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At least 469 records · Page 26Linked to original sources
PubMed1975

[Local postoperative complications after surgery of the cardia].

602 patients had an operation on the cardia of stomach during 10-year period 1964-1973 in the Surgical Department of Kiel University. In total there were 395 operations without resection with a 9% postoperative complication rate opposite to 207 resections of the cardia with 38% complications. Here the primary lethality was 7% (14 patients). The complications of suture insufficiency and hemorrhage are demonstrated and their outcome checked up: 13 of 16 patients died of suture insufficiency (81%) and 8 of those 13 with hemorrhage (62%). Especially important for the successful treatment of suture insufficiency are early diagnosis, drainage of the area and closure of the leakage. A new technique of suture insufficiency treatment is reported: T-Drainage into the leakage. This has led to a lowering of the death rate.

Cardia↗
PubMed1979

[Postoperative complications in the surgical treatment of lung cancer].

The paper describes the experience of 700 operations for pulmonary cancer. Under detailed analysis were 293 cases for the recent 7 years. Among them there were 55 patients with postoperative complications. Bronchial fistulas and pleura empyemas were found in 31 patients, cardio-respiratory insufficiency--in 10, pneumonia--in 6, postoperative hemorrhage--in 5, thromboembolism--in 3 patients. The methods of prophylaxis and treatment of such complications are proposed.

Adult↗
PubMedDate not supplied

[The effect of collagen-normalizing therapy on the incidence and severity of anesthetic and postoperative complications in children with connective tissue syndromes].

A new method of collagen-normalizing therapy has been worked out to prevent specific anesthesia-induced, operative and postoperative complications and to treat some symptoms in children with Ehlers-Danlos and Marfan's syndromes and with non-classified Marfan-like malformations. The technique involves a combined use of beta-adrenoblocker in the age-matched doses and vitamins C/0.03 g/(kg.day)/, B2/0.0004 g/(kg.day)/and B6/0.002 g/(kg.day)/ for 2.5 months before surgery and during the first 2 weeks of the postoperative period. The above therapy reduces the incidence of delayed recovery of the muscular tone and adequate respiration, spontaneous and recurrent pneumothorax, hemorrhagic and gastroenterologic complications, as well as the incidence and severity of intestinal paresis. The indexes of effective collagen-normalizing therapy are as follows: body weight increase, echocardiographic pattern of reduced diameter of the aorta and mitral valve prolapse, normalization of the urinary excretion of total and polypeptide-bound oxyproline. The efficacy of therapy depends on the baseline level of oxyproline excretion.

Adolescent↗
PubMed2006

Postoperative complications and long-term prognosis of microsurgical reconstruction after total maxillectomy.

Between 1986-2004, 13 patients (11 males and 2 females; mean age, 63.9 years) underwent microsurgical reconstruction after total maxillectomy in our hospital. Reconstructions using a rectus abdominis musculocutaneous flap were primarily carried out in our hospital by emphasizing soft-tissue filling. No postoperative complication related to a vascular anastomosis (such as thrombosis) was noted (success rate, 100%). In 3 cases, fistula formation was observed postoperatively (23.0%). In one case reconstructed with a scapular flap with a vascularized scapula, atelectasis followed by serious pneumonia was observed, and the patient temporarily fell into a life-threatening condition. Five patients died after 1-2 years due to recurrence of maxillary sinus carcinoma, and 2 died after 3-4 years due to another tumor (lung and esophageal). The disease-specific 5-year survival rate of all 40 patients with maxillary sinus carcinoma treated in our hospital by the Kaplan-Meier method was 54.6%, and the overall survival rate was 45.8%. As the prognosis of maxillary sinus carcinoma is poor, we consider that priority should be given to filling of defects with soft tissues, and we also consider that this study is significant to reevaluate strategies for maxillary reconstruction.

Aged↗
PubMed1980

[Postoperative complications: the value of sonography for their diagnosis and therapy].

The final diagnosis of a retroperitoneal abscess is made, on the average, 3--17 weeks after the first appearance of uncertain clinical symptoms. The accuracy of sonography for the recognition of postoperative complications such as hematoma, urine extravasation, abscesses or lymphoceles is 78--86%. In addition to computer tomography, sonography is the only diagnostic method available for early recognition of retroperitoneal processes. Ultrasonically guided puncture is used to confirm the diagnosis. If left in place, the puncture serves simultaneously as a urinary extravasation drainage.

Abscess↗
PubMed1982

[Dilemmas in indications for emergency revision surgery of postoperative complications in abdominal surgery - contribution to the problem].

The percentage of complications following an interval or emergency operative interventions in the abdomen is different and depends on several factors: -Proper indication for surgery -Experience of the surgical team, anesthesia -Extent of pathological changes; -patient's general condition (presence of associated diseases, capacity of the cardiovascular system, a.o.). -The immediate postoperative treatment. In more experienced surgical departments this percentage is about 5%, but it can rise higher. Postoperative complications representing an indications for emergency re-laparotomy (besides bleeding, also appearing on the first postoperative day, or immediately following the surgery), usually appear from fourth to the seventh day and their common cause being disruption of the anastomosis at different levels of the guts: from gaster to colon and recto-sigmoid. The authors their ten years experience in 40 patients operated upon because of malignomas of the gastro-intestinal tract, but also because of benign processes. A delay of re-operation can--from one part--have fatal consequences, threatening the patient's life; and from another part the re-operation as a complementary (added) aggression on the almost exhausted patients, can by itself kill such patients. In every case, the mortality rate rises over 50%. The authors detail and systematically present their patients and they point out the importance of making decision, which represents the basic dilemma.

Abdomen↗
PubMed2000

Apophyseolysis of the fourth lumbar vertebra: an early postoperative complication following kyphectomy in myelomeningocele.

This is a report of a young girl with congenital kyphosis at the thoracolumbar spine in association with myelomeningocele. Kyphectomy and posterior stabilisation extending from the eighth thoracic to the fourth lumbar vertebra was done. Apophyseolysis occurred as an early postoperative complication at the level of the L4-L5 disc. This failure mode was treated by extending the fusion to the pelvis.

Child↗
PubMed1985

[Intra- and postoperative complications in interventions of the kidney, kidney calices and upper ureter].

Open routine operations on the kidney and the renal calyces have diminished in favour of endourological methods. Renal and renal pelvis calculi as well as ureteral calculi are rarely approached through open operation. Selective indications for operation depend on special situations and anatomy, since complications such as injury to large abdominal wall nerves, the peritoneum or the pleura present no problem for the skilled surgeon. The control of a sudden and serious hemorrhage coming from the renal hilus or the vena cava surely is an important complication, which should not be underestimated, and stopping such hemorrhages requires knowledge of the peritoneal stepwise method of stopping a hemorrhage. Secondary and multiple operations on the kidney need a clear tactical treatment concept. This is presented in a four-phase-concept. To avoid or control intra- and postoperative complications when operacting on the renal calyces or the upper ureter it is still important to respect the old rules of temporary diversion of urine and to know reconstructive methods of the urinary tract.

Hemorrhage↗
PubMed1998

[Postoperative complications after larynx resection: assessment with video-cinematography].

In past decades, the surgical techniques for treating laryngeal carcinoma have been vastly improved. For circumscribed tumors, voice-conserving resections are possible and for extensive neoplasms, radical laryngectomy, sometimes combined with chemoradiation, has been developed. Postoperative complications regarding swallowing function are not uncommon. Radiologic examinations, especially pharyngography and videofluoroscopy, are most often used to evaluate patients with complications after laryngeal surgery. An optimized videofluoroscopic technique for evaluation of complications is described. The radiologic appearance of early and late complications, such as fistulas, hematomas, aspiration, strictures, dysfunction of the pharyngoesophageal sphincter, tumor recurrence, and metachronous tumors is demonstrated.

Deglutition Disorders↗
PubMed1987

Surgical management of intestinal obstruction in ovarian cancer. I. Clinical features, postoperative complications, and survival.

The results of surgery to relieve intestinal obstruction in 49 patients who were known to have ovarian cancer were studied. All patients had received adjunctive chemotherapy and/or radiation therapy prior to bowel obstruction. Thirty patients had small bowel obstruction, 16 patients had colonic obstruction, and 3 patients had concurrent small and large bowel obstruction. Clinical status, nutritional parameters, and radiographic findings were analyzed. Progressive ovarian cancer was ultimately found to be the cause of obstruction in 86% of patients. Major postoperative complications occurred in 49% of patients and were encountered significantly more frequently in those patients with small bowel obstruction (P less than 0.04). Complications most frequently encountered included wound infection, enterocutaneous fistulae, and other septic sequelae. Median postoperative survival was 140 days, with 73% surviving at 60 days postoperatively. A total of 14.3% of patients were alive 12 months postoperatively. These results are similar to prior reports and emphasize the need for clearer preoperative selection criteria.

Adult↗
PubMed1998

Postoperative complications after tonsillectomy and adenoidectomy in children with Down syndrome.

OBJECTIVE: To compare the postoperative course and complications after tonsillectomy or tonsillectomy and adenoidectomy in children with Down syndrome (group 1) with the postoperative course and complications in children in a control group (group 2). DESIGN: Retrospective review of medical records for the period January 1, 1986, through March 30, 1996. SETTING: Tertiary care children's hospital. PATIENTS: The study included 87 children in group 1 and 64 children in group 2 matched for age, sex, and year of surgery. INTERVENTION: Tonsillectomy and adenoidectomy (group 1, 79 children; group 2, 57 children) and tonsillectomy (group 1, 8 children; group 2, 7 children). MAIN OUTCOME MEASURES: Length of hospitalization and postoperative complications. RESULTS: The length of hospitalization was significantly increased for the children in group 1 compared with that of children in group 2 (1.6 vs 0.80 days; P=.001, Mann-Whitney U test). Twenty-two children (25%) in group 1 required airway management or observation in the pediatric intensive care unit compared with no children in group 2 who required such care (P<.001, Fisher exact test). None of the children in either group required reintubation, continuous positive airway pressure, or tracheotomy. Respiratory complications requiring intervention were 5 times more likely in group 1 (22 [25%] vs 3 [5%]; P<.001, Fisher exact test). The median time until intake of clear liquids and duration of intravenous therapy were significantly increased in group 1 compared with group 2 (5.0 vs 4.0 hours, P=.03; 23.5 vs 16.0 hours, P=.001, respectively; Mann-Whitney U test). CONCLUSIONS: Although tonsillectomy and adenoidectomy can be performed safely in children with Down syndrome, the rate of postoperative respiratory complications is higher and the duration until adequate oral intake is resumed is longer. We therefore recommend that children with Down syndrome be admitted to the hospital overnight after undergoing tonsillectomy and adenoidectomy.

Adenoidectomy↗
PubMed1997

[Pleural hernia of an esophageal graft--late postoperative complication].

Pleural hernia of the oesophageal substitute from pedicled intestinal segment is one of the late postoperative complications. 13 cases of patients with oesophagus reconstructed because of lye ingestion stenosis are presented. Problems concerning diagnosis and treatment of pleural hernia are analysed. Eight patients with minor symptoms were treated conservatively. Five patients were operated, two of them from acute necrosis of the substitute. Necrosis was caused by incarceration of the bowel and torsion of the mesentery. Elective operative treatment consisted of reduction of hernia sac contents, closing of the hernia orifice, chest drainage and temporary gastronomy. In patient operated as an emergency cases necrotic part of substitute was removed. This resulted in oesophageal exclusion in the neck, creating gastronomy. Chest drainage was also performed.

Anastomosis, Surgical↗
PubMed1989

[External drainage of the bile ducts via the stump of the cystic duct to prevent postoperative complications in elderly patients].

Operated on were 165 elderly and 68 young patients for calculous cholecystitis complicated by choledocholithiasis and obstructive jaundice. Drainage through the cystic duct stump is the most effective method for external drainage of the common bile duct in operative interventions on the bile ducts in elderly patients, which permits to reduce considerably the incidence of postoperative complications.

Adult↗
PubMed1975

Transsternal radical neck dissection. Postoperative complications and management.

In 1962, Sisson et al reported the use of the transsternal radical neck dissection for carcinoma recurring in the peristomal area after laryngectomy. We have performed over 50 transsternal radical neck dissections in the past 14 years. A significant number of early cases succumbed to the postoperative problems of fistula, infection, and large vessel rupture. Our two cases illustrate intraoperative and postoperative complications. Management of these complications is discussed. Morbidity and mortality has decreased as we have gained experience in the management of these problems.

Aneurysm↗
PubMed1977

[Risk and postoperative complications in abdominal surgery in elderly patients (author;s transl)].

1005 case histories of patients, older than 70 years, were studied retrospectively: 496 abdominal interventions (lethality - 29%), 509 extraabdominal interventions (lethality - 14%). In each patient 75 preoperative data are compared to 50 data of the intraoperative and postoperative period. There is a correlation between preoperative findings and postoperative complications and lethality. The main factors of risk are: Hb less than 10 g%, Creatinine greater than 1,5 mg%. The analysis implies the necessity of intensive preoperative therapy as well as the immediate correction of even slight post-operative deviations of the "norm".

Abdomen↗
PubMed1990

[Postoperative complications with the use of implants for treatment of retinal detachment].

Complications of the retinal detachment surgery with the use of episcleral and intrascleral implants are presented. The authors are using biological materials (fascia lata, dura mater) as well as alloplastic materials (Lincoff's sponge). Among the postoperative complications following were seen: protracted reactions from the side of the ocular adnexa, intraocular haemorrhages, intravitreal exudates. The most severe from the observed complications was the atrophy of the sclera at the spot of implantation of the silicon sponge.

Adolescent↗
PubMedDate not supplied

[Role of circulating immune complexes in the development of postoperative complications after cataract extraction].

Physical and chemical parameters of immune complexes were studied in cataract patients before and after surgery with laser nephelometry. The authors suggest a possible uveitogenous role of the circulating immune complexes of medium size (from 7 to 21 IgG) and high concentration (over 1.2 mg/ml) in the development of postoperative complications of an inflammatory nature.

Antigen-Antibody Complex↗
PubMed1996

[Intestinal obstruction in the elderly. Causes, interventions, postop complications and risk factors].

Forty-eight patients aged 80 or more were operated on for intestinal obstruction mainly due to incarcerated hernias (39.6%) and colonic neoplasms (27.1%). The morbility rate was 27.1% and the mortality rate was 8.3%. The study of the variables frequently related to the risk of postoperative complications (cancer, intraoperative contamination, emergency and blood transfusion) showed statistical significance only for blood transfusion. The others (emergency included) did not have a prognostic significance in this series.

Aged↗