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At least 1,549 records · Page 86Linked to original sources
PubMed1975

[Creation, in the dog, of a denervated antral pouche, associated with a Heindenhain's pouche: technical considerations relative to surgical time and postoperative complications].

Overall assessment following the creation of denervated antral and fundic pouches, in 64 mongrel dogs, leads to the recommendation of certain important technical options: surgical intervention carried out in 1 stage; respecting of precise operative timetable; reestablishement of digestive continuity by gastro-jejunostomy with large anastomosis mouth; inutility of scraping the walls of vessels irrigating the pouches.

Animals↗
PubMed2000

[Postoperative complications following kidney transplantation].

Despite the remarkable development of kidney transplantation techniques, surgical complications are still a very important factor affecting the final outcome of kidney transplantation. After 92 kidney transplantations (22 from cadaver donors and 70 from living donors) performed at Skopje hospital (Macedonia), we observed the following complications: nine (10%) urinary fistula, five (5%) graft ruptures, seven (8%) lymphoceles, two (2%) urinary calculosis, two (2%) intestinal perforations, four (4%) renal artery stenoses, one (1%) renal artery thrombosis, and seven (8%) early complications following surgical incision. Complications were detected by either ultrasonography, intravenous pyelography, percutaneous nephrostomy with anterograde pyelography, computerized tomography, and intravenous digital angiography. They were subsequently treated by application of modern surgical procedures: use of the ureter (termino-terminal or uretero-pyelic anastomosis) for treatment of urinary fistulas; conservative surgery using tissue glue and external compression with polyglactin 910 (Vicryl) mesh for graft ruptures; drainage and application of sclerosants under ultrasound control and intraperitoneal marsupialization for the clinically relevant lymphoceles; transluminal angioplasty with balloon dilatation in case of significant arterial stenosis; extracorporeal shock wave lithotripsy and surgery for urinary calculi. Intestinal perforations and problems relating to parietal tissue were quickly solved using standard surgical techniques. On total, rejection of the graft occurred in four (4%) cases following surgical complications, while one death was encountered due to septic peritonitis. We consider the percentage of surgical complications acceptable, as this work consists of a pioneering effort in this Balkan region.

Adult↗
PubMed1998

[Postoperative complications and long-term results of the surgical treatment of immunogenic Basedow's disease].

BACKGROUND AND OBJECTIVE: The surgical options for immunogenic Grave's disease (hyperthyroidism with ophthalmopathy) are not uniform. This study was undertaken to compare the effectiveness of several types of operation. PATIENTS AND METHODS: In a retrospective study the data on 99 patients with Grave's disease (aged 10 to 71 years, mean 35 years), operated on from 1987 to 1996 by 28 different surgeons, were analysed. Follow-up examinations were then undertaken a mean of 42 months (range of 12-108 months) postoperatively. RESULTS: Bilateral subtotal thyroid resection had been performed in 45 patients, unilateral subtotal resection with contralateral hemithyroidectomy in 49 and total thyroidectomy in five. Re-operation for postoperative bleeding was necessary in three patients. At follow-up two patients were found to have recurrent nerve palsy. Four patients had to be treated for mild chronic hyperparathyroidism. There was no significant difference between the different operation regarding type and frequency of complications. At following-up examination none of the patients had hyperthyroidism. 37 of 50 patients with endocrine ophthalmopathy were improved after the operation. CONCLUSIONS: With a standardized operative technique and retention of less than 6 g of thyroid tissue a recurrence of hyperthyroidism can be reliably prevented. This form of treatment can be achieved with an acceptable complication rate, which is unrelated to the type of operation.

Adolescent↗
PubMed1994

Basilar artery dissection: an early postoperative complication of aneurysm clipping. Case report.

Recurrent subarachnoid hemorrhage (SAH) in the early period following successful clipping of a cerebral aneurysm is unusual. The authors report a unique case of distal basilar artery dissection and fatal SAH on the 6th day postoperatively. It is concluded that this complication was related to vascular trauma inflicted by repositioning the aneurysm clips during a seemingly uneventful procedure for a basilar artery tip aneurysm.

Adult↗
PubMed1998

[Efficacy of lomefloxacin in treatment of nonspecific inflammatory diseases and in prophylaxis of postoperative complications in urology].

Clinical and bacteriological efficacies of lomefloxacin and ofloxacin were comparatively estimated in the treatment of 104 urologic patients with nonspecific inflammatory diseases and in 36 urologic patients for prophylaxis of inflammatory complications after surgical interventions. The majority of the urinary tract pathogens i.e. Enterobacteriaceae spp. and gramnegative nonfermenting bacteria were highly susceptible to both the fluoroquinolones. The clinical and bacteriological efficacies of lomefloxacin amounted to 94.4 and 80.7 per cent and those of ofloxacin to 92 and 79.2 per cent respectively. The prophylactic use of lomefloxacin and ofloxacin was efficient in 94.7 and 94.1 per cent of the cases respectively. The antibacterial prophylaxis in urologic patients should be applied not only at the period of surgical interventions but also during the early postoperative period.

Adolescent↗
PubMedDate not supplied

[Repercussions of blood transfusions on postoperative complications in patients with multiple trauma].

Multiple factors connected with the trauma itself or with its therapy may cause post-operative complications in injured patients. In a previous study we have reported on a higher mortality rate in patients that received large quantities of blood. The present report concerns 223 cases of trauma by penetrating and non-penetrating injuries in which the possible influence of blood transfusions on subsequent morbidity was assessed. It was verified that transfused patients exhibited more infections and general complications, as well as a higher mortality rate than controls. A progressive effect related to the number of units of blood administered could be demonstrated. The most unfavorable outcomes correspond to the transfusions of more than 1500 ml of blood.

Abdominal Injuries↗
PubMed1980

[Postoperative complications in Hirschsprung's disease (author's transl)].

Early complications of Hirschsprung's disease are anastomosis leakage, mucosal ulcers in the region of the anastomosis, early ileus and early stenosis. On the basis of these criteria, we analysed 85 cases of children who underwent resection of the aganglionic segment in the years from 1969-1978 in the paediatric surgical units of the University Clinics in Mainz and Göteborg. Of 19 cases, 2 showed anastomosis leakage, 9 anastomotic ulcers, 5 early ileus, 2 early stenosis, 7 general disturbances independent from Hirschsprung's disease. Extensive aganglionosis did not produce problems in the immediate postoperative period, with the exception of the risk of secondary healing of the wound. Possible influencing factors could be: age and general condition of the child at the time of operation, operative method, experience of the operator and prophylactic administration of antibiotics.

Child↗
PubMed1995

[The pediatric heart transplant. Its evolution and early postoperative complications].

BACKGROUND: Cardiac transplantation is an acceptable therapeutic alternative for cardiac diseases refractory to other forms of management in adults as well as in infants and children. METHODS: Between 1987-1992 7 children (4 girls and 3 boys) underwent cardiac transplantation: four with dilated cardiomyopathy, one with cardiac fibroma and two with hypertrophic cardiomyopathy. Age at transplantation ranged from 2 months to 13 years and 5 months, with a follow-up ranging from 15 months to 5 years and 9 months. Prophylaxis of acute rejection consisted of cyclosporine, azathioprine and glucocorticoids. RESULTS: Two patients presented acute rejection three weeks after cardiac transplantation, with a good response to high dose glucocorticoids. Two patients developed severe infection (sepsis by Staphylococcus aureus) with successful outcome after antibiotic treatment. One patient died in the early postoperative period and other after 4 years 11 months postransplantation because myelodysplastic syndrome. At present only one case is receiving glucocorticoids in immunoprophylaxis. The status is asymptomatic in the other 5 patients with a normal height-weight development. CONCLUSIONS: Heart transplantation provides durable therapy for congenital and myopathic heart disease in infants and children with an excellent quality of life.

Adolescent↗
PubMed2006

Orbital cellulitis as a postoperative complication of sub-Tenon anaesthesia in cataract surgery.

Orbital cellulitis is a rarely reported sight-threatening complication of sub-Tenon anaesthesia. We report a case of orbital cellulitis in a patient who had received sub-Tenon anaesthesia for routine cataract surgery. We discuss the potential under-reporting of complications of sub-Tenon anaesthesia that had a delayed presentation, and the possible association between the use of hyaluronidase in the anaesthetic mixture and orbital cellulitis following sub-Tenon anaesthesia.

Aged↗
PubMed1977

[Postoperative complications in esophageal surgery].

Apart from certain complications which may follow any surgical procedure, the authors sought to emphasise in particular the problems posed by fistulae occurring after oesophageal surgery. They draw a clear distinction between cervical fistulae which, draining adequately, do not affect the vital prognosis, merely prolonging the period of hospitalisation, and intrathoracic or sub-diaphragmatic fistulae, with a grave prognosis and which pose delicate problems of re-operation, drainage and intensive care. They feel that the possibility of prevention of these digestive fistulae must be stressed, combining the most meticulous surgical technique with appropriate pre- and postoperative care.

Diaphragm↗
PubMed1984

Preoperative cutaneous hypersensitivity reaction related to postoperative complications following elective surgery.

Delayed cutaneous hypersensitivity testing (DCH) using the following antigens: Mumps, PPD, Candida and streptokinase/streptodornase was effectuated preoperatively in 339 surgical patients. DCH test results were evaluated as normal (N) when two or more antigens showed positive response (greater than 5 mm in diameter), relative anergic (RA) with one positive response and anergic (A) when no response was positive. Normal response was observed in 78%, RA in 13% and A in 9% of the patients. Complications in the 232 patients that were operated upon were seen in 51% of the A or RA patients while only 7.1% of the N patients developed complications. The mortality increased significantly from 2.2% in normal patients to 23.5% in the anergic group. Patients classified as anergic or relative anergic had significantly lower preoperative serum levels of prealbumin (p less than 0.001), retinolbinding protein (p less than 0.05) and albumin p less than 0.01) than the normal patients.

Adult↗
PubMedDate not supplied

[Diagnosis and treatment of upper urinary tract infection in women as a postoperative complication for treating genital endometriosis].

156 women operated on for genital endometriosis received treatment for infection of the upper urinary tracts diagnosed by ultrasound. The treatment was conducted only in case of normal urodynamics achieved by drainage (on demand) and comprised antibacterial therapy, efferent hemocorrection, intravascular laser irradiation of blood, hyperbaric oxigenation. A response was obtained in 98% patients.

Anti-Infective Agents↗
PubMed1990

Independent predictors of operative mortality and postoperative complications in surgically treated carcinomas of the oesophagus and cardia--is the aggressive surgical approach worthwhile?

During the 25 years 1960-84, 657 patients were operated on for carcinomas of the thoracic oesophagus (n = 347) or gastric cardia (n = 310). Resection was carried out in 514 (78%) and oesophagogastrostomy in 481 (73%). Overall operative mortality (defined as death within 30 days) was 19% (n = 122). Pulmonary complications developed in 167 patients (25%), cardiovascular complications in 100 (15%), and anastomotic leakage and mediastinitis in 36 (6%). After radical resection of a localised tumour (n = 144), or non-localised tumour (n = 224), pallative resection (n = 146), or exploration (n = 143), the operative mortality and five year cumulative survival were 10% and 26%, 15% and 8%, 27% and 0, and 24% and 0, respectively (p less than 0.01 and p less than 0.0001). Using logistic regression analysis several variables were found to be independent predictors of operative mortality, pulmonary complications, cardiovascular complications, and anastomotic leakage. The predictor variables reflected both general preoperative status of the patients, preexisting cardio-pulmonary diseases, stage of the cancer, and surgical procedures. Based on the final logistic regression models the patients were stratified into risk groups (12 for operative mortality, pulmonary complications, and cardiovascular complications, and eight for anastomotic leakage). Operative mortality varied from 0 to 80%, pulmonary complications from 3 to 100%, cardiovascular complications from 0 to 100%, and anastomotic leakage from 0 to 50% (p less than 0.0001 in each case). Given the high operative mortality and complication rates, and the low five year survival rate after palliative procedures or exploratory operations, a more selective surgical approach seems warranted. Patients likely to have a good response should be identified before operation.

Adult↗
PubMed2005

Postoperative complications are not increased in super-super obese patients who undergo laparoscopic Roux-en-Y gastric bypass.

BACKGROUND: It has been suggested that super-super obesity (body mass index [BMI] > or =60 kg/m2) increases the risk of complications after laparoscopic Roux-en-Y gastric bypass (LapRYGB). We hypothesized that a higher BMI does not increase risk the morbidity or mortality rate. METHODS: Complication rates for patients with a BMI > or =60 kg/m2 were compared to those for patients with a BMI <60 kg/m2 who underwent LapRYGB during the same time period. Differences between the groups were analyzed by Fisher's exact test, t-tests, and analysis of variance. RESULTS: Forty-five patients with a BMI > or =60 kg/m2 and 640 patients with a BMI <60 kg/m2 underwent LapRYGB. There were no statistically significant differences between the two groups in the complication or mortality rates. Excess weight loss was less, but actual weight lost was greater in the BMI > or =60 kg/m2 group. CONCLUSIONS: The complication and mortality rates are not increased in super-super obese patients who undergo LapRYGB. Acceptable weight loss can be achieved safely in these patients.

Adult↗
PubMed1986

[Postoperative complications in space occupying processes of the base of the skull].

Tumours of the skull base become manifest by the nervous structures surrounding them. After the removal of the tumour, the complications are produced by the same disturbed structures. Proceeding under microsurgical conditions will reduce both the risk of subsequent haemorrhages in patients with olfactory--groove meningiomas and central disturbances of the respiratory and circulatory--functions.

Adolescent↗
PubMed1989

[Menstruation and postoperative complications. A review of the literature].

Because of a Toxic Shock Syndrome following an urgent knee operation during the premenstrual period we reviewed the available literature. There is no indication that the physiological process in woundhealing is influenced by menstruation. Increased woundinfection after operations during the perimenstruum were--except for inner female genitals--not observed. But more and more TSS is described after any kind of operation, so traumatologists should be well acquainted with the symptoms.

Female↗
PubMed2003

The effect of preoperative biliary stenting on postoperative complications after pancreaticoduodenectomy.

BACKGROUND: Preoperative biliary drainage (PBD) in jaundiced patients undergoing pancreaticoduodenectomy remains controversial. METHODS: Patients presenting with obstructive jaundice who subsequently underwent pancreaticoduodenectomy from January 1996 to June 2002 were included in the study (n = 212). Patients with preoperative biliary stents (n = 154) were compared with patients without preoperative drainage (n = 58). RESULTS: Patients in the stented group required a longer operative time (mean 6.8 hours versus 6.5 hours) and had greater intraoperative blood loss (mean 1207 mL versus 1122 mL) compared with the unstented group, (P = 0.046 and 0.018). No differences were found with respect to operative mortality (2%), incidence of pancreatic fistula (10% versus 14%), or intraabdominal abscess (7% versus 5%). Wound infection occurred more often in the stented group (8% versus 0%, P = 0.039). CONCLUSIONS: PBD was associated with increased operative time, intraoperative blood loss, and incidence of wound infection. Although PBD did not increase major postoperative morbidity and mortality, it should be used selectively in patients undergoing pancreaticoduodenectomy.

Aged↗