful complication of acute ischemic stroke with unclear ...
The postoperative length of stay for our patients is comparable to the STS database and shorter than the NIS database. We also ... Our rates of complication from lobectomy for lung cancer are relatively low. We also performed 77% of our stage 1 lung cancer ... Lobectomy for Lung Cancer Outcomes-Post-Operative Length of Stay. Mass General patients are able to leave the hospital at a ... 7.8% is the Mass General major complication rate lobectomy for lung cancer. 7.9% is the national rate. 98.1% is the Mass ...
  • However, the postoperative outcomes of higher intraoperative fill volumes are not well established. (
  • A matched cohort study of postoperative outcomes in obstructive sleep apnea: could preoperative diagnosis and treatment prevent complications? (
  • Postoperative outcomes in adult OSA patients up to 5 yr before (undiagnosed OSA, n = 1,571), and any time after (diagnosed OSA, n = 2,640) polysomnography and prescription of continuous positive airway pressure therapy for a new diagnosis of OSA, were compared with controls at low risk of having sleep apnea (n = 16,277). (
  • Margin-negative resection without major complication can enhance postoperative oncologic outcomes in ductal adenocarcinoma of the pancreas. (
  • The modification of esophageal atresia (EA) repair by preserving AV may prevent postoperative complications and may lead to better outcomes. (
  • This study aimed to compare patient outcomes with regards to clinically relevant postoperative pancreatic fistula (CR-POPF) and other postoperative complications among patients receiving traditional anastomosis, classical Blumgart anastomosis, and our modified-Blumgart anastomosis. (
  • For a variety of reasons, he spent two weeks in the hospital with minimal oral intake and without receiving most of his oral medications, putting him at risk for complications and adverse outcomes. (
  • Comparison of 5-year postoperative outcomes after Billroth I and Roux-en-Y reconstruction following distal gastrectomy for gastric cancer: Results from a multi-institutional randomized controlled trial. (
  • The primary endpoint was the rates of surgical site infection (SSI) and non- infectious complications. (
  • Pulmonary complications occurred in 3.9 per cent, whereas SARS-CoV-2 infection was confirmed in 2.6 per cent. (
  • All elements were retrospectively compared in patients with or without postoperative complications, including delirium, surgical site infection and ileus. (
  • The actual method of resection has not been shown to make a significant difference with respect to wound infection, length of hospital stay, postoperative fever, and intra-abdominal abscess formation. (
  • Some complications are infection, too much bleeding, reaction to anesthesia , or accidental injury. (
  • Complications evaluated included postoperative infection within 6 months, dislocation within 1 year, revision shoulder arthroplasty up to 8 years postoperatively, shoulder stiffness within 1 year, and periprosthetic fracture within 1 year and systemic complications within 3 months. (
  • Conclusions: TSA in patients with humeral head AVN is associated with significantly increased rates of numerous postoperative complications compared to patients without a diagnosis of AVN, including infection, dislocation, revision arthroplasty, stiffness, periprosthetic fracture, and medical complications. (
  • The most common postoperative complications included unplanned readmission, postoperative superficial surgical site infection, and reoperation. (
  • Group 1 also had highest rates of minor postoperative complications like urinary tract infection (P = 0.0151), superficial surgical site infection (P = 0.0189), and pneumonia (P = 0.0103). (
  • Short-term complications range from pain and bleeding to infection. (
  • The possible complications associated with ankle joint replacement include infection, fracture of the tibia or fibula bone, dislocation of the ankle, damage to nerves or blood vessels, blood clots (Deep Venous Thrombosis), loosening of artificial components, failure to relieve pain, instability and stiffness. (
  • Associations between HIV infection status and surgical complications were evaluated in multivariable logistic regression models, adjusting for key covariates. (
  • For each surgery, HIV infection was associated with experiencing ≥1 complication. (
  • HIV infection was positively associated with extended length of stay and infectious complications of all of the surgeries examined. (
  • HIV infection was associated with elevated frequencies of complications of gynecologic surgeries in the US, even in the era of HAART. (
  • CONCLUSIONS: A large number of surgical complications were observed in the TVT Study, but most were transient and self-limited. (
  • In this patient population, larger intraoperative tissue expander saline fill volume (greater than 350 mL) was not associated with increased postoperative complications. (
  • Body morphometric analysis of preoperative CT did not show predictive value for postoperative complications and further multicenter studies are needed. (
  • Recently, reports have shown that preoperative body composition change can predict the surgical complication and survival of several malignant tumors, especially who are sarcopenic and visceral obesity [ 5 - 7 ] . (
  • We performed a prospective randomized clinical trial to examine the effects of preoperative Immune Enhancing Diets (IEDs) on postoperative complications in Japanese patients who underwent curative colorectal cancer surgery. (
  • This study aimed to evaluate the association between preoperative SARS-CoV-2 testing and postoperative pulmonary complications in patients undergoing elective cancer surgery. (
  • COVIDSurg Collaborative 2021, ' Preoperative nasopharyngeal swab testing and postoperative pulmonary complications in patients undergoing elective surgery during the SARS-CoV-2 pandemic ', British Journal of Surgery , vol. 108, no. 1, pp. 88-96. (
  • 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. (
  • Preoperative and postoperative pain severity was assessed according to a 10-cm VAS. (
  • The preoperative oral bifid triple viable probiotics minimize the postoperative occurrence of infectious complications, with possible mechanisms attributed to the maintenance of the intestinal flora and restriction of bacterial translocation from the intestine. (
  • Preoperative, postoperative, and final follow-up radiographs were compared. (
  • p=0.001) emerged as significant predictors of postoperative complications. (
  • 2 to 3 hours (P = 0.0023) were significant predictors of postoperative complications within 30 days after surgery. (
  • The incidence rate of clinical postoperative pancreatic fistula(POPF) and other major complications were 38.2% and 16%.In the univariate analysis, jaundiced patients experienced more weight loss and had higher nutrition risk score, the TAMA[103.1(61.1-176.7) vs 111.8(74.1-198.2),P=0.021] and SMI(39.2±7.0 vs 42.6±9.1,P=0.012)were lower compared with non-jaundiced group. (
  • Pancreaticoduodenectomy is the standard procedure for the treatment of periampullary tumors, while the high incidence of postoperative complication about 30%-50% not only affecting patients' recovery thus extended hospitalization but also delaying the time received adjuvant therapies [ 3 - 4 ] . (
  • The findings of the score systems were correlated with the incidence and severity of complications. (
  • RESULTS: All 3 score systems correlated significantly with the incidence and severity of postoperative complications and the duration of hospital stay. (
  • CONCLUSION: The nutrition risk score, nutrition risk index, and bioimpedance analysis correlate with the incidence and severity of perioperative complications in GI surgery. (
  • The incidence of early postoperative complications was higher following trabeculectomy with MMC than tube shunt surgery. (
  • The BI and MMSE were associated with the incidence of complications, and BI, iADL, MMSE and GDS were significantly related with delirium. (
  • The high incidence of postoperative complications in patients with idiopathic pulmonary fibrosis (IPF) poses a significant barrier to safe perioperative care of patients, according to a new review. (
  • It would have a good safety profile, a low incidence of side effects and complications, and respond to wide inter-patient variability. (
  • OBJECTIVE: To investigate incidence and risk factors for postoperative complications after rectovaginal fistula (RVF) repairs, based on different surgical routes. (
  • RESULTS: Early postoperative complications occurred in 22 patients (21%) in the tube group and 39 patients (37%) in the trabeculectomy group (P = .012). (
  • Conclusion: The CGA was a useful predictor of postoperative complications in elderly patients when administered before surgery for CRC. (
  • the average of 3 and 4 postoperative day lactate level is an independent predictor of morbidity and mortality in patients undergoing CRS and HIPEC. (
  • The abdominal approach had more postoperative complications but it was not an independent predictor of postoperative complications after RVF repair. (
  • The model using frailty + ECI as the primary predictor consistently outperformed other models, with statistically significant p values as determined by comparing areas under the curve (AUCs) for most complications. (
  • Background: Despite recent advances in surgical techniques and perioperative management, postoperative infectious complications remain a problem in surgical patients. (
  • Takeaways: Atelectasis is a serious postoperative pulmonary complication. (
  • No serious postoperative complications were discovered. (
  • The rate of reoperation for complications was 22% in the tube group and 18% in the trabeculectomy group (P = .29). (
  • The rates of late postoperative complications, reoperation for complications, and cataract extraction were similar with both surgical procedures after 5 years of follow-up. (
  • Late postoperative complications developed in 36 patients (34%) in the tube group and 38 patients (36%) in the trabeculectomy group during 5 years of follow-up (P = .81). (
  • ABSTRACT Objective: to identify the main complications in the late postoperative period of surgical patients. (
  • A specific postoperative recovery/exercise plan will be provided by your physician to help you return to normal activity at the earliest. (
  • Aims: The study aims to determine whether the Comprehensive Geriatric Assessment (CGA) could predict complications of colorectal cancer (CRC) surgery and identify the problems. (
  • The present study aimed to assess the relationship between lactacidemia and the rate of associated complications during the immediate postoperative period in the intensive care unit (ICU) in patients undergoing cytoreductive surgery. (
  • Hence, the objective of this study was to evaluate the relationship between lactacidemia and the rate of associated complications during the immediate postoperative period in the intensive care unit (ICU) at the University General Hospital of Castellón between 2014 and 2016 in patients undergoing CRS. (
  • An immediate postoperative neurological deficit was present in 14 patients (11%), but only 8 patients (7%) had a deficit at 3 months postoperatively. (
  • Most immediate postoperative deficits will improve over time. (
  • Complications of interest investigated included inpatient mortality, nonroutine discharge (e.g., to locations other than home), length of stay (LOS) within the top quartile (Q1), cost within Q1, and 1-year readmission rates. (
  • The risk of cardiovascular complications, primarily cardiac arrest and shock, was significantly different (P = 0.009) between undiagnosed OSA (2.20 [1.16 to 4.17], P = 0.02) and diagnosed OSA patients (0.75 [0.43 to 1.28], P = 0.29). (
  • p=0.004) were significantly associated with higher odds of at least one complication. (
  • The lactic acid levels at admission to the ICU were significantly higher in patients who developed complications, with an almost tripled unadjusted relative risk (2.9, 95% CI: 1.6, 5.3), than in those who did not develop complications for the lactacidemia threshold established in the cumulative sum curve graphs. (
  • Idiopathic and alcohol-associated AVN were not significantly associated with any of the postoperative evaluated complications. (
  • Results: Negative surgical margins (p∈=∈0.0075) and absence of postoperative major complications related to surgery (p∈=∈0.0116) were all significantly favorable prognostic factors in both univariate and multivariate analysis. (
  • 1 cm is significantly associated with postoperative neurological deficits, both immediate and long-lasting. (
  • The few reports that exist are inconsistent in their findings with one study observing a significantly higher rate of complications among HIV-infected women [ 11 ] and two other studies yielding null results [ 12 , 13 ]. (
  • IMSEAR at SEARO: Hysterectomy: an analysis of perioperative and post operative complication. (
  • OBJECTIVE: To document peri operative and post operative complication observed after hysterectomy, regardless of route on the operator. (
  • For example, a basilar segmentectomy refers to en bloc resection of all the basal segments of a lower lobe. (
  • The objective of this study was to determine whether postoperative diffusion-weighted imaging (DWI) was associated with neurological deficits after convexity meningioma resection and to identify the risk factors for postoperative DWI restriction. (
  • Our findings demonstrate that complications are rare and risk factors for complications include tobacco use, contaminated wound classification, and longer duration of surgery. (
  • AB Some findings suggest that needle catheter jejunostomy (NCJ) is associated with a significant rate of potentially dangerous complications. (
  • Abnormal uterine findings were de Recherche et d'Application en identified in 95.8% of patients attending hysteroscopy at GESHRTH. (
  • To prevent one pulmonary complication, the number needed to swab test before major or minor surgery was 18 and 48 respectively in high-risk areas, and 73 and 387 in low-risk areas. (
  • In general, the most common complications which were noted in the cases included Pain 98% (n = 100) and Post-operative Swelling 97.1% (n = 99). (
  • Postoperative nausea and vomiting are common complications of anaesthesia. (
  • It may be idiopathic, trauma or postoperative complication of retromandibular approach to the condyle and mandibular ramus. (
  • The presence of underlying systemic comorbid conditions has a significant role in occurrence of some severe complications. (
  • The aim of this study was to explore and define the predictors of severe postoperative complications in patients undergoing surgery for gynecologic cancer. (
  • This study suggests that the risk of developing severe complications almost triples with a lactic acid level of 2.5 mmol/L or higher at the time of admission in the ICU. (
  • Diagnosis of congenital Bochdalek's hernia (BH) in adulthood is extremely rare and requires a fastidious surgical repair, the failure of which might result in a recurrence with severe complications. (
  • In more severe cases, complications of luxating patella can develop. (
  • Another potential complication in severe cases is rupture of the cranial cruciate ligament. (
  • Large fill volume was not associated with statistically significant increases in rates of other complications like major infections, minor infections, seroma, or hematoma. (
  • Parenchymal hematoma (PH) is a rare but dreadful complication of acute ischemic stroke with unclear underlying mechanisms. (
  • Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. (
  • These cases describe the rare but dangerous complication of hematoma following neck surgery. (
  • Acute exacerbation, pneumonia, pulmonary infections, and persistent pneumothorax have been identified as important postsurgical complications in patients with IPF, so patients should be maintained in close surveillance to ensure early treatment, the authors said. (
  • Restrictive perioperative fluid management strategies could help reduce the postoperative burden of acute exacerbation, while noninvasive positive pressure ventilation might help reduce the risk of postoperative reintubation in patients with hypoxemia. (
  • We identified 14 patients with acute arterial complications treated by minimally invasive endovascular embolisation. (
  • A descriptive postoperative study was done whereby patients who underwent oral and maxillofacial surgery were included. (
  • The medical records of patients who underwent maxillofacial surgery between April 2014 and November 2014 were reviewed for the occurrence of complications. (
  • Some people have a greater risk of complications because of other medical conditions. (
  • Our study shows a definite threshold in lactacidemia levels for an increased risk of complications. (
  • Notably, despite HIV-infected women having an elevated risk for some conditions leading to gynecologic surgery [ 6 - 10 ], little systematic evidence is available on the risk of complications of gynecologic surgeries among HIV-infected women. (
  • Your surgeon will discuss the risks and complications with you. (
  • 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. (
  • Complications and long-term outcome of 80 oncology patients undergoing needle catheter jejunostomy placement for early postoperative enteral feeding / R. Biffi, M. Lotti, S. Cenciarelli, F. Luca, S. Pozzi, M. Zambelli, L. Marzona, B. Andreoni. (
  • The primary outcome measure was postoperative pulmonary complications at 30 days after surgery. (
  • Are Large Intraoperative Fill Volumes Associated With Increased Complications After Tissue Expander Placement? (
  • During the first stage of the procedure with tissue expander placement, higher intraoperative percent fill has been identified as a risk factor for complications. (
  • The authors sought to evaluate if a higher initial intraoperative tissue expander fill volume is associated with higher complication rates in patients undergoing immediate breast reconstruction with tissue expander placement. (
  • [ 13 ] However, previous studies have demonstrated that high intraoperative fill volume is not independently associated with increased complications. (
  • The aim of the current study was to evaluate if a higher intraoperative tissue expander fill volume is associated with higher complication rates in patients undergoing immediate breast reconstruction with tissue expander placement. (
  • route of hysterectomy, intraoperative and postoperative morbidities during hospital stay and after two weeks of discharge was noted. (
  • Intraoperative cerebral oximetry in open heart surgeries reduced postoperative complications: A retrospective study. (
  • The main aim of the present study was to evaluate the association of intraoperative cerebral oxygen monitoring during cardiac surgery on postoperative complications . (
  • head and neck surgery has potential for many complications, yet inadequate information on occurrence of post-operative complications in oral and maxillofacial surgeries in our setting has been documented. (
  • Cardiothoracic surgeries are life -saving procedures but often it results in various complications . (
  • As radiologists, it is imperative to understand the various surgeries, their expected post-operative imaging appearance and possible complications. (
  • The objective of this analysis is to add to the knowledge base by describing complications among HIV-positive women undergoing certain common gynecological surgeries. (
  • To observe body composition parameters variance in patient with periampullary neoplasmas with different clinical characteristics and assess its predictive value for postoperative complications after pancreaticoduodenectomy. (
  • Multivariate logistic analysis identified the MMSE as a significant determinant of postoperative complications after adjusting for other determined predictive scores including the prognostic nutritional index and performance status. (
  • Using stepwise logistic regression models, we identified predictive markers for postoperative complications. (
  • Postoperative infections were documented physically, radiologically and microbiologically. (
  • Complications from their infections included permanent tooth loss, hearing loss, facial nerve palsy, and incision fibrosis. (
  • The nutrition risk score was the best score in predicting patients who will develop complications in this study population. (
  • However, some people develop complications months or years after their surgery. (
  • CES may be difficult to diagnose, but early treatment can help prevent complications and permanent damage. (
  • Treatment of volar Barton's fractures of the distal radius with a 3.5mm T-buttress plate or locking plate leads to satisfactory results, provided the operative technique is carefully performed to prevent complications. (
  • Operating after 18 months can lead to a more challenging patient in terms of the ability to recall events, mistrust, the placement of a catheter/stent in a sensate potentially toilet-trained patient, defiance, parental anxiety, schooling policies, and post-operative complications (O'Kelly F, manuscript in press). (
  • The objective of this study was to determine the common early post-operative complications after oral and maxillofacial surgery in relation to the systemic condition, disease condition and demographic characteristic of the patient. (
  • Each patient was examined by the CGA prospectively, and all postoperative complications were obtained from the medical records. (
  • Major urological complications after renal transplantation contribute to patient morbidity and compromise graft function. (
  • Computed tomography (CT) is very useful in evaluating the post-surgical patient and in identifying complications. (
  • b) Complication of a persistent air leak (*) in a different patient. (
  • Complication of recurrent tumor (arrows) on axial CT (b) and positron emission tomography (PET) (c) images are seen in another patient. (
  • Objective: Although pituitary adenomas (PAs) are common intracranial tumors, literature evaluating the utility of comorbidity indices for predicting postoperative complications in patients undergoing pituitary surgery remains limited, thereby hindering the development of complex models that aim to identify high-risk patient populations. (
  • Following pancreas transplantation, it is essential that any graft-related complications are diagnosed early to ensure prompt treatment and optimal survival of both graft and patient. (
  • It involves a critical analysis of the principles of patient safety and care provided to elderly individuals undergoing surgical procedures, since nurses perform a comprehensive assessment in order to identify risk factors and prevent surgical complications. (
  • En outre, les fonctions de l'appareil manducateur et La morphologie des contours du visage ont été restaurées, permettant ainsi une meilleure insertion socio-professionnelle du patient. (
  • This paper aims to report a clinical case of parotid sialocele as postoperative complication access retromandibular to condylar fracture reduction. (
  • Multivariable logistic regression was used to identify demographic, comorbid, and perioperative characteristics associated with at least one 30-day complication. (
  • Univariate and multivariate logistic regressions were performed to identify variables associated with postoperative neurological deficits and a DWI signal. (
  • [ 4 ] In cases of moderate (50-69%) carotid stenosis, the benefit is less clear, and the patient's risk factors for stroke must be weighed against the risk of perioperative complications in deciding between operative and medical therapy. (
  • Sugammadex versus Neostigmine for Reversal of Neuromuscular Blockade and Postoperative Pulmonary Complications (STRONGER): A Multicenter Matched Cohort Analysis [published online ahead of print, 2020 Apr 8]. (
  • Diagnosis of OSA and prescription of continuous positive airway pressure therapy were associated with a reduction in postoperative cardiovascular complications. (
  • The purpose of this paper is to report such a case, discuss the serious nature of the injury, associated complications, methods of diagnosis and the management. (
  • Diagnosis and appropriate correction of intrauterine anomalies are considered et d'Application en Chirurgie essential in order to increase chances of conception. (
  • Early diagnosis and therapy for graft-related complications are essential for graft survival. (
  • Early diagnosis of this condition is extremely important because it almost invariably leads to devastating complications and death if not treated with antibiotics, combined or not with surgery. (
  • Arterial complications are rare but clinically critical during or following total hip arthroplasty (THA) surgery. (
  • The clinically suspected complication should direct the imaging modality to be employed. (
  • Tobacco use, contaminated wound classification, and longer duration of surgery were risk factors for any complication. (
  • Tranexamic Acid Associated With Less Wound Complications in Ankle and Hindfoot Surgery: Level III, Retrospective Cohort Study. (
  • Open carpal tunnel surgery is a low risk, low morbidity procedure, but can result in slower recoveries, increased risk of post-op wound issues and more postoperative pain. (
  • However, no significant difference were founded between different pathological results and it was not associated with occurrence of POPF and major complications. (
  • The treatment of mandibular condyle fractures is controversial among surgeons, surgical management has brought excellent results with minimal complications. (
  • Results Of the 226 enrolled patients, 40 (17.7%) experienced a grade ≥IIIb complication according to the Clavien-Dindo criteria. (
  • Dobrynin, D. 2015-08-01 00:00:00 Results of the operation of the computer intelligent JSM system for predicting postoperative complications are described. (
  • The effect of azygos vein preservation on postoperative complications after esophageal atresia repair: Results from the Turkish Esophageal Atresia Registry. (
  • Most patients showed favorable results with an average of 10.8 months of follow-up and minimal complications. (
  • Latest results (12-21 years) of a prospective randomized study comparing Billroth II and Roux-en-Y anastomosis after a partial gastrectomy plus vagotomy in patients with duodenal ulcers. (
  • His expertise encompasses the direct anterior approach (a minimally invasive hip replacement technique), outpatient surgery for hip and knee replacement, partial knee replacement, complex revision surgery (surgery to restore joint function when an implant has failed or developed complications) and robotic surgery. (
  • OBJECTIVE: To evaluate the role of nutritional status on serum immunoglobulins, body weight and postoperative infectious-related complications in patients with Crohn's disease receiving perioperative parenteral nutrition (PN). (
  • Serum lactate level is a risk factor for postoperative complications in patients undergoing cytoreductive surgery for peritoneal carcinomatosis. (
  • Postoperative pulmonary complications (PPCs) come in a wide variety of flavors ranging from atelectasis and pulmonary congestion to respiratory failure and pneumonia. (
  • The aim of this study was to determine the occurrence of common early post-operative complications after oral and maxillofacial surgery in relationship to the underlying systemic condition. (
  • The occurrence of complications does increase the duration of stay in the hospital hence increasing cost of treatment for which bearers are both patients and the hospital. (
  • Conclusion: Surgery-related major complication diminished the oncologic efficacy of R0 pancreatectomy. (
  • To compare frequencies of complications among HIV-infected and-uninfected women undergoing common gynecological surgical procedures in inpatient settings. (
  • In addition to surveillance for signs of recurrent ulcer disease, EGD has the added advantage of being therapeutic in the event of a postoperative complication such as stricture or bleeding. (