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, acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/09/perioperative-pathways-enhanced-recovery-after-surgery, 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
Post-operative complications[edit]. Reports on this procedure showed low complication rates and lower postoperative pain. ... Postoperative bleeding and constipation were included among some of the arising complications.[8] ... Post-operative course[edit]. After the operation, a high-fiber diet with plenty of liquids (approx. two litres per day) is ... Because the suture line is above the pectinate line, post-operative pain is minimized for patients. THD can be performed with ...
3.1 Postoperative pain. *4 Complications *4.1 Instrument fractures. *4.2 Sodium hypochlorite accident ... Complications[edit]. Instrument fractures[edit]. Instruments may separate (break) during root canal treatment, meaning a ... Postoperative pain[edit]. Several randomized clinical trials concluded that the use of rotary instruments is associated with a ... Another common complication of root canal therapy is when the entire length of the root canal is not completely cleaned out and ...
Operative and postoperative complications. Tubal ligation (commonly known as having one's "tubes tied") is a surgical procedure ... while complications from anesthesia itself may include hypoventilation and cardiac arrest.[5] Major complications during female ... Risks and complications[edit]. Risks associated with surgery and anesthesia[edit]. Most tubal ligation procedures involve ... Clarke-Pearson, Daniel L.; Geller, Elizabeth J. (March 2013). "Complications of Hysterectomy". Obstetrics & Gynecology. 121 (3 ...
"Factors associated with postoperative complications and hernia recurrence for patients undergoing inguinal hernia repair: a ... Complications and prognosis[edit]. Inguinal hernia repair complications are unusual, and the procedure as a whole proves to be ... Research shows that the risk of inguinal hernia complications remains under 1% within the population.[59][10][1][11] Watchful ... However, people who undergo general anesthesia tend to be able to go home faster and experience fewer complications.[14][15][2] ...
Postoperative complications include Bleeding (most common). Bleeding may be reduced by pre-treatment with an anti-androgen such ... 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. Additionally, transurethral resection of the prostate is ... and reducing other complications. As a result, bipolar TURP is also not subject to the same surgical time constraints of ...
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 ... While anesthesia awareness is possible any long-term memory of it, the more clinically significant complication is awareness ... Butterworth JF, Mackey DC, Wasnick JD, Morgan G, Edward M, Maged S, Morgan GE (2018). "Chapter 54: Anesthetic Complications". ...
... 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 ... Post-operative, the taped nose, prepared to receive the metal nasal splint that immobilizes and protects the newly corrected ... Rhinoplasty: At 3-days post-operative, the patient wearing their nasal splint after a dorsal bone reduction, re-setting, and ...
Post-operative complicationEdit. OSA can also occur as a serious post-operative complication that seems to be most frequently ... Once the high end-expiratory pressures are relieved, the cardiovascular complications reverse themselves. The postoperative ... Complications include ulceration, infection, nerve weakness or numbness and swelling. These complications occur in less than 1 ... Finally, patients with OSA are at an increased risk of many perioperative complications when they are present for surgery, even ...
"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 ...
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 ...
Risks and complications[edit]. See also: Patient safety. Risks and complications as they relate to anesthesia are classified as ... It reduces the duration of postoperative tracheal intubation by roughly half. The occurrence of prolonged postoperative ... Postoperative cognitive dysfunction (also known as POCD and post-anesthetic confusion) is a disturbance in cognition after ... The risks of complications during or after anesthesia are often difficult to separate from those of the procedure for which ...
Doyle S.L.; Lysaght J.; Reynolds J.V. (2010). "Obesity and post-operative complications in patients undergoing non-bariatric ... There are several risk factors associated with postoperative complications, such as immune deficiency and obesity. Obesity has ... Post-operative care[edit]. After completion of surgery, the patient is transferred to the post anesthesia care unit and closely ... During the post-operative period, the patient's general function is assessed, the outcome of the procedure is assessed, and the ...
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 ...
A more common post-operative nipple-areola complex complication is dysesthesia, manifest as an abnormal sensation of numbness, ... Post-operative matters. Convalescence - Post-operative care is minimal after a mastopexy procedure; the lifted breasts are ... Post-operative matters. During the initial post-operative period, the plastic surgeon examines the patient for occurrences of ... Complications. Tissue necrosis of the nipple-areola complex is the principal mastopexy medical complication. To prevent nipple- ...
Operative and postoperative complications. There are multiple ways of having sterilization done, but the two that are used most ... It is extremely effective and in the United States surgical complications are low. With that being said, tubal sterilization is ... potentially resulting in botched surgeries and other complications.[25] As the fertility rate began to decrease (but not ...
... common complication is recurrence. If HE angle is reduced to 38 degrees, less evidence of recurrence; post operative spica cast ...
Potential complications include hemorrhage and postoperative hypokalemia. With complete removal of the tumor, prognosis is ...
Some researchers believe that the off-pump approach results in fewer post-operative complications, such as postperfusion ... Possible complications of LVRS include prolonged air leak (mean duration post surgery until all chest tubes removed is 10.9 ± ... Clostridum difficile colitis can also develop when prophylactic or post-operative antibiotics are used. ... Infection represents the primary non-cardiac complication from cardiothoracic surgery. Infections can include mediastinitis, ...
This prevents the post operative complication of bone rubbing on bone and continued pain. This has led to the procedure often ...
For those undergoing surgery for cancer, obesity is also associated with an increased risk of major postoperative complications ... STARSurg (2016). "Multicentre prospective cohort study of body mass index and postoperative complications following ... Malnick, S. D. H.; Knobler, H. (2006-09-01). "The medical complications of obesity". QJM. 99 (9): 565-579. doi:10.1093/qjmed/ ... Obesity is related to many complications in pregnancy including: haemorrhage, infection, increased hospital stays for the ...
If an implant is used, the individual runs the same risks and complications as those who use them for breast augmentation but ... postoperative and postreconstructive issues". Cancer. 118 (8 Suppl): 2226-2236. doi:10.1002/cncr.27468. ISSN 1097-0142. PMID ... Waiting for six months to a year following may decrease the risk of complications, but this risk will always be higher in ... "One in Three Women Undergoing Breast Reconstruction Have Complications". Retrieved 2018-06-21.. ...
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. ...
15%, adjusted P = 0.006). Complication rates and duration of hospital stay were similar. The difference between baseline and 8- ... Background: The preoperative period (prehabilitation) may represent a more appropriate time than the postoperative period to ... Conclusion: Meaningful changes in postoperative functional exercise capacity can be achieved with a prehabilitation program. ...
Swanepoel PF, Fysh R (2007). "Laminated dorsal beam graft to eliminate postoperative twisting complications". Archives of ...
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. Absolute contraindications: Advanced kidney, lung ...
Long term complications with pain, feeling sick and lesser sleep quality than before the LAUP. In 2008, Dr. Labra, et al., from ... hyoid suspension tongue suspension tongue base reduction genioglossus advancement This approach improves postoperative results ... 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. ...
... were the most common complications reported. The analyses of the study show that complications were more likely in patients ... Pituitary radiation therapy is another option for treatment of postoperative persisting hypercortisolemia following ... One of the major complications of this treatment is progression of Nelson's syndrome which is caused by enhance level of tumor ... Patil, CG; Lad, SP; Harsh, GR; Laws ER, Jr; Boakye, M (2007). "National trends, complications, and outcomes following ...
... post-operative, and potential surgical candidates on the hospital wards. Surgery has many sub-specialties, including general ... to help diagnose or treat the main problem or any subsequent complications/developments. ... functions and postoperative pain. Outside of the operating room, the anesthesiology physician also serves the same function in ...
... and post-operative complications. The progression of reduced cardiac functioning over time may necessitate surgical procedures ... Cardiovascular complications. Mitral valve dysfunction, congestive heart failure. Most severe. Common. Premature death. ... Cardiorespiratory complications may arise, which is why it is recommended that CLS patients undergo regular monitoring for ...
The conditions do increase the anesthetic risk and the rate of post-operative complications. Surgeons may require overweight ... Postoperative Complications following Primary Penile Inversion Vaginoplasty among 330 Male-to-Female Transgender Patients The ... Complications of penile inversion vaginoplasty are mostly minor; however, rectoneovaginal fistulas (abnormal connections ... Many surgeons operate in small private clinics that cannot treat potential complications in these populations. Some surgeons ...
Hallam wasn't comfortable with the idea of his transplanted hand and failed to follow the prescribed post-operative drug and ... Complications. *Graft-versus-host disease. *Post-transplant lymphoproliferative disorder. *Transplant rejection. Transplant ...
Centeno CJ, Schultz J, Cheever M, J, Freeman M, Marasco W (2010). "Safety and complications reporting on the re-implantation of ... The successful protocol involved arthroscopic microdrilling/ microfracture surgery followed by postoperative injections of ...
PESCATORI, M, Gagliardi, G Postoperative complications after procedure for prolapsed hemorrhoids (PPH) and stapled transanal ...
A study[clarification needed] of postoperative men showed that on average, 25% had one or more serious complications of the ... Common complications[edit]. As phalloplasty has improved over the decades, the risks and complications from surgery have been ... In the same study, chances of complications of the extended urethra were higher, averaging 55%. The most common complications ... The lengthening of the urethra is where most complications occur. With all types of phalloplasty in trans men, scrotoplasty can ...
... there may also be complications. Potential complications include significant postoperative pain, injury to organs, bleeding, ... When compared with traditional multi-port laparoscopic techniques, benefits of SPL techniques include less postoperative pain, ... training and experience is currently limited and some negative perceptions regarding increased operating time and complications ...
Post operative care may employ the use of suction drainage to allow the deeper tissues to heal toward the surface. Follow up ... The site of the surgery is left unbandaged to allow for frequent examination.[3] Complications can be the development of ...
"Complications". nhs.uk. Retrieved 13 May 2018.. *^ "Treatment for Gallstones". National Institute of Diabetes and Digestive and ... Post-operative care typically includes a same-day release or a one night hospital stay, followed by a few days of home rest and ... Gallstone complications may be detected on blood tests.[2]. A positive Murphy's sign is a common finding on physical ... Complications. Inflammation of the gallbladder, inflammation of the pancreas, liver inflammation[2][4]. ...
The patient must always be aware of the impact and potential complications of surgery on their voice, especially if the voice ... Post-operative voice therapy may include addressing harmful vocal behaviours, exercises to restrengthen the larynx, and ...
Mahmood SS (2016). "Cardiovascular Complications of Cranial and Neck Radiation". Current Treatment Options in Cardiovascular ... "Sector resection with or without postoperative radiotherapy for stage I breast cancer: 20-year results of a randomized trial". ... Fuccio L, Guido A, Andreyev HJ (2012). "Management of intestinal complications in patients with pelvic radiation disease". Clin ... It is the most commonly reported complication in breast radiation therapy patients who receive adjuvant axillary radiotherapy ...
An incisional abscess is one that develops as a complication secondary to a surgical incision. It presents as redness and ... "Diagnosis and Management of Postoperative Infection". The Global Library of Women's Medicine. doi:10.3843/GLOWM.10032. ISSN ... Major complications are spreading of the abscess material to adjacent or remote tissues, and extensive regional tissue death ( ...
Complications[edit]. In addition to pneumothorax, complications from thoracotomy include air leaks, infection, bleeding and ... Postoperative pain is universal and intense, generally requiring the use of opioid analgesics for moderation, as well as ... Furthermore, complications such as pleural effusion or hemothorax can occur if the chest tubes fail to drain the fluid around ... In the long term, post-operative chronic pain can develop, known as thoracotomy pain syndrome, and may last from a few years to ...
Complications[edit]. Ischemia in the heart due to prolonged coronary vasospasm can lead to angina, myocardial infarction and ... Symptomatic vasospasm or delayed cerebral ischemia is a major contributor to post-operative stroke and death especially after ...
Reynolds, Luke; Beckmann, James; Kurz, Andrea (December 2008). "Perioperative complications of hypothermia". Best Practice & ... "The Surgical Care Improvement Project and Prevention of Post-Operative Infection, Including Surgical Site Infection". Surgical ...
The wound is typically smaller than that of a patellar ligament graft, and so causes less post-operative pain. Another option ... avoids the complications of graft harvesting from the anterior incision, and decreases the risk of nerve injury.[9] ... Some or all of these disadvantages may be attributable to post-operative patellar tendon shortening.[13] ... and the low postoperative morbidity. The natural ACL can withstand a load of up to 2,160 newtons. With a hamstring graft, this ...
Possible complications include common, minor complications such as the formation of a collection of blood at the site where the ... Postoperative pericardial effusion is also suspected to be the cause of atrial fibrillation. Prophylaxis may include ... Some authors perform posterior pericardiotomy to reduce the incidence of postoperative AF.[120] When AF occurs, management ... may indicate whether someone with AF is at a higher risk of complications.[21] The risk of a blood clot forming in the left ...
ComplicationsEdit. *Hypothyroidism in up to 50% of patients after ten years.[citation needed] ... Early postoperative scar images. *Thyroid Surgery Tutorial From the Patient Education Institute ... Anesthetic complications. *Infection (at about a 2% rate. Drainage is an important part of treatment.),[2][3] possibly an ... Complications are uncommon when the procedure is performed by an experienced surgeon. ...
Complications arose while the couple was attending a youth leadership conference in Deer Valley 20 miles east of Salt Lake City ... Rush noted that he would be returning to his congressional duties following post-operative treatment.[90] When he returned to ...
Giacchetti G, Turchi F, Boscaro M, Ronconi V (April 2009). "Management of primary aldosteronism: its complications and their ... and in the 24 to 48 hours after the postoperative period as fluid is mobilized from the extravascular space. In addition, ... it may herald three complications of pregnancy: pre-eclampsia, HELLP syndrome and eclampsia. Follow-up and control with ...
Complications[edit]. The most common complication of a chest tube is chest tube clogging. Chest tube clogging is widely ... Postoperative drainage[edit]. The placement technique for postoperative drainage (e.g. cardiac surgery) differs from the ... C. Pope, on "Joel", a 22-month-old infant.[3] The use of chest tubes in postoperative thoracic care was reported in 1922,[4] ... Major insertion complications include hemorrhage, infection, and reexpansion pulmonary edema. Injury to the liver, spleen or ...
Volvulus of the cecum as a postoperative complication; report of six cases. Ann Surg. 1953 Feb;137(2):245-249. art. en ligne ... Postoperative morbidity and mortality in intestinal obstruction: comparative study of 100 consecutive cases from each of the ...
2004). "Do proton pump inhibitors increase the incidence of nosocomial pneumonia and related infectious complications when ... Recurrent postoperative ulcer. *Upper GI bleeding. *Prevention of acid-aspiration pneumonitis during surgery: ranitidine can be ...
... reduced the need of the postoperative analgesia and minimized operative trauma, wound pain, complications and adverse reactions ... Complications from gallbladder surgery can lead to biliary fistula. Radiation therapy can lead to vesicovaginal fistula. An ... A high rate of recurrence and more chances of complications like incontinence are always there in fistula surgeries (Anal ... This may be congenital or acquired, for example as a complication of a tracheostomy. ...
Still other cases may involve complications related post-operative care in the hospital, meaning the complication was not ... Abdominal Surgery, Post-Operative Complications, and Medical Malpractice. March 18, 2019. , by Kroot Law LLC ... Abdominal Surgery, Post-Operative Complications, and Medical Malpractice March 18, 2019 * Evidence Against Sterigenics ... Whether an abdominal surgery complication or post-operative care is due to medical malpractice or simply an accepted risk of ...
Might a bundled intraoperative protective ventilation strategy help reduce the risk for postoperative pulmonary complications ... Appendix 1. Postoperative Pulmonary Complications - Data Definitions Postoperative Pulmonary Complication Component. Data ... of postoperative pulmonary complications), and PaO2/FIO 2 below 100 mmHg (164, 32.0% of postoperative pulmonary complications). ... Postoperative pulmonary complications were associated with increased postoperative mortality as well as longer postoperative ...
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. Progressive glenoid arthrosis. Progressive degeneration of the glenoid cartilage subsequent to hemiarthroplasty ...
Complications. Complications of the Bristow procedure and its variants include the following [19, 20] :. * Recurrent anterior ... Complications of a failed Bristow procedure and their management. J Bone Joint Surg Am. 1991 Aug. 73 (7):969-81. [Medline]. ... Postoperative Care. Postoperatively, the patient should be placed in a shoulder immobilizer for approximately 1 week. At 1 week ... Complications and re-operations after Bristow-Latarjet shoulder stabilization: a systematic review. J Shoulder Elbow Surg. 2013 ...
All patients received the same oral antibiotics and analgesics, and similar postoperative instructions, except regarding saline ... Stewart, M., Levey, E. & Nayyer, N. Salt water mouthwash post extraction reduced post operative complications. Evid Based Dent ... It looked at whether use of warm, saline mouthwash reduced the incidence of three post-operative complications (acute inflamed ... Salt water mouthwash post extraction reduced post operative complications. Question: Does the use of saline mouthrinse ...
View data on the incidence of postoperative delirium by cardiovascular surgical procedure. ... Cardiovascular surgery patients may be at increased risk for postoperative delirium. ... Recognise postoperative delirium in time. Cardiovascular surgery patients may be at increased risk for postoperative delirium([ ... INCIDENCE OF POSTOPERATIVE DELIRIUM BY CARDIOVASCULAR SURGICAL PROCEDURE. High, low, and mean incidence of postoperative ...
Intraoperative Mechanical Ventilation and Postoperative Pulmonary Complications after Cardiac Surgery.. Mathis MR1, Duggal NM, ... Intraoperative Mechanical Ventilation and Postoperative Pulmonary Complications after Cardiac Surgery: Erratum. [Anesthesiology ... The primary outcome was a composite pulmonary complication; secondary outcomes included individual pulmonary complications, ... component to an overall intraoperative protective ventilation strategy aimed at reducing postoperative pulmonary complications ...
On the first postoperative day, the patient developed a significant ... I have a case where the physician performed cataract surgery without complication. ...
Complications following surgical procedures are not only associated with significant morbidity and mortality, but also add ... download and read Post-operative Complications ebook online in PDF format for iPhone, iPad, Android, Computer and Mobile ... Fully revised and updated since the previous edition, and written by a team of experts, Post-operative Complications is ... It is divided into two sections: the first covers general complications such as pressure sores, complications of fluid balance ...
de Melo GM, Ribeiro KC, Kowalski LP, Deheinzelin D. Risk factors for postoperative complications in oral cancer and their ... Although it is intuitive that technical complications could increase postoperative mortality, the effect on long-term survival ... Technical complications were associated with an increased rate of pulmonary complications (37.8% vs. 10.7%; P , .001) and ... Technical complications occurred in 98 (22.6%) patients. Patients with technical complications had a higher prevalence of ...
postoperative incidence of PostOperative Residual Curarization (PORC). *postoperative incidence of cardiovascular complications ... postoperative respiratory complications;. *postoperative non-respiratory complications (cardiovascular, renal, surgical, ... Postoperative Pulmonary Complications in Major (Abdominal) Surgery: a Multicenter Study. Further study details as provided by ... Postoperative Pulmonary Complications in Abdominal Surgery. The recruitment status of this study is unknown. The completion ...
... postoperative complications did not decrease, but postoperative mortality improved, raising questions about what mechanism ... Use of unsolicited patient observations to identify surgeons with increased risk for postoperative complications. Get Citation ... Postoperative complications are key measures of surgical safety and quality. This analysis of electronic health record data ... Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study. Get Citation *Classic ...
After an emergency cesarean delivery, a woman had progressive tachycardia and persistent hypertension. A CT scan showed no evidence of pulmonary embolism, but repeat blood tests showed a dangerously low hemoglobin level and markedly elevated liver enzyme levels. She was taken back to the operating room and found to have postpartum hemorrhage.. ...
Postoperative Pulmonary Complications. PORC. Surgical Related Outcome. Surgical Related Mortality. Postoperative ICU length of ... Postoperative Pulmonary Complications in Major Abdominal Surgery (PPC). The safety and scientific validity of this study is the ... Postoperative Pulmonary Complications in Major Abdominal Surgery: Prospective Observational Multicentric Study. Study Start ... The primary aim of the study is to evaluate the incidence of postoperative pulmonary complications (PPC) in patients undergoing ...
Postoperative Morbidity Linked to Complication Care. By Ramona Bates MD Oct 1 2009 - 9:14am ... There is no surgery that has a zero complication rate. The rate of complications from inpatient surgery is similar from ... Complication studied including such things as infection, pneumonia, MI, stroke, renal insufficiency, and septic shock, as well ... The researchers concluded that it is not only important to aim at avoiding complications, but it is important to be able to ...
Complication, Postoperative , Complications, Postoperative , Postoperative Complication Definition Pathologic processes that ...
... ... Accredited Bariatric Surgery Center Reduces Postoperative Complications Despite Nearly Doubling its Surgical Volume ... Two Quality Improvement Programs Lead to Fewer Postoperative Complications for Surgical Patients ... An academic medical centers weight-loss surgery program greatly lowered its rates of several postoperative complications, ...
... *Download PDF Copy ... combined with pulmonary artery sealing using an ultrasonic energy device reduced the risk of post-operative bleeding, ... complications and pain.. Unlike surgery with thoracotomy, which involves making a 25 cm incision in the patients chest and ...
... Robert H. Krieger,1 Katherine M. Wojcicki,1 Andrew ... D.-S. Kim, J.-K. Lee, K.-S. Moon, J.-K. Ju, and S.-H. Kim, "Small bowel injury as a complication of lumbar microdiscectomy: ... S. P. Harbison, "Major vascular complications of intervertebral disc surgery," Annals of Surgery, vol. 140, no. 3, pp. 342-348 ... J. K. Houten, A. K. Frempong-Boadu, and M. S. Arkovitz, "Bowel injury as a complication of microdiscectomy: case report and ...
Postoperative complications can be minor and major. Minor complications require conservative management; major complications ... Postoperative complications of cochlear implant: eight years of experience].. [Article in Spanish; Abstract available in ... Major complications are 4.36 %: postoperative hematoma (n = 8), extrusions (n = 2) and inadequate electrode placement (n = 2). ... The complication rate is 12 % (n = 33), 6.91 % for women and 5.09 % for men. There are more complications among 19 to 60 years ...
Two quality improvement programs lead to fewer postoperative complications. Two presurgery checklists from the American College ... Preoperative oral care by a dentist may help reduce postoperative complications in patients who undergo cancer surgery, ... HealthDay)-For patients undergoing orbital floor fracture repair, total operative time and postoperative complications are ... Hybrid minimally invasive esophagectomy results in lower incidence of intraoperative and postoperative major complications ...
... Kerstyn C. Zalesin,1,2 Wendy M ... B. W. Lee, S. M. Hamilton, J. P. Harris, and I. R. Schwab, "Occular complications of hypovitaminosis A after bariatric surgery ...
Complications Several complications of LAGB have been described.13 Band misplacement or displacement can be too high and on the ... Complications Complications that can be diagnosed radiographically occur in approximately 20% to 25% of patients. This is a ... Complications Complications that are diagnosed radiographically have been estimated to occur in 10% of patients. The most ... In addition, the more common postoperative complications include anastomotic leak with extravasation into the peritoneal cavity ...
Prophylactic cardiac revascularization in patients with ischemic myocardium could reduce postoperative cardiac complications ... Myocardial Ischemia / complications, radionuclide imaging*. Postoperative Complications / epidemiology, etiology, prevention & ... Postoperative cardiac complications and long-term survival in these patients were compared with results from 172 similar ... Only advanced age and intraoperative complications (but not a positive stress-thallium test) predicted postoperative cardiac ...
Another name for Wound Complications Post Operative is Post Operative Wound Complications. Expectations for post operative ... Wound Complications Post Operative Expectations. Expectations for post operative wound complications include:. * For the first ... PubMed Wound Complications Post Operative References *Amland PF, Andenaes K, Samdal F, Lingaas E, Sandsmark M, Abyholm F, ... Continue to Wound Complications Post Operative Pain Control Last Updated: Oct 25, 2010 References Authors: Stephen J. Schueler ...
Is Peri-operative Hyperoxemia a Risk Factor for Postoperative Complications? (HYPEROXIA). The safety and scientific validity of ... Is Peri-operative Hyperoxemia a Risk Factor for Postoperative Complications? A Randomised, Prospective Study in Patients ... Long term outcome (Major complications) [ Time Frame: 1 month to 1 year postoperatively ]. Major complications ... Complication (Re-operation or bleeding) [ Time Frame: 0 - 30 days postoperatively ]. Re-operation or bleeding ...
... is associated with a decrease in infectious complications across a variety of surgical procedures. ... Long-term glycemic control and postoperative infectious complications Arch Surg. 2006 Apr;141(4):375-80; discussion 380. doi: ... An HbA(1c) level of less than 7% was significantly associated with decreased infectious complications with an adjusted odds ... Conclusion: Good preoperative glycemic control (HbA(1c) levels ,7%) is associated with a decrease in infectious complications ...
A New Method for Reducing Postoperative Complications and Scar Length in Abdominoplasty. Momeni, Arash M.D.; Torio-Padron, ... A New Method for Reducing Postoperative Complications and Scar Length in Abdominoplasty ... for reduction of intraoperative blood loss as well as postoperative pain, a modified Regnault incision is made, but it never ... excessive postoperative scar length and rate of delayed wound healing. ...
Postoperative corneal complications were recorded. Postoperative follow-up visits were scheduled on days 1 and 7 and months 1, ... To investigate the incidence and clinical results of corneal complications after small incision lenticule extraction (SMILE). ... The postoperative spherical equivalent in cases without complications was lower than that in cases with complications at 1 day ... The postoperative spherical equivalent in cases without complications was lower than that in cases with complications at 1 day ...
HealthDay)-A simple and inexpensive program can reduce the risk of life-threatening and costly respiratory complications that ... General surgeons identify postoperative complications posing strongest readmission risk. August 28, 2012 Postoperative ... Postoperative program prevents respiratory complications: study. October 4, 2012 Simple steps counter common side effects of ... Elderly thyroid surgery patients at increased risk for postoperative complications. March 29, 2012 Elderly patients who undergo ...
  • Postoperative pulmonary complications were associated with increased postoperative mortality as well as longer postoperative mechanical ventilation, ICU stay, and hospital stay ( Table 3 ). (medscape.com)
  • secondary outcomes included individual pulmonary complications, postoperative mortality, as well as durations of mechanical ventilation, intensive care unit stay, and hospital stay. (nih.gov)
  • 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. (ebooks.com)
  • Although it is intuitive that technical complications could increase postoperative mortality, the effect on long-term survival is controversial. (springer.com)
  • Although immediate postoperative outcome and hospital mortality rates were increased, no effect on long-term survival was seen in patients with complications related to errors in surgical technique. (springer.com)
  • Bartels H, Stein HJ, Siewert JR. Preoperative risk analysis and postoperative mortality of oesophagectomy for resectable oesophageal cancer. (springer.com)
  • INTRODUCTION Pulmonary Postoperative Complications (PPCs) are among the most common causes of adverse events in the perioperative period and can determine a significant increase of mortality risk in hospitalization time. (clinicaltrials.gov)
  • The rate of complications from inpatient surgery is similar from hospital to hospital, but the mortality rates appear linked to care of those complications. (emaxhealth.com)
  • Amir Ghaferi, MD, and colleagues from the University of Michigan in Ann Arbor reported in the October 1 issue of the New England Journal of Medicine that a hospital's ability to care for postoperative complications may be a key factor in surgical mortality rates. (emaxhealth.com)
  • The researchers found that hospitals with either very high mortality or very low mortality had similar rates of overall complications (24.6% and 26.9%, respectively) and of major complications (18.2% and 16.2%, respectively). (emaxhealth.com)
  • Morbidity and mortality after aortic reconstruction appears to be largely caused by co-existent coronary artery disease, and patients who have had recent cardiac revascularization have few postoperative cardiac complications. (biomedsearch.com)
  • Despite this, cardiac mortality, serious cardiac complications, and long-term cardiac mortality were similar in both groups. (biomedsearch.com)
  • Adverse respiratory events (ARE) remain one of the most important major causes of morbidity and mortality during the postoperative period. (lww.com)
  • Postoperative pulmonary complications are as frequent and clinically important as cardiac complications in terms of morbidity, mortality, and length of stay. (annals.org)
  • Postoperative pulmonary complications (PPC) are well-known after major thoracic and abdominal surgery and are associated with increased mortality, morbidity and prolonged hospital stay. (pulsus.com)
  • To determine the incidence of postoperative complications, including 30-day mortality rate, and need for intensive care unit (ICU) admission in older patients after non-cardiac surgery. (mja.com.au)
  • Postoperative complications and 30-day mortality rate. (mja.com.au)
  • L ittle is known about the incidence and extent of comorbidities and complications in older Australians having surgery or the mortality associated with surgery. (mja.com.au)
  • Major complications after surgery are strongly associated with prolonged hospitalisation, increased hospital costs, and mortality. (mja.com.au)
  • Delirium is associated with more complications, longer hospitalizations, increased risk of long-term cognitive decline, dementia and mortality, and costs the U.S. healthcare system an estimated $182 billion each year," said first author Sarinnapha Vasunilashorn, PhD, Assistant Professor of Medicine at BIDMC and Harvard Medical School (HMS). (bidmc.org)
  • PPCs have a significant clinical impact on postoperative morbidity and mortality. (bmj.com)
  • 1 Not only is there an increased mortality risk, but also other complications including pulmonary, respiratory, wound infections, delayed wound healing and reduced bone fusion. (bmj.com)
  • Early clinical experience with intravenous metabolic support showed that the need for inotropes could be substantially reduced while clinical outcomes with regard to postoperative mortality, postoperative renal dysfunction and long-term survival compared favourably with the literature. (centerwatch.com)
  • The first GLUTAMICS-trial investigated if intravenous glutamate infusion given in association with surgery for acute coronary syndrome could prevent myocardial injury, postoperative heart failure and reduce mortality. (centerwatch.com)
  • The study was negative with regard to the primary endpoint, which was a composite of postoperative mortality, perioperative myocardial infarction and left ventricular failure at weaning from cardiopulmonary bypass. (centerwatch.com)
  • This cohort was then followed for mortality, major post-operative complications (pneumonia, urinary infection, pulmonary embolism, and unplanned transfer to intensive care), length of stay, and transfer to a nursing home. (the-hospitalist.org)
  • Post-operative complications, transfer to a nursing facility, and one-year mortality were associated with a derived scoring tool that included the Charlson Comorbidity Index, activities of daily living (ADL), instrumental activities of daily living (IADL), dementia, risk for delirium, mid-arm circumference, and a mini-nutritional assessment. (the-hospitalist.org)
  • Multidimensional frailty scores for the prediction of postoperative mortality risk. (the-hospitalist.org)
  • Neoadjuvant therapy can used safle and it does not cause postoperative major pulmonary complications and related mortality. (ersjournals.com)
  • Perioperative complications and mortality after radical cystectomy when using a standardized reporting methodology. (springermedizin.de)
  • After adjustment for age, sex, operation time, year of surgery, and American Society of Anesthesiologists class, the authors found no major differences across cohorts in bleeding event, thromboembolic episodes, other postoperative clinical complications, 6-month mortality, or readmission rate. (orthogate.org)
  • Postoperative morbidity and mortality during the the first month was recorded.Patients with TGA/double outlet right ventricle were excluded from the analysis. (lu.se)
  • The primary outcome combined the 30-day postoperative mortality, myocardial infarction (new Q-waves on ECG or Troponin-I >20 μg/l) and stroke or transient ischemic attack. (ovid.com)
  • QUESTION: Does a preoperative smoking intervention reduce postoperative morbidity and mortality in patients having elective knee or hip replacement? (bmj.com)
  • CONCLUSION: Endovascular treatment of vascular graft related postsurgical complications is a valuable therapeutic option followed by lower mortality and morbidity rates compared with re-operation. (minervamedica.it)
  • After selection they found 10 articles reporting perioperative medical, surgical, or psychiatric complications with schizophrenia and 2 for depression. (shockmd.com)
  • Moreover, HRCT can depict a malpositioned prosthesis, postoperative middle ear granuloma, perilymphatic fistula, and rare inner ear malformations at the origin of perioperative "gusher" syndrome. (ajnr.org)
  • 1 , 4 - 6 Therefore, a method is urgently needed by which clinicians can accurately and objectively evaluate and predict the incidence of postoperative complications and reduce the perioperative risk in elderly patients with hip fractures. (dovepress.com)
  • In spite of the progress in cardiac surgery and perioperative management postoperative heart failure remains the leading cause of death and organ failure. (centerwatch.com)
  • To assess the impact of perioperative IBD medications on the risk of postoperative infections within 30 days of surgery. (physiciansweekly.com)
  • To our knowledge up to now no coherent study has been undertaken in patients with CVI who underwent an open venous surgery concerning complications, venous hemodynamics and perioperative symptomology in one study population. (iospress.com)
  • Background: Despite recent advances in surgical techniques and perioperative management, postoperative infectious complications remain a problem in surgical patients. (cscanada.net)
  • OBJECTIVE: The risk for pressure ulcers is rarely identified in the perioperative period, and the influence of this period on risk factors has not been as rigorously studied as the postoperative period. (nursefacultyscholars.org)
  • Preoperative oral care by a dentist may help reduce postoperative complications in patients who undergo cancer surgery, according to a new BJS (British Journal of Surgery) study. (medicalxpress.com)
  • Does nutritional intervention for patients with hip fractures reduce postoperative complications and improve rehabilitation? (diva-portal.org)
  • 1 week preoperatively to reduce postoperative complications. (bmj.com)
  • QUESTION: In malnourished patients having elective surgery for gastrointestinal cancer, does enteral nutrition reduce postoperative complications when compared with parenteral nutrition? (bmj.com)
  • Patient, tumor, and operative variables, postoperative outcome, and survival were compared between patients with technical complications and those without. (springer.com)
  • Postoperative complications strongly impact the postoperative course and long-term outcome of patients who underwent liver resection for colorectal liver metastases (CRLM). (springer.com)
  • A Marietta post-operative complications lawyer could help you protect and preserve your legal rights while fighting to ensure a just outcome to your case. (warlawgroup.com)
  • This may be because of the lack of clarity on the effect of smoking cessation on surgical complications and concern that a brief period of cessation may have a negative effect on surgical outcome. (bmj.com)
  • This in turn could explain why treatment for postoperative heart failure is poorly documented with regard to clinical outcome. (centerwatch.com)
  • The primary outcome was postoperative infection within 30 days of surgery. (physiciansweekly.com)
  • That is why clinical documentation improvement (CDI) specialists need to work with providers to determine whether a complication is truly a "post-operative complication" or an expected outcome of the procedure or disease process. (icd10monitor.com)
  • An expected outcome is not coded as a complication. (icd10monitor.com)
  • Some will agree that it is a complication, while others will say it is an expected outcome of the cardiac procedure. (icd10monitor.com)
  • Secondary outcome measures were length of postoperative hospital stay, adverse events, and treatment switchover. (acpjc.org)
  • Clear definitions of complications used as outcome measures make comparison studies possible. (bmj.com)
  • The distance was correlated to subjective outcome measurements (patient satisfaction and Kujala score) and postoperative complications (a loss of range of motion and revision surgery). (uzh.ch)
  • Other factors, such as surgical indication or graft tensioning, might also significantly influence postoperative outcome. (uzh.ch)
  • However, opportunistic infections remain one of the important complications in short and long-term outcome of LTx patients. (minervamedica.it)
  • Preoperative parameters and postoperative outcome were compared between groups. (alliedacademies.org)
  • The effects of preoperative exercise therapy on postoperative outcome: a systematic review. (physio-pedia.com)
  • The authors tested associations between bundled or component intraoperative protective ventilation strategies (VT below 8 ml/kg ideal body weight, modified driving pressure [peak inspiratory pressure - PEEP] below 16 cm H2O, and PEEP greater than or equal to 5 cm H2O) and postoperative outcomes, adjusting for previously identified risk factors. (nih.gov)
  • The findings offer insight into components of protective ventilation associated with adverse outcomes and may serve as targets for future prospective interventional studies investigating the impact of specific protective ventilation strategies on postoperative outcomes after cardiac surgery. (nih.gov)
  • The impact of complications on outcomes after resection for esophageal and gastroesophageal junction carcinoma. (springer.com)
  • In monthly meetings, the entire bariatric program staff reviewed outcomes data, identified the root causes of SSIs that occurred, and discussed how to prevent these complications. (facs.org)
  • In addition, a high oxygen fraction has been suggested to prevent adverse outcomes after surgery and anesthesia, including a reduction in wound infections and postoperative nausea and vomiting (PONV). (clinicaltrials.gov)
  • The purpose of this course is to provide nurses and all allied health professionals who care for postsurgical patients the knowledge necessary to recognize and manage common postoperative complications, improving patient care and outcomes. (netce.com)
  • Outcomes were measured by bacterial translocation, gut permeability, the effect on the faecal microbiota, and the clinical outcomes such as infectious-related complications and gut defecation function. (wiley.com)
  • 2 Studies in North America and Europe have assessed postoperative outcomes for older patients in several surgical specialties. (mja.com.au)
  • While some complications that occur after surgery are unavoidable, these adverse outcomes can be avoided in some cases if the medical team exercises proper care when monitoring the patient. (warlawgroup.com)
  • Delayed medical diagnosis or failure to diagnose a complication after an operation could equally cause grave and deadly patient outcomes. (warlawgroup.com)
  • Secondary outcomes included incisional infections and wound dehiscence, intra-abdominal infectious complications and extra-abdominal infections. (physiciansweekly.com)
  • Anesthesiologists need tools to accurately track postoperative outcomes. (asahq.org)
  • Let's look at some of the most common conditions that can occur in the post-operative phase, many of which are causing tug-of-wars among physicians, CDI specialists, and coders - whether they are expected outcomes or post-operative complications. (icd10monitor.com)
  • The outcomes of interest were postoperative complications, length of hospital stay and quality of life. (bmj.com)
  • Prior studies have compared the treatment outcomes and post-operative complications of trabeculectomy and glaucoma drainage device surgery, but to our knowledge, none have stratified these comparisons by patient age. (arvojournals.org)
  • Our study compares the outcomes and complications of trabeculectomy and glaucoma drainage device surgery by age. (arvojournals.org)
  • Our study aimed to observe the impact of preoperative smoking cessation on PPC incidence and other postoperative outcomes including long-term survival. (strath.ac.uk)
  • Postoperative complications may initiate cascading reactions, such as disability, inability to manage self-care, decreased quality of life, increased medical costs and other adverse outcomes [ 5 ]. (alliedacademies.org)
  • Mans CM, Reeve JC, Elkins MR. Postoperative outcomes following preoperative inspiratory muscle training in patients undergoing cardiothoracic or upper abdominal surgery: a systematic review and meta analysis. (physio-pedia.com)
  • An HbA(1c) level of less than 7% was significantly associated with decreased infectious complications with an adjusted odds ratio of 2.13 (95% confidence interval, 1.23-3.70) and a P value of .007. (nih.gov)
  • 7%) is associated with a decrease in infectious complications across a variety of surgical procedures. (nih.gov)
  • The post-operative recovery of peristalsis, incidence of diarrhoea, and infectious-related complications were also improved. (wiley.com)
  • Conclusion Probiotics can improve the integrity of gut mucosal barrier by benefiting the faecal microbiota, and decreasing infectious complications in patients with colorectal cancer undergoing colorectomy. (wiley.com)
  • Doubts have been raised versus NOTES surgery concerning intra abdominal infectious complications. (sages.org)
  • Despite a long operating time the transgastrically operated animals recovered just as quickly as the other animals and showed no infectious complications. (sages.org)
  • Among them, infectious complications play a relevant role. (springer.com)
  • The aim of this study was to evaluate if infectious complications still impact overall and disease-free survival after liver resection for CRLM once patients were matched with a propensity score matching analysis based on Fong's criteria. (springer.com)
  • Patients were matched with a 1:3 propensity score analysis in order to compare patients with (INF+) and without (INF−) postoperative infectious complications. (springer.com)
  • Major resection (OR = 1.69 (1.01-2.89), p = 0.05) and operative time (OR = 1.1 (1.1-1.3), p = 0.05) were identified as risk factors of infectious complications. (springer.com)
  • After propensity score matching, infectious complications are associated with overall survival (OS), with 1-, 3-, 5-year OS at 94, 81, and 66% in INF− and 92, 66, and 57% in INF+ respectively ( p = 0.01). (springer.com)
  • Infectious complications are associated with decreased overall and disease-free survival rates. (springer.com)
  • Risk of postoperative infectious complications from medical therapies in inflammatory bowel disease. (physiciansweekly.com)
  • Shibasaki S, Suda K, Nakauchi M, Nakamura K, Kikuchi K, Inaba K, Uyama I. Non-robotic minimally invasive gastrectomy as an independent risk factor for postoperative intra-abdominal infectious complications: A single-center, retrospective and propensity score-matched analysis. (wjgnet.com)
  • They found that although it was more difficult to deliver the planned nutrient load with EN, that group had fewer complications (particularly infectious ones) and a shorter mean hospital stay. (acpjc.org)
  • Moyes LH, Leitch EF, McKee RF, Anderson JH, Horgan PG, McMillan DC (2009) Preoperative systemic inflammation predicts postoperative infectious complications in patients undergoing curative resection for colorectal cancer. (springer.com)
  • The primary endpoint was the rates of surgical site infection (SSI) and non- infectious complications. (cscanada.net)
  • These have reduced theincidence of many complications, but the risks are impossible to remove completely.This wide-reaching and practical handbook covers all aspects of post-surgical complications. (ebooks.com)
  • All univariate predictors with p ≤ 0.2 in logistic regression analysis were included in a multivariate analysis to determine the incidence of surgical complications. (sages.org)
  • This wide-reaching and practical handbook covers all aspects of post-surgical complications. (oup.com)
  • Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. (springermedizin.de)
  • Postoperative complications were evaluated and graded according to Clavien-Dindo Classification of Surgical Complications. (jnccn.org)
  • Individual nonmutually exclusive components of postoperative pulmonary complications included pneumonia (121 cases, 23.6% of postoperative pulmonary complications), prolonged ventilation longer than 24 h, (302, 58.9% of postoperative pulmonary complications), reintubation (115, 22.4% of postoperative pulmonary complications), and PaO 2 /F IO 2 below 100 mmHg (164, 32.0% of postoperative pulmonary complications). (medscape.com)
  • Pneumonia and ventilator dependency are among the most common complications that occur after surgery . (medicalxpress.com)
  • Pre-emptive treatment of bacterial and viral (CMV) colonisation seems an effective option to prevent postoperative pneumonia. (ebscohost.com)
  • Introduction Postoperative pulmonary complications (PPC) such as atelectasis and pneumonia are common following lung resection. (bmj.com)
  • Significant relation was observed between airway positive microbial colonization and neoadjuvant therapy but no significant relation was found between neoadjuvant therapy and major respiratory complications such as pneumonia, ARDS. (ersjournals.com)
  • [8] It is found that preoperative IMT reduces postoperative atelectasis and pneumonia . (physio-pedia.com)
  • Arozullah AM, Khuri SF, Henderson WG, Daley J. Development and validation of a multifactorial risk index for predicting postoperative pneumonia after major noncardiac surgery. (physio-pedia.com)
  • Other abdominal surgery cases will involve post-operative complications that occur before the patient every leaves the hospital and are not directly caused by the surgery itself. (chicagomedicalmalpracticelawyerblog.net)
  • Whether an abdominal surgery complication or post-operative care is due to medical malpractice or simply an accepted risk of the procedures can be a complicated question. (chicagomedicalmalpracticelawyerblog.net)
  • In order to properly evaluate whether a serious complication or death from abdominal surgery was preventable, expert testimony is nearly always needed. (chicagomedicalmalpracticelawyerblog.net)
  • Even though the case may have start with an abdominal surgery, the complication that developed is not necessarily a direct result of the surgery. (chicagomedicalmalpracticelawyerblog.net)
  • The endpoint of this study is to determine the actual incidence of respiratory postoperative complications in patients undergoing general anesthesia for major abdominal surgery (general surgery, gynecology, urology). (clinicaltrials.gov)
  • The purpose of this study is to determine the incidence of pulmonary complications in patients undergone major abdominal elective surgery performed under general anesthesia. (clinicaltrials.gov)
  • The primary aim of the study is to evaluate the incidence of postoperative pulmonary complications (PPC) in patients undergoing major abdominal surgery. (clinicaltrials.gov)
  • In a univariate analysis, ASA, BMI, and abdominal abscess or fistula significantly correlated with postoperative complications (Table). (sages.org)
  • To investigate associations between preoperative variables and postoperative pulmonary complications (PPC) in elective upper abdominal surgery. (scielo.br)
  • There were three major clinical risk factors for pulmonary complications following upper abdominal surgery: chronic pulmonary disease, comorbidity, and surgery lasting more than 210 minutes. (scielo.br)
  • Despite recent advances in preoperative management, postoperative respiratory morbidity is still a common problem, especially following upper abdominal surgery. (scielo.br)
  • This issue is probably one of the most common conditions seen following abdominal surgery - but is it a complication? (icd10monitor.com)
  • In malnourished patients having elective surgery for gastrointestinal cancer, jejunal enteral feeding reduced postoperative complications and hospital stay relative to parenteral nutrition but increased minor adverse effects such as abdominal cramping and distension. (bmj.com)
  • Differences in complications between groups were analysed to determine whether frailty was an independent influencing factor for postoperative complications in elderly patients undergoing abdominal surgery and to determine the predictive value of frailty. (alliedacademies.org)
  • Frailty was an independent influencing factor for postoperative complications in elderly patients undergoing major abdominal surgery. (alliedacademies.org)
  • The area under the curve of frailty in the prediction of postoperative complications in elderly patients with major abdominal surgery was 0.757, indicating that frailty had the same predictive value as POSSUM. (alliedacademies.org)
  • Frailty is an effective predictor for the occurrence of postoperative complications in elderly patients undergoing major abdominal surgery. (alliedacademies.org)
  • To evaluate the postoperative complications and their impacts on the patients who have performed with primary cytoreduction (including extra upper abdominal surgery, EUAS) of advanced epithelial ovarian cancer at stage IIIc and IV. (jnccn.org)
  • Incidence and hospital stay for cardiac and pulmonary complications after abdominal surgery. (physio-pedia.com)
  • Predictors of postoperative pulmonary complications following abdominal surgery. (physio-pedia.com)
  • Pre-operative inspiratory muscle training preserves postoperative inspiratory muscle strength following major abdominal surgery - a randomised pilot study. (edu.pl)
  • Preoperative 6-min walking distance does not predict pulmonary complications in upper abdominal surgery. (edu.pl)
  • Prevention of pulmonary complications after upper abdominal surgery by preoperative intensive inspiratory muscle training: a randomized controlled pilot study. (edu.pl)
  • HealthDay)-A simple and inexpensive program can reduce the risk of life-threatening and costly respiratory complications that are common after surgery, according to a new study. (medicalxpress.com)
  • The program's goal is to reduce the number of postoperative respiratory complications in the hospital by at least 50 percent. (medicalxpress.com)
  • List the most common respiratory complications following surgery and how to best identify and manage these complications in the postanesthesia care unit (PACU). (netce.com)
  • The samples were analyzed for airway colonization and then the patients underwent the surgery and were postoperatively evaluated in respiratory complications and the effects of preoperative neoadjuvant therapy. (ersjournals.com)
  • Two deaths were reported due to myocardial infarction in the postoperative days.There was no death due to respiratory complications. (ersjournals.com)
  • Four patients had both cardiovascular and respiratory complications. (springermedizin.de)
  • and those with respiratory complications. (springermedizin.de)
  • Postoperative cardiovascular or respiratory complications were identified in 94 (14%) or 25 (4%) patients, respectively. (springermedizin.de)
  • Postoperative white blood cell counts and C-reactive protein levels were significantly higher in those with postoperative respiratory complications than in those without. (springermedizin.de)
  • Multiple regression analysis adjusted for age, sex, and pathological staging showed that the incidence of postoperative respiratory complications was a significant predictor of cancer recurrence. (springermedizin.de)
  • The presence of respiratory complications following lung cancer surgery was a significant predictor of cancer recurrence. (springermedizin.de)
  • Development and validation of a score for prediction of postoperative respiratory complications. (physio-pedia.com)
  • Their research provides an important contribution by identifying one patient population (gastrointestinal cancer with preoperative malnutrition) who experience fewer postoperative complications and have a shorter length of stay when they receive early enteral compared with parenteral nutrition. (bmj.com)
  • Platelet count, international normalized ratio, total intraoperative opioid, preoperative respiratory rate, and history of cancer were removed, given a lack of use in previous validated cardiac surgery or postoperative pulmonary complication risk score models. (medscape.com)
  • ANCHOR=],[LINK=]) postoperatively evaluated 66 cardiac surgery patients for postoperative delirium. (medtronic.com)
  • FOOTNOTE=Soehle M, Dittmann A, Ellerkmann RK, Baumgarten G, Putensen C, Guenther U. Intraoperative burst suppression is associated with postoperative delirium following cardiac surgery: a prospective, observational study. (medtronic.com)
  • ANCHOR=],[LINK=]) prospectively recorded pre-, intra, and postoperative EEG variables (BIS™ brain monitoring, EEG asymmetry, and burst suppression) via a bilateral BIS™ monitor in 81 cardiac surgery patients. (medtronic.com)
  • The authors hypothesized that a bundled intraoperative protective ventilation strategy was independently associated with decreased odds of pulmonary complications after cardiac surgery. (nih.gov)
  • The authors identified an intraoperative lung-protective ventilation bundle as independently associated with pulmonary complications after cardiac surgery. (nih.gov)
  • Oxygen has also been traditionally used to increase oxygen carrying capacity in patients presenting with an acute coronary syndrome (ACS), to reduce surgical site infections (SSI), to ensure adequate oxygen delivery to tissues in unconscious patients, during cardiac surgery and for postoperative management, specifically after major surgery. (clinicaltrials.gov)
  • We have initated the p ostoperative vascular complications in the unrecognised o bstructive s leep a pnoea (POSA) study to determine the associations between OSA, nocturnal hypoxia and major postoperative vascular events in 1200 moderate-to-high risk patients undergoing major non-cardiac surgery. (bmj.com)
  • Although acknowledged as a major problem in cardiac surgery there are no generally accepted criteria for the diagnosis of postoperative heart failure. (centerwatch.com)
  • Among these cases, 513 (10.9%) experienced a postoperative pulmonary complication. (medscape.com)
  • Poor-prognostic factors for survival included male sex, stage III/IV disease, cirrhosis, proximal tumors, and R1/R2 resection, but not technical complications. (springer.com)
  • Curative resection for esophageal adenocarcinoma: analysis of 100 en bloc esophagectomies. (springer.com)
  • Whooley BP, Law S, Murthy SC, Alexandrou A, Wong J. Analysis of reduced death and complication rates after esophageal resection. (springer.com)
  • There was moderate-quality evidence that preoperative exercise significantly reduced postoperative complication rates (RR 0.52, 95% CI 0.36 to 0.74) and length of hospital stay (MD −2.86 days, 95% CI −5.40 to −0.33) in patients undergoing lung resection, compared with control. (bmj.com)
  • Purpose To determine risk factors for early postoperative complications and longer hospital stay after ileocecal resection and right hemicolectomy in a single-center cohort of patients with Crohn's disease (CD). (uzh.ch)
  • 3 cases with mesh repairment and 2 cases with right cardio-phrenic angle lymph nodes removal in the 7 patients with diaphragm resection were without complications. (jnccn.org)
  • Complications from these surgeries can involve bleeding and infections. (chicagomedicalmalpracticelawyerblog.net)
  • ORLANDO (July 23, 2018): An academic medical center's weight-loss surgery program greatly lowered its rates of several postoperative complications, including rehospitalization in the first month, surgical site and urinary tract infections, and bleeding, despite almost doubling its surgical volume over five years. (facs.org)
  • A prospective, double-blind, placebo-controlled trial of a single dose of azithromycin on postoperative wound infections in plastic surgery. (freemd.com)
  • Postoperative wound infections of the spine. (freemd.com)
  • 7%) is associated with decreased postoperative infections. (nih.gov)
  • In the multivariable model, age, American Society of Anesthesiologists class, operation length, wound class, and HbA(1c) levels were significantly associated with postoperative infections. (nih.gov)
  • The aim of this study was to compare the postoperative course in open, laparoscopic and transgastric surgery, specially concerning infections and postop well being in a randomized porcine survival study. (sages.org)
  • Common types of post-surgery complications include infections at the surgery site, internal bleeding, nerve damage, and brain trauma. (warlawgroup.com)
  • The aim of this Cochrane review was to find out whether the use of a new imaging technique, called indocyanine green angiography (ICGA), during reconstructive breast surgery can reduce necrosis (cell death) of the overlying breast skin and other complications such as infections, following reconstructive breast surgery after mastectomy. (cochrane.org)
  • Their results are consistent with a meta-analysis of 27 randomized controlled trials (RCTs) that found that PN caused more infections than did EN or standard care ( 1 ). (acpjc.org)
  • Even if the surgery was indicated and properly performed, the medical staff may not have properly responded to signs and symptoms of a complication such as infection or bleeding. (chicagomedicalmalpracticelawyerblog.net)
  • Minor complications account for 7.6 %: local infection (n = 9), delayed transient facial palsy (n = 7), vertigo (n = 3) and tinnitus (n = 2). (nih.gov)
  • Postoperative deep wound infection in adults after posterior lumbosacral spine fusion with instrumentation: incidence and management. (freemd.com)
  • The most common surgical complication was wound infection followed by ileus. (sages.org)
  • This operation carries some risks and complications, including an operation to correct complications (reoperation), spontaneous reopening of the surgical wound (dehiscence), infection, blood pooling outside of a blood vessel (haematoma) and a pocket filled with blood plasma underneath the skin (seroma). (cochrane.org)
  • This paper describes two cases of invasive aspergillosis caused by A. fumigatus in immuno-suppressed patients and underscores the importance of early identification of Aspergillus infection associated with systemic lupus erythematosus and cardiac postoperative complications. (doaj.org)
  • Smoking causes the small airways in the lungs to narrow making them more prone to collapse and leading to increased susceptibility of infection, coughing, pulmonary complications and prolonged mechanical ventilation in smokers. (bmj.com)
  • However, some of these therapies are recognized to increase the general risk of infection and have an unclear impact on postoperative infection risk. (physiciansweekly.com)
  • 29 (6,76%) patients developed a postoperative surgical site infection, thereof 4 (0,9%) with consecutive septicaemia. (iospress.com)
  • Duration of the clinical phase: hospitalization (data collection: two hours after discharge from the operating room, then from the first, up to the fifth postoperative day) Duration of follow-up after hospitalization (follow up period): 30 days - 60 days - 1 year. (clinicaltrials.gov)
  • In a large international clinical study presented at the 99thAnnual Meeting of the American Association for Thoracic Surgery, Dr. Moishe Liberman, a thoracic surgeon and researcher at the University of Montreal Hospital Research Center (CRCHUM), and his team showed that thoracoscopic lobectomy-video-assisted thoracoscopic surgery (VATS)-combined with pulmonary artery sealing using an ultrasonic energy device reduced the risk of post-operative bleeding, complications and pain. (news-medical.net)
  • To investigate the incidence and clinical results of corneal complications after small incision lenticule extraction (SMILE). (healio.com)
  • The purpose of this study was to evaluate the contribution of MR imaging to the diagnosis of membranous labyrinthine complications occurring after stapes surgery when clinical and CT exploration fail to identify the cause of SNHL and vertigo. (ajnr.org)
  • We are uncertain about the effect of ICGA on reducing the chance of necrosis of the overlying breast skin and other post-surgery complications when compared to clinical evaluation only. (cochrane.org)
  • We found nine studies that compared the number of postoperative complications in women who had ICGA assessment of their breast skin versus clinical evaluation. (cochrane.org)
  • Complication coding is a hot topic among coding, clinical, and compliance professionals. (icd10monitor.com)
  • According to a study conducted in Norway and published online in the journal Clinical Orthopaedics and Related Research, risk of postoperative complication may be comparable whether low-molecular-weight heparin (LMWH) prophylaxis is initiated prior to or following total hip arthroplasty (THA). (orthogate.org)
  • METHODS/DESIGN: A systematic literature search will be conducted in The Cochrane Library, MEDLINE, and Embase to identify randomized controlled trials (RCTs), observational clinical studies (OCS), or case series (CS) reporting peri- and/or postoperative complications of at least one implantation technique. (ivteam.com)
  • Effect of preoperative smoking intervention on postoperative complications: a randomised clinical trial. (bmj.com)
  • Part I covers postoperative complications in relation with co-morbidities, co-medication and clinical presentation. (iospress.com)
  • Postoperative complications were recorded during clinical follow-up. (alliedacademies.org)
  • Relevance to clinical practice: Frailty is related to the occurrence of postoperative complications to assess the surgical risk of patients. (alliedacademies.org)
  • 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. (cscanada.net)
  • METHODS: From January 2008 through January 2013 our radiological records were searched for cases with post surgical vascular complications treated with endovascular intervention. (minervamedica.it)
  • Therefore, the aim of this systematic review is to summarize evidence for peri- and postoperative complication rates in patients undergoing OCD or CC" Klaiber et al (2015). (ivteam.com)
  • McSorley, S. T. , Horgan, P. G. and McMillan, D. C. (2016) The impact of preoperative corticosteroids on the systemic inflammatory response and postoperative complications following surgery for gastrointestinal cancer: a systematic review and meta-analysis. (gla.ac.uk)
  • Crude incidence of postoperative pulmonary complications among cases using an overall lung-protective ventilation strategy was 6.6%, compared with 13.9% among cases without an overall lung-protective ventilation strategy ( Table 2 ). (medscape.com)
  • Incidence of Postoperative Pulmonary Complications (PPCs) varies from 2% to 19%, according to the population under examination and the criteria used to define pulmonary complications. (clinicaltrials.gov)
  • Prospective cohort designs exploring the effects of preoperative smoking cessation on postoperative complications were included. (bmj.com)
  • We developed a new technique for skin closure in abdominoplasty that addresses two major concerns of this procedure: excessive postoperative scar length and rate of delayed wound healing. (lww.com)
  • The wound complication rate in this study was 3.5%, which was comparatively low. (oncolink.org)
  • A preoperative smoking intervention was more effective than usual care for reducing rates of any postoperative complication and wound related complications in patients having elective knee or hip replacement. (bmj.com)
  • This study by Moller et al adds to the evidence by showing that a smoking cessation programme delivered by a nurse preoperatively reduced the risks of any postoperative complication and wound related complications in patients having elective knee or hip replacement when compared with usual care. (bmj.com)
  • The number needed to treat (NNT) of 4 (table ⇑ ) indicates that 4 patients would need to participate in the preoperative smoking cessation programme in order to prevent 1 additional wound related complication. (bmj.com)
  • Thirteen patients reported grade 3-5 complication, and wound abnormal healing was the most common grade 3-5 complications, occurred in 14.89% of patients. (jnccn.org)
  • Older age, higher BMI, and 3 or fewer attacks of diverticulitis are associated with a higher rate of postoperative complications. (sages.org)
  • Hip fractures are associated with poor prognosis in elderly patients partly due to the high rate of postoperative complications. (dovepress.com)
  • Conclusions: Airway colonisation by PPMs after neoadjuvant therapy is suggested as a possible cause of postoperative ARDS after oesophagectomy. (ebscohost.com)
  • Conclusions Preoperative exercise was effective in reducing postoperative complications and length of hospital stay in patients with lung cancer. (bmj.com)
  • Conclusions In this large cohort of patients surgically treated for CD in a tertiary referral center, 9.5% of the patients developed major postoperative complications. (uzh.ch)
  • CONCLUSIONS Malpositioning of the FT in MPFL reconstruction is associated with postoperative complications. (uzh.ch)
  • Cardiovascular surgery patients may be at increased risk for postoperative delirium ([FOOTNOTE=Smulter N, Lingehall HC, Gustafson Y, Olofsson B, Engstrom KG. (medtronic.com)
  • Many aspects linked to the patient's conditions and postoperative anesthesiologic management have been demonstrated to influence the risk of developing PPCs. (clinicaltrials.gov)
  • Furthermore, patients who survive after pulmonary complications will still suffer from functional reductions and are at risk of having a decrease in medium and long-term survival. (clinicaltrials.gov)
  • Is Peri-operative Hyperoxemia a Risk Factor for Postoperative Complications? (clinicaltrials.gov)
  • Can we predict postoperative complications in elderly Chinese patients with hip fractures using the surgical risk calculator? (dovepress.com)
  • This study was aimed to investigate whether the surgical risk calculator is suitable for predicting postoperative complications in elderly Chinese patients with hip fractures. (dovepress.com)
  • The incidence of postoperative complications among 410 elderly patients with hip fractures was predicted by the surgical risk calculator and then compared with the actual value. (dovepress.com)
  • Preoperative risk factors including gender, age, preoperative functional status, American Society of Anesthesiologists grade, hypertension, dyspnea, dialysis, previous cardiovascular history, and cerebrovascular disease were positively correlated with the incidence of postoperative complications in elderly patients with hip fractures. (dovepress.com)
  • A systematic pre-operative identification of patients at high risk of PPC could be useful to facilitate an early preventive preoperative and postoperative intervention and to allocate proper resources to high risk patients. (pulsus.com)
  • We found that women treated with accelerated partial breast irradiation therapy have a two-fold increased risk for subsequent mastectomy, most likely because of tumor recurrence or local complications, as well as an increased risk for post-operative and radiation-related complications," said Ben Smith, the study's senior author. (mdanderson.org)
  • 7-13 The preoperative evaluation should include steps to prepare patients for surgery and to identify those at high risk for developing complications, thus allowing physicians to take prophylactic measures to reduce the incidence of PPCs. (scielo.br)
  • Risk factors for late complications, such as bone fracture, following wide local excision and post-operative radiation for STS are not well characterized. (oncolink.org)
  • To establish the effect of preoperative smoking cessation on the risk of postoperative complications, and to identify the effect of the timing of preoperative cessation. (bmj.com)
  • Five studies revealed a lower risk or incidence of postoperative complications in past smokers than current smokers or reported that there was no significant difference between past smokers and non-smokers. (bmj.com)
  • there was no increased risk in postoperative complications from short term cessation. (bmj.com)
  • There is substantial biological rationale to indicate that patients with unrecognised OSA are at a higher risk of postoperative vascular events. (bmj.com)
  • The aim of GLUTAMICS II is to evaluate whether intravenous glutamate infusion surgery reduces the risk of postoperative heart failure as measured by plasma NT-proBNP in patients undergoing moderate to high-risk coronary artery bypass graft surgery. (centerwatch.com)
  • Patients accepted for coronary artery bypass surgery of at least two vessel disease or left main stenosis with or without concomitant procedure and considered to be at moderate to high surgical risk preoperatively with regard to postoperative heart failure will be studied. (centerwatch.com)
  • It has been shown that if blood clot contraction is normally strong and fast, the risk of thrombotic complications is quite small. (reachmd.com)
  • The authors continue to use the test to evaluate the risk of thrombotic complications in other pathologies, such as COVID-19, fetal loss and miscarriage, autoimmune diseases, and other conditions associated with disorders of blood clotting. (reachmd.com)
  • Despite this, neither of these two parameters has been taken into consideration in the design of modern coronary artery bypass risk prediction scores, and little data on their early postoperative prognostic value are currently available. (ovid.com)
  • Background: Smoking is a risk factor for postoperative pulmonary complications (PPC) following non-small cell lung cancer (NSCLC) surgery. (strath.ac.uk)
  • 0.001) could be defined as independent risk factors for the development of complications. (iospress.com)
  • In general stripping below knee increases the risk of postoperative sensory deficit. (iospress.com)
  • 32.5 g/L significantly reduce the risk for postoperative complications and shorten the length of hospital stay. (uzh.ch)
  • We hypothesized that intraoperative risk factors exist, which increase the likelihood of a postoperative new-onset pressure ulcer. (nursefacultyscholars.org)
  • In addition, the more common postoperative complications include anastomotic leak with extravasation into the peritoneal cavity. (appliedradiology.com)
  • When the blood supply is poor, skin will not survive, and surgeons need to intervene to prevent postoperative complications. (cochrane.org)
  • Respiratory complication is the important postoperative complications of esophageal cancer. (ersjournals.com)
  • Conventional treatment of postoperative heart failure presents a therapeutic dilemma as inotropic drugs not only aggravate ischemia and increase the size of evolving myocardial infarction, but also stimulate apoptotic processes that may have adverse long-term consequences. (centerwatch.com)
  • On the contrary, if on the first day after surgery clot contraction is suppressed, there is a high likelihood of thrombosis development, and immediate prophylactic measures should be taken to prevent this adverse postoperative complication. (reachmd.com)
  • Complications were grouped as no events (NE), neglectable adverse events (NAE), non-neglectable adverse events (NNAE) and severe (life-threatening) adverse events (SAE). (iospress.com)
  • Post-operative pulmonary complication is an umbrella term of adverse changes to the respiratory system occurring immediately after surgery. (physio-pedia.com)
  • Of the 6,373 cases, 432 eyes (6.8%) developed at least one corneal complication postoperatively. (healio.com)
  • 408 patients were prospectively analyzed during the preoperative period and followed up postoperatively for pulmonary complications. (scielo.br)
  • The aims were to investigate whether there were any differences between patients receiving nutritional intervention preoperatively and over five days postoperatively and patients who did not, in terms of postoperative complications, rehabilitation, length of stay and food and liquid intake. (diva-portal.org)
  • Patients with 3 or fewer attacks had significantly more complications compared to those with 4 or more attacks. (sages.org)
  • A high CAR was significantly associated with postoperative complications for oldest-old patients with colorectal cancer. (springer.com)
  • On univariate and multivariate analyses, only the CAR was an independent predictor of postoperative complications (HR 2.864, p = 0.029). (springer.com)
  • Results also were analyzed to determine predictors of postoperative cardiac events. (biomedsearch.com)
  • Available data demonstrate that ischemia and evolving myocardial infarction account for a large proportion of patients with postoperative heart failure after CABG. (centerwatch.com)
  • Retained surgical instruments, anesthesia injuries , and spinal trauma are other examples of post-operative complications for which a Marietta lawyer could help an injured patient pursue compensation. (warlawgroup.com)
  • The authors noted that the postoperative approach reduced costs, decreased risks related to neuraxial anesthesia, and facilitated same-day admissions. (orthogate.org)
  • Awareness under anesthesia, also referred to as intraoperative awareness or accidental awareness during general anesthesia (AAGA), is a rare complication of general anesthesia where patients regain varying levels of consciousness during their surgical procedures. (wikipedia.org)
  • While anesthesia awareness is possible any long-term memory of it, the more clinically significant complication is awareness with explicit recall, where patients can remember the events related to their surgery (intraoperative awareness with explicit recall). (wikipedia.org)
  • Describe the cardiovascular complications that may occur in the postoperative period and the appropriate interventions. (netce.com)
  • High, low, and mean incidence of postoperative delirium by cardiac surgical procedure. (medtronic.com)
  • The Impact of Delirium After Cardiac Surgical Procedures on Postoperative Resource Use. (medtronic.com)
  • increased rates of delirium and confusion in the postoperative period have been reported in patients with schizophrenia. (shockmd.com)
  • Complications in postoperative delirium patients in a post a. (lww.com)
  • Postoperative delirium (POD) is the most commonly encountered serious mental disturbance in the postoperative period. (lww.com)
  • Each patient included was evaluated for diagnosis of POD using the Nursing Delirium Screening Scale (NUDESC) in the PACU and on the first postoperative day. (lww.com)
  • Postoperative delirium incidence in the PACU was 11.3% (95% Confidence Interval 7.1-15.5). (lww.com)
  • RESULTS: Twelve patients with graft related complications treated with endovascular intervention were recorded. (minervamedica.it)
  • Postoperative cardiac complications and long-term survival in these patients were compared with results from 172 similar patients undergoing aortic reconstruction without stress-thallium scanning. (biomedsearch.com)
  • Demographic data, unilateral or bilateral placement, type of surgery and postoperative complications were evaluated. (nih.gov)
  • Radiologic assessment of these procedures is often done in the immediate postoperative period to confirm that the postsurgical anatomy is intact. (appliedradiology.com)
  • Patients experience pain and discomfort during the immediate postoperative period (i.e., about 10 days). (healthcommunities.com)
  • The surgeon should be notified if any of these symptoms are experienced during the immediate postoperative period. (healthcommunities.com)
  • Development and test datasets were constructed using stratification by facility and date of procedure for patients with and without complications. (nih.gov)
  • Because the SMILE procedure is flapless, not requiring the creation of a corneal flap, this surgical approach is not associated with the typical flap-related complications, such as incomplete flap dissection, free flap, flap buttonhole, and flap dislocation, typically seen in FS-LASIK. (healio.com)
  • However, being a relatively new procedure, it has its own challenges and myriad postoperative complications. (healio.com)
  • In this cohort study, 1,578 adult surgical patients completed a survey at least 30 days after their procedure asking if they had experienced any of 18 complications while in the hospital after surgery. (asahq.org)
  • This guidance is not so in ICD-10-CM. The physician has to specifically document that the post-operative atrial fibrillation is a complication of the procedure. (icd10monitor.com)
  • Despite advances in surgical and postoperative management within the last decades, postoperative complication rates for this procedure are still considerably high. (springermedizin.de)
  • Many complications are avoidable in the pre-/intra-/postoperative setting by carefully selecting patients eligible for this procedure and by considering prophylactic measures. (springermedizin.de)
  • Number and type of complication were evaluated with regards to demographic parameters, co-existing medical conditions and procedure related aspects. (iospress.com)
  • There was no procedure related morbidity or complications during hospitalization and follow-up of mean 12, 3 months (range 1-36 months) in the other 9 patients. (minervamedica.it)
  • Sensorineural hearing loss (SNHL) is a rare complication of stapes surgery that may arise for many reasons. (ajnr.org)
  • Sensorineural hearing loss (SNHL), often associated with vertigo, is a rare complication after stapes surgery (1) . (ajnr.org)
  • In addition, the incidence of 4 or more attacks was independently correlated with a lower complication rate (OR = 0.485, 95% CI = 0.236-0.999, p = 0.047). (sages.org)
  • In malnourished patients having elective surgery for gastrointestinal cancer, enteral nutrition led to a lower complication rate and shorter postoperative hospital stay than did parenteral nutrition but was not as well tolerated. (acpjc.org)
  • At the first postoperative follow-up visit (usually 10-14 days after surgery), the patient is given a prescription for physical therapy focusing on developing passive ROM. (medscape.com)
  • In addition, postoperative complications that are common to pediatric, geriatric, and obese patient populations will be addressed. (netce.com)
  • Pulmonary Complications in Patient with Esophageal Carcinoma Undergoing Transthoracic Esophagectomy in Liaquat University Hospital Jamshoro/Hyderabad. (ebscohost.com)
  • Depending on the nature of the surgery, a patient could be especially vulnerable to complications if he or she is not adequately monitored. (warlawgroup.com)
  • These include improper patient monitoring when a patient is under the influence of a heavy anesthetic, releasing a patient from the hospital before it is prudent to do so, and moving a patient into a recovery room but neglecting to properly check for signs of complications. (warlawgroup.com)
  • A healthcare provider's negligence in monitoring or caring for a patient post-surgery can lead to severe complications and injuries. (warlawgroup.com)
  • Studies reported the number of complications on a per patient basis or on a per breast basis. (cochrane.org)
  • The accuracy of patient report in identifying a wide variety of postoperative complications after diverse surgical procedures has not previously been investigated. (asahq.org)
  • Patient report can provide information about subjective experiences or events that happen after hospital discharge, but often yields different results from chart review for specific in-hospital complications. (asahq.org)
  • Effective in-hospital communication with patients and thoughtful survey design may increase the quality of patient-reported complication data. (asahq.org)
  • On the other hand, if the patient is not experiencing a return of normal bowel function after three days and is receiving treatment for the ileus (nasogastric tube, rectal tube, NPO status, reducing opioid pain medication, etc.), this is likely a complication and the physician should be queried for clarification. (icd10monitor.com)
  • If the patient had several beats of atrial fibrillation noted on cardiac monitoring that resolved on its own without treatment, this should not be considered a complication. (icd10monitor.com)