Journal articles: 'Postoperative complications'

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Lightner, Amy L., and Phillip R. Fleshner. "Postoperative Complications." Surgical Clinics of North America 101, no. 5 (October 2021): i. http://dx.doi.org/10.1016/s0039-6109(21)00103-1.

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Clements, F. "Postoperative complications." Current Opinion in Anaesthesiology 3, no. 1 (February 1990): 57–61. http://dx.doi.org/10.1097/00001503-199002000-00015.

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Mullan, Siobhan. "Postoperative complications." In Practice 32, no. 2 (February 2010): 79. http://dx.doi.org/10.1136/inp.c413.

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DUNCAN, P. G., and M. M. COHEN. "Postoperative Complications." Survey of Anesthesiology 31, no. 6 (December 1987): 360. http://dx.doi.org/10.1097/00132586-198712000-00037.

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Lunn, J. N. "Postoperative complications." Canadian Anaesthetists’ Society Journal 33, no. 4 (July 1986): 533. http://dx.doi.org/10.1007/bf03010986.

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J Patel, Prakashkumar. "Incentive Spirometry in Postoperative Pulmonary Complications." International Journal of Science and Research (IJSR) 12, no. 6 (June 5, 2023): 1437–41. http://dx.doi.org/10.21275/sr23613000342.

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Alexandrescu, Sorin Tiberiu, Narcis Octavian Zarnescu, Andrei Sebastian Diaconescu, Dana Tomescu, Gabriela Droc, Doina Hrehoret, Vladislav Brasoveanu, and Irinel Popescu. "The Impact of Postoperative Complications on Survival after Simultaneous Resection of Colorectal Cancer and Liver Metastases." Healthcare 10, no. 8 (August 19, 2022): 1573. http://dx.doi.org/10.3390/healthcare10081573.

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Background: The aim of this study was to investigate the impact of postoperative complications on the long-term outcomes of patients who had undergone simultaneous resection (SR) of colorectal cancer and synchronous liver metastases (SCLMs). Methods: We conducted a single-institution survival cohort study in patients with SR, collecting clinical, pathological, and postoperative complication data. The impact of these variables on overall survival (OS) and disease-free survival (DFS) was compared by log rank test. Multivariate Cox regression analysis identified independent prognostic factors. Results: Out of 243 patients, 122 (50.2%) developed postoperative complications: 54 (22.2%) major complications (Clavien–Dindo grade III–V), 86 (35.3%) septic complications, 59 (24.2%) hepatic complications. Median comprehensive complication index (CCI) was 8.70. Twelve (4.9%) patients died postoperatively. The 3- and 5-year OS and DFS rates were 60.7%, 39.5% and 28%, 21.5%, respectively. Neither overall postoperative complications nor major and septic complications or CCI had a significant impact on OS or DFS. Multivariate analysis identified the N2 stage as an independent prognostic of poor OS, while N2 stage and four or more SCLMs were independent predictors for poor DFS. Conclusion: N2 stage and four or more SCLMs impacted OS and/or DFS, while CCI, presence, type, or grade of postoperative complications had no significant impact on long-term outcomes.

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Osako, Rie, Yuhei Matsuda, Chieko Itohara, Yuka Sukegawa-Takahashi, Shintaro Sukegawa, Satoe Okuma, Yoshihiko Furuki, and Takahiro Kanno. "Relationship between Oral Bacterial Count and Postoperative Complications among Patients with Cardiovascular Disease Treated by Surgery: A Retrospective Cohort Study." Healthcare 9, no. 7 (July 5, 2021): 850. http://dx.doi.org/10.3390/healthcare9070850.

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In this retrospective observational study, we evaluated the relationship between perioperative oral bacterial counts and postoperative complications in cardiovascular disease (CVD) patients. From April 2012 to December 2018, all patients scheduled for surgery received perioperative oral management (POM) by oral specialists at a single center. Tongue dorsum bacterial counts were measured on the pre-hospitalization day, preoperatively, and postoperatively. Background data were collected retrospectively. Among the 470 consecutive patients, the postoperative complication incidence rate was 10.4% (pericardial fluid storage, n = 21; postoperative pneumonia, n = 13; surgical site infection, n = 9; mediastinitis, n = 2; and seroma, postoperative infective endocarditis, lung torsion, and pericardial effusion, n = 1 each). Oral bacterial counts were significantly higher in the pre-hospitalization than in the pre- and postoperative samples (p < 0.05). Sex, cerebrovascular disease, and operation time differed significantly between complications and no-complications groups (p < 0.05). Multivariate analysis with propensity score adjustment showed a significant association between postoperative oral bacterial count and postoperative complications (odds ratio 1.26; 95% confidence interval, 1.00–1.60; p = 0.05). Since the development of cardiovascular complications is a multifactorial process, the present study cannot show that POM reduces complications but indicates POM may prevent complications in CVD patients.

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Bilyy, Andrey, Tamer El-Nakhal, Jakub Kadlec, Waldemar Bartosik, Filip Van Tornout, and Vasileios Kouritas. "Preoperative training education with incentive spirometry may reduce postoperative pulmonary complications." Asian Cardiovascular and Thoracic Annals 28, no. 9 (September 11, 2020): 592–97. http://dx.doi.org/10.1177/0218492320957158.

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Objective To assess whether preoperative incentive spirometer training would influence the development of postoperative pulmonary complications after lung resection. Methods Sixty-two lung resection patients were prospectively investigated; 17 were given an incentive spirometer preoperatively and 45 did not have an incentive spirometer preoperatively. Postoperatively, both arms exercised with an incentive spirometer. The number of repetitions per day, balls raised per repetition, correct technique of exercising, and postoperative pulmonary complications were compared between the 2 groups. Univariate binary logistic regression analysis of potential predictors of postoperative pulmonary complications led to multivariate analysis of independent predictors. Receiver operating characteristic analysis established the cutoff points of predictors. Results The group with no preoperative incentive spirometer developed more postoperative pulmonary complications than the preoperative incentive spirometer group (24.4% vs. 5.9%, respectively, p = 0.045). The preoperative incentive spirometer arm achieved more repetitions per day, balls per repetition, and correct incentive spirometer technique ( p = 0.002, p < 0.001, p = 0.034, respectively). Balls raised per repetition and repetitions per day postoperatively were identified as independent predictors of postoperative pulmonary complications ( p = 0.032 and p = 0.021, respectively). Less than 5 repetitions per day (sensitivity 93%, specificity 77%, p < 0.001) and less than 2 balls per repetition (sensitivity 93%, specificity 77%, p < 0.001) were predictive of postoperative pulmonary complications. Conclusion Preoperative incentive spirometer exposure ensured better compliance with postoperative treatment and a more accurate technique (balls raised per repetition, repetitions per day). These variables correlated with a lower postoperative pulmonary complication rate.

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WRZESINSKI, Aline, Jéssica Moraes CORRÊA, Tainiely Müller Barbosa FERNANDES, Letícia Fernandes MONTEIRO, Fabiana Schuelter TREVISOL, and Ricardo Reis do NASCIMENTO. "COMPLICATIONS REQUIRING HOSPITAL MANAGEMENT AFTER BARIATRIC SURGERY." ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) 28, suppl 1 (2015): 3–6. http://dx.doi.org/10.1590/s0102-6720201500s100003.

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Background: The actual gold standard technique for obesity treatment is the Roux-en-Y gastric bypass. However, complications may occur and the surgeon must be prepared for them. Aim: To evaluate retrospectively the complications occurrence and associated factors in patients who underwent bariatric surgery. Methods: In this study, 469 medical charts were considered, from patients and from data collected during outpatient consultations. The variables considered were gender, age, height, pre-operatory BMI, pre-operatory weight, pre-operatory comorbidities, time of hospital stay, postoperative complications that demanded re-admission to the hospital and the time elapsed between the procedure and the complication. The patients' follow up was, at least, one year. Results: The incidence of postoperative complications that demanded a hospital care was 24,09%. The main comorbidity presented in this sample was hepatic steatosis. The comorbidity that was associated with the postoperative period was type 2 diabetes. There was a tendency for the female gender be related to the complications. The cholecystectomy was the most frequent complication. Complications occurred during the first year in 57,35%. Conclusion: The most frequent complication was the need to perform a cholecystectomy, where the most frequent comorbidity was hepatic steatosis. Over half the complications occurred during the first year postoperatively. Type 2 diabetes was associated with the occurrence of postoperative complications; women had the highest incidence; body mass index was not associated with the occurrence of complications.

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Klineberg, Eric O., Peter G. Passias, Gregory W. Poorman, Cyrus M. Jalai, Abiola Atanda, Nancy Worley, Samantha Horn, et al. "Classifying Complications: Assessing Adult Spinal Deformity 2-Year Surgical Outcomes." Global Spine Journal 10, no. 7 (July 30, 2020): 896–907. http://dx.doi.org/10.1177/2192568220937473.

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Study Design: Retrospective review of prospective database. Objective: Complication rates for adult spinal deformity (ASD) surgery vary widely because there is no accepted system for categorization. Our objective was to identify the impact of complication occurrence, minor-major complication, and Clavien-Dindo complication classification (Cc) on clinical variables and patient-reported outcomes. Methods: Complications in surgical ASD patients with complete baseline and 2-year data were considered intraoperatively, perioperatively (<6 weeks), and postoperatively (>6 weeks). Primary outcome measures were complication timing and severity according to 3 scales: complication presence (yes/no), minor-major, and Cc score. Secondary outcomes were surgical outcomes (estimated blood loss [EBL], length of stay [LOS], reoperation) and health-related quality of life (HRQL) scores. Univariate analyses determined complication presence, type, and Cc grade impact on operative variables and on HRQL scores. Results: Of 167 patients, 30.5% (n = 51) had intraoperative, 48.5% (n = 81) had perioperative, and 58.7% (n = 98) had postoperative complications. Major intraoperative complications were associated with increased EBL ( P < .001) and LOS ( P = .0092). Postoperative complication presence and major postoperative complication were associated with reoperation ( P < .001). At 2 years, major perioperative complications were associated with worse ODI, SF-36, and SRS activity and appearance scores ( P < .02). Increasing perioperative Cc score and postoperative complication presence were the best predictors of worse HRQL outcomes ( P < .05). Conclusion: The Cc Scale was most useful in predicting changes in patient outcomes; at 2 years, patients with raised perioperative Cc scores and postoperative complications saw reduced HRQL improvement. Intraoperative and perioperative complications were associated with worse short-term surgical and inpatient outcomes.

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Koneru, Baburao, Andreas G. Tzakis, James Bowman, Adrian Cassavilla, Albert B. Zajko, and Thomas E. Starzl. "Postoperative Surgical Complications." Gastroenterology Clinics of North America 17, no. 1 (March 1988): 71–91. http://dx.doi.org/10.1016/s0889-8553(21)00345-9.

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O'Donohue, Walter J. "Postoperative pulmonary complications." Postgraduate Medicine 91, no. 3 (February 15, 1992): 167–75. http://dx.doi.org/10.1080/00325481.1992.11701233.

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Rock, Peter, and Preston B. Rich. "Postoperative pulmonary complications." Current Opinion in Anaesthesiology 16, no. 2 (April 2003): 123–31. http://dx.doi.org/10.1097/00001503-200304000-00004.

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de Leon-Casasola, Oscar A., and Mark J. Lema. "Postoperative Pulmonary Complications." Anesthesiology 79, no. 5 (November 1, 1993): 1149. http://dx.doi.org/10.1097/00000542-199311000-00046.

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Jayr, Docteur Christian. "Postoperative Pulmonary Complications." Anesthesiology 79, no. 5 (November 1, 1993): 1150. http://dx.doi.org/10.1097/00000542-199311000-00047.

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Domi, Rudin. "Postoperative Respiratory Complications." International Journal of Anesthetics and Anesthesiology 1, no. 1 (July 10, 2014): 1–2. http://dx.doi.org/10.23937/2377-4630/1002.

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Miskovic, A., and A. B. Lumb. "Postoperative pulmonary complications." British Journal of Anaesthesia 118, no. 3 (March 2017): 317–34. http://dx.doi.org/10.1093/bja/aex002.

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JAYR, C., A. MOLLIE, J. L. BOURGAIN, J. ALARCON, J. MASSELOT, P. LASSER, A. DENJEAN, J. TRUFFA-BACHI, and M. HENRY-AMAR. "Postoperative Pulmonary Complications." SURVEY OF ANESTHESIOLOGY 33, no. 2 (April 1989): 87. http://dx.doi.org/10.1097/00132586-198904000-00026.

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Stewart, Mary W. "Postoperative Pulmonary Complications." Journal of PeriAnesthesia Nursing 32, no. 5 (October 2017): 506–7. http://dx.doi.org/10.1016/j.jopan.2017.07.002.

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Thanavaro, Joanne L., and Barbara J. Foner. "Postoperative pulmonary complications." Nursing Critical Care 11, no. 1 (January 2016): 38–47. http://dx.doi.org/10.1097/01.ccn.0000475517.50129.0a.

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Litwack, Kim, Daniel Saleh, and Pauline Schultz. "Postoperative Pulmonary Complications." Critical Care Nursing Clinics of North America 3, no. 1 (March 1991): 77–82. http://dx.doi.org/10.1016/s0899-5885(18)30759-7.

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Myles, P. S., J. O. Hunt, and J. T. Moloney. "Postoperative ‘minor’ complications." Anaesthesia 52, no. 4 (April 1997): 300–306. http://dx.doi.org/10.1111/j.1365-2044.1997.89-az0091.x.

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De Wet, Charl J., and Ronald G. Pearl. "POSTOPERATIVE THROMBOTIC COMPLICATIONS." Anesthesiology Clinics of North America 17, no. 4 (December 1999): 895–922. http://dx.doi.org/10.1016/s0889-8537(05)70139-5.

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Trayner, Edwin, and Bartolome R. Celli. "POSTOPERATIVE PULMONARY COMPLICATIONS." Medical Clinics of North America 85, no. 5 (September 2001): 1129–39. http://dx.doi.org/10.1016/s0025-7125(05)70368-0.

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Willson, Morgan C., and Jeffrey S. Ross. "Postoperative Spine Complications." Neuroimaging Clinics of North America 24, no. 2 (May 2014): 305–26. http://dx.doi.org/10.1016/j.nic.2014.01.002.

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Allen, Steven R., and Heidi L. Frankel. "Postoperative Complications: Delirium." Surgical Clinics of North America 92, no. 2 (April 2012): 409–31. http://dx.doi.org/10.1016/j.suc.2012.01.012.

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Temelkovski, M., M. Trajanova, J. Kostadinov, and A. Sopova. "Conization - postoperative complications." International Journal of Gynecology & Obstetrics 70 (2000): C80. http://dx.doi.org/10.1016/s0020-7292(00)80571-8.

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Ramsay, Sarah Jane. "Postoperative Pulmonary Complications." Annals of Internal Medicine 137, no. 6 (September 17, 2002): 550. http://dx.doi.org/10.7326/0003-4819-137-6-200209170-00032.

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Lawrence, Valerie A. "Postoperative Pulmonary Complications." Annals of Internal Medicine 137, no. 6 (September 17, 2002): 551. http://dx.doi.org/10.7326/0003-4819-137-6-200209170-00033.

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Thanavaro, Joanne L., and Barbara J. Foner. "Postoperative pulmonary complications." Nurse Practitioner 38, no. 7 (July 2013): 38–47. http://dx.doi.org/10.1097/01.npr.0000431179.49311.0b.

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&NA;. "Postoperative pulmonary complications." Nurse Practitioner 38, no. 7 (July 2013): 47–48. http://dx.doi.org/10.1097/01.npr.0000432024.23727.db.

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Sabanathan, S., R. Shah, and J. Richardson. "Postoperative pulmonary complications." BMJ 312, no. 7039 (May 4, 1996): 1158–59. http://dx.doi.org/10.1136/bmj.312.7039.1158b.

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McPherson, Kirstie, and Robert Stephens. "Postoperative respiratory complications." British Journal of Hospital Medicine 77, no. 4 (April 2, 2016): C60—C64. http://dx.doi.org/10.12968/hmed.2016.77.4.c60.

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Jiang, Guanyin, Xing Du, Yong Zhu, Muzi Zhang, Wanyuan Qin, Tuotuo Xiong, and Yunsheng Ou. "Value of Postoperative Serum Albumin to Predict Postoperative Complication Severity in Spinal Tuberculosis." BioMed Research International 2022 (February 9, 2022): 1–8. http://dx.doi.org/10.1155/2022/4946848.

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Background. Many complications occur after surgery in patients with spinal tuberculosis (STB); however, the severity varies in different patients. The complications’ severity is evaluated from grades I to V by the Clavien–Dindo classification (CDC), and grade V is the most severe. Most complications are mild, and only severe complications are life threatening, and thus, it is important to identify severe complications in patients with STB. The purpose of this study was to identify the risk factors of postoperative complication severity in patients with STB. Methods. Between January 2012 and May 2021, a retrospective study included 188 patients that underwent STB debridement surgery. The patients were divided into three groups based on postoperative complication severity. Clinical characteristics measured included age, sex, body mass index (BMI), comorbidities of diabetes mellitus and pulmonary tuberculosis, alcohol use and smoking history, course of disease, preoperative hemoglobin, preoperative serum albumin, preoperative lymphocytes, preoperative erythrocyte sedimentation rate (ESR), preoperative C-reactive protein (CRP), surgical approach, operating time, blood loss during surgery, postoperative hemoglobin, and postoperative serum albumin. The clinical characteristics of patients with STB who developed postoperative complications were evaluated using logistic regression analysis. Results. 188 patients suffered at least one postoperative complication; 77, 91, and 20 patients experienced grade I, II, and III-IV complications, respectively. In the univariate analysis, sex, diabetes mellitus, postoperative hemoglobin, and postoperative albumin are statistically significant. In the multivariable analysis, postoperative albumin (adjusted odds ratio OR = 0.861 , P < 0.001 ) was an independent risk factor of the postoperative complication severity in patients with STB. Receiver operating characteristic (ROC) analysis showed that the optimal cutoff values for postoperative albumin were 32 g/L (sensitivity: 0.571, specificity: 0.714, area under the ROC curve: 0.680) and 30 g/L (sensitivity: 0.649, specificity: 0.800, area under the ROC curve: 0.697) for grade II and grade III-IV complications, respectively. Conclusions. Postoperative albumin is an independent risk factor for postoperative complication severity in patients with STB. The improvement of postoperative albumin levels may reduce the risk of severe complications in patients with STB.

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Marion, Donald W., and Peter J. Jannetta. "Use of Perioperative Steroids with Microvascular Decompression Operations." Neurosurgery 22, no. 2 (February 1, 1988): 353–57. http://dx.doi.org/10.1227/00006123-198802000-00013.

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Abstract Complications associated with the use of perioperative steroids in elective craniotomies were evaluated in a single-blind prospective study of 222 consecutive microvascular decompression operations. Patients were randomized into one of three groups: Group A received steroids preoperatively and for 4 days postoperatively, Group B received steroids preand postoperatively for 1 day, and Group C received no steroids. There were 17 complications in Group A; 12 of these were wound-related. There were significantly fewer complications in Groups B and C (P < 0.01). Group B had 3 complications, Group C had 4, and there was only 1 wound-related complication in Group C. There were no deaths, deep wound infections, or life-threatening complications. Severe postoperative headaches, a symptom that steroids were intended to minimize, occurred in 38% of patients in Group A, 42% of patients in Group B, and 25% of patients in Group C. The use of perioperative steroids did not reduce the length of postoperative hospitalization. Duration of the operation had no significant effect on the incidence of postoperative complications or the length of postoperative hospitalization. We conclude that there is no indication for the routine perioperative use of steroids with microvascular decompression operations of the posterior fossa cranial nerves and that such use leads to a higher incidence of postoperative complications. (Neurosurgery 22:353-357, 1988)

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Gitas, Georgios, L. Proppe, S. Baum, M. Kruggel, A. Rody, D. Tsolakidis, D. Zouzoulas, et al. "A risk factor analysis of complications after surgery for vulvar cancer." Archives of Gynecology and Obstetrics 304, no. 2 (January 9, 2021): 511–19. http://dx.doi.org/10.1007/s00404-020-05949-w.

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Abstract Introduction Despite the less frequent use of surgery in patients with vulvar cancer, the high rates of postoperative complications are still a matter of concern. The aim of the present study was to identify risk factors that influence postoperative complications rates in vulvar cancer and identify specific clinical parameters that may influence their incidence. Materials Patients who underwent curative-intent surgery for squamous cell carcinoma of the vulva from 2003 to 2018 were selected. All patient characteristics were analyzed as risk factors for the development of postoperative lymphocele, lymphedema, and wound dehiscence. The patients were followed up for 2 years postoperatively. Results The investigation comprised 121 patients, of whom 18.1% developed wound dehiscence, 17.7% a lymphocele, and 20.4% lymphedema. We found no significant evidence of an association between patient’s characteristics and postoperative complications. The depth of tumor invasion and the appearance of lymph-node metastasis were significantly associated with postoperative complications. Free resection margins of 5 mm or more were associated with a reduced risk of postoperative complications compared to resection margins less than 5 mm. No complications were encountered after sentinel node biopsy (SNB). Complication rates were associated with inguinofemoral lymphadenectomy, but not with the extent of lymphadenectomy. The development of a lymphocele or wound dehiscence may be correlated with the development of long-term lymphedema. Conclusion FIGO stage at diagnosis influences the risk of postoperative complications. The use of SNB minimized postoperative complications. Correlations between the free microscopic resection margin distance and the risk of postoperative wound dehiscence must be investigated further.

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Safaee, Michael M., Alexander Tenorio, Joseph A. Osorio, Winward Choy, Dominic Amara, Lillian Lai, Annette M. Molinaro, et al. "The impact of obesity on perioperative complications in patients undergoing anterior lumbar interbody fusion." Journal of Neurosurgery: Spine 33, no. 3 (September 2020): 332–41. http://dx.doi.org/10.3171/2020.2.spine191418.

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OBJECTIVEAnterior approaches to the lumbar spine provide wide exposure that facilitates placement of large grafts with high fusion rates. There are limited data on the effects of obesity on perioperative complications.METHODSData from consecutive patients undergoing anterior lumbar interbody fusion (ALIF) from 2007 to 2016 at a single academic center were analyzed. The primary outcome was any perioperative complication. Complications were divided into those occurring intraoperatively and those occurring postoperatively. Multivariate logistic regression was used to assess the association of obesity and other variables with these complications. An estimation table was used to identify a body mass index (BMI) threshold associated with increased risk of postoperative complication.RESULTSA total of 938 patients were identified, and the mean age was 57 years; 511 were females (54.5%). The mean BMI was 28.7 kg/m2, with 354 (37.7%) patients classified as obese (BMI ≥ 30 kg/m2). Forty patients (4.3%) underwent a lateral transthoracic approach, while the remaining 898 (95.7%) underwent a transabdominal retroperitoneal approach. Among patients undergoing transabdominal retroperitoneal ALIF, complication rates were higher for obese patients than for nonobese patients (37.0% vs 28.7%, p = 0.010), a difference that was driven primarily by postoperative complications (36.1% vs 26.0%, p = 0.001) rather than intraoperative complications (3.2% vs 4.3%, p = 0.416). Obese patients had higher rates of ileus (11.7% vs 7.2%, p = 0.020), wound complications (11.4% vs 3.4%, p < 0.001), and urinary tract infections (UTI) (5.0% vs 2.5%, p = 0.049). In a multivariate model, age, obesity, and number of ALIF levels fused were associated with an increased risk of postoperative complication. An estimation table including 19 candidate cut-points, odds ratios, and adjusted p values found a BMI ≥ 31 kg/m2 to have the highest association with postoperative complication (p = 0.012).CONCLUSIONSObesity is associated with increased postoperative complications in ALIF, including ileus, wound complications, and UTI. ALIF is a safe and effective procedure. However, patients with a BMI ≥ 31 kg/m2 should be counseled on their increased risks and warrant careful preoperative medical optimization and close monitoring in the postoperative setting.

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Vishwanath, HS, Pearl Maria L. Alappat, Jahnavi Dwaraboina, Gaargi Shashidhar, and Kruthika S. Hikkalagutti. "Visual outcome and complications after sutureless scleral fixation intraocular lens implantation." Kerala Journal of Ophthalmology 35, no. 3 (2023): 267–71. http://dx.doi.org/10.4103/kjo.kjo_91_22.

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Context: In case of weak, inadequate, or total absence of posterior capsule following trauma or surgical complication, a sutureless scleral fixation (SFIOL) technique has been studied to secure good vision with minimal postoperative complications. It remains as a good alternative against anterior chamber intraocular lens (ACIOL), iris claw lens, and sutured scleral fixated intraocular lens. Aims: Visual outcomes after SFIOL implantation. Complications of SFIOL implantation. Settings and Design: A retrospective hospital-based study. Methods and Material: The study was undertaken depending on the data available of the patients who were diagnosed to have postoperative or post-traumatic aphakia and underwent pars plana vitrectomy ± lens explantation ± phacofragmentation with SFIOL implantation from the month of May 2021 to October 2021 and came for regular follow-up for 6 months. The study included patients with total absence of capsular bag or history of eye trauma or complicated cataract surgery causing aphakia. Patients with retinal detachment were excluded from the study. Indication for surgery, best corrected visual acuity, and other complications were studied. Results: Of 25 eyes of 25 patients who completed 6 months of follow-up, 16 (64%) were men and 9 (36%) were women. Mean visual outcome preoperatively and postoperatively were 1.56 ± 0.7 logMAR and 0.46 ± 0.1 logMAR units, respectively. Mild vitreous hemorrhage was found in 8 eyes (32%) which was the most common postoperative complication noted followed by postoperative hypotony in 6 eyes (24%). Transient rise in intraocular pressure, corneal edema, and choroidal detachment were other complications seen postoperatively. Conclusions: A technique of sutureless SFIOL implantation was found to be a cost-effective method of providing a good visual outcome without serious postoperative complications in eyes with aphakia following post-trauma or surgical complications.

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Kim, Jae Weon, Dong-Hoon Suh, and Jae Hoon Kim. "Prediction of major surgical complications by comprehensive geriatric assessment in elderly patients with gynecologic cancers: A prospective cohort study." Journal of Clinical Oncology 30, no. 15_suppl (May 20, 2012): e15503-e15503. http://dx.doi.org/10.1200/jco.2012.30.15_suppl.e15503.

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e15503 Background: To evaluate the ability of a preoperative comprehensive geriatric assessment (CGA) to predict the risk of postoperative complications in elderly patients who underwent primary surgery for gynecologic cancers. Methods: Fifty-six consecutive patients (24 ovarian, 15 cervical, 6 endometrial, 5 uterine sarcoma, 4 vulvar, and 2 metastatic cancers) older than 70 years scheduled to take surgery electively for gynecologic cancer were preoperatively assessed by CGA. Every category of CGA was evaluated for in-hospital postoperative complications and mortality within 30 days of surgery. Major complication included any complication of 2 or higher grade according to Memorial Sloan-Kettering Surgical Complication Criteria 12/99. Results: Mean age was 73.5±3.5 years (range 70-85). Overall postoperative complication rate was 28.6% (16/56) with 7 (12.5%) and 6 (10.7%) being major and multiple complications, respectively. Mean hospital stay was 18.7±13.6 days (range 3-81), during which in-hospital mortality was 2 (3.6%). There was no postoperative complication that occurred after discharge within 30 days of surgery. Dependent instrumental activity of daily living (IADL) was associated with high incidence of postoperative complication, especially for multiple complications. However, poor performance status (PS) was associated only with major and multiple complications. Multivariate regression analysis revealed that only poor PS was associated with postoperative in-hospital mortality (p=0.006). Conclusions: IADL and PS were useful to predict postoperative complication, in particular, major and multiple complications, in elderly patients with gynecologic cancers. Major and multiple postoperative complications can be prevented by identifying the elderly patients with gynecologic cancers who showed dependent IADL and poor PS in CGA.

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KARAKAYALI, İstemihan, Suat ASLAN, Feride KARACAER, Demet LAFLI TUNAY, Murat ILGINEL, Ebru BİRİCİK, Burak METE, and Çağatay KÜÇÜKBİNGÖZ. "The Effect of Frailty and Sarcopenia on Perioperative Complications in Patients Over 65 Years Undergoing Elective Surgery, Prospective-Observational Study." Turkish journal of Geriatrics 27, no. 1 (2024): 1–10. http://dx.doi.org/10.29400/tjgeri.2024.373.

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Introduction: With aging of population, frailty and sarcopenia have become very important issues. Therefore, we aimed to evaluate patients for frailty and sarcopenia preoperatively who aged 65≤ underwent elective surgical operation in university hospital and search complications intraoperatively and postoperatively. Materials and Method: This prospective, cross-sectional study performed between November 2021 and May 2022 at university hospital and patients aged 65 years and older underwent elective surgery included. Patients scored with frailty index. Both thickness and cross-sectional area of rectus femoris muscle were measured by ultrasound for evaluating sarcopenia in all patients, preoperatively. Anesthetic management, surgical risks were determined. Intraoperative and postoperative complications recorded. Results: Totally 1112 patients were assessed and 279 patients were included. According to the cross-sectional area 35.5%; according to rectus femoris thickness 32.2% and according to both of them 25.4% were detected as sarcopenia. While fragility was detected in 151(54.7%) patients which 112(74.2%) pre-frail, 39(25.8%) fragile. 176(63.8%) patients experienced intraoperative complications. Postoperative complications were detected in 115(41.7%). The sarcopenia, frailty, and higher surgical risk classifications are increased intraoperative and postoperative complications (4.7, 4.1, 4 and 3.7, 6.4, 3.9 fold, respectively). Length of stay hospital (6.5 and 5 days) and intensive care unit (21 and 19 days), intraoperative (91.4% and 100%) and postoperative complication (81.4% and 87.2%) was higher sarcopenia and frailty (p<0.001). Conclusion: Intraoperative and postoperative complications were observed higher in frail and sarcopenic patients. Evaluation of frailty and sarcopenia in over 65 years at preoperative period can be helpful for prediction to risk of intraoperative and postoperative complications. Keywords: Intraoperative Complications; Frailty; Mortality; Postoperative Complications; Sarcopenia.

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Akter, Sharmin, Zobaida Ashrafi, Sirajum Manira, Mohammad Asifur Rahman, and Md Harun Ur Rashid. "Postoperative Complications after Surgical Management of Mandibular Angle Fracture." Update Dental College Journal 13, no. 1 (April 10, 2023): 9–13. http://dx.doi.org/10.3329/updcj.v13i1.61836.

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Introductions: Mandibular angle fractures represent a high percentage and an important clinical challenge because of their treatment pattern and the highest postsurgical complication rate among all mandibular fractures. Materials and methods: The objectives of this cross-sectional observational study were to observe the postoperative complications after surgical management of a mandibular angle fracture and to facilitate early detection of complications and reduction of patients’ morbidity. This study was carried out among forty patients with mandibular angle fractures who were managed by open reduction and internal fixation by miniplate osteosynthesis. All the study patients were evaluated clinically pre- and postoperatively for various parameters at the 1st week, 2nd week, 1st month, and 4th month. Radiographs (OPG, PA skull, lateral skull, and CT scan of the oral and maxillofacial region) were taken pre- and postoperatively to assess complications. The infection was detected by culture and a sensitivity test. Nerve injury was evaluated by the “tactile test”, the brush directional stroke test by using a ’00’ camel hair brush, and the pinprick test performed by using a sterile 27-gauge syringe needle. Occlusion and chewing were evaluated postoperatively according to the Treatment Scoring System developed by V. Uglesic in 1993. The data was analyzed using the SPSS version 20 statistical software. Results: In this study, most of the patients (85%) were male and the mean age was 24.5 years. In the fracture line third molar was present in 55% cases. The most common complication of this study shows postoperative nerve injury 30% cases. Infection in 10% cases, malocclusion in 7.5% cases. Slight restricted mouth opening in 5% cases. Other complications such as malunion,, delayed union, and non-union were absent. Conclusion: The most common complication after surgery is nerve injury along with infection and malocclusion. A careful preoperative assessment, early surgical intervention, meticulous surgical technique, postoperative care and appropriate rehabilitation are the main concern to prevent neurological and other complications. Update Dent. Coll. j: 2023; 13(1): 9-13

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Jadidi, Khosrow, Seyed Aliasghar Mosavi, Farhad Nejat, and Aliagha Alishiri. "Complications of Intrastromal Corneal Ring Implantation (Keraring 355°) using a Femtosecond Laser for Channel Creation." International Journal of Keratoconus and Ectatic Corneal Diseases 3, no. 2 (2014): 53–56. http://dx.doi.org/10.5005/jp-journals-10025-1079.

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ABSTRACT Purpose To report complications after the implantation of Keraring 355° intrastromal corneal ring (ICR; Mediphacos, Belo Horizonte, Brazil) in keratoconic eyes using a Ziemer LDV femto- second laser (Ziemer AG, Switzerland) for channel creation. Materials and methods Five eyes suffering from keratoconus underwent Keraring 355° insertion using Ziemer LDV for corneal pocket creation. Intraoperative and postoperative complications were recorded. Results While intraoperatively there were no complication, postoperatively all cases showed severe side effects. Conclusion In this small case series, intracorneal ring (Keraring 355°) implantation using a femtosecond laser for channel creation was related to a number of significant postoperative problems in all cases. The most common complication was corneal melting (postoperatively). How to cite this article Jadidi K, Mosavi SA, Nejat F, Alishiri A. Complications of Intrastromal Corneal Ring Implantation (Kera- ring 355°) using a Femtosecond Laser for Channel Creation. Int J Kerat Ect Cor Dis 2014;3(2):53-56.

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Mewburn, Judy. "Handbook of Postoperative ComplicationsHandbook of Postoperative Complications." Nursing Standard 18, no. 19 (January 21, 2004): 28. http://dx.doi.org/10.7748/ns2004.01.18.19.28.b227.

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Backes, Floor J., Maggie Rosen, Margaret Liang, Georgia A. McCann, Aine Clements, David E. Cohn, David M. O'Malley, Ritu Salani, and Jeffrey M. Fowler. "Robotic Hysterectomy for Endometrial Cancer in Obese Patients With Comorbidities: Evaluating Postoperative Complications." International Journal of Gynecologic Cancer 25, no. 7 (September 2015): 1271–76. http://dx.doi.org/10.1097/igc.0000000000000480.

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ObjectivesThe objective of this study is to determine (1) if there is a relationship between increasing body mass index (BMI) and postoperative complications in patients undergoing robotic hysterectomy for endometrial cancer and (2) if there are additional patient characteristics, specifically preoperative comorbidities, which increase the risk of postoperative complicationMethodsA retrospective chart review was conducted on women who underwent a robotic staging surgery for endometrial cancer from 2006 to 2012. Basic demographics and preoperative and postoperative complications were extracted from the medical records. Obesity was divided into 4 categories, and complication rates were compared across these subgroups. Patients were also divided by the number of comorbidities and compared.ResultsThe cohort included 543 patients. The BMI ranged from 17.3 to 69.5 kg/m2. Three hundred eighty patients (70%) were obese (BMI >30 kg.m2). One hundred ninety patients (35%) had no comorbidities other than obesity, and 180 patients (33%) had only 1 comorbidity other than obesity (Table 1).Postoperative complications occurred in 102 (18.7%) of the patients. Severe postoperative complications, including intensive care unit admission, reintubation, reoperation, and perioperative death, occurred in 14 patients (2.6%). Of the nonobese patients, 27 (16.5%) had postoperative complications; of the obese patients, 75 (19.7%) had a complication (P = 0.38). In patients with no comorbidities, 16.3% had a complication; 18% of patients with 1 to 2 comorbidities had a complication, and 28% of patients with 3 or more comorbidities had a complication (P = 0.08).ConclusionsThe postoperative complication rate based on BMI or number of comorbidities was not statistically significant, but patients with greater number of comorbidities had an increased rate of postoperative complications. Patients with certain comorbidities, cardiac and renal specifically, had the highest rates of postoperative complications.

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Konov, D., T. Popov, M. Tsekova-Chernopolska, Ts Marinov, M. Belitova, and M. Milkov. "Postoperative Complications аfter Laryngectomy." International Bulletin of Otorhinolaryngology 14, no. 1 (March 26, 2018): 28. http://dx.doi.org/10.14748/orl.v14i1.6781.

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Giercksky, K. E., S. Danielsen, and A. Revhaug. "Prediction of Postoperative Complications." Scandinavian Journal of Gastroenterology 23, sup149 (January 1988): 69–73. http://dx.doi.org/10.3109/00365528809096959.

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Ahmad, Irshad, Saira Saleem, Shakeel Anjum, and A. G. Rehan. "SPLENECTOMY; POSTOPERATIVE SPLENECTOMY COMPLICATIONS." PROFESSIONAL MEDICAL JOURNAL 24, no. 09 (September 1, 2017): 1322–26. http://dx.doi.org/10.17957/tpmj/17.3999.

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Synan, William J. "POSTOPERATIVE MANAGEMENT AND COMPLICATIONS." Oral and Maxillofacial Surgery Clinics of North America 8, no. 2 (May 1996): 265–80. http://dx.doi.org/10.1016/s1042-3699(20)30898-0.

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Samartsev, V. A., I. V. Kadyntsev, and E. G. Voluzhenkov. "Postoperative extremity metallosteosynthesis complications." Perm Medical Journal 35, no. 3 (December 15, 2018): 5–8. http://dx.doi.org/10.17816/pmj3535-8.

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Aim. To carry out the qualitative analysis of metal implant, inserted into the bone, determine tactics for treatment of inflammatory process in the postoperative period of metallosteosynthesis. Materials and methods. The treatment of 1325 patients with the developing posttraumatic osteomyelitis of the upper and lower extremities in the Department of Complicated Traumatology of City Clinical Hospital № 6 and traumatology departments of Perm for 10 years (2004–2014) was analyzed. Results. Metallosis was observed in 227 (17.2 %) persons. Matallosis was manifested by suppuration and fistula formation in the region of screw 2–3 months after operative treatment of fracture in 177 (76.3 %) patients, and in 50 (27.7 %) patients – by acute purulent inflammatory process immediately after the surgery. In 34 (15 %) patients, computed tomography and MRI demonstrated metal bone impregnations. All these 227 (17.2 %) patients underwent elimination of metal constructions. The postoperative wounds after elimination of metal constructions healed primarily in 152 (66 %) patients. Secondary healing of the postoperative wounds was noted in 75 (44 %) persons. The long-term results were studied during 3 years in 189 (83 %) patients. The development of the postoperative osteomyelitic process, connected with late removal of metal construction, was registered in 8 (4.4 %) persons. False joint was formed in 1 (0.5 %) patient with tibial fracture. Positive long-term result was reached in 180 (95.2 %) persons. Conclusions. Timely diagnosis, correctly chosen technique of treatment permit to provide full restoration of the structure and function, and obtain positive medical and social rehabilitation in this category of patients.

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Journal articles on the topic 'Postoperative complications'

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